A subset of live M. tuberculosis-infected animals from the relapse cohort were imaged within a sealed bio-containment bed (Minerve) modified in-house to be compliant with biosafety level 3 (BSL3) containment, as described previously [7 (link), 19 (link)]. A standard small animal anesthesia machine was used to deliver a mixture of isoflurane and oxygen to anesthetize during imaging. Computed tomography (CT) scans were then immediately performed using the NanoSPECT/CT (Mediso) in vivo animal imager. The images were analyzed using VivoQuant 2.5 (Invicro). The whole lung field was segmented and the frequency of voxels with a given density (measured as Hounsfield Units, HU) was determined. A cavity was defined as a macroscopic region of air (density <−900 HU) within diseased lung parenchyma.
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