Sedlacik Jan, Reitz Matthias, Bolar Divya S, Adalsteinsson Elfar, Schmidt Nils O, Fiehler Jens
Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Z Med Phys. 2015 Mar;25(1):77-85. doi: 10.1016/j.zemedi.2014.01.004. Epub 2014 Mar 11.
The non-invasive assessment of (patho-)physiological parameters such as, perfusion and oxygenation, is of great importance for the characterization of pathologies e.g., tumors, which may be helpful to better predict treatment response and potential outcome. To better understand the influence of physiological parameters on the investigated oxygenation and perfusion sensitive MRI methods, MRI measurements were correlated with subsequent invasive micro probe measurements during free breathing conditions of air, air+10% CO2 and 100% O2 in healthy mice brain. MRI parameters were the irreversible (R2), reversible (R2') and effective (R2*) transverse relaxation rates, venous blood oxygenation level assessed by quantitative blood oxygenation level dependent (qBOLD) method and cerebral blood flow (CBF) assessed by arterial spin labeling (ASL) using a 7 T small animal MRI scanner. One to two days after MRI, tissue perfusion and pO2 were measured by Laser-Doppler flowmetry and fluorescence quenching micro probes, respectively. The tissue pO2 values were converted to blood oxygen saturation by using the Hill equation. The animals were anesthetized by intra peritoneal injection of ketamine-xylazine-acepromazine (10-2-0.3 mg/ml · kg). Results for normal/hypercapnia/hyperoxia conditions were: R2[s(∧)-1] = 20.7/20.4/20.1, R2*[s(∧)-1] = 31.6/29.6/25.9, R2'[s-(∧)1] = 10.9/9.2/5.7, qBOLD venous blood oxygenation level = 0.43/0.51/0.56, CBF[ml · min(∧)-1 · 100 g(∧)-1] = 70.6/105.5/81.8, Laser-Doppler flowmetry[a.u.] = 89.2/120.2/90.6 and pO2[mmHg] = 6.3/32.3/46.7. All parameters were statistically significantly different with P < 0.001 between all breathing conditions. All MRI and the corresponding micro probe measurements were also statistically significantly (P ≤ 0.03) correlated with each other. However, converting the tissue pO2 to blood oxygen saturation = 0.02/0.34/0.63, showed only very limited agreement with the qBOLD venous blood oxygenation level. We found good correlation between MRI and micro probe measurements. However, direct conversion of tissue pO2 to blood oxygen saturation by using the Hill equation is very limited. Furthermore, adverse effects of anesthesia and trauma due to micro probe insertion are strong confounding factors and need close attention for study planning and conduction of experiments. Investigation of the correlation of perfusion and oxygenation sensitive MRI methods with micro probe measurements in pathologic tissue such as tumors is now of compelling interest.
对灌注和氧合等(病理-)生理参数进行非侵入性评估,对于表征肿瘤等病变非常重要,这可能有助于更好地预测治疗反应和潜在结果。为了更好地理解生理参数对所研究的氧合和灌注敏感MRI方法的影响,在健康小鼠大脑空气、空气+10%二氧化碳和100%氧气的自由呼吸条件下,将MRI测量结果与随后的侵入性微探针测量结果进行了关联。MRI参数包括不可逆(R2)、可逆(R2')和有效(R2*)横向弛豫率、通过定量血氧水平依赖(qBOLD)方法评估的静脉血氧水平以及使用7T小动物MRI扫描仪通过动脉自旋标记(ASL)评估的脑血流量(CBF)。MRI检查后1至2天,分别通过激光多普勒血流仪和荧光猝灭微探针测量组织灌注和pO2。使用希尔方程将组织pO2值转换为血氧饱和度。通过腹腔注射氯胺酮-赛拉嗪-乙酰丙嗪(10-2-0.3mg/ml·kg)对动物进行麻醉。正常/高碳酸血症/高氧条件下的结果为:R2[s(∧)-1]=20.7/20.4/20.1,R2*[s(∧)-1]=31.6/29.6/25.9,R2'[s-(∧)¹]=10.9/9.2/5.7,qBOLD静脉血氧水平=0.43/0.51/0.56,CBF[ml·min(∧)-1·100g(∧)-1]=70.6/105.5/81.8,激光多普勒血流仪[a.u.]=89.2/120.2/90.6,pO2[mmHg]=-6.3/32.3/46.7。所有参数在所有呼吸条件之间均有统计学显著差异,P<0.001。所有MRI和相应的微探针测量结果之间也有统计学显著相关性(P≤0.03)。然而,将组织pO2转换为血氧饱和度=0.02/0.34/0.63,与qBOLD静脉血氧水平的一致性非常有限。我们发现MRI和微探针测量之间有良好的相关性。然而,使用希尔方程将组织pO2直接转换为血氧饱和度非常有限。此外,麻醉的不良反应和微探针插入造成的创伤是很强的混杂因素,在研究规划和实验实施中需要密切关注。目前,研究灌注和氧合敏感MRI方法与肿瘤等病理组织中微探针测量的相关性极具吸引力。