Identification and characterization of Huntington related pathology: an in vivo DKI imaging study

亨廷顿相关病理的识别和表征:体内 DKI 成像研究

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作者:Ines Blockx, Marleen Verhoye, Johan Van Audekerke, Irene Bergwerf, Jack X Kane, Rafael Delgado Y Palacios, Jelle Veraart, Ben Jeurissen, Kerstin Raber, Stephan von Hörsten, Peter Ponsaerts, Jan Sijbers, Trygve B Leergaard, Annemie Van der Linden

Abstract

An important focus of Huntington Disease (HD) research is the identification of symptom-independent biomarkers of HD neuropathology. There is an urgent need for reproducible, sensitive and specific outcome measures, which can be used to track disease onset as well as progression. Neuroimaging studies, in particular diffusion-based MRI methods, are powerful probes for characterizing the effects of disease and aging on tissue microstructure. We report novel diffusional kurtosis imaging (DKI) findings in aged transgenic HD rats. We demonstrate altered diffusion metrics in the (pre)frontal cerebral cortex, external capsule and striatum. Presence of increased diffusion complexity and restriction in the striatum is confirmed by an increased fiber dispersion in this region. Immunostaining of the same specimens reveals decreased number of microglia in the (pre)frontal cortex, and increased numbers of oligodendrocytes in the striatum. We conclude that DKI allows sensitive and specific characterization of altered tissue integrity in this HD rat model, indicating a promising potential for diagnostic imaging of gray and white matter pathology.

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