Meeting Banner
Abstract #1811

Can Early 1H-MRS Predict Tissue Loss in Traumatic Brain Injury?

MAGNA25Janna L. Harris1, In-Young Choi1, 2, Phil Lee1, 3, Hung-Wen Yeh4, William M. Brooks1

1Hoglund Brain Imaging Center, University of Kansas Medical Center, Kansas City, KS, United States; 2Department of Neurology, University of Kansas Medical Center; 3Department of Molecular and Integrative Physiology, University of Kansas Medical Center; 4Department of Biostatistics, University of Kansas Medical Center

A traumatic brain injury (TBI) initiates a progressive neurodegeneration that develops over days to weeks following the initial physical impact. We used 1H-MRS one hour after experimental TBI in rats to examine two brain regions: a proximal VOI containing tissue destined to degenerate into a lesion cyst, and a more distal VOI that would not develop any overt MR-visible lesion. Our results demonstrate a different early spectroscopic profile in tissue destined to degenerate vs. tissue destined to survive. We propose that 1H-MRS early after TBI could be useful for predicting the extent and location of ultimate tissue damage in TBI patients.

Keywords

accepted accomplished acute addition adjusted altered although analyzed animals biostatistics blue bounds brain brooks cause city close coils collect concentrations confirmed consistent control controlled contusions cortex cortical cram cyst damage days death defined degenerate depth destined develop developed develops differentiate discovery distal distinct documents dorsal early estimation evolves example extend extent false fates fell field findings fitted frank glucose goal hour human hung immediately impact imputed in vivo indicating initial injury instrument integrative lactate leading lesion linear localized location loss magnitude matrix mechanisms medical meet metabolic metabolism metabolite metabolites model molecular necrotic neurology oxidative pattern physical physiology positioning post predicting preserved procedure profile profiles progressive proton providing proximal rats recent reflected reliably remotely replicated responsible sample sensitivity several severity shim shims significantly site slice slightly spectra spectroscopic spectroscopy steam stress studies subjected subsequently suggest suggesting support suppressed survive targeted tissue traumatic ultimate uniform unilateral useful valuable velocity visible weeks whether worldwide young zero