丁维军,杨海华,王旭峰,胡炜,雷皓,李春霞,方芳,方周溪.大鼠全脑照射后早期海马区磁共振波谱研究[J].中华放射医学与防护杂志,2008,28(4):343-347
大鼠全脑照射后早期海马区磁共振波谱研究
1H-MR Spectroscopy of the rat hippocampus after whole brain irradiation: an in vivo study
投稿时间:2008-01-26  
DOI:
中文关键词:  核磁共振波谱  放射性脑损伤  大鼠  显微镜  电子  认知
英文关键词:Magnetic resonance spectroscopy  Radiation brain lesions  Rat  Microscopy  Electron  Cognition
基金项目:浙江省卫生厅资助项目(2005A109)
作者单位
丁维军 317000 台州, 浙江省台州医院放疗科 
杨海华 317000 台州, 浙江省台州医院放疗科 
王旭峰 317000 台州, 浙江省台州医院放疗科 
胡炜 317000 台州, 浙江省台州医院放疗科 
雷皓 中国科学院波谱与原子分子物理国家重点实验室 
李春霞 中国科学院波谱与原子分子物理国家重点实验室 
方芳 中国科学院波谱与原子分子物理国家重点实验室 
方周溪 温州医学院电镜室 
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中文摘要:
      目的 探讨放射性脑损伤模型大鼠海马区代谢变化与认知功能障碍及早期病理演变的关系。方法雌性SD大鼠65只,随机分为对照组5只和10、20、30 Gy单次照射组各20只,于照射后2及4周、2及6个月(各5只)Y迷宫法测定大鼠的学习、记忆能力,定量分析照射后2及4周海马区N-乙酰天门冬氨酸/肌酸(NAA/ Cr)、胆碱复合物/肌酸(Cho/ Cr)的参数变化,电子显微镜观察海马区的超微结构改变。结果照射后2及4周、2及6个月大鼠学习、记忆能力较对照组下降,照射剂量越大,学习记忆力下降越明显。10 Gy照射组2及4周NAA/Cr与Cho/Cr比值低于对照组(t=2.345、 2.578与2.503、3.025, P<0.05),20 Gy照射组(t=5.755、4.700与4.606、4.658, P<0.01),30 Gy照射组(t=10.956、6.766与9.571、6.377, P<0.01)显著低于对照组。电镜观察显示:照射后4周海马区神经元有不同程度的线粒体肿胀、毛细血管内皮水肿及髓鞘板层解离。结论 1H-MRS能无创性动态监测放射性脑损伤海马区生化代谢改变,对早期海马异常的检测比MRI更敏感,1H-MRS变化可在一定程度上反映脑损伤严重程度。
英文摘要:
      Objective To study the relationships between dynamic changes of the hippocampus metabolites, cognitive impairment and ultrastructural changes of hippocampus in rats during the initial 4 weeks after 6 MV X-ray whole-brain irradiation.Methods 65 rats were randomly divided into four groups as sham control (n=5), 10 Gy, 20 Gy and 30 Gy groups (n=20). The learning and memory ability was measured with the Y maze test 4,8 weeks,2,6 months after irradiation. 1H-MRS was performed after 2 or 4 weeks'brain irradiation. The ultrastructural changes of the hippocampus were observed by electronic microscope.Results The learning and memorizing ability of irradiation groups was significantly different from that of control group. Compared with control group, the NAA/Cr and Cho/Cr ratio in the left hippocampus in 10 Gy, 20 Gy and 30 Gy groups at 2 weeks and 4 weeks decreased significantly. Neuronal mitochondria edema, endothelial cells swelling and lamina dissociation in myelin sheath were demonstrated in various degrees by electromicroscope at 4 weeks following whole brain irradiation.Conclusions 1H-MRS can be used to non-invasively monitor the metabolic changes, both quantitatively and dynamically, of the irradiated rat brain. 1H-MRS is superior to MRI in detecting early abnormality of the brain. The NAA/Cr and Cho/Cr ratio in irradiated hippocampus could reflect the severity of the brain injury to some extent.
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