In vivo study of cerebral ischemia using Shear Wave Imaging and Ultrafast Doppler

E. Macé, G. Montaldo, M. Fink, M. Tanter, Abraham Martín, B. Tavitian
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Abstract

A multi-modal ultrasound imaging study of cerebral ischemia was performed on a rat model. Ischemia was obtained by the transient 2h occlusion of a cerebral artery and the lesion induced was imaged 1, 2, 4 and 7 days after the stroke. With Bmode imaging, the lesion was found to be hyperechogenic compared to normal brain tissue. With Shear Wave Imaging, the elasticity of the brain was measured showing that the ischemic lesion is softer than normal brain tissue and that its elasticity decreases significantly over time. With Ultrafast Doppler, the perfusion in the brain was measured showing that the lesion is hyperperfused compared to normal brain tissue with a peak two days after the occlusion. Ultrafast Doppler was also proved able to monitor the occlusion. Future work will focused on applying this multi-modal study for ischemic lesions induced by apoxia on newborn babies through the fontanel.
横波成像和超快多普勒在脑缺血的体内研究
对大鼠脑缺血模型进行了多模态超声成像研究。脑动脉短暂闭塞2h获得缺血,脑卒中后1、2、4、7天对病变进行成像。与正常脑组织相比,b型成像发现病变高回声。通过横波成像,测量了大脑的弹性,显示缺血病变比正常脑组织更软,并且随着时间的推移,其弹性显著降低。用超快多普勒测量脑灌注,显示与正常脑组织相比,病变是超灌注的,在闭塞后两天达到峰值。超快多普勒也被证明可以监测闭塞。未来的工作将侧重于将该多模式研究应用于缺氧引起的新生儿经囟门缺血性病变。
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