Sensitivity and source of amine-proton exchange and amide-proton transfer magnetic resonance imaging in cerebral ischemia.
Sensitivity and source of amine-proton exchange and amide-proton transfer magnetic resonance imaging in cerebral ischemia.
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DOI:
10.1002/mrm.24639
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发表时间:
2014-01
影响因子:
3.3
通讯作者:
Jin, Tao
中科院分区:
文献类型:
--
作者:
Zong, Xiaopeng;Wang, Ping;Kim, Seong-Gi;Jin, Tao
关键词:
Amide proton transfer (APT) and amine-water proton exchange (APEX) can be viable to map pH-decreasing ischemic regions. However, their exact contributions are unclear. We measured APEX- and APT-weighted magnetization transfer ratio asymmetry (denoted as APEXw and APTw), ADC, T2 and T1 images, and localized proton spectra in rats with permanent middle cerebral artery occlusion at 9.4 T. Phantoms and theoretical studies were also performed. Within one hour post-occlusion, APEXw and APTw maps showed hyperintensity (3.1% of M0) and hypointensity (−1.8%), respectively, in regions with decreased ADC. Ischemia increased lactate and gamma aminobutyric acid (GABA) concentrations, but decreased glutamate and taurine concentrations. Over time, the APEXw contrast decreased with glutamate, taurine and creatine, while the APTw contrast and lactate level were similar. Phantom and theoretical studies suggest that the source of APEXw signal is mainly from proteins at normal pH, while at decreased pH, GABA and glutamate contributions increase, inducing the positive APEXw contrast in ischemic regions. The APTw contrast is sensitive to lactate concentration and pH, but contaminated from contributions of the faster amine-water proton exchange processes. Positive APEXw contrast is more sensitive to ischemia than negative APTw contrast. They may provide complementary tissue metabolic information.
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