Kun-I Chao1, Cheng-He Li1, Sheng-Min Huang1, Pei-Lun Yu1, Kung-Chu Ho2, Shang-Yueh Tsai3, Ping-Huei Tsai4, and Fu-Nien Wang1
1Biomedical Engineering and Environmental Science, National Tsing Hua Unerversity, Hsinchu, Taiwan, 2Nuclear Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan, 3Graduate Institute of Applied Physics, National Chengchi University, Taipei, Taiwan, 4Department of Radiology, Taipei Medical University Hospital, Taipei, Taiwan
Synopsis
With a fluid infusion of 2% of body weight
in the D2O perfusion imaging experiment, the tissues are expected in
a hyperhydration state. In this study, we conduct both D2O and H2O
infusion experiments on spontaneously hypertension rat (SHR). Fast and slow
flow of brain were analyzed by a two-compartmental parallel model. Pre- and
post-infusion T2 maps were acquired. The slow flow matched the T2 prolonged
regions, which could be due to the CSF production and flow.
Introduction
In previous study, a D2O perfusion
imaging method was report to use two compartmental model to quantitative
measure the fast (f1) and slow (f2) perfusion of tissue.1 According to the
spatial distribution, the slow compartment was anticipated as the perfusion of
CSF and interstitial fluid. In literature, brain volume can be influenced intentionally
by dehydration and a following hyperhydration.2 The extension of ventricles and
shrinkage of white matter in some regions have been observed in the dehydration
state.3, 4 With a fluid infusion of 2% of body weight in the previous D2O
perfusion imaging experiment, the tissues are expected in a hyperhydration
state. In this study, we conducted both D2O and H2O infusion
experiments on spontaneously hypertension rat (SHR). In order to observe the
fluid induced tissue change, the T2 relaxometry was conducted before and after fluid
infusion.Materials and Methods
SHR rats were scanned by D2O and H2O
infusion. The SHR is a widely used model for neurodegenerative disorder such as
dementia. The SHR has extension of ventricles, which has advantageous for
observation of CSF characteristics. All rats were anesthetized by 1.5 %
isoflurane and injected with isotonic D2O or H2O
(2ml/100g) via tail vein at 7T Bruker Clinscan MRI scanner. 80 measurements
were acquired by the following parameters: turbo-spin-echo (TSE) with TR/TE =
2000/14ms, matrix size = 256x128, FOV = 35mm, turbo factor = 3, slice number =
3, slice thickness = 1.5mm, distant factor = 10%, sampling interval = 34s. Spin
echo images at identical slices were acquired before and right after infusion,
with the following parameters: TR =2000ms, TE: from 20 to 200ms with an
interval of 20ms.Results
The D
2O perfusion imaging was
analyzed by a two-compartmental parallel model to separate fast flow f1 (blood)
and slow flow f2 (CSF and interstitial fluid). One representative rat was shown
in fig.1 for its fast flow 1 and slow flow f2, and a corresponding T2 mapping
was shown in fig. 2. It is noted that the f1 showed good contrast between GM
and WM, and the f2 was enhanced in matching regions with prolonged T2 map, such
as hippocampus, ventricles, and peri-ventricular regions. The T2 is shortened
in some regions including corpus callosum and amygdala. For comparison, the T2
mapping of another SHR rat with H
2O infusion was shown in fig. 3, which is
enormously similar to fig. 2. It is also noted that the GM of cortex and muscles
showed insignificant change of T2 in hyperhydration state.
Discussion
The T2 alteration is clearly observed after
massive fluid infusion on SHR rat. The T2 prolonged region spatially correlated
with the slow flow f2. It is anticipated to be due to the extra CSF production
and enlarged slow flow in these region. The reason of T2 shortening effect is
not clear yet. We speculated that myelin water fraction might be increased by
blood supply, and then leads to the T2 decrease. Further investigations by
diffusion imaging and voxel-based morphometry may help for validation. The T2
change of D
2O and H
2O are almost identical. Therefore,
the effect of negative relaxivity of D
2O should be negligible. The D
2O
perfusion imaging method with massive fluid infusion may alter the tissue T2 in
some specific regions, and the measured perfusion parameters may be influenced
and reflect the physiology under hyperhydration. The challenge of hyperhydration
may provide further information of hydrodynamics in brain, which could be related
to the emerging studies of aquaporin function and glymphatic system. Therefore,
the D
2O perfusion imaging may have potential for the future studies
on neurodegenerative disorders, neuroinflammation, and developing brain.
Acknowledgements
No acknowledgement found.References
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