在 7 T 下通过 GluCEST MRI 和静息态 fMRI 对辐射诱导的脑损伤进行临床前监测:关于 MRI 指导下避免 OAR 的探索性研究

IF 2.7 3区 医学 Q3 ONCOLOGY Strahlentherapie und Onkologie Pub Date : 2024-09-11 DOI:10.1007/s00066-024-02292-w
Guodong Li, Hao Li, Na Weng, Caiyun Liu, Xianglin Li, Qinglong Li, Li Bin, Kai Zhu, Danqi Huang, Jia Liu, Yan Liu, Xu Wang
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引用次数: 0

摘要

目的评估全脑放射治疗(WBRT)后谷氨酸化学交换饱和转移(GluCEST)作为放射诱导脑损伤(RBI)成像标志物的价值,并初步显示多参数磁共振成像引导避开危险器官(OAR)的可行性。方法将大鼠分为两组:对照(CTRL)组(n = 9)和 RBI 组(n = 9)。RBI 组大鼠接受 X 射线辐射器照射,4 周后进行水迷宫实验。结合高效液相色谱法(HPLC),我们评估了 GluCEST 应用于 RBI 谷氨酸变化的价值,并研究了这种变化对谷氨酸能神经元功能的影响。海马和大脑皮层的 GluCEST 值与区域均匀性 (ReHo) 值之间呈正相关。HPLC 与海马的 GluCEST 值呈正相关。GluCEST 值与空间记忆呈正相关。结论 GluCEST MRI 可对 RBI 大鼠的谷氨酸变化进行直观评估,用于监测 OAR 认知毒性反应,并可用作避免 OAR 以及新陈代谢的生物标志物,以促进对放疗后发生的辐射损伤进行监测和干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Preclinical monitoring of radiation-induced brain injury via GluCEST MRI and resting-state fMRI at 7 T: an exploratory study on MRI-guided OAR avoidance

Purpose

To assess the value of glutamate chemical exchange saturation transfer (GluCEST) after whole-brain radiotherapy (WBRT) as an imaging marker of radiation-induced brain injury (RBI) and to preliminarily show the feasibility of multiparametric MRI-guided organ at risk (OAR) avoidance.

Methods

Rats were divided into two groups: the control (CTRL) group (n = 9) and the RBI group (n = 9). The rats in the RBI group were irradiated with an X‑ray radiator and then subjected to a water maze experiment 4 weeks later. In combination with high-performance liquid chromatography (HPLC), we evaluated the value of GluCEST applied to glutamate changes for RBI and investigated the effect of such changes on glutamatergic neuronal function.

Results

The average GluCEST values were markedly lower in the hippocampus and cerebral cortex. Positive correlations were observed between GluCEST values and regional homogeneity (ReHo) values in both the hippocampus and the cerebral cortex. HPLC showed a positive correlation with GluCEST values in the hippocampus. GluCEST values were positively correlated with spatial memory.

Conclusion

GluCEST MRI provides a visual assessment of glutamate changes in RBI rats for monitoring OAR cognitive toxicity reactions and may be used as a biomarker of OAR avoidance as well as metabolism to facilitate monitoring and intervention in radiation damage that occurs after radiotherapy.

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来源期刊
CiteScore
5.70
自引率
12.90%
发文量
141
审稿时长
3-8 weeks
期刊介绍: Strahlentherapie und Onkologie, published monthly, is a scientific journal that covers all aspects of oncology with focus on radiooncology, radiation biology and radiation physics. The articles are not only of interest to radiooncologists but to all physicians interested in oncology, to radiation biologists and radiation physicists. The journal publishes original articles, review articles and case studies that are peer-reviewed. It includes scientific short communications as well as a literature review with annotated articles that inform the reader on new developments in the various disciplines concerned and hence allow for a sound overview on the latest results in radiooncology research. Founded in 1912, Strahlentherapie und Onkologie is the oldest oncological journal in the world. Today, contributions are published in English and German. All articles have English summaries and legends. The journal is the official publication of several scientific radiooncological societies and publishes the relevant communications of these societies.
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