Chen Xi-Ran, Zeng Jie-Ying, Shen Zhi-Wei, Kong Ling-Mei, Zheng Wen-Bin
Department of Radiology, The Second Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China.
Biomed Res Int. 2017;2017:4757025. doi: 10.1155/2017/4757025. Epub 2017 Jan 18.
The aim of this study was to test the technical feasibility of diffusion kurtosis imaging (DKI) in the brain after acute alcohol intoxication. Diffusion tensor imaging (DTI) and DKI during 7.0 T MRI were performed in the frontal lobe and thalamus before and 30 min, 2 h, and 6 h after ethyl alcohol administration. Compared with controls, mean kurtosis values of the frontal lobe and thalamus first decreased by 44% and 38% within 30 min ( < 0.01 all) and then increased by 14% and 46% at 2 h (frontal lobe, > 0.05; thalamus, < 0.01) and by 29% and 68% at 6 h (frontal lobe, < 0.05; thalamus, < 0.01) after acute intake. Mean diffusivity decreased significantly in both the frontal lobe and the thalamus at various stages. However, fractional anisotropy decreased only in the frontal lobe, with no detectable change in the thalamus. This demonstrates that DKI possesses sufficient sensitivity for tracking pathophysiological changes at various stages associated with acute alcohol intoxication and may provide additional information that may be missed by conventional DTI parameters.
本研究的目的是测试急性酒精中毒后大脑中扩散峰度成像(DKI)的技术可行性。在给予乙醇前以及给药后30分钟、2小时和6小时,于7.0 T磁共振成像(MRI)期间对额叶和丘脑进行扩散张量成像(DTI)和DKI。与对照组相比,额叶和丘脑的平均峰度值在30分钟内首先分别下降44%和38%(均P<0.01),然后在2小时时分别上升14%和46%(额叶,P>0.05;丘脑,P<0.01),急性摄入后6小时分别上升29%和68%(额叶,P<0.05;丘脑,P<0.01)。在各个阶段,额叶和丘脑的平均扩散率均显著下降。然而,仅额叶的分数各向异性下降,丘脑中未检测到变化。这表明DKI对追踪与急性酒精中毒相关的各个阶段的病理生理变化具有足够的敏感性,并且可能提供传统DTI参数可能遗漏的额外信息。