Department of Anesthesiology, Yale School of Medicine, New Haven, CT, United States of America.
Center for Translational Neuromedicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Neuroscience. 2019 Apr 15;404:14-26. doi: 10.1016/j.neuroscience.2019.01.030. Epub 2019 Jan 26.
Cerebral small vessel disease(s) (SVD) results from pathological changes of the small blood vessels in the brain and is common in older people. The diagnostic features by which SVD manifests in brain includes white matter hyperintensities, lacunes, dilated perivascular spaces, microbleeds, and atrophy. In the present study, we use in vivo magnetic resonance imaging (MRI) to characterize brain morphometry and longitudinal relaxation time (T1) of spontaneously hypertensive rats (SHRs) to study the contribution of chronic hypertension to SVD relevant pathology. Male SHR and Wistar-Kyoto (WKY) rats underwent 3D variable flip angle spoiled gradient echo brain MRI at 9.4 T at early (seven weeks old) and established (19 weeks old) stages of hypertension. The derived proton density weighted and T1 images were utilized for morphometry and to characterize T1 properties in gray matter (GM), white matter (WM) and cerebrospinal fluid (CSF). Custom tissue probability maps were constructed for accurate computerized whole brain tissue segmentations and voxel-wise analyses. Characteristic morphological differences between the two strains included enlarged ventricles, smaller corpus callosum (CC) volumes and general 'thinning' of CC in SHR compared to WKY rats at both age groups. While we did not observe parenchymal T1 differences, the T1 of CSF was elevated in SHR compared to controls. Collectively these findings indicate that SHRs develop WM atrophy which is a clinically robust MRI biomarker associated with WM degeneration.
脑小血管病(SVD)源于脑内小血管的病理改变,常见于老年人。SVD 在脑部的诊断特征包括脑白质高信号、腔隙、扩大的血管周围间隙、微出血和萎缩。在本研究中,我们使用体内磁共振成像(MRI)来描绘自发性高血压大鼠(SHR)的脑形态计量学和纵向弛豫时间(T1),以研究慢性高血压对 SVD 相关病理学的影响。雄性 SHR 和 Wistar-Kyoto(WKY)大鼠在 9.4T 场强下进行三维可变翻转角梯度回波脑 MRI 检查,分别在高血压的早期(7 周龄)和晚期(19 周龄)进行。所得的质子密度加权和 T1 图像用于形态计量学,并用于描绘灰质(GM)、白质(WM)和脑脊液(CSF)中的 T1 特性。构建了定制的组织概率图,以实现准确的全脑组织分割和体素分析。两种品系之间的特征性形态差异包括:与 WKY 大鼠相比,SHR 在两个年龄组的脑室均增大、胼胝体(CC)体积更小以及 CC 普遍变薄。虽然我们没有观察到实质 T1 的差异,但 SHR 的 CSF T1 高于对照组。这些发现表明,SHR 出现 WM 萎缩,这是一种与 WM 退化相关的临床可靠 MRI 生物标志物。