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脑缺血的扩散各向异性

Diffusion anisotropy of cerebral ischaemia.

作者信息

Kajima T, Azuma K, Itoh K, Kagawa R, Yamane K, Okada Y, Shima T

机构信息

Department of Radiology, Hiroshima University School of Medicine, Japan.

出版信息

Acta Neurochir Suppl (Wien). 1994;60:216-9. doi: 10.1007/978-3-7091-9334-1_58.

Abstract

Focal cerebral ischemia was produced by occlusion of the middle cerebral artery with a silicone cylinder in Wistar rats. Diffusion-weighted echo-planar images (DW-EPIs) using the motion-probing gradient (MPG) method were acquired at 1-3 hours and 24-48 hours after occlusion. Apparent diffusion coefficients (ADCs) were calculated from these images in ischemic lesions and in normal unoccluded regions. Results were as follows. 1. Ischemic lesions could be detected on the DW-EPIs at 1 hour after occlusion. 2. The ADC of water in the brain tissue was smaller than that of free water as a result of restricted diffusion. 3. Anisotropic diffusion that probably can be attributed to the myelin sheath was observed in the normal deep white matter. 4. In the ischemic lesions, the ADC decreased rapidly within 1-3 hours after occlusion and then slightly further declined after 24-48 hours. In the ischemic deep white matter, diffusion anisotropy disappeared at 24-48 hours after occlusion. Diffusion-weighted imaging may have applications in the examination of pathophysiological mechanisms in cerebral ischemia by means of evaluation of ADC and diffusion anisotropy.

摘要

通过用硅胶柱闭塞Wistar大鼠大脑中动脉制造局灶性脑缺血。在闭塞后1 - 3小时和24 - 48小时获取使用运动探测梯度(MPG)方法的扩散加权回波平面图像(DW - EPI)。从这些图像中计算缺血性病变和正常未闭塞区域的表观扩散系数(ADC)。结果如下:1. 在闭塞后1小时的DW - EPI上可检测到缺血性病变。2. 由于扩散受限,脑组织中水的ADC小于自由水的ADC。3. 在正常深部白质中观察到可能归因于髓鞘的各向异性扩散。4. 在缺血性病变中,ADC在闭塞后1 - 3小时内迅速下降,然后在24 - 48小时后进一步略有下降。在缺血性深部白质中,闭塞后24 - 48小时各向异性扩散消失。扩散加权成像可能通过评估ADC和扩散各向异性在脑缺血病理生理机制检查中具有应用价值。

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