Diffusion tensor MRI reveals chronic alterations in white matter despite the absence of a visible ischemic lesion on

Ebeline Bihel1, Simon Roussel, Jérôme Toutain

  • 1CERVOxy, Hypoxia and Cerebrovascular Pathophysiology, CI-NAPS UMR-6232, University of Caen, 59, Boulevard Henri Becquerel BP5229, Caen, France 14074.

Stroke
|March 29, 2011
PubMed
Abstract

Insights

Stroke significantly impacts white matter (WM) integrity, even after visible lesions disappear. Diffusion tensor imaging in marmosets revealed chronic WM disorganization, correlating with lasting sensorimotor deficits.

Area of Science:

  • Neuroscience
  • Radiology
  • Primate Models

Background:

  • Preclinical stroke research often uses rodents with low white matter (WM)/gray matter ratios, limiting relevance to human stroke.
  • White matter alterations post-stroke are not well-characterized in preclinical models.

Purpose of the Study:

  • To investigate WM alterations and sensorimotor deficits after stroke in marmosets, a primate model with a human-like WM/gray matter ratio.
  • To correlate WM changes with functional deficits using diffusion tensor imaging (DTI).

Main Methods:

  • Marmosets experienced transient focal cerebral ischemia.
  • Serial MRI (including DTI) and weekly sensorimotor assessments were performed for 45 days post-reperfusion.
  • WM integrity was assessed using diffusion metrics and fiber tracking.

Main Results:

  • DTI findings in marmosets mirrored human stroke evolution regarding apparent diffusion coefficient and fractional anisotropy.
  • Chronic DTI revealed WM alterations (increased eigenvector angle standard deviation, decreased fiber bundle count) despite absent T2-MRI lesions.
  • WM disruption strongly correlated with persistent sensorimotor deficits.

Conclusions:

  • DTI can detect chronic WM disorganization after stroke in marmosets, even without visible lesions on conventional MRI.
  • This WM disorganization likely explains persistent functional deficits observed in the chronic stroke phase.