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骨关节炎患者膝关节软骨中T1rho与T2弛豫时间的空间分布及关系

Spatial distribution and relationship of T1rho and T2 relaxation times in knee cartilage with osteoarthritis.

作者信息

Li Xiaojuan, Pai Alex, Blumenkrantz Gabrielle, Carballido-Gamio Julio, Link Thomas, Ma Benjamin, Ries Michael, Majumdar Sharmila

机构信息

Musculoskeletal Quantitative Imaging Research Group, Department of Radiology, University of California, San Francisco, San Francisco, California 94107, USA.

出版信息

Magn Reson Med. 2009 Jun;61(6):1310-8. doi: 10.1002/mrm.21877.

Abstract

T(1rho) and T(2) 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(1rho) and T(2) values in osteoarthritic cartilage. Ten patients with osteoarthritis (OA) and 10 controls were studied at 3T. The spatial correlation of T(1rho) and T(2) values was investigated using Z-scores. The spatial variation of T(1rho) and T(2) 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(1rho) and T(2) values were significantly higher in OA patients vs. controls (P < 0.05). Regional correlation coefficients of T(1rho) and T(2) 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(1rho) values than controls (P < 0.05). In summary, T(1rho) and T(2) values are not only increased but are also more heterogeneous in osteoarthritic cartilage. T(1rho) and T(2) values show different spatial distributions and may provide complementary information regarding cartilage degeneration in OA.

摘要

已提出用T(1rho)和T(2)弛豫时间常数来探究骨关节炎软骨中的生化变化。本研究旨在评估骨关节炎软骨中T(1rho)和T(2)值的空间相关性及分布。对10例骨关节炎(OA)患者和10例对照者进行了3T磁共振成像研究。使用Z分数研究T(1rho)和T(2)值的空间相关性。在不同软骨层研究髌软骨中T(1rho)和T(2)值的空间变化。基于灰度共生矩阵(GLCM),使用纹理分析参数测量这些弛豫时间常数的分布。与对照组相比,OA患者T(1rho)和T(2)值的平均Z分数显著更高(P<0.05)。T(1rho)和T(2) Z分数的区域相关系数在对照组和OA患者中均显示出较大范围(0.2 - 0.7)。OA患者T(1rho)值的GLCM对比度和熵显著高于对照组(P<0.05)。总之,骨关节炎软骨中T(1rho)和T(2)值不仅升高,而且更加不均匀。T(1rho)和T(2)值显示出不同的空间分布,并可能为OA软骨退变提供互补信息。

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