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  4. Does diffusion tensor data reflect pathological changes in the spinal cord with chronic injury?

Does diffusion tensor data reflect pathological changes in the spinal cord with chronic injury?

Neural Regeneration Research, 2013 · DOI: 10.3969/j.issn.1673-5374.2013.36.003 · Published: December 1, 2013

Spinal Cord InjuryMedical ImagingSpinal Disorders

Simple Explanation

This study investigates if diffusion tensor imaging (DTI) can detect early pathological changes in chronic cervical spondylotic myelopathy, a condition involving spinal cord compression. A novel spongy polyurethane material was implanted in rats to mimic chronic spinal cord compression, and DTI was used to assess changes in the spinal cord. The study found that DTI parameters, such as fractional anisotropy and average diffusion coefficient, correlated with pathological changes observed in the spinal cord tissue.

Study Duration
1 week
Participants
64 Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    The fractional anisotropy value gradually decreased over time (4 hours to 1 week) after spinal cord injury in the rat model.
  • 2
    The average diffusion coefficient increased at 72 hours and 1 week after injury, indicating changes in water diffusion within the spinal cord tissue.
  • 3
    Histological analysis confirmed that the number of neurons and the density of nerve fibers in the spinal cord decreased with prolonged compression time.

Research Summary

This study investigated the use of diffusion tensor imaging (DTI) to quantitatively measure pathological changes in a rat model of chronic cervical spondylotic myelopathy. A novel spongy polyurethane material was used to create a model of chronic spinal cord compression in rats, and DTI data was correlated with histopathological findings. The results suggest that DTI parameters (fractional anisotropy and average diffusion coefficient) can reflect the degree of pathological change in the spinal cord after chronic compression injury.

Practical Implications

Early Diagnosis

DTI can potentially be used as a reference value in the early diagnosis of chronic cervical spondylotic myelopathy.

Predicting Pathological Changes

Image data can be employed to predict pathological changes in the spinal cord.

Evaluating Treatment Effectiveness

DTI could be used to evaluate the effectiveness of interventions for chronic spinal cord compression.

Study Limitations

  • 1
    Clinically-oriented MRI has some disadvantages in rat models
  • 2
    The cervical cord of rats could not be divided into the anterior funiculus and posterior funiculus using clinically-oriented MRI.
  • 3
    Its resolution was not high enough compared with research-oriented MRI.

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