Watanabe Atsuya, Wada Yuichi
Department of Orthopedic Surgery, Teikyo University Chiba Medical Center.
Clin Calcium. 2009 Nov;19(11):1638-43.
Degeneration of the articular cartilage is often observed in patients with knee osteoarthritis. In recent years, several qualitative MR imaging techniques that evaluate deterioration of biochemical components in articular cartilage have been developed. Delayed gadolinium-enhanced MR imaging of cartilage (dGEMRIC) is an MR imaging technique that can evaluate the glycosaminoglycan (GAG) concentrations in articular cartilage. While T2 (transverse relaxation time) mapping is an MR imaging technique that can evaluate the hydration and collagen fiber integrity in articular cartilage. dGEMRIC and T2 mapping can provide useful noninvasive evaluations of cartilage matrix status, and they can be useful for the detection of knee osteoarthritis at earlier stages.
膝关节骨关节炎患者常出现关节软骨退变。近年来,已开发出几种评估关节软骨生化成分退变的定性磁共振成像技术。延迟钆增强软骨磁共振成像(dGEMRIC)是一种可评估关节软骨中糖胺聚糖(GAG)浓度的磁共振成像技术。而T2(横向弛豫时间)映射是一种可评估关节软骨中水合作用和胶原纤维完整性的磁共振成像技术。dGEMRIC和T2映射可为软骨基质状态提供有用的非侵入性评估,且有助于在早期阶段检测膝关节骨关节炎。