Semiquantitative assessment of optic nerve injury using manganese-enhanced MRI

Jun Yang1, Qinqing Li1, Mary Wang1

  • 1Department of Radiology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Tumor Hospital, No. 519 Kunzhou Road, Xishan District, Kunming, 650118, Yunnan, People's Republic of China.

Abstract

Insights

Manganese-enhanced MRI (MEMRI) effectively tracks optic nerve (ON) injury in rats by visualizing Mn(2+) transport. This technique shows declining signal intensity proximal to the lesion over time, correlating with retinal ganglion cell loss.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Ophthalmology

Background:

  • Optic nerve (ON) injury can lead to irreversible vision loss.
  • Accurate assessment of ON injury is crucial for understanding disease progression and developing treatments.
  • Current methods for evaluating ON injury may have limitations in continuous semiquantitative assessment.

Purpose of the Study:

  • To evaluate the capability of manganese (Mn(2+))-enhanced MRI (MEMRI) for continuous semiquantitative assessment of rat ON injury.
  • To compare MEMRI findings with direct measurements of retinal ganglion cell (RGC) loss.

Main Methods:

  • Forty rats were divided into control, ON injury with MEMRI, and ON injury with RGC fluorescent labeling groups.
  • MEMRI and RGC counting were performed at 3, 7, and 14 days post-lesion (dpl).
  • Contrast-to-noise ratio (CNR) of the retina and ON was measured on MEMRI images.

Main Results:

  • MEMRI visualized the intact visual pathway in control rats.
  • In ON-injured rats, Mn(2+) enhancement was observed from the retina to the lesion site but not distal to it.
  • Mn(2+) enhancement proximal to the lesion site significantly declined between 7 and 14 dpl, correlating with RGC density reduction.

Conclusions:

  • MEMRI provides a valuable tool for evaluating structural changes and disease progression after ON injury.
  • The semiquantitative nature of MEMRI allows for continuous monitoring of ON injury.
  • MEMRI findings correlate with RGC loss, supporting its utility in preclinical ON injury studies.

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