Background and Purpose-After short periods of ischemia, commonly used stain
ing methods yield only moderate differences in optical contrast between nor
mal and damaged brain tissue when gray-scale images are used for computer-a
ssisted image analysis. We describe a high-contrast silver infarct staining
(SIS) method that allows an early delineation of ischemic tissue as soon a
s 2 hours after middle cerebral artery occlusion (MCAO) in rat brain cryose
ctions.
Methods-Rats were subjected to permanent MCAO for 2, 4, 6, and 48 hours. Th
e optical densities were quantified in nonischemic white and gray matter an
d in damaged tissue from gray-scale images of serial sections with the use
of a video camera-based image analyzing system. SIS, hematoxylin-eosin, Nis
sl, and nitroblue tetrazolium stainings were performed in cryosections, and
2,3,5-triphenyltetrazolium hydrochloride (TTC) staining was performed in u
nfrozen vibratome sections. In addition, the range of reduced cerebral bloo
d flow (CBF) in areas demarcated by SIS was determined in iodo[C-14]antipyr
ine autoradiograms of adjacent cryosections.
Results-At all times after MCAO, only SIS showed significantly (P<0.01) low
er optical densities in damaged than in normal brain tissue for both white
and gray matter. TTC staining was as effective as SIS 6 and 48 hours after
MCAO. The tightest correlation between areas of reduced SIS and of reduced
CBF was found at a mean ischemic CF of 22.3 mL/100 g per minute. This corre
sponds to a CBF range of 0 to 44 mL/100 g per minute in areas of reduced SI
S.
Conclusions-In contrast to other staining methods, SIS allows a reliable de
lineation of ischemic brain tissue (core plus penumbra) from nonischemic wh
ite and gray matter of rat brain cryosections as soon as 2 hours after MCAO
.