Boileau C, Martel-Pelletier J, Abram F, Raynauld J-P, Troncy E, D'Anjou M-A, Moreau M, Pelletier J-P
Osteoarthritis Research Unit, University of Montreal Hospital Centre, Notre-Dame Hospital, 1560 Sherbrooke Street East, Montreal, Quebec, Canada.
Ann Rheum Dis. 2008 Jul;67(7):926-32. doi: 10.1136/ard.2007.077297. Epub 2007 Oct 25.
Osteoarthritis (OA) structural changes take place over decades in humans. MRI can provide precise and reliable information on the joint structure and changes over time. In this study, we investigated the reliability of quantitative MRI in assessing knee OA structural changes in the experimental anterior cruciate ligament (ACL) dog model of OA.
OA was surgically induced by transection of the ACL of the right knee in five dogs. High resolution three dimensional MRI using a 1.5 T magnet was performed at baseline, 4, 8 and 26 weeks post surgery. Cartilage volume/thickness, cartilage defects, trochlear osteophyte formation and subchondral bone lesion (hypersignal) were assessed on MRI images. Animals were killed 26 weeks post surgery and macroscopic evaluation was performed.
There was a progressive and significant increase over time in the loss of knee cartilage volume, the cartilage defect and subchondral bone hypersignal. The trochlear osteophyte size also progressed over time. The greatest cartilage loss at 26 weeks was found on the tibial plateaus and in the medial compartment. There was a highly significant correlation between total knee cartilage volume loss or defect and subchondral bone hypersignal, and also a good correlation between the macroscopic and the MRI findings.
This study demonstrated that MRI is a useful technology to provide a non-invasive and reliable assessment of the joint structural changes during the development of OA in the ACL dog model. The combination of this OA model with MRI evaluation provides a promising tool for the evaluation of new disease-modifying osteoarthritis drugs (DMOADs).
骨关节炎(OA)的结构变化在人类中会持续数十年。磁共振成像(MRI)能够提供关于关节结构及其随时间变化的精确且可靠的信息。在本研究中,我们调查了定量MRI在评估实验性前交叉韧带(ACL)损伤犬OA模型中膝关节OA结构变化的可靠性。
通过切断五只犬右膝的ACL手术诱导OA。在基线、术后4周、8周和26周使用1.5T磁体进行高分辨率三维MRI检查。在MRI图像上评估软骨体积/厚度、软骨缺损、滑车骨赘形成和软骨下骨病变(高信号)。术后26周处死动物并进行大体评估。
随着时间推移,膝关节软骨体积丢失、软骨缺损和软骨下骨高信号有渐进性且显著的增加。滑车骨赘大小也随时间进展。在26周时,胫骨平台和内侧间室的软骨丢失最为严重。全膝关节软骨体积丢失或缺损与软骨下骨高信号之间存在高度显著的相关性,并且大体检查结果与MRI检查结果之间也有良好的相关性。
本研究表明,MRI是一种有用的技术,可对ACL损伤犬OA模型中OA发展过程中的关节结构变化进行无创且可靠的评估。这种OA模型与MRI评估相结合为评估新型改善病情的骨关节炎药物(DMOADs)提供了一个有前景的工具。