Evaluation of crossed cerebellar diaschisis after cerebral infarction in MCAO rats based on DKI

Zhen Ma1, Xin Zhao1, Xiao Wang2

  • 1Department of Medical Imaging, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Abstract

Insights

This study shows that N-methyl-D-aspartate (NMDA) expression and Diffusion Kurtosis Imaging (DKI) parameters for crossed cerebellar diaschisis (CCD) correlate in rats after middle cerebral artery occlusion (MCAO). These findings suggest NMDA receptor modulation as a potential therapeutic target for stroke.

Area of Science:

  • Neuroscience
  • Radiology
  • Pathology

Background:

  • Middle cerebral artery occlusion (MCAO) in rats is a common model for ischemic stroke.
  • Crossed cerebellar diaschisis (CCD) is a neurological condition that can occur after MCAO.
  • N-methyl-D-aspartate (NMDA) receptors play a role in neuronal excitotoxicity and apoptosis following ischemic events.

Purpose of the Study:

  • To investigate the expression of NMDA and apoptosis in a rat MCAO model.
  • To evaluate the utility of Diffusion Kurtosis Imaging (DKI) in assessing CCD.
  • To establish a basis for clinical treatment strategies for cerebral infarction.

Main Methods:

  • Establishment of MCAO rat models, divided into control and multiple time-point groups (6h to 14 days).
  • Magnetic Resonance Imaging (MRI) including Diffusion Weighted Imaging (DWI) and DKI (measuring MD, MK, FA) at various time points.
  • Histological analysis (H&E, immunohistochemistry, TUNEL staining) to assess NMDA expression and apoptosis in infarct core and cerebellum.

Main Results:

  • Diffusion Kurtosis Imaging (DKI) parameters (MD, FA) and ADC values were reduced in MCAO rats compared to controls.
  • Contralateral cerebellum MRI parameters were lower than ipsilateral, indicating CCD.
  • NMDA expression increased over time in MCAO rats, peaking at 24 hours, and was higher in the contralateral cerebellum.

Conclusions:

  • NMDA expression and DKI parameters for CCD exhibit similar temporal trends following MCAO.
  • Targeting NMDA receptor-mediated apoptosis presents a potential therapeutic avenue for cerebral infarction.
  • MRI parameters, particularly from DKI, can predict the occurrence and progression of CCD.

Related Concept Videos