Twenty-Four-Hour Real-Time Continuous Monitoring of Cerebral Edema in Rabbits Based on a Noninvasive and Noncontact System of Magnetic Induction

Cerebral edema is a common disease, secondary to craniocerebral injury, and real-time continuous monitoring of cerebral edema is crucial for treating patients after traumatic brain injury. This work established a noninvasive and noncontact system by monitoring the magnetic induction phase shift (MIPS) which is associated with brain tissue conductivity. Sixteen rabbits (experimental group n = 10, control group, n = 6) were used to perform a 24 h MIPS and intracranial pressure (ICP) simultaneously monitored experimental study. For the experimental group, after the establishment of epidural freeze-induced cerebral edema models, the MIPS presented a downward trend within 24 h, with a change magnitude of −13.1121 ± 2.3953°; the ICP presented an upward trend within 24 h, with a change magnitude of 12–41 mmHg. The ICP was negatively correlated with the MIPS. In the control group, the MIPS change amplitude was −0.87795 ± 1.5146 without obvious changes; the ICP fluctuated only slightly at the initial value of 12 mmHg. MIPS had a more sensitive performance than ICP in the early stage of cerebral edema. These results showed that this system is basically capable of monitoring gradual increases in the cerebral edema solution volume. To some extent, the MIPS has the potential to reflect the ICP changes.

[1]  Mikael Svensson,et al.  Aquaporins and blood–brain barrier permeability in early edema development after traumatic brain injury , 2015, Brain Research.

[2]  Jian Sun,et al.  A Special Phase Detector for Magnetic Inductive Measurement of Cerebral Hemorrhage , 2014, PloS one.

[3]  Stefan Zausinger,et al.  Brain edema formation and neurological impairment after subarachnoid hemorrhage in rats. Laboratory investigation. , 2009, Journal of neurosurgery.

[4]  I. Klatzo,et al.  Presidental address. Neuropathological aspects of brain edema. , 1967, Journal of neuropathology and experimental neurology.

[5]  Jun Zhao,et al.  Experimental study on the detection of rabbit intracranial hemorrhage using four coil structures based on magnetic induction phase shift , 2017, Biomedizinische Technik. Biomedical engineering.

[6]  H Griffiths,et al.  Magnetic Induction Tomography: A Measuring System for Biological Tissues , 1999, Annals of the New York Academy of Sciences.

[7]  Jian Sun,et al.  Detection of Cerebral Hemorrhage in Rabbits by Time-Difference Magnetic Inductive Phase Shift Spectroscopy , 2015, PloS one.

[8]  M. Nedergaard,et al.  Filtering the muddied waters of brain edema , 2015, Trends in Neurosciences.

[9]  Lori Shutter,et al.  A trial of intracranial pressure monitoring in traumatic brain injury , 2014, Critical Care.

[10]  D W Armitage,et al.  Imaging cerebral haemorrhage with magnetic induction tomography: numerical modelling , 2009, Physiological measurement.

[11]  Anup Barai,et al.  Magnetic induction spectroscopy: non-contact measurement of the electrical conductivity spectra of biological samples , 2012 .

[12]  Victoria Wykes,et al.  Intracranial pressure, cerebral blood flow and brain oedema , 2015 .

[13]  N. Carney,et al.  A trial of intracranial-pressure monitoring in traumatic brain injury. , 2012, The New England journal of medicine.

[14]  Masahiko Kawanishi,et al.  Treatment of cold injury-induced brain edema with a nonspecific matrix metalloproteinase inhibitor MMI270 in rats. , 2003, Journal of neurotrauma.

[15]  Mingxin Qin,et al.  The detection of chronic cerebral hemorrhage in rabbits with magnetic induction , 2012 .

[16]  P. C. Lin,et al.  Neuroprotective effect of agmatine in rats with transient cerebral ischemia using MR imaging and histopathologic evaluation. , 2013, Magnetic resonance imaging.

[17]  Juan Sahuquillo,et al.  Clinical applications of intracranial pressure monitoring in traumatic brain injury , 2014, Acta Neurochirurgica.

[18]  B Rubinsky,et al.  The detection of brain ischaemia in rats by inductive phase shift spectroscopy , 2009, Physiological measurement.

[19]  Yu Hasegawa,et al.  Fingolimod reduces cerebral lymphocyte infiltration in experimental models of rodent intracerebral hemorrhage , 2013, Experimental Neurology.

[20]  B. Rubinsky,et al.  Tissue characterization using electrical impedance spectroscopy data: a linear algebra approach , 2012, Physiological measurement.

[21]  Carolina B. Maciel,et al.  Malignant MCA Stroke: an Update on Surgical Decompression and Future Directions , 2015, Current Atherosclerosis Reports.

[22]  Wei He,et al.  A new method of noninvasive brain-edema monitoring in stroke: cerebral electrical impedance measurement , 2006, Neurological research.

[23]  J. Koziol,et al.  Sonographic monitoring of mass effect in stroke patients treated with hypothermia. Correlation with intracranial pressure and matrix metalloproteinase 2 and 9 expression , 2009, Journal of the Neurological Sciences.

[24]  Y. Chae,et al.  Influence of interleukin-6 on the development of peritumoral brain edema in meningiomas. , 2010, Journal of neurosurgery.

[25]  Hermann Scharfetter,et al.  Biological tissue characterization by magnetic induction spectroscopy (MIS): requirements and limitations , 2003, IEEE Transactions on Biomedical Engineering.

[26]  Mohammad Reza Bigdeli,et al.  Prolonged and intermittent normobaric hyperoxia induce different degrees of ischemic tolerance in rat brain tissue , 2007, Brain Research.

[27]  Boris Rubinsky,et al.  Volumetric Electromagnetic Phase-Shift Spectroscopy of Brain Edema and Hematoma , 2013, PloS one.

[28]  Jian Sun,et al.  A new method for detecting cerebral hemorrhage in rabbits by magnetic inductive phase shift. , 2014, Biosensors & bioelectronics.

[29]  Victor G J Rodgers,et al.  Reduction of cerebral edema after traumatic brain injury using an osmotic transport device. , 2014, Journal of neurotrauma.

[30]  E. Shwedyk,et al.  Correlation of permittivity and water content during cerebral edema , 1999, IEEE Transactions on Biomedical Engineering.

[31]  P Enblad,et al.  A model for studies of intracranial volume pressure dynamics in traumatic brain injury. , 2004, Journal of neurotrauma.

[32]  Max Wintermark,et al.  Recommendations for the Management of Cerebral and Cerebellar Infarction With Swelling: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association , 2014, Stroke.

[33]  Anthony J. Peyton,et al.  Non-contact multi-frequency magnetic induction spectroscopy system for industrial-scale bio-impedance measurement , 2015 .

[34]  W. Heiss,et al.  Malignant MCA Infarction: Pathophysiology and Imaging for Early Diagnosis and Management Decisions , 2015, Cerebrovascular Diseases.

[35]  Min Han,et al.  Magnetic Induction Tomography , 2015 .

[36]  C. Wang,et al.  Detection of acute cerebral hemorrhage in rabbits by magnetic induction , 2014, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.