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  4. Validation of qMT and CEST MRI as Biomarkers of Response to Treatment After Lumbar Spinal Cord Injury in Rats

Validation of qMT and CEST MRI as Biomarkers of Response to Treatment After Lumbar Spinal Cord Injury in Rats

NMR in Biomedicine, 2025 · DOI: https://doi.org/10.1002/nbm.70015 · Published: February 6, 2025

Spinal Cord InjuryPharmacologyMedical Imaging

Simple Explanation

Spinal cord injuries (SCI) result in severe disruptions in motor, sensory, and autonomic function. Few treatments exist that successfully target these pathological changes after SCI, a situation exacerbated by the lack of non-invasive tools for longitudinal monitoring of recovery processes. The study uses noninvasive multiparametric magnetic resonance imaging (MRI) for assessing spinal cord tissues after injury and demonstrate how they may be used to evaluate the efficacy of SCI treatments over time. The researchers studied the effects of riluzole, an anti-glutamatergic neuroprotective drug that has been FDA-approved and is currently being studied in preclinical and clinical trials as a neuroprotective treatment for SCI.

Study Duration
8 weeks
Participants
16 adult male Sprague–Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    qMT PSR measurements reflect the myelination status of the white matter tissue. The riluzole treatment group indicated significantly higher PSR values in white matter voxels at the epicenter of injury compared to the HBC vehicle treatment group.
  • 2
    CEST Z-spectra showed that the 3.5 ppm APT pool amplitude decreased significantly in the riluzole treatment group compared to the vehicle control group, indicating potentially reduced neuroinflammatory activity.
  • 3
    All four behavioral tests detected recovery differences between the riluzole-treated and vehicle-treated rats with SCI. The riluzole treatment group showed significantly improved motor function recovery.

Research Summary

This study validated multiparametric chemical exchange saturation transfer (CEST) and quantitative magnetization transfer (qMT) magnetic resonance imaging (MRI) biomarkers for assessing SCI severity, demyelination, and neuroinflammation, as well as the response to neuroprotective drug treatment riluzole. The study found that riluzole-treated rats showed increased white matter macromolecular content, suggesting increased myelin levels, and decreased CEST APT pool amplitude, indicating potentially reduced neuroinflammatory activity. The researchers concluded that quantitative MRI is well suited for monitoring and quantifying the efficacy of pharmacological treatments in preclinical spinal cord injury models.

Practical Implications

Preclinical Drug Development

Quantitative MRI is highly suitable for quantifying the efficacy of different SCI pharmacological treatments in preclinical trials.

Clinical Translation

CEST and qMT images may be acquired of human spinal cord and thus can be applied for use in human clinical trials.

Development of New Treatments

Identified imaging biomarkers can advance the development of new treatments for SCI that can target longitudinal pathological symptoms of SCI.

Study Limitations

  • 1
    Not specified
  • 2
    Not specified
  • 3
    Not specified

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