Osborne K A, Shigeno T, Balarsky A M, Ford I, McCulloch J, Teasdale G M, Graham D I
J Neurol Neurosurg Psychiatry. 1987 Apr;50(4):402-10. doi: 10.1136/jnnp.50.4.402.
A method for the volumetric assessment of early cerebral infarction, together with its statistical and biological validation, is described. In halothane anaesthetised rats the stem of the right middle cerebral artery was occluded and 3 hours later (with full monitoring of respiratory and cardiovascular status) the animals were killed by perfusion fixation. In normotensive normocapnic animals the volume of infarction was 52 +/- 4 mm3 in the cerebral cortex and 21 +/- 1 mm3 in the corpus striatum. The reproducibility of the volumetric assessment was found to be excellent (coefficient of correlation 0.995 on 18 replicate measurements). The minimum number of stereotactic levels which must be assessed to yield accurate volumetric measurements of infarction is 8. The method is sensitive at detecting alterations in the amount of infarction. For example, it can readily detect the increase in amount of structural damage in cerebral cortex following a transient episode of hypotension. This approach allows an objective assessment of drug therapy and management strategies in the treatment of cerebral infarction.
本文描述了一种用于早期脑梗死体积评估的方法及其统计学和生物学验证。在氟烷麻醉的大鼠中,阻断右侧大脑中动脉主干,3小时后(全面监测呼吸和心血管状态)通过灌注固定处死动物。在血压正常、二氧化碳分压正常的动物中,脑梗死体积在大脑皮层为52±4立方毫米,在纹状体为21±1立方毫米。发现体积评估的可重复性极佳(18次重复测量的相关系数为0.995)。为获得准确的梗死体积测量值,必须评估的立体定向层面的最小数量为8个。该方法在检测梗死量的变化方面很敏感。例如,它能轻易检测到短暂性低血压发作后大脑皮层结构损伤量的增加。这种方法可对脑梗死治疗中的药物治疗和管理策略进行客观评估。