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  4. Feasibility of 3.0 T diffusion-weighted nuclear magnetic resonance imaging in the evaluation of functional recovery of rats with complete spinal cord injury

Feasibility of 3.0 T diffusion-weighted nuclear magnetic resonance imaging in the evaluation of functional recovery of rats with complete spinal cord injury

Neural Regeneration Research, 2015 · DOI: 10.4103/1673-5374.153689 · Published: March 1, 2015

Spinal Cord InjuryRegenerative MedicineMedical Imaging

Simple Explanation

Spinal cord injury (SCI) is a kind of severe impairment in the central nervous system, which usually causes sensory, motor and autonomic disorders to varying degrees. Magnetic resonance imaging (MRI) is a commonly used method for the diagnosis of SCI and relevant disease. Conventional MRI is better than CT examination in visualizing the morphology of the spinal cord and the variation of signals, but it is difficult to assess functional status and fine structure using T1, T2 and other parameters Diffusion tensor imaging (DTI) allows a more sensitive diagnosis of SCI than conventional MRI examination. Fiber tractography (FT) contributes to the visualization of white matter fibers, structural integrity and the damage of the fiber bundle.

Study Duration
5 weeks
Participants
12 adult male Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    The fractional anisotropy scores after spinal cord transection in rats were significantly lower than those in normal rats (P < 0.05); the apparent diffusion coefficient was significantly increased compared with the normal group (P < 0.05).
  • 2
    Following spinal cord transection, fractional anisotropy scores were negatively correlated with apparent diffusion coefficient values (r = –0.856, P < 0.01), and positively correlated with the average combined scores (r = 0.943, P < 0.01), while apparent diffusion coefficient values had a negative correlation with the average combined scores (r = –0.949, P < 0.01).
  • 3
    Experimental findings suggest that, as a non-invasive examination, diffusion tensor magnetic resonance imaging can provide qualitative and quantitative information about spinal cord injury. The fractional anisotropy score and apparent diffusion coefficient have a good correlation with the average combined scores, which reflect functional recovery after spinal cord injury.

Research Summary

This study aimed to explore the fractional anisotropy and apparent diffusion coefficient of diffusion tensor magnetic resonance imaging and the feasibility of diffusion tensor tractography in the evaluation of complete spinal cord injury in rats. The results showed that the average combined scores were obviously decreased after spinal cord transection in rats, and then began to increase over time. Experimental findings suggest that, as a non-invasive examination, diffusion tensor magnetic resonance imaging can provide qualitative and quantitative information about spinal cord injury.

Practical Implications

Improved SCI Diagnosis

DTI can detect SCI earlier and with more precision compared to conventional MRI.

Objective Assessment of Recovery

DTI provides quantitative and objective assessment of functional recovery after SCI, which is more reliable than subjective scoring methods.

Potential Clinical Application

The study suggests that DTI and FT could be valuable tools for clinical diagnosis and treatment monitoring of SCI.

Study Limitations

  • 1
    Small sample size (12 rats)
  • 2
    Study limited to complete spinal cord transection in rats
  • 3
    Not specified

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