Zhao D, Tong B S, Duan M L
Department of Otorhinolaryngology Head and Neck Surgery, the LuAn Affiliated Hospital of Anhui Medical University, LuAn 237000, China.
Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230032, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Apr 7;55(4):378-383. doi: 10.3760/cma.j.cn115330-20190727-00467.
To observe the imaging characteristics of guinea pig cochlear structure using 9.4 Tesla magnetic resonance imaging system at different time intervals of contrast agent distribution in the inner ear. Form May 2015 to October 2015, five albino guinea pigs were injected with Gd-DTPA via the right internal jugular vein (3 ml/kg). Inner ears were scanned with 9.4T MRI. At the 10 th, 30 th, 60 th, 90 th and 120 th minutes post-Gd-DTPA, we took inner ear images to detect changes of endolymph and perilymph. Using Image J software, we acquired MRI gray value through the first, second, third and apical turn of cochlear at different time points. Analysis by one-way ANOVA was taken to analyze the resultsusing GraphPad Prism 5 software. Only outlines of the cochlea and vestibule were visible before Gd-DTPA injection and there was no clear distinction between endolymph and perilymph. Cochlea vestibule on T1 weighted images was enhanced at the 10 th (the first turn of cochlear 8 203±819) after injection, and then imaging of each part of cochlea, including cochlea, vestibule, semicircular canal and even endolymph and perilymph, can be distinguished clearly, because they enhanced gradually at the 30 th(10 489±819), 60 th(13 965±591), and at 90 th(18 050±1 250) after injection. While at the 120 th(18 952±1 185) minute, imaging was not significantly enhanced than at the 90 th minute. The speed and volume of contrast agent spreaded into the various parts of the inner ear were different, and changes with distribution of contrast agent in each part of the inner ear showed a rising process in a certain period of time. The distribution of contrast agent in the inner ear had concentration gradient via basal turn higher and apical turn lower. Endolymph of inner ear can be distinguished from the perilymph using a 9.4T MRI system with Gd-DTPA, and the best observation timer was 90 minutes after intravenous injection of contrast agent. In summary, our study provides the clearly visualized imaging evidence of the changes of the lymphatic fluid, which may be useful for diagnosis of inner ear diseases such as Meniere's Disease.
利用9.4特斯拉磁共振成像系统,观察造影剂在内耳不同时间间隔分布时豚鼠耳蜗结构的成像特征。2015年5月至2015年10月,对5只白化豚鼠经右颈内静脉注射钆喷酸葡胺(3毫升/千克)。用9.4T磁共振成像仪对内耳进行扫描。在注射钆喷酸葡胺后的第10、30、60、90和120分钟,采集内耳图像以检测内淋巴和外淋巴的变化。使用Image J软件,在不同时间点获取耳蜗第一、第二、第三和顶转的磁共振成像灰度值。使用GraphPad Prism 5软件进行单因素方差分析以分析结果。在注射钆喷酸葡胺前,仅可见耳蜗和前庭的轮廓,内淋巴和外淋巴之间无明显区分。注射后第10分钟(耳蜗第一转8203±819),T1加权图像上的耳蜗前庭增强,随后在注射后第30分钟(10489±819)、第60分钟(13965±591)和第90分钟(18050±1250),耳蜗各部分的成像,包括耳蜗、前庭、半规管甚至内淋巴和外淋巴,都能清晰区分,因为它们逐渐增强。而在第120分钟(18952±1185),成像增强程度与第90分钟相比无明显差异。造影剂扩散到内耳各部分的速度和量不同,且随着造影剂在内耳各部分的分布变化在一定时间段内呈上升过程。造影剂在内耳的分布有浓度梯度,基底转较高而顶转较低。使用含钆喷酸葡胺的9.4T磁共振成像系统可区分内耳的内淋巴和外淋巴,静脉注射造影剂后最佳观察时间为90分钟。总之,我们的研究提供了淋巴液变化的清晰可视化成像证据,这可能有助于梅尼埃病等内耳疾病的诊断。