Use of Multimodal Imaging, 3D Segmented Atlas and Computational Analysis to Evaluate CNS Damage Following Traumatic Brain Injury in Rats. P. KULKARNI1, S. P. FINKLESTEIN2, *J. REN2, R. WU2, M. DAVENPORT2, M. NEDELMAN3, C. F. FERRIS1; 1Northeastern ABSTRACT Program #552.25 Poster #M11 Univ., Boston, MA; 2Biotrofix, Waltham, MA; 3Ekam Imaging, Boston, MA MAIN RESULTS Traumatic brain injury was delivered to the right dorsolateral frontoparietal cortex of adult male rats (n=8) using the fluid percussion method. Five days later animals were imaged using a 7.0 Tesla MR scanner for T1 and T2 relaxivity values, diffusion tensor imaging for tractography and quantitative anisotropy and functional BOLD imaging in response to hypercapnia (CO2 challenge) under awake conditions. The data for each imaging modality was registered into a 3D segmented and annotated rat atlas delineating 152 brains areas. As expected, the injury caused significant disruption in fiber tracts at the site of impact and apparent shearing of fiber tracts that extended from the corpus callosum ventrally down the external capsule and optic tract at the level of the lateral geniculate. When compared to contralateral side of the brain there were significant differences in T2 relaxivity and several measures of diffusivity as determined with quantitative anisotropy. Interestingly, areas distant to the cortical insult were affected, particularly hypothalamus, amygdala and hippocampus. These changes in subcortical brain areas may reflect pathological alterations in microarchitecture affecting emotion and cognition. CO2 Challenge contralateral ipsilateral T2 Relaxivity Maps Materials and Methods Custom Radiofrequency Technology Acclimating Rats for the Imaging All animals were lightly anesthetized and placed into a copy of the restraining system used during awake imaging. When fully conscious, the animals were placed into a dark mock scanner tube with a recording of a standard MRI pulse sequence playing in the background. The reduction in autonomic and somatic response measures of arousal and stress improve the signal resolution and MR image quality. (King et al. 2005 J Neurosci Meth.) Imaging Technology head coil Quad transmit/receive volume coil built into the head holder Optimal signal-to-noise and field homogeneity restrainer Study Protocol Adult, male Sprague Dawley® Rat were used in this study. Experiments were conducted using a Bruker Biospec 7.0T/20-cm USR horizontal magnet (Bruker, Billerica, Massachusetts) and a 20-G/cm magnetic field gradient insert (ID = 12 cm) capable of a 120-µs rise time (Bruker). Radiofrequency signals were sent and received with the quad-coil electronics built into the animal restrainer. On test days, animals (n=8) were placed in the restrainer, and positioned in the magnet. Following Scans were collected for each subject. Anatomical scans : At the beginning of each imaging session, a high-resolution anatomical data set was collected using the RARE pulse sequence (20 slice; 1 mm; field of vision [FOV] 3.0 cm; 256 × 256; repetition time [TR] 2.5 sec; echo time [TE] 12.4 msec; NEX 6; 6.5-minute acquisition time). Functional Scan: were acquired using a multi-slice half Fourier acquisition, single shot, turbo spin echo sequence. A single scanning session acquired 20 slices, 1mm thick, every 6.0 seconds (FOV 3.0 cm, matrix size 96 x 96, ETL 36, NEX 1) repeated 100 times for a total time of 10 minutes. CO2 was administered through nose cone at 5 min into the imaging session. T1 Measuremnt: Variable TR images were acquired using RARE pulse sequence (TE=12.5 and TR: 450, 800, 1400, 2200, 6000, msec.) Images were acquired with a field of view [FOV] 3 cm2, data matrix = 128×128×20 slices, thickness = 1 mm. T1 values were calculated using Paravision™ software. T2 Measurement: Images acquired using a multi-slice multi-echo (MSME) pulse sequence. The echo time (TE), was 11 ms, and 16 echoes were acquired during imaging with a recovery time (TR) of 2500 ms. Images were acquired with a field of view [FOV] 3 cm2, data matrix = 256×256×20 slices, thickness = 1 mm. T2 relaxation values were obtained from all the slices ParaVison 5.1 software. The T2 values were computed using the equation; y=A+C*exp(-t/T2) (S.D. weighted). Where, A = absolute bias, C = signal intensity, t = echo time and T2 = spin-spin relaxation time. Diffusion Tensor Imaging: DTI images were acquired using 3D EPI pulse sequence with (TE = 19 ms, 8 segments, TR =500 msec). The data was collected in 10 direction with one B0 image and B value=1000.The data was processed using MedINRIA ( V1.9.4). Method of TBI Induction In the fluid percussion model, a small patch of dura is exposed, and a seal is made between the dura and an externallyapplied fluid-filled connector tube. Using a gravity-operated device specifically designed for this purpose, a preciselycalibrated fluid percussion wave is then transmitted from the connector tube to the dura [1-4]. This results in focal brain contusion and cell death under the point of the connector tube on the dura and a percussion wave through the brain that causes focal white matter damage and neuronal death in the distant hippocampus. The brain injury results in focal motor deficits in the opposite limbs and memory disturbances Data Analysis Each subject was registered to a 3D segmented and annotated rat brain atlas (Ekam Imaging Inc). The alignment process was facilitated by an interactive graphic user interface. The affine registration involved translation, rotation, and scaling in all 3 dimensions independently. The matrices that transformed the subject’s anatomy to the atlas space were used to embed each slice within the atlas. All transformed pixel locations of the anatomy images were tagged with the segmented atlas regions, creating a fully segmented representation of each subject. Parameter values for each ROI was computed based on each segmented map. Shown are the average (n=8) significant increase in BOLD signal intensity (yellow/red) following 5% CO2 challenge over the rostral/caudal boundaries of the TBI lesion. There were no significant differences in vascular responsivity between lesioned and control sides. The T2 relaxivity maps show a change in transverse relaxation in the rostral/caudal boundaries of the TBI lesion (arrows) in a representative rat. This change reflects an increase in water due to edema associated with the trauma. There were no significant changes in T1 relaxivity. SUMMARY AND CONCLUSIONS Magnetic resonance imaging was used to characterize the extent of brain injury in response to a unilateral insult to the frontoparietal cortex. As expected, high resolution anatomical images clearly show the rostral/caudal limits of tissue disruption in the cortical mantel on the side of the trauma. While there were no significant changes in T1 relaxivity, T2 measures clearly showed the extent of the trauma as reflected by the increase of water with edema. When challenged with CO2 there was no difference between the ipsilateral and contralateral halves of the brain. This indicates no change in vascular responsivity and would predict normal coupling between metabolically active brain regions and cerebral blood flow. DTI with tractography showed disruption in myelinated fiber tracts on the side of the brain trauma (see white circles in DTI panel). Quantitative anisotropy when combined with co-registration into a 3D, segmented, annotated MRI rat atlas detected many areas that showed alterations in water diffusivity. Interestingly, many of these area were subcortical, particularly the hypothalamus, amygdala and hippocampus. These data indicate trauma directed to the cortex can alter the microarchitecture of deeper brain areas. This finding my help to explain the changes in emotion and cognition associated with TBI.
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