多参数高场强磁共振成像评估恒河猴急性脑梗死血栓⁃溶栓模型
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作者单位:

(1. 首都医科大学宣武医院影像科,北京 100053; 2. 首都医科大学宣武医院中美神经科学研究所,北京 100053; 3. 首都医科大学宣武医院神经外科,北京 100053)

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R-33

基金项目:

北京市医院管理局青苗项目(编号:QML20170802);国家重点研发计划(编号:2016YFC0107107);北京市科学技术委员会资助(编号:Z171100000117001)


High⁃field magnetic resonance imaging with multiple parameters to evaluate the thrombus⁃thrombolysis model in rhesus monkeys with acute cerebral infarction
Author:
  • (1. Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. 2. China⁃America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing 100053. 3. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053)
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Affiliation:

(1. Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. 2. China⁃America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing 100053. 3. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053)

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    摘要:

    目的 使用高场强磁共振成像(magnetic resonance imaging,MRI) 对非人灵长类动物(nonhuman primates,NHPs)急性脑梗死血栓?溶栓模型进行评价?方法 8 只成年雄性恒河猴,年龄(8.2 ± 1.2)岁,体重(9.4±1.0) kg,随机分为梗死组(n =4)和溶栓组(n = 4),采用恒河猴自体血栓制备大脑中动脉栓塞(middle cerebral artery occlusion,MCAO)模型(M1 段),栓塞后,溶栓组给予rt?PA 溶栓治疗,梗死组仅接受等量生理盐水?分别于术后4 h 和24 h 进行磁共振T2WI?T2?FLAIR?TOF?MRA?DWI 扫描?结果 成功制备恒河猴血栓?溶栓模型?MRA显示梗死组大脑中动脉(middle cerebral artery,MCA)均未再通,溶栓组MCA 实现血管再通?T2WI 序列显示梗死组梗死体积增量为(12 027 ±5507) mm3 ,溶栓组梗死体积增量为(4910 ±2764) mm3 ;DWI 序列显示梗死组梗死体积增量为(9498 ±5226) mm3 ,溶栓组梗死体积增量为(4854 ± 1792) mm3 ?T2WI 和DWI 序列均显示,两组4 h 梗死体积比较,差异无显著性;溶栓组24 h 梗死体积低于梗死组,差异有显著性;溶栓组的梗死体积增量低于梗死组,差异有显著性?结论 应用MRI 序列成功评估恒河猴血栓?溶栓模型的再通及梗死灶变化?

    Abstract:

    Objective To examine the nonhuman primate (NHP) model of acute cerebral infarction thrombus?thrombolysis using multi?parameter high?field magnetic resonance imaging (MRI). Methods Altogether, 8 adult male rhesus monkeys aged 8.2 ( ± 1.2) years old and weighing 9.4 ( ± 1.0) kg were randomized into an infarction group (n =4) and thrombolysis group (n = 4). Middle cerebral artery occlusion (MCAO) was induced with a clot in the M1 segment. Monkeys in the thrombolysis group were treated with the recombinant tissue plasminogen activator, rt?PA, while those in the infarction group were treated with 0.9% NaCl only. T2 weighted imaging (T2WI), T2?weighted?fluid?attenuated inversion recovery (T2?FLAIR), time?of?flight magnetic resonance angiography (TOF?MRA), and diffusion?weighted imaging (DWI) were used to examine all monkeys at 4 and 24 h after onset of ischemia. Results The rhesus monkey thrombus?thrombolysis model was successfully established. MRA showed that the middle cerebral artery (MCA) was not recanalized in the infarction group, but was recanalized in the thrombolysis group. T2WI sequence showed an increase in infarction volume (12 027 ±5507 mm3 ) in the infarction group compared with the thrombolysis group (4910 ± 2764 mm3 ). DWI sequence showed an increase in infarction volume (9498 ± 5226 mm3 ) in the infarction group and thrombolysis group (4854 ± 1792 mm3 ). Both T2WI and DWI sequences showed no significant difference in infarction volume at 4 h between the two groups, while infarction volume in the thrombolysis group at 24 h was significantly lower compared with the infarction group. The increase in infarction volume was significantly lower in the thrombolysis group compared with the infarction group. Conclusions MRI sequences can be used to successfully evaluate recanalization.

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.多参数高场强磁共振成像评估恒河猴急性脑梗死血栓⁃溶栓模型[J].中国比较医学杂志,2018,28(5):1~5.

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  • 收稿日期:2018-03-09
  • 在线发布日期: 2018-06-26
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