Division of Clinical Radiology, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Support Center of Advanced Neuroimaging (SCAN), Institute of Diagnostic and Interventional Neuroradiology, Inselspital Bern, University of Bern, Bern, Switzerland.
J Vet Intern Med. 2021 Nov;35(6):2828-2836. doi: 10.1111/jvim.16270. Epub 2021 Oct 8.
The diagnosis of idiopathic epilepsy (IE) in dogs is based on exclusion of other potential causes of seizures. Recently, a novel magnetic resonance imaging (MRI) sequence that utilizes a variant of the rotary saturation approach has been suggested to detect weak transient magnetic field oscillations generated by neuronal currents in humans with epilepsy.
HYPOTHESIS/OBJECTIVES: Effects on the magnetic field evoked by intrinsic epileptic activity can be detected by MRI in the canine brain. As proof-of-concept, the novel MRI sequence to detect neuronal currents was applied in dogs.
Twelve dogs with IE and 5 control dogs without a history of epileptic seizures were examined.
Prospective case-control study as proof-of-concept. All dogs underwent a clinical neurological examination, scalp electroencephalography, cerebrospinal fluid analysis, and MRI. The MRI examination included a spin-locking (SL) experiment applying a low-power on-resonance radiofrequency pulse in a predefined frequency domain in the range of oscillations generated by the epileptogenic tissue.
In 11 of 12 dogs with IE, rotary saturation effects were detected by the MRI sequence. Four of 5 control dogs did not show rotary saturation effects. One control dog with a diagnosis of neuronal ceroid lipofuscinosis had SL-related effects, but did not have epileptic seizures clinically.
The proposed MRI method detected neuronal currents in dogs with epileptic seizures and represents a potential new line of research to investigate neuronal currents possibly related to IE in dogs.
犬特发性癫痫(IE)的诊断基于排除其他可能引起癫痫发作的潜在原因。最近,一种新的磁共振成像(MRI)序列,利用旋转饱和方法的变体,已被建议用于检测癫痫患者由神经元电流产生的微弱瞬态磁场振荡。
假说/目的:MRI 可以检测犬脑中由固有癫痫活动引起的磁场变化。作为概念验证,该研究应用了一种新的用于检测神经元电流的 MRI 序列。
12 只患有 IE 的犬和 5 只无癫痫发作史的对照犬接受了检查。
前瞻性病例对照研究作为概念验证。所有犬均接受临床神经学检查、头皮脑电图、脑脊液分析和 MRI 检查。MRI 检查包括自旋锁定(SL)实验,在预先定义的频率范围内施加低功率的共振射频脉冲,以产生致痫组织产生的振荡。
在 12 只 IE 犬中,有 11 只通过 MRI 序列检测到旋转饱和效应。5 只对照犬中,有 4 只未显示旋转饱和效应。一只被诊断为神经元蜡样脂褐质沉积症的对照犬有与 SL 相关的效应,但临床上没有癫痫发作。
所提出的 MRI 方法在患有癫痫发作的犬中检测到神经元电流,这代表了一种潜在的新研究方向,用于研究可能与犬 IE 相关的神经元电流。