In vivo 3.0‐tesla magnetic resonance T1ρ and T2 relaxation mapping in subjects with intervertebral disc degeneration and clinical symptoms

The purpose of this study is (1) to determine the correlation between T_1ρ and T₂ and degenerative grade in intervertebral discs using in vivo 3.0‐T MRI, and (2) to determine the association between T_1ρ 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_1ρ and T₂ mapping was performed to determine T_1ρ (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_1ρ (r = ?0.84; P < 0.01) and T₂ (r = ?0.61; P < 0.01). Mixed‐effects models demonstrate that only T_1ρ was associated with clinical questionnaires (R²_SF‐36 = 0.55, R²_O.D.I. = 0.56; P < 0.05). Although the averaged values of T_1ρ 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_1ρ 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.