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A fast multiparameter MRI approach for acute stroke assessment on a 3T clinical scanner: preliminary results in a non-human primate model with transient ischemic occlusion

机译:在3T临床扫描仪上进行急性中风评估的快速多参数MRI方法:具有短暂性缺血性闭塞的非人类灵长类动物模型的初步结果

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>>Abstract Many MRI parameters have been explored and demonstrated the capability or potential to evaluate acute stroke injury, providing anatomical, microstructural, functional, or neurochemical information for diagnostic purposes and therapeutic development. However, the application of multiparameter MRI approach is hindered in clinic due to the very limited time window after stroke insult. Parallel imaging technique can accelerate MRI data acquisition dramatically and has been incorporated in modern clinical scanners and increasingly applied for various diagnostic purposes. In the present study, a fast multiparameter MRI approach including structural T1-weighted imaging (T1W), T2-weighted imaging (T2W), diffusion tensor imaging (DTI), T2-mapping, proton magnetic resonance spectroscopy, cerebral blood flow (CBF), and magnetization transfer (MT) imaging, was implemented and optimized for assessing acute stroke injury on a 3T clinical scanner. A macaque model of transient ischemic stroke induced by a minimal interventional approach was utilized for evaluating the multiparameter MRI approach. The preliminary results indicate the surgical procedure successfully induced ischemic occlusion in the cortex and/or subcortex in adult macaque monkeys (n=4). Application of parallel imaging technique substantially reduced the scanning duration of most MRI data acquisitions, allowing for fast and repeated evaluation of acute stroke injury. Hence, the use of the multiparameter MRI approach with up to five quantitative measures can provide significant advantages in preclinical or clinical studies of stroke disease.
机译:> >摘要已经探究了许多MRI参数,并证明了评估急性中风损伤的能力或潜力,可提供解剖学,微观结构,功能或神经化学信息,以用于诊断目的和治疗开发。然而,由于中风后的时间窗口非常有限,因此在临床上阻碍了多参数MRI方法的应用。并行成像技术可以极大地加速MRI数据的获取,并已被并入现代临床扫描仪中,并越来越多地用于各种诊断目的。在本研究中,一种快速的多参数MRI方法包括结构性T1加权成像(T1W),T2加权成像(T2W),弥散张量成像(DTI),T2映射,质子磁共振波谱,脑血流(CBF)以及磁化转移(MT)成像已实施并优化,以在3T临床扫描仪上评估急性中风损伤。通过最小干预方法诱发的短暂性脑缺血发作的猕猴模型用于评估多参数MRI方法。初步结果表明,该手术程序成功地诱导了成年猕猴(n = 4)的皮质和/或皮质下的缺血性闭塞。并行成像技术的应用大大减少了大多数MRI数据采集的扫描时间,从而可以快速,重复地评估急性中风损伤。因此,多参数MRI方法与多达五种定量方法的结合使用可为中风疾病的临床前或临床研究提供重要优势。

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