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Influence of knee positions on T2, T*2, and dGEMRIC mapping in porcine knee cartilage
Authors:Toshiyuki Shiomi  Takashi Nishii  Akira Myoui  Hideki Yoshikawa  Nobuhiko Sugano
Institution:1. Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan;2. Department of Orthopaedic Medical Engineering, Osaka University Medical School, Osaka, Japan;3. Medical Center for Translational Research, Osaka University Hospital, Osaka, Japan
Abstract:We examined the influence of flexed knee positions on cartilage MR assessments. Sagittal T2, T*2, and delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) maps of the femoral cartilage were obtained in eight 6‐month‐old porcine femorotibial joints in the extended knee position (position A: flexion 0° and femoral shaft in parallel with the amplitude of static field), flexed knee position (position B: flexion 40° and femoral shaft oriented at 40° to the amplitude of static field), and oblique‐placed knee‐extended position (position C: flexion 0° and femoral shaft oriented at 40° to the amplitude of static field). Comparison of the MR parameters between positions A and C showed isolated influence of the magic‐angle effect, and comparison between positions A and B showed effects of knee flexion. Proteoglycan and hydroxyproline content in cartilage specimen at each region of interest had no significant correlation with T2, T*2, and dGEMRIC values. At the central zone, located on a weight‐bearing area and parallel to the amplitude of static field, T2/T*2/dGEMRIC values increased by 6.8/11/0.8% at position C and by 24/44/31% at position B compared with position A. There was a significant increase in T2 and T*2 values at position B compared with those at position A. The substantial changes in T2, T*2, and dGEMRIC were shown in response to knee flexion, presumably due to the compounding influence of the magic‐angle effect and change in the intra‐articular biomechanical condition. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.
Keywords:MRI  knee cartilage  T2  T*2  dGEMRIC
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