A piglet model for detection of hypoxic-ischemic brain injury with magnetic resonance imaging
2008

Detecting Brain Injury in Piglets Using MRI

Sample size: 10 publication Evidence: moderate

Author Information

Author(s): Berit Holthe Munkeby, de Lange C, Emblem K E, Bjørnerud A, Kro G A B, Andresen J, Winther-Larssen E H, Løberg E M, Hald J K

Primary Institution: Rikshospitalet University Hospital, Oslo, Norway

Hypothesis

Can a combined MRI protocol detect pathological findings in a piglet model after hypoxic-ischemic injury?

Conclusion

MRI and MRS can effectively detect hypoxic-ischemic brain injury in piglets 7 hours after the event.

Supporting Evidence

  • ADC values were significantly lower after 7 hours compared to baseline.
  • Presence of lactate correlated with necrosis in the piglet brains.
  • Histology showed more than 90% necrosis in eight piglets after hypoxia.
  • FA values increased significantly after 7 hours compared to baseline.
  • NAA/Cho and NAA/Cr ratios were significantly lower after 7 hours.
  • Lac/Cho and Lac/NAA ratios were significantly higher after 7 hours.
  • All piglets showed signs of cerebral pathology after the HI insult.

Takeaway

Researchers used piglets to see if special brain scans could find damage after a lack of oxygen. They found that the scans worked well.

Methodology

Ten piglets underwent hypoxia for 30 minutes followed by 7 hours of reoxygenation, with MRI and MRS performed before and after the event.

Limitations

The study does not allow for long-term follow-up and the age variation of the piglets may affect results.

Participant Demographics

Ten newborn piglets, 5 male and 5 female, aged 12–36 hours.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1080/02841850802334224

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