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动态扩散张量成像在脊髓挫裂伤中的应用:犬模型研究。

Dynamic diffusion tensor imaging of spinal cord contusion: A canine model.

机构信息

School of Rehabilitation Medicine, Capital Medical University, Beijing, 100068, China.

Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center, Beijing, 100068, China.

出版信息

J Neurosci Res. 2018 Jun;96(6):1093-1103. doi: 10.1002/jnr.24222. Epub 2018 Feb 27.

DOI:10.1002/jnr.24222
PMID:29485189
Abstract

This study aimed to explore the dynamic diffusion tensor imaging (DTI) of changes in spinal cord contusion using a canine model of injury involving rostral and caudal levels. In this study, a spinal cord contusion model was established in female dogs using a custom-made weight-drop lesion device. DTI was performed on dogs with injured spinal cords (n=7) using a Siemens 3.0T MRI scanner at pre-contusion and at 3 h, 24 h, 6 weeks and 12 weeks post-injury. The tissue sections were stained for immunohistochemical analysis. Canine models of spinal cord contusion were created successfully using the weight-drop lesion device. The fractional anisotropy (FA) value of lesion epicenter decreased, while the apparent diffusion coefficient (ADC), mean diffusivity (MD), and radial diffusivity (RD) values increased, and the extent of the curve was apparent gradually. The site and time affected the DTI parameters significantly in the whole spinal cord, ADC (site, P < 0.001 and time, P = 0.077, respectively); FA (site, P < 0.001 and time, P = 0.002, respectively). Immunohistological analysis of GFAP and NF revealed the pathologic changes of reactive astrocytes and axons, as well as the cavity and glial scars occurring during chronic SCI. DTI is a sensitive and noninvasive imaging tool useful to assess edema, hemorrhage, cavity formation, structural damage and reconstruction of axon, and myelin in dogs. The DTI parameters after contusion vary. However, the curves of ADC, MD, and RD were nearly similar and the FA curve was distinct. All the DTI parameters were affected by distance and time.

摘要

本研究旨在探索使用涉及损伤头尾部的犬脊髓打击伤模型,对脊髓挫伤的动态扩散张量成像(DTI)进行研究。本研究中,使用定制的重物打击损伤装置在雌性犬中建立了脊髓打击伤模型。在损伤前和损伤后 3 h、24 h、6 周和 12 周,使用 Siemens 3.0T MRI 扫描仪对患有脊髓损伤的犬进行 DTI 检查。对组织切片进行免疫组织化学分析。使用重物打击损伤装置成功地建立了犬脊髓打击伤模型。损伤中心的各向异性分数(FA)值降低,而表观扩散系数(ADC)、平均扩散系数(MD)和辐射扩散系数(RD)值增加,曲线的程度逐渐明显。整个脊髓的 DTI 参数均受到损伤部位和时间的显著影响,ADC(部位,P < 0.001;时间,P = 0.077);FA(部位,P < 0.001;时间,P = 0.002)。GFAP 和 NF 的免疫组织化学分析显示了反应性星形胶质细胞和轴突的病理变化,以及慢性 SCI 期间发生的空洞和胶质瘢痕。DTI 是一种敏感且无创的成像工具,可用于评估犬的水肿、出血、空洞形成、轴突结构损伤和重建以及髓鞘。挫伤后的 DTI 参数不同。然而,ADC、MD 和 RD 的曲线非常相似,FA 曲线则明显不同。所有 DTI 参数都受到距离和时间的影响。

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