Abstract
The aim of this study was to evaluate the characteristics of magnetic resonance diffusion tensor imaging (DTI) in acute spinal cord following a thoracic spinal cord injury (SCI), and to determine the optimal time of examination. Sprague-Dawley rats were used as experimental animals and contusion injuries were made at the T10 vertebral level. The rats were divided into control, mild injury, moderate injury, and severe injury groups. Spinal magnetic resonance DTI was scheduled at 6, 24 and 72 hours (h) post-SCI, and the DTI parameters such as fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were calculated, and the diffusion tensor tractography (DTT) of the spinal cord was also generated. We observed a significant decrease of FA in all the three injured groups, and the FA at 24 h post-SCI exhibited the greatest decrease among different set times. For ADC, only the group of severely injured rats saw a significant decrease at 24 and 72 h compared with the control group. DTT showed interruption of nerve fiber tracking in the injured groups. This study demonstrates that FA can differentiate various grades of SCI in the early stage, and 24 h after injury might be the optimal time for identifying injury severity.
Highlights
The aim of this study was to evaluate the characteristics of magnetic resonance diffusion tensor imaging (DTI) in acute spinal cord following a thoracic spinal cord injury (SCI), and to determine the optimal time of examination
Conventional Magnetic resonance imaging (MRI) has been used as a major approach in the diagnosis and treatment of SCI
We examined the sequential fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values, two DTI parameters, at the lesion epicenter of SCI rats, and found that there were different patterns of changes in these parameters in terms of different injury severities and time points
Summary
The aim of this study was to evaluate the characteristics of magnetic resonance diffusion tensor imaging (DTI) in acute spinal cord following a thoracic spinal cord injury (SCI), and to determine the optimal time of examination. Spinal magnetic resonance DTI was scheduled at 6, 24 and 72 hours (h) post-SCI, and the DTI parameters such as fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were calculated, and the diffusion tensor tractography (DTT) of the spinal cord was generated. This study demonstrates that FA can differentiate various grades of SCI in the early stage, and 24 h after injury might be the optimal time for identifying injury severity. We performed experimental thoracic SCI contusion of varying severities in rats, followed by DTI evaluation at the injury epicenter. Quantitative DTI parameters including FA and ADC were calculated, and diffusion tensor tractography (DTT) in the injury site was reconstructed. Timing of examination was investigated by observing the differences of FA values at different time points, and the optimal time of examination was identified
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