Abstract

Quantitative susceptibility mapping (QSM) has been recently introduced as a novel MRI post-processing technique of gradient recalled echo (GRE) data. QSM is useful in depicting both brain anatomy and for detecting abnormalities. Its utility in the context of ischemic stroke has, however, not been extensively characterized so far. In this study, we explored the potential of QSM to characterize vascular and tissue changes in the transient middle cerebral artery occlusion (tMCAO) mouse model of cerebral ischemia. We acquired GRE data of mice brains at different time points after tMCAO, from which we computed QSM and MR frequency maps, and compared these maps with diffusion imaging and multi-slice multi-echo imaging data acquired in the same animals. Prominent vessels with increased magnetic susceptibility were visible surrounding the lesion on both frequency and magnetic susceptibility maps at all time points (mostly visible at > 12 h after reperfusion). Immunohistochemistry revealed the presence of compressed capillaries and dilated larger vessels, suggesting that the appearance of prominent vessels after reestablishment of reperfusion may serve compensatory purposes. In addition, on both contrast maps, tissue regions of decreased magnetic susceptibility were observed at 24 and 48 h after reperfusion that were distinctly different from the lesions seen on maps of the apparent diffusion coefficient and T2 relaxation time constant. Since QSM can be extracted as an add-on from GRE data and thus requires no additional acquisition time in the course of acute stroke MRI examination, it may provide unique and complementary information during the course of acute stroke MRI examinations.

Highlights

  • Magnetic resonance imaging (MRI) is an important aid for physicians in the diagnosis and management of patients with acute stroke [1], providing multiple useful contrasts for assessing hemodynamic function as well as extent and severity of brain injury

  • We investigated the potential of Quantitative susceptibility mapping (QSM) and MR frequency mapping to assess the evolution of vascular and tissue changes in the mouse brain after transient middle cerebral artery occlusion

  • Prominent vessels on background-corrected frequency maps and magnetic susceptibility maps of the ischemic hemisphere revealed high frequency and magnetic susceptibility values (Figs. 1 and 2, white arrows). They often appeared as white structures surrounded by a dark rim and were mainly found ipsilateral, in the territory supplied by the middle cerebral artery (MCA)

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Summary

Introduction

Magnetic resonance imaging (MRI) is an important aid for physicians in the diagnosis and management of patients with acute stroke [1], providing multiple useful contrasts for assessing hemodynamic function as well as extent and severity of brain injury. In case of ischemic stroke, magnetic resonance angiography, for instance, can identify occlusion of a parent artery [2], whereas perfusion-weighted imaging (PWI) informs about regional disturbances of cerebral blood supply in hyperacute and acute ischemic stroke [3]. Regarding acute stroke MRI, T2*-weighted imaging and SWI are used to detect cerebral microbleeds and hemorrhages [16], where SWI is used to identify areas of hypoperfusion and to detect acute intravascular emboli [1]. Asymmetrical veins between ischemic and normal brain tissues have been demonstrated with SWI, which may add information about local oxygen metabolism [17,18,19]

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