DOI QR코드

DOI QR Code

Enhancement Characteristics of Gadolinium Contrast Agent in the Rat Inner Ear Perilymph through CSF microcirculation

뇌척수액 미세순환을 통한 래트 내이 외림프의 가돌리늄 조영제 증강 특성

  • Kim, Min Jung (Medical Device Development Center, KBIO Osong Medical Innovation Foundation) ;
  • Lee, Sang-Yeol (Department of Medical & Biological Engineering, Kyungpook National University) ;
  • Lee, Hui Joong (Department of Radiology, Kyungpook National University School of Medicine) ;
  • Lee, Taekwan (Korea Brain Research Institute) ;
  • Chang, Yongmin (Department of Medical & Biological Engineering, Kyungpook National University)
  • 김민정 (오송첨단의료산업진흥재단 첨단의료기기개발지원센터) ;
  • 이상열 (경북대학교 대학원 의용생체공학과) ;
  • 이희중 (경북대학교 의과대학 영상의학교실) ;
  • 이태관 (한국뇌연구원 첨단뇌연구장비센터) ;
  • 장용민 (경북대학교 대학원 의용생체공학과)
  • Received : 2022.06.30
  • Accepted : 2022.07.18
  • Published : 2022.08.31

Abstract

Contrast enhanced magnetic resonance imaging using gadolinium-based contrast agent (GBCA) is a very useful in vivo technique to visualize the inner ear pathology including endolymphatic hydrops. Although systemic intravenous (IV) administration can visualize the perilymph space, the visualization was possible by indirect passage of contrast agent through blood-perilymph barrier. All animal experimental procedures were performed under anesthesia with 5% isoflurane. Lipopolysaccharide (LPS) was instilled into the left tympanic cavity through the tympanic membrane using a sterile 27gauge needle to induce hydrops model. Tucker-Davis Technologies system was used to measure Auditory Brainstem Responses (ABRs). For intracerebroven-tricular (ICV) administration, 25 µmol of GADOVIST (Bayer, Berlin, Germany) was used and diluted GADOVIST injection was 10 µl. MR imaging was acquired with a 9.4 Tesla MRI scanner. Transmit-receive volume coil with 40 mm inner diameter and 75 mm out diameter was used. ICV administration well demonstrated the strong enhancement along the cerebrospinal fluid (CSF) microcirculation pathway including CSF fluid in the subarachnoid space and CSF space of the inner ear structures. On the other hand, IV administration showed no contrast enhancement along the CSF microcirculation pathway and showed weak enhancement in the inner ear structures. In case of rat hydrops model, ICV administration showed that the reduced contrast enhancement in the perilymph space of the hydrops induced inner ear compared to the contrast enhancement in the perilymph space of the normal inner ear. New systemic ICV administration method provide contrast enhancement of GBCA in the inner ear through CSF microcirculation pathway.

Keywords

Acknowledgement

본 연구는 한국연구재단의 뇌연구 과제(NRF-2018M3C7A1053217)와 과학기술정보통신부 한국뇌연구원 기관고유사업(21-BR-05-01)에 의해 지원을 받아 수행하였음.

References

  1. Naganawa S, Sugiura M, Kawamura M, Fukatsu H, Sone M, Nakashima T. Imaging of endolymphatic and perilymphatic fluid at 3T after intratympanic administration of gadolinium-diethylene-triamine pentaacetic acid. Am J Neuroradiol. 2008;29(4):724-26. https://doi.org/10.3174/ajnr.a0894
  2. Jerin C, Krause E, Ertl-Wagner B, Gurkov R. Longitudinal assessment of endolymphatic hydrops with contrast-enhanced magnetic resonance imaging of the labyrinth. Otol Neurotol. 2014; 35(5):880-83 https://doi.org/10.1097/MAO.0000000000000393
  3. Nakashima T, Naganawa S, Sugiura M, Teranishi M, Sone M, Hayashi H, Nakata S, Katayama N, Ishida IM. Visualization of endolymphatic hydrops in patients with Meniere's disease. Laryngoscope. 2007 Mar;117(3):415-20. https://doi.org/10.1097/MLG.0b013e31802c300c
  4. Cho SY, Ahn JM, Choi JE, Park HW, Kim YK, Kim HJ, Chung WH. Usefulness of intravenous gadolinium inner ear mri imaging in diagnosis of Meniere's disease. Sci Rep. 2018;8(1):17562.
  5. Naganawa S, Yamazaki M, Kawai H, Bokura K, Sone M, Nakashima T. Visualisation of endolymphatic hydrops in Meniere's disease with single dose intravenous gadoliniumbased contrast media using heavily T2-weighted 3D FLAIR. Magn Res Sci. 2010;9(4):237-42. https://doi.org/10.2463/mrms.9.237
  6. Iliff JJ, Wang M, Liao Y, Plogg BA, Peng W, Gundersen GA, Benveniste H, Vates GE, Deane R, Goldman SA, Nagelhus EA, Nedergaard M. A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid β. Sci Transl Med. 2012 Aug 15;4(147):147ra111.
  7. Iliff JJ, Lee H, Yu M, Feng T, Logan J, Nedergaard M, Benveniste H. Brain-wide pathway for waste clearance captured by contrast-enhanced MRI. J Clin Invest. 2013 Mar;123(3):1299-309. https://doi.org/10.1172/JCI67677
  8. Counter SA, Zou J, Bjelke B, Klason T. 3D MRI of the in vivo vestibulo- cochlea labyrinth during Gd-DTPA-BMA uptake. Neuroreport 2003;14(13):1707-12 https://doi.org/10.1097/00001756-200309150-00010
  9. Zou J, Poe D, Bjelke B, Pyykko I. Visualization of inner ear disorders with MRI in vivo: from animal models to human application. Acta Otolaryngol. 2009;Feb(560):22-31.
  10. Foster CA, Breeze RE. Endolymphatic hydrops in Meniere's disease: cause, consequence, or epiphenomenon? Otol Neurotol 2013;34(7):1210-4. https://doi.org/10.1097/mao.0b013e31829e83df
  11. Sousa R, Raposo F, Guerreiro C, Berhanu, D, Eca T, Campos J, Luis L. Magnetic resonance imaging and Meniere's disease-unavoidable alliance. Neuroradiology. 2021;63(11):1749-63. https://doi.org/10.1007/s00234-021-02744-5