Literature DB >> 25879165

Simultaneous detection and separation of hyperacute intracerebral hemorrhage and cerebral ischemia using amide proton transfer MRI.

Meiyun Wang1, Xiaohua Hong1, Che-Feng Chang2, Qiang Li2, Bo Ma1, Hong Zhang1, Sinan Xiang1, Hye-Young Heo1, Yi Zhang1, Dong-Hoon Lee1, Shanshan Jiang1, Richard Leigh3, Raymond C Koehler2, Peter C M van Zijl1,4, Jian Wang2, Jinyuan Zhou1,4.   

Abstract

PURPOSE: To explore the capability of amide proton transfer (APT) imaging in the detection of hemorrhagic and ischemic strokes using preclinical rat models.
METHODS: The rat intracerebral hemorrhage (ICH) model (n = 10) was induced by injecting bacterial collagenase VII-S into the caudate nucleus, and the permanent ischemic stroke model (n = 10) was induced by using a 4-0 nylon suture to occlude the origin of the middle cerebral artery. APT-weighted (APTw) MRI was acquired on a 4.7T animal imager and quantified using the magnetization transfer-ratio asymmetry at 3.5 ppm from water.
RESULTS: There was a consistently high APTw MRI signal in hyperacute ICH during the initial 12 h after injection of collagenase compared with the contralateral brain tissue. When hemorrhagic and ischemic stroke were compared, hyperacute ICH and cerebral ischemia demonstrated opposite APTw MRI contrasts-namely, hyperintense versus hypointense compared with contralateral brain tissue, respectively. There was a stark contrast in APTw signal intensity between these two lesions.
CONCLUSION: APT-MRI could accurately detect hyperacute ICH and distinctly differentiate hyperacute ICH from cerebral ischemia, thus opening up the possibility of introducing to the clinic a single MRI scan for the simultaneous visualization and separation of hemorrhagic and ischemic strokes at the hyperacute stage. Magn Reson Med 74:42-50, 2015.
© 2014 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

Entities:  

Keywords:  APT imaging; CEST imaging; intracerebral hemorrhage; molecular imaging; stroke

Year:  2015        PMID: 25879165      PMCID: PMC4608848          DOI: 10.1002/mrm.25690

Source DB:  PubMed          Journal:  Magn Reson Med        ISSN: 0740-3194            Impact factor:   4.668


  59 in total

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