Longitudinal Imaging of Experimental Intracerebral Hemorrhage Pathology with Iodine-enhanced Micro-CT

Background Iodine-enhanced micro-computed tomography (Micro-CT) enables high-resolution three-dimensional imaging of brain architecture. This study aimed to characterize both acute and chronic pathological changes following intracerebral hemorrhage (ICH) using iodine-enhanced micro-CT. Method Experimental ICH was induced in 8- to 10-week-old C57BL/6 mice (n = 76) via stereotaxic injection of either 0.075 U collagenase IV or 30 μl autologous blood. Iodine-enhanced micro-CT imaging was performed at 4 hours, 1, 3, and 7 days after intracerebral hemorrhage post-ICH to evaluate hematoma formation and erythrolysis. Chronic alterations, including ventriculomegaly and ipsilateral lesion, were assessed at 28 days post-ICH. In parallel, MRI was conducted at 1, 7, and 28 days following autologous blood injection, followed by micro-CT, to facilitate cross-modality quantitative analysis. Lesion volumes were compared between imaging modalities over time. Results Micro-CT enabled quantification of hematoma volume and erythrolysis in ICH models. Hematomas extended along perivascular pathways toward the cerebral surface in both collagenase- and autologous blood-induced ICH models. At 28 days post-ICH, micro-CT detected ventriculomegaly and hypodense lesions without concurrent expansion of the choroid plexus. Lesion volume measurements derived from micro-CT correlated with those from MRI, enabling quantitatively assessment of iron deposition and hematoma size alterations after ICH. Conclusion Iodine-enhanced micro-CT provides a robust and high-resolution imaging platform for evaluating hematoma evolution, hemolysis, ventricular enlargement, and chronic brain lesions in experimental ICH. When integrated with MRI, these multimodal imaging approaches enhance the characterization of both hematoma volume and iron deposition following ICH.