Strauss I, Williamson J M, Bertram E H, Lothman E W, Fernandez E J
Department of Chemical Engineering, University of Virginia, Charlottesville 22903-2442, USA.
Magn Reson Med. 1997 Jan;37(1):24-33. doi: 10.1002/mrm.1910370106.
NAA has been described as a neuron-specific compound. NAA levels as determined by magnetic resonance spectroscopic imaging (MRSI) have been used to determine degree of neuronal loss in several neurological diseases, but there has been limited work to document the accuracy and reliability of this technique. This study addresses this question quantitatively with histological analysis of cell viability and tissue shrinkage in quinolinic acid (QA)-induced damage of the rat striatum compared with 1H MRSI measurement of N-acetyl aspartate (NAA) as a noninvasive measure of neuronal loss. Both 1H MRSI and histology detect damage to the lesioned striatum; however, there are differences in the degree of damage as assessed by the two methods. Although partial-volume effects and tissue shrinkage may decrease the sensitivity of MR to such damage, the sparing of axons by QA may be another important factor in the differences in assessment. These results indicate that further studies of NAA metabolism and its distribution within neurons are warranted.
N-乙酰天门冬氨酸(NAA)被描述为一种神经元特异性化合物。通过磁共振波谱成像(MRSI)测定的NAA水平已被用于确定几种神经系统疾病中神经元丧失的程度,但记录该技术准确性和可靠性的研究有限。本研究通过对喹啉酸(QA)诱导的大鼠纹状体损伤中的细胞活力和组织萎缩进行组织学分析,并与作为神经元丧失非侵入性测量方法的N-乙酰天门冬氨酸(NAA)的1H MRSI测量进行比较,定量地解决了这个问题。1H MRSI和组织学都检测到了损伤纹状体的损伤;然而,两种方法评估的损伤程度存在差异。尽管部分容积效应和组织萎缩可能会降低磁共振对此类损伤的敏感性,但QA对轴突的保留可能是评估差异的另一个重要因素。这些结果表明,有必要对NAA代谢及其在神经元内的分布进行进一步研究。