Buonincontri Guido, Methner Carmen, Carpenter T Adrian, Hawkes Robert C, Sawiak Stephen J, Krieg Thomas
Wolfson Brain Imaging Centre, Department of Clinical Neurosciences, Unversity of Cambridge.
J Vis Exp. 2013 Dec 19(82):e50806. doi: 10.3791/50806.
Myocardial infarction is one of the leading causes of death in the Western world. The similarity of the mouse heart to the human heart has made it an ideal model for testing novel therapeutic strategies. In vivo magnetic resonance imaging (MRI) gives excellent views of the heart noninvasively with clear anatomical detail, which can be used for accurate functional assessment. Contrast agents can provide basic measures of tissue viability but these are nonspecific. Positron emission tomography (PET) is a complementary technique that is highly specific for molecular imaging, but lacks the anatomical detail of MRI. Used together, these techniques offer a sensitive, specific and quantitative tool for the assessment of the heart in disease and recovery following treatment. In this paper we explain how these methods are carried out in mouse models of acute myocardial infarction. The procedures described here were designed for the assessment of putative protective drug treatments. We used MRI to measure systolic function and infarct size with late gadolinium enhancement, and PET with fluorodeoxyglucose (FDG) to assess metabolic function in the infarcted region. The paper focuses on practical aspects such as slice planning, accurate gating, drug delivery, segmentation of images, and multimodal coregistration. The methods presented here achieve good repeatability and accuracy maintaining a high throughput.
心肌梗死是西方世界主要的死亡原因之一。小鼠心脏与人类心脏的相似性使其成为测试新型治疗策略的理想模型。体内磁共振成像(MRI)能够以清晰的解剖细节对心脏进行无创性的良好观察,可用于准确的功能评估。造影剂可提供组织活力的基本测量,但这些测量是非特异性的。正电子发射断层扫描(PET)是一种补充技术,对分子成像具有高度特异性,但缺乏MRI的解剖细节。将这些技术结合使用,可为评估疾病状态下的心脏以及治疗后的恢复情况提供一种灵敏、特异且定量的工具。在本文中,我们解释了如何在急性心肌梗死小鼠模型中实施这些方法。这里描述的程序是为评估假定的保护性药物治疗而设计的。我们使用MRI通过延迟钆增强来测量收缩功能和梗死面积,并使用氟脱氧葡萄糖(FDG)PET来评估梗死区域的代谢功能。本文重点关注诸如切片规划、精确门控、药物递送、图像分割和多模态配准等实际操作方面。这里介绍的方法具有良好的可重复性和准确性,同时保持了高通量。