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Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats
Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (A...
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Published in: | Scientific reports 2023-04, Vol.13 (1), p.5598-5598, Article 5598 |
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description | Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (ADC) MRI data obtained during MCAO and shortly after reperfusion for their potentials in acute-phase outcome prediction. Fifty-nine male rats underwent a 45-min MCAO. Outcome was defined in three ways: 21-day survival; 24 h midline-shift and neurological scores. Animals were divided into two groups: rats surviving 21 days after MCAO (survival group, n = 46) and rats dying prematurely (non-survival/NS group, n = 13). At reperfusion, NS group showed considerably larger lesion volume and lower mean ADC of the initial lesion site (p |
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–6
), while NS group showed a mixed pattern. At reperfusion, lesion volume and mean ADC of the initial lesion site were significantly associated with 24 h midline-shift and neurological scores. Diffusion MRI performed soon after reperfusion has a great impact in early-phase outcome prediction, and it works better than the measurement during occlusion.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-023-32679-1</identifier><identifier>PMID: 37019923</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/378 ; 631/378/1689/534 ; 692/308/1426 ; Animals ; Behavior ; Biochemistry ; Brain Ischemia - pathology ; Cerebral blood flow ; Clinical outcomes ; Diffusion ; Diffusion coefficient ; Diffusion Magnetic Resonance Imaging ; Disease Models, Animal ; Humanities and Social Sciences ; Infarction, Middle Cerebral Artery - pathology ; Ischemia ; Lesions ; Magnetic Resonance Imaging ; Male ; Medical prognosis ; Medical research ; multidisciplinary ; Neurosciences ; Rats ; Reperfusion ; Science ; Science (multidisciplinary) ; Stroke ; Survival</subject><ispartof>Scientific reports, 2023-04, Vol.13 (1), p.5598-5598, Article 5598</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c492t-c0fe9f2377171a5ba9a0e5a7139b3e512a779c8903515945f4290d92af8abfc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2795917797/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2795917797?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37019923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagy, Szilvia Anett</creatorcontrib><creatorcontrib>Ivic, Ivan</creatorcontrib><creatorcontrib>Tóth, Péter</creatorcontrib><creatorcontrib>Komoly, Sámuel</creatorcontrib><creatorcontrib>Kiss, Tamás</creatorcontrib><creatorcontrib>Pénzes, Máté</creatorcontrib><creatorcontrib>Málnási-Csizmadia, András</creatorcontrib><creatorcontrib>Dóczi, Tamás</creatorcontrib><creatorcontrib>Perlaki, Gábor</creatorcontrib><creatorcontrib>Orsi, Gergely</creatorcontrib><title>Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (ADC) MRI data obtained during MCAO and shortly after reperfusion for their potentials in acute-phase outcome prediction. Fifty-nine male rats underwent a 45-min MCAO. Outcome was defined in three ways: 21-day survival; 24 h midline-shift and neurological scores. Animals were divided into two groups: rats surviving 21 days after MCAO (survival group, n = 46) and rats dying prematurely (non-survival/NS group, n = 13). At reperfusion, NS group showed considerably larger lesion volume and lower mean ADC of the initial lesion site (p < 0.0001), while during occlusion there were no significant group differences. At reperfusion, each survival animal showed decreased lesion volume and increased mean ADC of the initial lesion site compared to those during occlusion (p < 10
–6
), while NS group showed a mixed pattern. At reperfusion, lesion volume and mean ADC of the initial lesion site were significantly associated with 24 h midline-shift and neurological scores. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagy, Szilvia Anett</au><au>Ivic, Ivan</au><au>Tóth, Péter</au><au>Komoly, Sámuel</au><au>Kiss, Tamás</au><au>Pénzes, Máté</au><au>Málnási-Csizmadia, András</au><au>Dóczi, Tamás</au><au>Perlaki, Gábor</au><au>Orsi, Gergely</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2023-04-05</date><risdate>2023</risdate><volume>13</volume><issue>1</issue><spage>5598</spage><epage>5598</epage><pages>5598-5598</pages><artnum>5598</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (ADC) MRI data obtained during MCAO and shortly after reperfusion for their potentials in acute-phase outcome prediction. Fifty-nine male rats underwent a 45-min MCAO. Outcome was defined in three ways: 21-day survival; 24 h midline-shift and neurological scores. Animals were divided into two groups: rats surviving 21 days after MCAO (survival group, n = 46) and rats dying prematurely (non-survival/NS group, n = 13). At reperfusion, NS group showed considerably larger lesion volume and lower mean ADC of the initial lesion site (p < 0.0001), while during occlusion there were no significant group differences. At reperfusion, each survival animal showed decreased lesion volume and increased mean ADC of the initial lesion site compared to those during occlusion (p < 10
–6
), while NS group showed a mixed pattern. At reperfusion, lesion volume and mean ADC of the initial lesion site were significantly associated with 24 h midline-shift and neurological scores. Diffusion MRI performed soon after reperfusion has a great impact in early-phase outcome prediction, and it works better than the measurement during occlusion.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37019923</pmid><doi>10.1038/s41598-023-32679-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | 631/378 631/378/1689/534 692/308/1426 Animals Behavior Biochemistry Brain Ischemia - pathology Cerebral blood flow Clinical outcomes Diffusion Diffusion coefficient Diffusion Magnetic Resonance Imaging Disease Models, Animal Humanities and Social Sciences Infarction, Middle Cerebral Artery - pathology Ischemia Lesions Magnetic Resonance Imaging Male Medical prognosis Medical research multidisciplinary Neurosciences Rats Reperfusion Science Science (multidisciplinary) Stroke Survival |
title | Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats |
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