Journal of Neuroscience Methods 176 (2009) 152–156
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Journal of Neuroscience Methods
journal homepage: www.elsevier.com/locate/jneumeth
Unilateral intracarotid injection of holmium microspheres to induce bilateral
MRI-validated cerebral embolization in rats
Fellery de Lange
a,∗
, Jan M. Dieleman
a,1
, Erwin L.A. Blezer
b,2
, Ralph J.F. Houston
a,1
,
Cor J. Kalkman
a,1
, J. Frank W. Nijsen
c,3
a
Division of Perioperative Care and Emergency Medicine, University Medical Center Utrecht, mail stop Q04-2-313, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
b
Image Sciences Institute, University Medical Center Utrecht, Bolognalaan 50, 3584 CJ Utrecht, The Netherlands
c
Department of Nuclear Medicine, University Medical Center Utrecht, mail stop E 02.222, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
article info
Article history:
Received 19 May 2008
Received in revised form 31 August 2008
Accepted 2 September 2008
Keywords:
Animal model
Cerebral embolization
Holmium
Microspheres
MRI
Rat
abstract
Background: Cerebral embolization models have been hindered by the fact that delivery is predominantly
one-sided and cannot be quantified easily. We have developed a model for bilateral cerebral micro-
embolization. By using holmium microspheres, it is possible to quantify intracerebral delivery using
MRI.
Methods: To validate the quantification of holmium microspheres a phantom study was performed in
which concentration of microspheres in solution was compared with the number of holmium-induced
artifacts on MRI. After that identical microspheres were administered by unilateral injection in the carotid
artery, while the opposite carotid artery was clamped. On post-injection MRI scans, intracerebral delivery
and right/left distribution of the microspheres was determined.
Results: In the phantom study it was shown that quantification by MRI is possible and that MRI artifacts
represent single microspheres. In the rat brain, about one-third of the injected dose was consistently
located on the contralateral side. The administration was reproducible regarding distribution and number
of microspheres.
Conclusions: The use of holmium microspheres enables quantification of delivered dose as single micro-
spheres induce artifacts on MRI. By clamping the contralateral carotid artery, one-third of the dose is
diverted to the contralateral hemisphere.
© 2008 Elsevier B.V. All rights reserved.
1. Introduction
In the last few decades, many animal models of cerebral micro-
embolization have been employed to study pathophysiological
mechanisms of diffuse cerebral ischemia. In these microsphere
animal models (Bralet et al., 1979; Zivin et al., 1987; Takeo et
al., 1992; Omae et al., 2000) an attempt is made to mimic the
dislodging of particles as occurs during cardiac, orthopedic or cere-
brovascular surgery and in stroke. However, all of these models
have been hindered by the fact that injection in the carotid artery
results in unpredictable delivery to the ipsilateral hemisphere (and
sometimes to the contralateral hemisphere) which cannot be quan-
tified directly (Takeo et al., 1992; Omae et al., 2000). We therefore
∗
Corresponding author. Tel.: +31 88 7559677; fax: +31 30 2541828.
E-mail address: f.delange@umcutrecht.nl (F. de Lange).
1
Tel.: +31 88 7559677; fax: +31 30 2541828.
2
Tel.: +31 30 2535521; fax: +31 30 2535561.
3
Tel.: +31 88 7556295; fax: +31 30 2542531.
developed a method of unilateral intracarotid injection for bilat-
eral distribution of holmium-containing micro-embolic spheres.
Because holmium is highly paramagnetic it can be used for quan-
titative detection in the rat brain by magnetic resonance imaging
(MRI) (Nijsen et al., 2004). By using phantoms with different con-
centrations of microspheres, we investigated whether individual
microspheres cause detectable distortions on MRI imaging.
2. Materials and methods
2.1. Microspheres
The microspheres used in the studies were poly(l-lactic-acid)
microspheres containing 17.1% holmium acetylacetonate (Nijsen et
al., 2001; Zielhuis et al., 2006). Because of the paramagnetic prop-
erties of holmium, the microspheres cause pixel distortion on MRI
images and can thus be quantified (Nijsen et al., 2004).
The microspheres had a diameter of 30 m (outer limits
20–50 m).
0165-0270/$ – see front matter © 2008 Elsevier B.V. All rights reserved.
doi:10.1016/j.jneumeth.2008.09.011