Diffusion tensor imaging reliably detects experimental traumatic axonal injury and indicates approximate time of injury

Christine L. Mac Donald, Krikor Dikranian, Philip Bayly, David Holtzman, David Brody

Research output: Contribution to journalArticlepeer-review

327 Scopus citations

Abstract

Traumatic axonal injury (TAI)maycontribute greatly to neurological impairments after traumatic brain injury, but it is difficult to assess with conventional imaging. We quantitatively compared diffusion tensor imaging (DTI) signal abnormalities with histological and electron microscopic characteristics of pericontusional TAI in a mouse model. Two DTI parameters, relative anisotropy and axial diffusivity, were significantly reduced 6 h to 4 d after trauma, corresponding to relatively isolated axonal injury. One to 4 weeks after trauma, relative anisotropy remained decreased, whereas axial diffusivity "pseudo-normalized" and radial diffusivity increased. These changes corresponded to demyelination, edema, and persistent axonal injury. At every time point, DTI was more sensitive to injury than conventional magnetic resonance imaging, and relative anisotropy distinguished injured from control mice with no overlap between groups. Remarkably, DTI changes strongly predicted the approximate time since trauma. These results provide an important validation of DTI for pericontusional TAI and suggest novel clinical and forensic applications.

Original languageEnglish
Pages (from-to)11869-11876
Number of pages8
JournalJournal of Neuroscience
Volume27
Issue number44
DOIs
StatePublished - Oct 31 2007

Keywords

  • Axonal injury
  • Diffusion tensor imaging
  • Forensic imaging
  • Magnetic resonance imaging
  • Traumatic brain injury
  • White matter injury

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