Jérémie P. Fouquet1, Luc Tremblay1, and Martin Lepage1
1Centre d'imagerie moléculaire de Sherbrooke, department of Médecine nucléaire et radiobiologie, Université de Sherbrooke, Sherbrooke, QC, Canada
Synopsis
While standard isoflurane
anesthesia does not easily allow visualization of small vessels in mice using
T2*-weighted imaging, ketamine/xylazine anesthesia enables the visualization of
an impressive fraction of the vasculature, without the need of an external
contrast agent. Visualization can be further modulated by modifying the
breathing gas.
Introduction
Imaging neurovasculature noninvasively
in mouse models is an important step toward a better understanding of both
pathological and normal conditions of the brain. T2*-weighted
imaging is already a method of choice to image small vessels containing molecules
that perturb the magnetic field such as deoxyhemoglobin or an extrinsic
contrast agent. The long-range spin dephasing induced by these molecules reveals
vessels smaller than the acquisition resolution. In rats, vein imaging based on
deoxyhemoglobin and a T2*-weighted sequence has already provided valuable
information in a stroke model1. In mice, however,
T2*-weighted imaging of the brain vasculature was always preceded by an
injection of superparamagnetic iron oxide particles. Pre-injection images revealed
only a very limited fraction of the vessels, insufficient for further analysis2–4. On the other hand, it has
already been shown in rats that changing the type of anesthesia has a clear
impact on the T2*-weighted contrast5. Here, we show that while standard isoflurane
anesthesia does not easily allow visualization of small vessels in the mouse
brain using T2*-weighted imaging, ketamine/xylazine (KX) anesthesia enables the
visualization of an impressive fraction of the vasculature, without the need of
an external contrast agent.Material and methods
A total of 29 data sets were
acquired from 6 BALB/c mice with a 210-mm small animal 7T scanner (Varian Inc.,
Palo Alto, CA) and a dedicated mouse head-coil (RAPID MR International, OH). Mouse
brains were imaged with a 3D gradient echo sequence with TR=50 ms, TE=25 ms,
flip angle=15°, resolution=78×78×104 mm3, field of view=20×15×10 mm3
or 20×20×10 mm3, 2 averages, flow compensation in all direction and
phase encoding rewind. Mice were imaged under KX anesthesia (intraperitoneal
injection of 87 mg of ketamine and 13 mg of xylazine per kg of bodyweight) while
breathing O2 provided at 1.5 liter/minute (N=4) or ambient air (N=7). The procedure
was repeated on a different day under isoflurane anesthesia (1.5% isoflurane in O2 flowing at 1.5 liter/minute; N=2 with the MR parameters described above
and N=16 with an array of TR, TE, flip angle and spatial resolution). We
applied the following image processing steps: 1) intensity bias correction using
N4ITK algorithm6; 2) brain segmentation with the
brain extraction tool7 and 3) vessel segmentation
with histogram-based thresholding of the Frangi index8. Vascular
density was computed in a region of interest (ROI) located in the superior
cortex.Results
As seen in figure 1, isoflurane
anesthesia only allows visualization of main vessels. Vessels conspicuity was
not significantly improved by acquiring data with an array of TR, TE, flip
angle and spatial resolution (data not shown). With KX anesthesia, there is a
dramatic increase in the number of vessels that can be visualized. This increase
is even more pronounced with the inhalation of ambient air (figure 1). Image
analysis allowed visualization and quantification of the vascular density in a ROI
in the superior cortex (figure 2). The vascular density in this ROI reflects
the important effect of anesthesia conditions on vessels
conspicuity (figure 3).Discussion
T2*-weighted imaging of
vasculature without extrinsic contrast agent mainly relies on the paramagnetism
of deoxyhemoglobin9. Blood oxygenation is
therefore most likely to be one of the main factors explaining vessel contrast differences
between anesthesia types, with isoflurane causing higher oxygenation than KX,
and O2 breathing causing higher oxygenation than ambient air
breathing. This hypothesis is coherent with studies on cerebral blood flow
(CBF) and cerebral metabolic rate of O2 (CMRO2) in
rodents. Observations indeed indicated higher CBF with isoflurane than with KX10,11, while studies in mice
suggested similar or lower CMRO2 for isoflurane than for KX12–14. The observed dependence of
vessels conspicuity with anesthesia type is also in line with results obtained
in the rat5. While no toxic effect was
noticed over the full length of the experiment, KX anesthesia, especially with
ambient air breathing, may cause hypoxia. The next step involves measuring the
blood gas and oxygenation levels as a function of the anesthesia conditions.Conclusions
The results
show the effect of the anesthesia conditions on the visualization of mouse
neurovasculature. Unlike standard isoflurane anesthesia, KX anesthesia enables
visualization of small vessels in the mouse brain using T2*-weighted imaging
without the need of an extrinsic contrast agent. Vessels conspicuity can be
further modulated by modifying the breathing gas. Understanding the
neurovascular coupling in fMRI or developing novel drugs acting on
vascularization are some of the many fields that can benefit from a more
accurate imaging of the mouse neurovasculature.Acknowledgements
Jérémie Fouquet is supported by a
NSERC scholarship. Martin Lepage is member of the FRQS-funded Centre de
recherche du CHUS. We thank Mélanie Archambault and Dina Sikpa for animal
handling and preparation, as well as Matthieu Dumont for the help provided for image
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