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2016 ; 11
(4
): e0153756
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Precise Characterization of the Penumbra Revealed by MRI: A Modified
Photothrombotic Stroke Model Study
#MMPMID27093556
Qian C
; Li PC
; Jiao Y
; Yao HH
; Chen YC
; Yang J
; Ding J
; Yang XY
; Teng GJ
PLoS One
2016[]; 11
(4
): e0153756
PMID27093556
show ga
AIMS: To precisely characterize the penumbra by MRI based on a modified
photothrombotic stroke mouse model. METHODS: The proximal middle cerebral artery
was occluded by a convenient laser system in conjunction with an intravenous
injection of Rose Bengal in mice. And the suture MCAO model was performed in
seven mice as a comparison of the reproducibility. One hour after occlusion, the
penumbra was defined in six random photothrombotic stroke mice by mismatch
between perfusion-weighted imaging and the apparent diffusion coefficient map on
a home-made workstation. After imaging, three random mice of them were chosen to
perform the reperfusion surgery. And the other three mice were sacrificed to
stain for several potential penumbra markers, such as c-fos and heart shock
protein 90. In the remaining mice, the evolution of the lesions was detected on
the apparent diffusion coefficient map, diffusion-weighted imaging and
T2-weighted imaging at 1, 3, 6, 12 and 24 hours. After evaluating the
neurological deficit scores, the brains were sectioned and stained by
triphenyltetrazolium chloride and Nissl. RESULTS: The mice subjected to
photothrombosis showed significant behavioral deficits. One hour after occlusion,
the low perfusion areas on the perfusion-weighted imaging interlaced with the
hypointense areas on the apparent diffusion coefficient map, demonstrating that
the penumbra was located both surrounding and inside the lesions. This phenomenon
was subsequently confirmed by the c-fos and heart shock protein 90 staining. The
final T2-weighted images of the mice subjected to the reperfusion surgery were
also consistent with the penumbra images at one hour. At early stages, the
lesions were clearly identified on the apparent diffusion coefficient map; the
volumes of the lesions on the diffusion-weighted imaging and T2-weighted imaging
did not reach a maximum until 12 hours. The coefficient of variation (CV) of the
final lesions in the photothrombotic stroke mice was 21.7% (0.08 of 0.37) on
T2-weighted imaging and 27.8% (0.10 of 0.35) on triphenyltetrazolium chloride,
representing a high reproducibility (n = 7). While the CV of the lesions in the
MCAO stroke mice was only 70% (0.24 of 0.34, n = 4). CONCLUSIONS: This study has
provided a precise imaging definition of the penumbra based on a reproducible
photothrombotic stroke mouse model.
|Animals
[MESH]
|Brain Ischemia/*pathology
[MESH]
|Brain/*pathology
[MESH]
|Diffusion Magnetic Resonance Imaging/methods
[MESH]