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1.

Purpose:

To determine (i) the feasibility and intra‐ and inter‐scan reproducibility of T MRI in assessing cartilage degeneration in a guinea pig model with naturally occurring joint disease that closely mimics human osteoarthritis (OA), (ii) demonstrate the sensitivity of T MRI in assessing the age dependent cartilage degeneration in OA progression as compared to histopathological changes.

Materials and Methods:

Duncan‐Hartley guinea pigs were obtained at various ages and maintained under an IACUC approved protocol. The left hind stifle joint was imaged using T MRI on a 9.4 Tesla Varian horizontal 20 cm bore scanner using a custom surface coil. Reproducibility of T MRI was assessed using 4‐month‐old guinea pigs (N = 3). Three age cohorts; 3 month (N = 8), 5 month (N = 6), and 9 month (N = 5), were used to determine the age‐dependent osteoarthritic changes as measured by T MRI. Validation of age‐dependent cartilage degeneration was confirmed by histology and Safranin‐O staining.

Results:

T values obtained in the cartilage of the stifle joint in guinea pigs were highly reproducible with an inter‐scan mean coefficient of variation (CV) of 6.57% and a maximum intra‐scan CV of 9.29%. Mean cartilage T values in animals with late stage cartilage degeneration were 56.3–56.9 ms (5–9 month cohorts) were both significantly (P < 0.01) higher than that obtained from 3‐month‐old cohort (44 ms) demonstrating an age‐dependent variation. T was shown to be significantly greater than T2. T dispersion was observed in this animal model for the first time showing an increase of 45% between 500 Hz and 1500 Hz spin‐locking frequency. Cartilage thickness measurements were calculated from single mid‐coronal histology sections from same animals used for T MRI. Thickness calculations showed insignificant differences between 3‐ and 5‐month cohorts and was significantly decreased by 9 months of age (P < 0.01). A moderate correlation (R2 = 0.45) existed between T values and signal intensity of Safranin‐O stain.

Conclusion:

The data presented demonstrate that T MRI is highly reproducible in this spontaneous model of OA and may serve as a noninvasive tool to characterize joint cartilage degeneration during OA. Age‐dependent changes, verified with histological measurements of proteoglycan loss, correlated with T across different age groups. T has adequate dynamic range and is sensitive to detect and track the progression of cartilage degeneration in the guinea pig model before gross anatomical changes such as cartilage thinning has occurred. This study presents a technological advancement that would permit longitudinal studies of evaluating disease‐modifying therapies useful for treating human OA. J. Magn. Reson. Imaging 2012;35:891–898. © 2011 Wiley Periodicals, Inc.  相似文献   

2.
The influence of radiofrequency (RF) spin‐lock pulse on the laminar appearance of articular cartilage in MR images was investigated. Spin‐lock MRI experiments were performed on bovine cartilage plugs on a 4.7 Tesla small‐bore MRI scanner, and on human knee cartilage in vivo on a 1.5 Tesla clinical scanner. When the normal to the surface of cartilage was parallel to B0, a typical laminar appearence was exhibited in T2‐weighted images of cartilage plugs, but was absent in T‐weighted images of the same plugs. At the “magic angle” orientation (when the normal to the surface of cartilage was 54.7° with respect to B0), neither the T2 nor the T images demonstrated laminae. At the same time, T values were greater than T2 at both orientations throughout the cartilage. T dispersion (i.e., the dependence of the relaxation rate on the spin‐lock frequency ω1) was observed, which reached a steady‐state value of close to 2 kHz in both parallel and magic‐angle orientations. These results suggest that residual dipolar interaction from motionally‐restricted water and relaxation processes, such as chemical exchange, contribute to T dispersion in cartilage. Further, one can reduce the laminar appearance in human articular cartilage by applying spin‐lock RF pulses, which may lead to a more accurate diagnosis of degenerative changes in cartilage. Magn Reson Med 52:1103–1109, 2004. © 2004 Wiley‐Liss, Inc.  相似文献   

3.
Spin-lattice relaxation in the rotating frame (T) dispersion spectroscopy and imaging were used to study normal and enzymatically degraded bovine articular cartilage. Normal specimens demonstrate significant T “dispersion” (~60 to ~130 ms) in the 100 Hz to 9 kHz frequency range. Proteoglycan-degraded specimens have 33% greater T values than collagen-degraded or normal samples. T-weighted images reveal structure not found in conventional T1-or T2-weighted images. Our results suggest that T measurements are selectively sensitive to proteoglycan content. The potential of this method in distinguishing the early degenerative changes in cartilage associated with osteoarthritis is discussed.  相似文献   

4.
T and T2 relaxation time constants have been proposed to probe biochemical changes in osteoarthritic cartilage. This study aimed to evaluate the spatial correlation and distribution of T and T2 values in osteoarthritic cartilage. Ten patients with osteoarthritis (OA) and 10 controls were studied at 3T. The spatial correlation of T and T2 values was investigated using Z‐scores. The spatial variation of T and T2 values in patellar cartilage was studied in different cartilage layers. The distribution of these relaxation time constants was measured using texture analysis parameters based on gray‐level co‐occurrence matrices (GLCM). The mean Z‐scores for T and T2 values were significantly higher in OA patients vs. controls (P < 0.05). Regional correlation coefficients of T and T2 Z‐scores showed a large range in both controls and OA patients (0.2–0.7). OA patients had significantly greater GLCM contrast and entropy of T values than controls (P < 0.05). In summary, T and T2 values are not only increased but are also more heterogeneous in osteoarthritic cartilage. T and T2 values show different spatial distributions and may provide complementary information regarding cartilage degeneration in OA. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.  相似文献   

5.
The aim of this study is to demonstrate T MRI's capability for measuring intervertebral disc osmotic pressure. Self‐coregistered sodium and T‐weighted MR images were acquired on ex vivo bovine intervertebral discs (N = 12) on a 3 T clinical MRI scanner. The sodium MR images were used to calculate effective nucleus pulposus fixed‐charge‐density (mean = 138.2 ± 27.6 mM) and subsequently osmotic pressure (mean = 0.53 ± 0.18 atm), whereas the T‐weighted images were used to compute T relaxation maps. A significant linear correlation (R = 0.56, P < 0.01) between nucleus pulposus fixed‐charge‐density and T relaxation time constant was observed. More importantly, a significant power correlation (R = 0.72, P < 0.01) between nucleus pulposus osmotic pressure as predicted by sodium MRI and T relaxation time constant was also observed. The current clinical method for assessing disc pressure is discography, which is an invasive procedure that has been shown to have negative effects on disc biomechanical and biochemical properties. In contrast, T MRI is noninvasive and can be easily implemented in a clinical setting due to its superior signal‐to‐noise ratio compared with sodium MRI. Therefore, T MRI may serve as a noninvasive clinical tool for the longitudinal evaluation of disc osmotic pressure. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.  相似文献   

6.
This pilot study defines the feasibility of cartilage assessment in symptomatic femoroacetabular impingement patients using intra‐articular delayed gadolinium‐enhanced MRI of cartilage (ia‐dGEMRIC). Nine patients were scanned preliminary to study the contrast infiltration process into hip joint cartilage. Twenty‐seven patients with symptomatic femoroacetabular impingement were subsequently scanned with intra‐articular delayed gadolinium‐enhanced MRI of cartilage. These T1 findings were correlated to morphological findings. Zonal variations were studied. This pilot study demonstrates a significant difference between the pre‐ and postcontrast T1 values (P < 0.001) remaining constant for 45 min. We noted higher mean T1 values in morphologically normal‐appearing cartilage than in damaged cartilage, which was statistically significant for all zones except the anterior‐superior zone. Intraobserver (0.972) and interobserver correlation coefficients (0.933) were statistically significant. This study outlines the feasibility of intra‐articular delayed gadolinium‐enhanced MRI of cartilage for assessment of cartilage changes in patients with femoroacetabular impingement. It can also define the topographic extent and differing severities of cartilage damage. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.  相似文献   

7.
Nine asymptomatic subjects and six patients underwent T1ρ MRI to determine whether Outerbridge grade 1 or 2 cartilage degeneration observed during arthroscopy could be detected noninvasively. MRI was performed 2‐3 months postarthroscopy, using sagittal T1‐weighted and axial and coronal T1ρ MRI, from which spatial T1ρ relaxation maps were calculated from segmented T1‐weighted images. Median T1ρ relaxation times of patients with arthroscopically documented cartilage degeneration and asymptomatic subjects were significantly different (P < 0.001), and median T1ρ exceeded asymptomatic articular cartilage median T1ρ by 2.5 to 9.2 ms. In eight observations of mild cartilage degeneration at arthroscopy (Outerbridge grades 1 and 2), mean compartment T1ρ was elevated in five, but in all observations, large foci of increased T1ρ were observed. It was determined that T1ρ could detect some, but not all, Outerbridge grade 1 and 2 cartilage degeneration but that a larger patient population is needed to determine the sensitivity to these changes. Magn Reson Med 63:1376–1382, 2010. © 2010 Wiley‐Liss, Inc.  相似文献   

8.

Purpose

To evaluate the T1rho (T) MRI relaxation time in hippocampus in the brain of Alzheimer's disease (AD), mild cognitive impairment (MCI), and control, and to determine whether the T shows any significant difference between these cohorts.

Materials and Methods

With informed consent, AD (n = 49), MCI (n = 48), and age‐matched control (n = 31) underwent T MRI on a Siemens 1.5T Scanner. T values were automatically calculated from the left and right hippocampus region using in‐house developed software. Bonferroni post‐hoc multiple comparisons was performed to compare the T value among the different cohorts.

Results

Significantly higher T values were observed both in AD (P = 0.000) and MCI (P = 0.037) cohorts compared to control; also, the T in AD was significantly high over (P = 0.032) MCI. Hippocampus T was 13% greater in the AD patients than control, while in MCI it was 7% greater than control. Hippocampus T in AD patients was 6% greater than MCI.

Conclusion

Higher hippocampus T values in the AD patients might be associated with the increased plaques burden. A follow‐up study would help to determine the efficacy of T values as a predictor of developing AD in the control and MCI individuals. J. Magn. Reson. Imaging 2009;29:1008–1012. © 2009 Wiley‐Liss, Inc.  相似文献   

9.

Purpose

To examine T (T1rho) and T2 quantitative magnetic resonance imaging (MRI) in evaluating cartilage regeneration following microfracture (MFx) and mosaicplasty (MOS) cartilage resurfacing procedures.

Materials and Methods

Eighteen patients underwent MFx and eight patients underwent MOS to treat symptomatic focal cartilage defects. Quantitative T and T2 maps were acquired at 3–6 months and 1 year after surgery. The area of resurfacing was identified, and T and T2 values for the regenerated tissue (RT) and normal cartilage (NC) were acquired. RT/NC ratios were calculated to standardize absolute T and T2 values. Data were prospective, cross‐sectional, and nonrandomized.

Results

T and T2 showed good reanalysis reproducibility for RT and NC. Significant differences between RT and NC were present following MFx at 3–6 months for T and T2 values as well as following MOS at 3–6 months and 1 year for T values. Following MFx, the T2 RT/NC ratio was significantly different between 3–6 months and 1 year (P = 0.02), while the T RT/NC ratio approached significance (P = 0.07). Following MOS, the T and T2 RT/NC ratios were not significantly different between the two timepoints.

Conclusion

T and T2 MRI are complementary and reproducible methods for quantitatively and noninvasively monitoring regeneration of RT following MFx and MOS. J. Magn. Reson. Imaging 2010;32:914–923. © 2010 Wiley‐Liss, Inc.  相似文献   

10.
The purpose of this study is (1) to determine the correlation between T and T2 and degenerative grade in intervertebral discs using in vivo 3.0‐T MRI, and (2) to determine the association between T and T2 and clinical findings as quantified by the SF‐36 Questionnaire and Oswestry Disability Index. Sixteen subjects participated in this study, and each completed SF‐36 and Oswestry Disability Index questionnaires. MRI T and T2 mapping was performed to determine T (77 discs) and T2 (44 discs) in the nucleus of the intervertebral disc, and T2‐weighted images were acquired for Pfirrmann grading of disc degeneration. Pfirrmann grade was correlated with both T (r = ?0.84; P < 0.01) and T2 (r = ?0.61; P < 0.01). Mixed‐effects models demonstrate that only T was associated with clinical questionnaires (R2SF‐36 = 0.55, R2O.D.I. = 0.56; P < 0.05). Although the averaged values of T and T2 were significantly correlated, they presented differences in spatial distribution and dynamic range, thus suggesting different sensitivities to tissue composition. This study suggests that T may be sensitive to early degenerative changes (corroborating previous studies) and clinical symptoms in intervertebral disc degeneration. Magn Reson Med 63:1193–1200, 2010. © 2010 Wiley‐Liss, Inc.  相似文献   

11.
With increasing life expectancies and the desire to maintain active lifestyles well into old age, the impact of the debilitating disease osteoarthritis (OA) and its burden on healthcare services is mounting. Emerging regenerative therapies could deliver significant advances in the effective treatment of OA but rely upon the ability to identify the initial signs of tissue damage and will also benefit from quantitative assessment of tissue repair in vivo. Continued development in the field of quantitative MRI in recent years has seen the emergence of techniques able to probe the earliest biochemical changes linked with the onset of OA. Quantitative MRI measurements including T1, T2 and T relaxometry, diffusion weighted imaging and magnetisation transfer have been studied and linked to the macromolecular structure of cartilage. Delayed gadolinium-enhanced MRI of cartilage, sodium MRI and glycosaminoglycan chemical exchange saturation transfer techniques are sensitive to depletion of cartilage glycosaminoglycans and may allow detection of the earliest stages of OA. We review these current and emerging techniques for the diagnosis of early OA, evaluate the progress that has been made towards their implementation in the clinic and identify future challenges in the field.The treatment of the degenerative joint disease osteoarthritis (OA) remains problematic. For advanced end-stage “whole organ” disease the only viable treatment option is joint replacement where feasible. For earlier stage OA, disease progression is unpredictable and often slow, which makes it very difficult to evaluate agents that have possible disease-modifying properties. Although the OA disease process may commence within any joint structure including ligaments, bone, meniscus or articular cartilage, the advancement of disease is inevitably associated with progressive cartilage attrition and inexorable functional deterioration. The non-invasive assessment of tissue damage (at a stage in the disease process where tissue damage is potentially reversible) and the ability to monitor its repair during and following treatment is central to the future development of novel therapies aimed at arresting or reversing cartilage destruction.The purpose of this review is to evaluate current and emerging quantitative MR protocols for assessment of cartilage in order to identify the open challenges that will drive further development in the field. Of specific interest are the methods that can detect the initial stages of cartilage degradation and also those that allow the biomechanical properties of cartilage to be studied. Such techniques might be important aids for early diagnosis of arthritic diseases and also in assessing the progress of regenerative and reparative therapies for OA in vivo [1,2]. An ideal scenario would be the development of high-resolution whole body MRI methods that could provide functional information about the state of cartilage at multiple sites, in a timely and cost-effective fashion, without resort to exogenous contrast agents. This is particularly challenging for the assessment of cartilage because high spatial resolution is required. We will discuss what degree of progress has been made towards that lofty goal where MRI biomarkers could be used to reliably identify and characterise early cartilage damage or sites at risk of cartilage loss.  相似文献   

12.
The protocol for delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) was adapted for the evaluation of transplanted osteochondral allograft cartilage. Eight patients with focal grade 4 cartilage defects of the femoral condyle were treated with single cylindrical osteochondral allografts. At 1 and 2 years, dGEMRIC image sequences were acquired and regions of interest (ROIs) were drawn in repair and native control cartilage. Mean T1 values of region of interest were used to calculate established dGEMRIC metrics. The correlation was measured between the ΔR1 and R1‐Post metrics for repair and native cartilage. T1 times were measured in deep and superficial zones of cartilage. A strong correlation was identified between full‐thickness, deep, and superficial ΔR1 and R1‐Post values for native cartilage and repair cartilage for all years (range: 0.893–1.0). The mean T1 times and ΔR1 rate between deep and superficial regions of articular cartilage were statistically different for all regions of the distal femora analyzed at 1 year and 2 years after osteochondral allograft transplantation (P < 0.05). The dGEMRIC pre‐Gadolinium scan is unnecessary when evaluating transplanted osteochondral allograft cartilage. The observation of stratified T1 and ΔR1 values indicates a need to re‐evaluate the methodology behind the placement of region of interest in dGEMRIC. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.  相似文献   

13.
To study the structural anisotropy and the magic-angle effect in articular cartilage, T1, and T2 images were constructed at a series of orientations of cartilage specimens in the magnetic field by using NMR microscopy (μMRI). An isotropic T1, and a strong anisotropic T2 were observed across the cartilage tissue thickness. Three distinct regions in the microscopic MR images corresponded approximately to the superficial, transitional, and radial histological zones in the cartilage. The percentage decrease of T2 follows the pattern of the curve of (3cos2θ ? 1)2 at the radial zone, where the collagen fibrils are perpendicular to the articular surface. In contrast, little orientational dependence of T2 was observed at the transitional zone, where the collagen fibrils are more randomly oriented. The result suggests that the interactions between water molecules and proteoglycans have a directional nature, which is somehow influenced by collagen fibril orientation. Hence, T2 anisotropy could serve as a sensitive and noninvasive marker for molecular-level orientations in articular cartilage.  相似文献   

14.

Purpose

The goal of this study is to compare the cartilage of anterior cruciate ligament (ACL)-reconstructed and uninjured contralateral knees using T MRI 12–16 months after ACL reconstructions.

Methods

Eighteen patients with ACL-reconstructed knees (10 women, 8 men, mean age = 38.3 ± 7.8 years) were studied using 3T MRI. Injured and contralateral knee MR studies were acquired 12–16 months post-operatively. Cartilage sub-compartment T values of each injured knee were compared with the contralateral knee’s values. Subgroup analysis of sub-compartment T values in both knees was performed between patients with and without meniscal tears at the time of ACL reconstruction using a paired Student’s t test.

Results

In ACL-injured knees, the T values of the medial tibia (MT) and medial femoral condyle (MFC) were significantly elevated at 12–16 months follow-up compared to contralateral knees. Patients with a medial meniscal tear had higher MFC and MT T values compared to respective regions in contralateral knees. Patients with lateral meniscal tears had higher lateral femoral condyle and LT T values compared to respective regions in contralateral knees. There were no differences between the injured and contralateral knees of patients without meniscal tears.

Conclusions

T MRI can detect significant changes in the medial compartments’ cartilage matrix of ACL-reconstructed knees at 1 year post-operatively compared to contralateral knees. The presence of a meniscal tear at the time of ACL reconstruction is a risk factor for cartilage matrix degeneration in the femorotibial compartments on the same side as the meniscal tear.  相似文献   

15.
Delayed gadolinium‐enhanced MRI of cartilage is a technique, which involves T1 mapping to identify changes in the structural integrity of cartilage associated with osteoarthritis. Currently, the gold standard is 2D inversion recovery turbo spin echo, which suffers from long acquisition times and limited coverage. Three‐dimensional variable flip angle (VFA) is an alternate technique, which has been shown to be accurate when an estimate of T1 is available a priori. This study validates the variable flip angle method for delayed gadolinium‐enhanced MRI of cartilage of the femoro‐tibial knee cartilage. When amplitude of (excitation) radiofrequency field inhomogeneities were minimized using nonselective pulses and amplitude of (excitation) radiofrequency field correction using an additional acquisition of a amplitude of (excitation) radiofrequency field map, the accuracy of T1 measurements were improved, and slice‐to‐slice variations over the 3D volume were minimized. In conclusion, fast 3D T1 mapping using the variable flip angle method with amplitude of (excitation) radiofrequency field correction appears to be an efficient and accurate method for delayed gadolinium‐enhanced MRI of cartilage of the knee. Magn Reson Med, 2011. © 2010 Wiley‐Liss, Inc.  相似文献   

16.
Fast quantitative MRI has become an important tool for biochemical characterization of tissue beyond conventional T1, T2, and T2*‐weighted imaging. As a result, steady‐state free precession (SSFP) techniques have attracted increased interest, and several methods have been developed for rapid quantification of relaxation times using steady‐state free precession. In this work, a new and fast approach for T2 mapping is introduced based on partial RF spoiling of nonbalanced steady‐state free precession. The new T2 mapping technique is evaluated and optimized from simulations, and in vivo results are presented for human brain at 1.5 T and for human articular cartilage at 3.0 T. The range of T2 for gray and white matter was from 60 msec (for the corpus callosum) to 100 msec (for cortical gray matter). For cartilage, spatial variation in T2 was observed between deep (34 msec) and superficial (48 msec) layers, as well as between tibial (33 msec), femoral, (54 msec) and patellar (43 msec) cartilage. Excellent correspondence between T2 values derived from partially spoiled SSFP scans and the ones found with a reference multicontrast spin‐echo technique is observed, corroborating the accuracy of the new method for proper T2 mapping. Finally, the feasibility of a fast high‐resolution quantitative partially spoiled SSFP T2 scan is demonstrated at 7.0 T for human patellar cartilage. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.  相似文献   

17.

Purpose:

To determine the relationship between changes in the extracellular matrix (ECM) and T and T2 values in vivo. The ECM is composed of proteoglycan (PG), collagen, and water. It has been unclear which of the ECM constituents affects T and T2 mapping in living human cartilage.

Materials and Methods:

Sagittal T and T2 maps were preoperatively obtained from 20 knee osteoarthritis patients. Osteochondral samples harvested from the resected tibial plateaus during total knee arthroplasty were consistent with the MRIs of the patients' knees. Parameters that included histological grading of cartilage degeneration, glycosaminoglycan (GAG) content (which constitutes PG), presence of collagen anisotropy and water content were evaluated along with T and T2 values, and statistical analysis was performed using multiple regression analysis.

Results:

T and T2 values were significantly correlated with the degree of cartilage degeneration (β = 0.397 and 0.357, respectively) and the GAG content (β = ?0.340 and ?0.244, respectively).

Conclusion:

The present study demonstrated that T and T2 values reflect the GAG content of the cartilage and can indicate cartilage degeneration in vivo. Use of these parameters can facilitate the noninvasive diagnosis and evaluation of cartilage degeneration. J. Magn. Reson. Imaging 2012;35:147‐155. © 2011 Wiley Periodicals, Inc.
  相似文献   

18.
The effect of molecular weight, concentration, and structure on 1/T1ρ, the rotating frame relaxation rate, was investigated for several proteins using the on-resonance spin-lock technique, for locking fields B1 < 200 μT. The measured values of 1/T1ρ, were fitted to a simple theoretical model to obtain the dispersion curves 1/T1ρ(ω1) and the relaxation rate at zero B1 field, 1/T1ρ,(O). 1/T1ρ, was highly sensitive to the molecular weight, concentration, and structure of the protein. The amount of intra- and intermolecular hydrogen and disulfide bonds especially contributed to 1/T1ρ. In all samples, 1/T1ρ(O) was equal to 1/T2ρ measured at the main magnetic field Bo = 0.1 T, but at higher locking fields the dispersion curves mono-tonically decreased. The results of this work indicate that a model considering the effective correlation time of molecular motions as the main determinant for 1/T1ρ relaxation in protein solutions is not valid at very low B1 fields. The underlying mechanism for the relaxation rate 1/T1ρ at B1 fields below 200 μT is discussed.  相似文献   

19.
Detection of H217O with proton T-dispersion imaging holds promise as a means of quantifying metabolism and blood flow with MRI. However, this technique requires a priori knowledge of the intrinsic T dispersion of tissue. To investigate these properties, we implemented a T imaging sequence on a 1.9-T Signa GE scanner. A series of T images for different locking frequencies and locking durations were obtained from rat brain in vivo and compared with 5 % (wt/vol) gelatin phantoms containing different concentrations of 17O ranging from .037 % (natural abundance) to 2.0 atom%. Results revealed that, although there is considerable T-dispersion in phantoms doped with H217O, the T of rat brain undergoes minimal dispersion for spin-locking frequencies between .2 and 1.5 kHz. A small degree of T dispersion is present below .2 kHz, which we postulate arises from natural-abundance H217O. Moreover, the signal-to-noise ratios of T-weighted images are significantly better than comparable T2-weighted images, allowing for improved visualization of tissue contrast. We have also demonstrated the feasibility of proton T-dispersion imaging for detecting intravenous H217O on a live mouse brain. The potential application of this technique to study brain perfusion is discussed.  相似文献   

20.

Objective

To study the effects of aging and cartilage degeneration of the proximal tibiofibular- and femorotibial joint (PTFJ, FTJ) on the cartilage of the PTFJ using T1ρ and T2 mapping.

Materials and methods

We performed sagittal T1ρ and T2 mapping of the PTFJ and FTJ on 55 subjects with knee disorders. We placed 3 regions of interest (ROIs) on images of the cartilage in the PTFJ, medial femoral condyle (MFC), and medial tibia plateau (MTP). Correlation analysis was performed for the T1ρ and T2 values of each ROI and the patient age and the osteoarthritic grade of the PTFJ and FTJ.

Results

The T1ρ and T2 values of the PTFJ were affected neither by aging nor the osteoarthritic grade of the FTJ. Values of the FTJ normalized to PTFJ values were correlated with the osteoarthritic grade of the FTJ in the MFC (r = 0.851 and 0.779, respectively) and the MTP (r = 0.635 and 0.762, respectively). There was a significant difference in the T1ρ but not the T2 value of the PTFJ and MFC between normal and mildly osteoarthritic cartilage of each joint.

Conclusion

We document that the T1ρ and T2 values of PTFJ cartilage were not affected by aging or cartilage degeneration in the FTJ. The T1ρ value of the PTFJ may represent a useful internal standard reference for evaluating early degeneration of the FTJ.  相似文献   

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