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常规临床多模态成像在骨关节炎兔模型中的应用——第一部分。

Use of routine clinical multimodality imaging in a rabbit model of osteoarthritis--part I.

作者信息

Bouchgua M, Alexander K, d'Anjou M André, Girard C A, Carmel E Norman, Beauchamp G, Richard H, Laverty S

机构信息

Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Québec, Canada.

出版信息

Osteoarthritis Cartilage. 2009 Feb;17(2):188-96. doi: 10.1016/j.joca.2008.06.017. Epub 2008 Aug 29.

Abstract

OBJECTIVE

To evaluate in vivo the evolution of osteoarthritis (OA) lesions temporally in a rabbit model of OA with clinically available imaging modalities: computed radiography (CR), helical single-slice computed tomography (CT), and 1.5 tesla (T) magnetic resonance imaging (MRI).

METHODS

Imaging was performed on knees of anesthetized rabbits [10 anterior cruciate ligament transection (ACLT) and contralateral sham joints and six control rabbits] at baseline and at intervals up to 12 weeks post-surgery. Osteophytosis, subchondral bone sclerosis, bone marrow lesions (BMLs), femoropatellar effusion and articular cartilage were assessed.

RESULTS

CT had the highest sensitivity (90%) and specificity (91%) to detect osteophytes. A significant increase in total joint osteophyte score occurred at all time-points post-operatively in the ACLT group alone. BMLs were identified and occurred most commonly in the lateral femoral condyle of the ACLT joints and were not identified in the tibia. A significant increase in joint effusion was present in the ACLT joints until 8 weeks after surgery. Bone sclerosis or cartilage defects were not reliably assessed with the selected imaging modalities.

CONCLUSION

Combined, clinically available CT and 1.5 T MRI allowed the assessment of most of the characteristic lesions of OA and at early time-points in the development of the disease. However, the selected 1.5 T MRI sequences and acquisition times did not permit the detection of cartilage lesions in this rabbit OA model.

摘要

目的

运用计算机X线摄影(CR)、螺旋单层计算机断层扫描(CT)和1.5特斯拉(T)磁共振成像(MRI)等临床可用的成像方式,在体内对骨关节炎(OA)兔模型中OA病变的时间演变进行评估。

方法

在基线以及术后长达12周的不同时间点,对麻醉兔的膝关节进行成像[10只前交叉韧带切断术(ACLT)兔及对侧假手术关节,以及6只对照兔]。评估骨赘形成、软骨下骨硬化、骨髓病变(BMLs)、髌股关节积液和关节软骨情况。

结果

CT检测骨赘的敏感性最高(90%),特异性为91%。仅在ACLT组术后所有时间点,关节总骨赘评分显著增加。BMLs被识别出,最常见于ACLT关节的股骨外侧髁,在胫骨中未被识别出。ACLT关节在术后8周前关节积液显著增加。所选成像方式无法可靠评估骨硬化或软骨缺损情况。

结论

结合临床可用的CT和1.5T MRI能够在疾病发展的早期时间点评估OA的大多数特征性病变。然而,在该兔OA模型中,所选的1.5T MRI序列和采集时间无法检测到软骨病变。

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