Affiliation:
1. Department of Radiology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai
2. Department of Radiology, Henan Provincial Hospital of Traditional Chinese Medicine (The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine), Zhengzhou, People’s Republic of China.
Abstract
Metabolic acidosis is the most common acid-base change following heatstroke. This study aimed to evaluate the internal environment changes caused by heatstroke using amide proton transfer (APT) imaging. Nineteen male Sprague–Dawley rats were randomly divided into the control group (CTRL, n = 7) and the heatstroke group (HS, n = 12). All the rats underwent a 7.0-T MRI, which included T2-weighted imaging (T2WI) and APT imaging. Subsequently, the surviving HS group rats repeated the same magnetic resonance scanning after 25 days and were designated as the follow-up group (FU, n = 7). APT values were measured in the hippocampus, thalamus, and corpus callosum. The APT values of the three groups were statistically analyzed and found in the hippocampus (CTRL vs. HS, P = 0.011; CTRL vs. FU, P = 0.078; HS vs. FU, P = 0.484; η² = 0.276), left thalamus (CTRL vs. HS, P = 0.004; CTRL vs. FU, P = 0.014; HS vs. FU, P = 0.822; η² = 0.331), right thalamus (CTRL vs. HS, P = 0.003; CTRL vs. FU, P = 0.015; HS vs. FU P = 0.769; η² = 0.336), and corpus callosum (CTRL vs. HS, P < 0.001; CTRL vs. FU, P = 0.005; HS vs. FU, P = 0.523; η² = 0.437). APT imaging can be a viable and practical tool for diagnosing heatstroke and monitoring its progression.
Publisher
Ovid Technologies (Wolters Kluwer Health)