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海马体的 DTI 标量改变与创伤性脑损伤后的形态和结构变化有关。

Altered DTI scalars in the hippocampus are associated with morphological and structural changes after traumatic brain injury.

机构信息

Radiological, Nuclear and Imaging Sciences (RNAIS), Institute of Nuclear Medicine and Allied Sciences (INMAS), DRDO, Delhi, India.

Department of Biochemistry, Panjab University, Chandigarh, India.

出版信息

Brain Struct Funct. 2024 May;229(4):853-863. doi: 10.1007/s00429-024-02758-8. Epub 2024 Feb 21.

Abstract

Blunt and diffuse injury is a highly prevalent form of traumatic brain injury (TBI) which can result in microstructural alterations in the brain. The blunt impact on the brain can affect the immediate contact region but can also affect the vulnerable regions like hippocampus, leading to functional impairment and long-lasting cognitive deficits. The hippocampus of the moderate weight drop injured male rats was longitudinally assessed for microstructural changes using in vivo MR imaging from 4 h to Day 30 post-injury (PI). The DTI analysis found a prominent decline in the apparent diffusion coefficient (ADC), radial diffusivity (RD), and axial diffusivity (AD) values after injury. The perturbed DTI scalars accompanied histological changes in the hippocampus, wherein both the microglia and astrocytes showed changes in the morphometric parameters at all timepoints. Along with this, the hippocampus showed presence of Aβ positive fibrils and neurite plaques after injury. Therefore, this study concludes that TBI can lead to a complex morphological, cellular, and structural alteration in the hippocampus which can be diagnosed using in vivo MR imaging techniques to prevent long-term functional deficits.

摘要

钝挫伤是一种常见的外伤性脑损伤(TBI)形式,可导致大脑的微观结构改变。大脑受到钝性冲击不仅会影响直接接触的区域,还会影响海马等脆弱区域,导致功能障碍和长期认知缺陷。本研究采用体内磁共振成像(MRI)技术,从损伤后 4 小时到 30 天(PI),对中度重量下降致伤雄性大鼠的海马进行了纵向评估,以研究其微观结构变化。DTI 分析发现,损伤后表观扩散系数(ADC)、径向扩散系数(RD)和轴向扩散系数(AD)值明显下降。扰动的 DTI 标量伴随着海马中的组织学变化,其中小胶质细胞和星形胶质细胞在所有时间点的形态参数都发生了变化。此外,海马中还存在 Aβ阳性纤维和神经突斑。因此,本研究得出结论,TBI 可导致海马发生复杂的形态、细胞和结构改变,可通过体内 MRI 技术进行诊断,以预防长期功能缺陷。

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