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大鼠轻度创伤性脑损伤急、亚急性期的弥散张量成像。

Diffusion Tensor Imaging in Acute and Subacute Phases of Mild Traumatic Brain Injury in Rats.

机构信息

A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio FI-70211, Finland.

A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio FI-70211, Finland

出版信息

eNeuro. 2020 Jun 15;7(3). doi: 10.1523/ENEURO.0476-19.2020. Print 2020 May/Jun.

Abstract

Mild traumatic brain injury (mTBI) is the most common form of TBI with 10-25% of the patients experiencing long-lasting symptoms. The potential of diffusion tensor imaging (DTI) for evaluating microstructural damage after TBI is widely recognized, but the interpretation of DTI changes and their relationship with the underlying tissue damage is unclear. We studied how both axonal damage and gliosis contribute to DTI alterations after mTBI. We induced mTBI using the lateral fluid percussion (LFP) injury model in adult male Sprague Dawley rats and scanned them at 3 and 28 d post-mTBI. To characterize the DTI findings in the tissue, we assessed the histology by performing structure tensor (ST)-based analysis and cell counting on myelin-stained and Nissl-stained sections, respectively. In particular, we studied the contribution of two tissue components, myelinated axons and cellularity, to the DTI changes. Fractional anisotropy (FA), mean diffusivity (MD), and axial diffusivity (AD) were decreased in both white and gray matter areas in the acute phase post-mTBI, mainly at the primary lesion site. In the subacute phase, FA and AD were decreased in the white matter, external capsule, corpus callosum, and internal capsule. Our quantitative histologic assessment revealed axonal damage and gliosis throughout the brain in both white and gray matter, consistent with the FA and AD changes. Our findings suggest that the usefulness of DTI is limited in its detection of secondary damage distal to the primary lesion, while at the lesion site, DTI detected progressive microstructural damage in the white and gray matter after mTBI.

摘要

轻度创伤性脑损伤(mTBI)是最常见的 TBI 形式,其中 10-25%的患者存在长期症状。扩散张量成像(DTI)在评估 TBI 后微观结构损伤方面的潜力已得到广泛认可,但 DTI 变化的解释及其与潜在组织损伤的关系尚不清楚。我们研究了轴突损伤和神经胶质增生如何导致 mTBI 后 DTI 改变。我们使用侧向流体冲击(LFP)损伤模型在成年雄性 Sprague Dawley 大鼠中诱导 mTBI,并在 mTBI 后 3 和 28 天对其进行扫描。为了描述组织中的 DTI 发现,我们通过分别对髓鞘染色和尼氏染色切片进行结构张量(ST)分析和细胞计数来评估组织学。特别是,我们研究了两种组织成分,即髓鞘化轴突和细胞密度,对 DTI 变化的贡献。在 mTBI 后急性期,白质和灰质区域的各向异性分数(FA)、平均扩散系数(MD)和轴向扩散系数(AD)均降低,主要在原发性损伤部位。在亚急性期,白质、外囊、胼胝体和内囊的 FA 和 AD 降低。我们的定量组织学评估显示,在白质和灰质的整个大脑中都存在轴突损伤和神经胶质增生,这与 FA 和 AD 的变化一致。我们的研究结果表明,DTI 在检测原发性损伤远端的继发性损伤方面的作用有限,而在损伤部位,DTI 检测到 mTBI 后白质和灰质的微观结构损伤逐渐加重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b8/7307627/1d6ef4045ae8/SN-ENUJ200137F010.jpg

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