猫局灶脑缺血区氢谱分析及其病理基础的研究

Study of 1H-MR spectra and its pathologica bases in cats with focal cerebral ischemia

  • 摘要: 目的:对一未知氢谱(an unknown peak,Pu)进行研究,探讨猫持续性局灶脑缺血Pu的病理基础和临床应用价值。方法:采用猫持续性局灶脑缺血模型,行弥散加权磁共振(diffusion weighted imaging,DWI)检查,结合立体定向图谱,作为缺血后不同区域氢谱定位标准,在缺血后不同时间进行氢谱检查,除观察乳酸(lactate,Lac)、N-乙酰天冬氨酸(N-acetyl aspartate,NAA)、肌酐(creatine,Cr)及胆碱(choline,Cho)等变化外,重点研究Pu产生时间、区域,并在缺血后不同时间进行HE染色,观察Pu产生部位的相应病理改变,推测Pu产生的病理基础。结果:猫局灶脑缺血后,缺血脑区出现乳酸增多及NAA减少。在缺血后2d至7d内,Pu在缺血受累脑区持续存在,病理结果证实Pu出现的脑区局部神经细胞坏死。结论:Pu的出现与脑缺血坏死有密切的关系,它可能是脑组织坏死过程中产生的一种物质,Pu的出现提示脑组织缺血坏死。

     

    Abstract: Objective: To confirm an unknown Peak(Pu) in the permanent focal cerebral ischemia of cats with 1 H MRS, study its pathological changes and conjecture its applicatio n value in future Methods: After focal cerebral ischemia, diffus ion weighted imaging(DWI) was used to identify regions of ischemia for 1 H MRS voxel localization Meanwhile, the stereotaxic atlas of the cat brain was referred 1 H MRS was used to monitor the progression of focal cerebral ischemia in 6 cats over a period of 7 days following middle cerebral artery oc clusion Lactate, NAA, choline, creatine, and Pu were obtained The time course and cerebral areas that the Pu was detected w ere studied emphatically Meanwhile, the hematoxylin and eosin staining was use d to reveal the pathologica changes, and the pathologica bases of Pu were guesse d Results: In the affected regions, lactate was elevated a lmost immediately after the onset of cerebral ischemia, and NAA began to decline within several hours of acute infaction The Pu in the δ 1 2 region was cons istently detected in the affected cerebral areas from 2 days to 7days after MCAO The time when Pu could detected the neurons had died completely in the affect ed cerebral areas Conclusion: Pu has a close relationship with cerebral ischemia necrosis It may be a intrinsic production of the necrotic t issue, can be taken as a specific marker, and has vary important clinic applicat ion value

     

/

返回文章
返回