脑脊髓液示踪剂向人脑矢状窦旁硬脑膜的外溢。

Cerebrospinal fluid tracer efflux to parasagittal dura in humans.

机构信息

Department of Radiology and Nuclear Medicine, Oslo University Hospital - Rikshospitalet, Oslo, Norway.

Department of Neurosurgery, Oslo University Hospital-Rikshospitalet, Oslo, Norway.

出版信息

Nat Commun. 2020 Jan 17;11(1):354. doi: 10.1038/s41467-019-14195-x.

Abstract

The mechanisms behind molecular transport from cerebrospinal fluid to dural lymphatic vessels remain unknown. This study utilized magnetic resonance imaging along with cerebrospinal fluid tracer to visualize clearance pathways to human dural lymphatics in vivo. In 18 subjects with suspicion of various types of cerebrospinal fluid disorders, 3D T2-Fluid Attenuated Inversion Recovery, T1-black-blood, and T1 gradient echo acquisitions were obtained prior to intrathecal administration of the contrast agent gadobutrol (0.5 ml, 1 mmol/ml), serving as a cerebrospinal fluid tracer. Propagation of tracer was followed with T1 sequences at 3, 6, 24 and 48 h after the injection. The tracer escaped from cerebrospinal fluid into parasagittal dura along the superior sagittal sinus at areas nearby entry of cortical cerebral veins. The findings demonstrate that trans-arachnoid molecular passage does occur and suggest that parasagittal dura may serve as a bridging link between human brain and dural lymphatic vessels.

摘要

脑脊液到硬脑膜淋巴管的分子转运机制尚不清楚。本研究利用磁共振成像和脑脊液示踪剂,在活体中可视化人硬脑膜淋巴管的清除途径。在 18 例怀疑有各种类型的脑脊液疾病的受试者中,在鞘内给予对比剂钆布醇(0.5ml,1mmol/ml)作为脑脊液示踪剂之前,获得了 3D T2-Fluid Attenuated Inversion Recovery、T1-black-blood 和 T1 梯度回波采集。在注射后 3、6、24 和 48 小时用 T1 序列跟踪示踪剂的传播。示踪剂从脑脊液中逃逸到沿着上矢状窦的矢状旁硬脑膜,在靠近皮质脑静脉进入的区域。这些发现表明,蛛网膜下腔的分子通过确实会发生,并表明矢状旁硬脑膜可能是人类大脑和硬脑膜淋巴管之间的桥梁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a95a/6969040/410a7287440e/41467_2019_14195_Fig1_HTML.jpg

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