Abstract
Traumatic axonal injury (TAI) plays a major role in the development of neurological impairments after traumatic brain injury (TBI), but it is commonly difficult to evaluate it precisely and early with conventional histological biomarkers, especially when the patients experience short-term survival after TBI. Diffusion tensor imaging (DTI) has shown some promise in detecting TAI, but longitudinal studies on the compromised white matter with DTI at early time points (≤72 h) following impact acceleration TBI are still absent. In the present study, rats were subjected to the Marmarou model and imaged with DTI at 3, 12, 24, and 72 h (n = 5 each) post-injury. Using a region-of-interest-based approach, the regions of interest including the corpus callosum, bilateral external capsule, internal capsule, and pyramidal tract were studied. Two DTI parameters, fraction anisotropy and axial diffusivity, were significantly reduced from 3 to 72 h in each region after trauma, corresponding to the gradient of axonal damage demonstrated by immunohistochemical staining of β-amyloid precursor protein and neurofilament light chain. Remarkably, DTI changes predicted the approximate time in the acute phase following TBI. These results indicate that the temporal profiles of diffusion parameters in DTI may be able to provide a tool for early diagnosis of TAI following impact acceleration TBI.
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Abbreviations
- TBI:
-
Traumatic brain injury
- TAI:
-
Traumatic axonal injury
- DTI:
-
Diffusion tensor imaging
- β-APP:
-
β-Amyloid precursor protein
- NF:
-
Neurofilament
- ARBs:
-
Axonal retraction balls
- AD:
-
Axial diffusivity
- FA:
-
Fraction anisotropy
- ADC:
-
Apparent diffusion coefficient
- RD:
-
Radial diffusivity
- ROIs:
-
Regions of interest
- CC:
-
Corpus callosum
- IC:
-
Internal capsule
- LIC:
-
Left internal capsule
- RIC:
-
Right internal capsule
- EC:
-
External capsule
- LEC:
-
Left external capsule
- REC:
-
Right external capsule
- PY:
-
Pyramidal tract
- LPY:
-
Left pyramidal tract
- RPY:
-
Right pyramidal tract
- HP:
-
Hippocampus
- TBS:
-
Tris-buffered saline
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Acknowledgments
This work was supported by the Scientific Research Foundation for the Returned Overseas Chinese Scholars from State Education Ministry and the National Natural Science Foundation of China (Grant Nos. 30870674, 20921004, and 31070961) and partly by the Research Foundation for the Key Laboratory of Neuroscience and Neuroengineering from South Central University for Nationalities (XJS09001).
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All authors declare no conflicts of interest.
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Li, S., Sun, Y., Shan, D. et al. Temporal profiles of axonal injury following impact acceleration traumatic brain injury in rats—a comparative study with diffusion tensor imaging and morphological analysis. Int J Legal Med 127, 159–167 (2013). https://doi.org/10.1007/s00414-012-0712-8
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DOI: https://doi.org/10.1007/s00414-012-0712-8