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Noninvasive early detection of brain edema in mice by near-infrared light scattering

โœ Scribed by Jay R. Thiagarajah; Marios C. Papadopoulos; A. S. Verkman


Book ID
102384250
Publisher
John Wiley and Sons
Year
2005
Tongue
English
Weight
185 KB
Volume
80
Category
Article
ISSN
0360-4012

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โœฆ Synopsis


Brain edema accounts for significant morbidity and mortality in many neurologic conditions such as head trauma, stroke, meningitis, and brain tumor. The water channel aquaporin-4 (AQP4) has been found to be an important determinant of brain water accumulation and clearance of excess brain water. We report the development of a noninvasive near-infrared (NIR) light-scattering method to compare the early kinetics of brain swelling in normal and AQP4-deficient mice. Brain tissue was illuminated through the intact skull with NIR light at 850 nm, and steady-state scattered light intensity was monitored at an angle of 90 degrees at a position on the skull *10 mm from the illuminated site. NIR light scattering reversibly increased with brain swelling (DI/I o *25% per 1% increase in brain water content), but was insensitive to changes in cerebral blood flow, blood oxygenation, or blood flow-related changes in intracranial pressure (ICP). DI/I o increased approximately linearly with brain water content as measured by wet-to-dry weight ratios. Acute water intoxication (intraperitoneal water, 20% body weight) produced a gradual increase in DI/I o of 12 6 4% in wild-type mice at 5 min, much greater than that of 2 6 1% in AQP4-null mice. Correlation of the NIR signal with ICP showed that increased DI/I o preceded measurable increases in ICP, indicating the ability of the NIR method to detect early brain edema before ICP elevation. NIR light scattering provides a simple noninvasive method to monitor brain edema in mice, with potential clinical applications.


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