基于11. 7 T磁共振探索超短波对轻度创伤性脑损伤大鼠脑灰质体积的影响

Effects of ultra short wave therapy on gray matter volume in rat models of mild traumatic brain injury using 11. 7 T MRI

  • 摘要:
    背景 轻度创伤性脑损伤(mild traumatic brain injury,mTBI)每年影响约4 200万人,已构成重大公共卫生负担。11.7 T超高场强磁共振技术为mTBI微结构动态追踪及修复机制解析提供了新策略。目的 基于11.7 T超高场强磁共振成像技术,探究超短波(ultrashort wave,USW)干预对mTBI大鼠脑灰质体积(gray matter volume,GMV)动态变化及神经行为功能的影响。方法 将45只雄性SD大鼠随机分为单纯损伤组(mTBI组)、超短波干预组(USW组)和对照组(Control,Ctrl组),每组各15只。通过单次冲击波建立mTBI模型,USW组接受超短波干预,Ctrl组不进行损伤和干预。分别于造模后3 ~ 5天(急性期)、2 周(亚急性期)及 1 个月(慢性期)时行 11.7 T 磁共振 T2 加权像扫描,运用基于体素形态学测量(voxel-based morphometry,VBM)分析全脑GMV差异,同步进行旷场实验(open field test,OFT)和高架十字迷宫实验(elevated plus maze,EPM)评估大鼠的运动能力与焦虑样行为。结果 mTBI组在伤后3 ~ 5天、2周和1个月时,GMV 降低的差异团块数量分别为11、5和4个(P<0.05),且均低于Ctrl 组,主要涉及前边缘系统、纹状体及顶叶联络皮质等脑区;USW干预可改善GMV萎缩,干预后各时间点 mTBI 组与 USW 组差异脑区中分别有 4/6、3/4、2/3 个团块 GMV 恢复(P<0.05);组内分析显示,mTBI组GMV在1个月内随时间逐渐恢复,而USW组GMV在2周时即达相对稳定水平。mTBI组3 ~ 5天时运动能力下降(较Ctrl组慢速运动时间%增加,P<0.01),伴随持续性焦虑样行为(较Ctrl组开放臂区域活动降低,P<0.05);USW组在2周时运动功能及焦虑样反应均增强(总路程及开放臂区域活动增加,P<0.05),且1个月时焦虑指标与Ctrl组无统计学差异(P>0.05),但mTBI组仍可见持续焦虑样行为(开放臂次数比例下降,P<0.05)。相关性分析发现,右侧前边缘系统(r=-0.631)及纹状体(r=-0.645)GMV减少与mTBI组慢速运动时间%增加相关,左顶叶联络皮质GMV下降(r=0.727)与开放臂时间比例减少相关(P<0.05)。结论 基于11.7 T磁共振数据进行VBM分析可敏感捕捉mTBI后灰质体积的动态演变。超短波可促进GMV恢复,并改善mTBI急性期运动障碍及慢性焦虑样行为,为临床mTBI精准康复提供了影像学与行为学双重证据。

     

    Abstract:
    Background Mild traumatic brain injury (mTBI) affects approximately 42 million individuals annually, constituting a major global public health challenge. The 11.7T ultrahigh-field magnetic resonance imaging (MRI) offers novel strategies for tracking microstructural dynamics and elucidating repair mechanisms in mTBI.Objective To investigate the effects of ultrashort wave (USW) intervention on dynamic gray matter volume (GMV) changes and neurobehavioral functions in mTBI rats using 11.7T MRI.Methods Forty-five male Sprague-Dawley rats were randomly divided into mTBI group (single blast waveinduced mTBI model), USW group (mTBI with USW intervention), and control (Ctrl) group (no injury or intervention), with 15 rats in each group. Longitudinal 11.7T MRI T2-weighted imaging was performed during acute (3-5 days), subacute (2 weeks), and chronic (1 month) phases. Voxel-based morphometry (VBM) was applied to analyze whole-brain GMV alterations, while open field test (OFT) and elevated plus maze (EPM) were synchronously conducted to quantify locomotor activity and anxiety-like behaviors. Results Compared to the Ctrl group, the mTBI group exhibited significantly reduced GMV in 11, 5, and 4 clusters at 3-5 days, 2 weeks, and 1 month, respectively (P<0.05), predominantly involving the prelimbic system, striatum, and parietal associative cortex. USW intervention markedly attenuated GMV atrophy, with 4/6, 3/4, and 2/3 clusters showing GMV recovery at the corresponding time points (P<0.05). Longitudinal analysis revealed gradual GMV recovery in the mTBI group over 1 month, whereas the USW group achieved stable GMV levels by 2 weeks. The mTBI group displayed acute locomotor deficits (increased % slow movement time vs Ctrl, P<0.01) and persistent anxiety-like behaviors (reduced open-arm activity vs Ctrl, P<0.05). In contrast, the USW group showed significant improvements in locomotor function and anxiety-like responses by 2 weeks (increased total distance and open-arm activity, P<0.05), with anxiety indices normalizing to Ctrl levels at 1 month (P>0.05), while the mTBI group retained chronic anxiety (reduced open-arm entries, P<0.05). Correlation analysis identified significant associations between GMV reductions in the right prelimbic system (r=-0.631) and striatum (r=-0.645) with increased % slow-motion time, and between left parietal associative cortex GMV loss (r=0.727) and reduced open-arm time (P<0.05).Conclusion VBM analysis based on 11.7T MRI sensitively captures dynamic GMV evolution post-mTBI. USW intervention promotes GMV restoration, mitigates acute motor deficits, and alleviates chronic anxiety-like behaviors, thus providing dual imaging and behavioral evidence to support precision rehabilitation strategies for mTBI.

     

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