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Temporal Evolution of MRI Characteristics in Dogs with Collagenase-Induced Intracerebral Hemorrhage

机译:胶原酶诱导的脑出血狗的MRI特征的时间演变

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摘要

Intracerebral hemorrhage (ICH) is one of the most lethal types of stroke. Neuroimaging techniques, particularly MRI, have improved the diagnostic accuracy of ICH. The MRI characteristics of the evolving stages of ICH in humans—but not those in dogs—have been described. In this study, we document the temporal MRI characteristics in a canine model of collagenase-induced ICH. Specifically, ICH was induced in 5 healthy beagles by injecting 500 U of bacterial collagenase from Clostridium histolyticum, which was delivered into the parietal lobe over 5 min by using a microinfusion pump. T1- and T2-weighted, fluid-attenuated inversion recovery, gradient-echo (GRE), and diffusion-weighted (DWI) imaging and measurement of the apparent diffusion coefficient (ADC) were performed serially at 6 different time points (before and 12 h, 3 d, 5 d, 10 d and 24 d after hemorrhage) by using a 3-T MR system. The temporal changes of T1 signal intensity (SI) corresponded well with the reported human data. The temporal changes of T2 and GRE sequences, with the exception of T2 and GRE hyperintensities at the early subacute stage, also matched. ADC measurements were high at the early subacute stage, and DWI-SI positively correlated with T2- and GRE-SI from the early subacute stage onward. In conclusion, MRI is an ideal method for characterizing the temporal evolution of parenchymal alterations after ICH in dogs. These data might be useful for differentiating clinical stages of ICH in dogs.
机译:脑出血(ICH)是最致命的中风类型之一。神经影像技术,特别是MRI,已经提高了ICH的诊断准确性。已经描述了人类(而非狗)ICH演变阶段的MRI特征。在这项研究中,我们记录了胶原酶诱导的ICH犬模型中的颞MRI特征。具体而言,通过从溶组织梭状芽胞杆菌中注入500 U细菌胶原酶,在5只健康的小猎犬中诱发ICH,然后使用微输注泵在5分钟内将其递送至顶叶。在六个不同的时间点(之前和之前的12个时间点)依次进行T1和T2加权,流体衰减反演恢复,梯度回波(GRE)和扩散加权(DWI)成像以及表观扩散系数(ADC)的测量出血后3 h,3 d,5 d,10 d和24 d)使用3-T MR系统。 T1信号强度(SI)的时间变化与所报告的人类数据非常吻合。 T2和GRE序列的时间变化(亚急性早期的T2和GRE高强度除外)也匹配。在亚急性早期,ADC的测量值很高,从亚急性早期开始,DWI-SI与T2-和GRE-SI正相关。总之,MRI是表征犬ICH后实质改变的时间演变的理想方法。这些数据可能有助于区分狗的ICH临床分期。

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