Ya-Jun Ma1, Catherine E Johnson2, Jonathan Wong1,3, Hyungseok Jang1, Roland Lee1, Eric Y Chang1,3, Zezong Gu2, and Jiang Du1
1UC San Diego, San Diego, CA, United States, 2Missouri University of Science and Technology, Rolla, MO, United States, 3VA Health System, San Diego, CA, United States
Synopsis
Mild traumatic brain injury (mTBI) may cause significant myelin damage,
leading to significant degradation of elaborate cognitive functions. However,
conventional neuroimaging techniques are unable to accurately assess myelin,
and fail to show abnormalities in the majority of mTBI cases. UTE MRI sequences with
echo times (TEs) <0.1 ms allow direct imaging and quantitative assessment of
myelin density. Here we aim to investigate whether the 3D IR-UTE sequence can detect myelin loss in mice using an open
field low intensity blast injury model of mTBI. This technique provides a new
approach for potentially more accurate diagnosis and treatment monitoring of
mTBI.
Introduction
Mild traumatic brain injury (mTBI) is a major cause of long-term
disability, with an annual 1.7 million Americans sustaining non-fatal TBI.
Shear strains due to linear and rotational acceleration of the brain can
severely damage axons and their myelin sheaths (1-3). Myelin is particularly
vulnerable to secondary damage as a result of chemical cascades and
neuroinflammation (1-3). Myelin impairment can disrupt axonal transport,
integrity, and plasticity, leading to a massive reduction in signal
transduction (4-6). Given its indispensable role in the development and
maintenance of elaborate cognitive functions, loss of myelin could play a key
role in the pathogenesis of mTBI. However, conventional neuroimaging techniques
are unable to accurately assess myelin, and fail to show abnormalities in the
majority of mTBI cases (7-9). Ultrashort
echo time (UTE) MRI sequences with echo times (TEs) <0.1 ms allow
direct detection of signals from myelin (10-14). In this study, we aim to investigate
whether 3D UTE MRI can detect myelin loss in mice using an open field low
intensity blast injury model of mTBI.Methods and Materials
A 3D adiabatic inversion recovery prepared UTE
(3D IR-UTE) sequence (Figure 1) was
implemented on a 7T Bruker horizontal MRI system with 1,000 mT/m strength and
11,250 T/m/s slew rate. An adiabatic IR pulse is used to invert the
longitudinal magnetizations of long T2 white matter (WML) (11-13). During this pulse, the longitudinal magnetization of myelin is
not inverted, but is
largely saturated due to its ultrashort T2.
UTE data acquisition starts around the TI necessary for the inverted longitudinal magnetization of WML to reach its null
point, leaving signals from myelin and some residual long T2 tissues
to be detected by the FID. The second echo acquires signals from any residual long T2
tissues with zero signal from myelin. Subtraction of the second echo image from
the first one provides selective imaging of myelin (11-13). The 3D IR-UTE
sequence employed the following parameters: TR = 1000
ms, inversion time (TI) = 350 ms, TE = 0.02/2.0 ms, field of view (FOV) =
2.2×2.2×2.2 cm3, matrix = 128×128×128 cm3, flip angle
(FA) = 20º. A total number of 21 spokes was acquired per IR preparation,
leading to a total scan time of 100 min.
A total of 6 male
C57BL/6 mice (Jackson Laboratories, Bar Harbor, ME) at ~8 weeks of age were
studied according to the institutional guidelines. Mice were divided into mTBI
(n=3) and sham (n=3) groups. The mTBI group were subject to a recently
established highly reproducible open-field LIB injury murine model (15), where
anesthetized mice were placed in the prone position three meters away from a
detonation of 350g high-energy explosive C4 (both 1 m aboveground) (Figure 2). Sham mice underwent
identical procedures, but without blast exposure. Four days later the animals were
scanned with the 3D IR-UTE sequence followed by histological myelin assessment
with Luxol Fast blue (LFB) staining. UTE measured myelin density was correlated
with LFB myelin staining.Results and Discussion
Figure 3 shows coronal T2-FSE and IR-UTE imaging of a normal
mouse. Cortical bone in the skull and myelin in white matter are depicted with
high signal and contrast on the IR-UTE images, but are invisible using FSE
imaging.
Figure
4 shows 3D IR-UTE imaging of a control C57BL/6
mouse and an mTBI mouse four days post an open-field LIB injury. About 25%
myelin loss was observed in the CC of mTBI mice, as confirmed by LFB results.
We have demonstrated that that 3D IR-UTE
sequences can detect myelin loss in mice induced by the open-field LIB injury
model. More
recently, myelin sheath defects were identified in the corpus callosum (CC) of
mice subject to low-intensity blast (LIB) exposure, a
highly reproducible open-field LIB injury murine model of mTBI (15). Myelin
defects appeared as extensive split layers, dense degeneration, myelin
ballooning, myelin disruption or myelin detachment at 7 days post-blast injury
(DPI), and returned to normal appearance 30 days DPI, consistent with evidence
from other related research (15). Our results were largely consistent with the
reported results, and further confirmed that the 3D IR-UTE sequence could be
used to monitor myelin loss in mice subject to the open-field LIB injury, which
might be more robust than the traditional controlled cortical impact model of mTBI.
A systematic study of two larger groups of mice (normal vs. mTBI induced by the
LIB injury) will be performed, and will likely confirm the technical capability
in evaluation of demyelination and remyelination in mice subjected to mTBI, and
their association with behavioral testing.
Conclusion
The 3D IR-UTE sequence allows quantitative
imaging of myelin in mouse brain, and can reliably measure myelin loss in white
matter of the brain induced by the open-field low intensity blast. This
technique provides a new approach for potentially more accurate diagnosis and
treatment monitoring of mTBI.Acknowledgements
The authors acknowledge grant support from the NIH (R01NS092650, R01AR075825 and R21AR075851), Veterans Affairs (Merit Awards I01CX001388 and I01RX002604), and GE
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