Department of Orthopedic Surgery, Inselspital, University Bern, Bern, Switzerland.
Skeletal Radiol. 2012 Mar;41(3):287-92. doi: 10.1007/s00256-011-1171-x. Epub 2011 Apr 19.
T2 mapping techniques use the relaxation constant as an indirect marker of cartilage structure, and the relaxation constant has also been shown to be a sensitive parameter for cartilage evaluation. As a possible additional robust biomarker, T2* relaxation time is a potential, clinically feasible parameter for the biochemical evaluation of articular cartilage.
The knees of 15 healthy volunteers and 15 patients after microfracture therapy (MFX) were evaluated with a multi-echo spin-echo T2 mapping technique and a multi-echo gradient-echo T2* mapping sequence at 3.0 Tesla MRI. Inline maps, using a log-linear least squares fitting method, were assessed with respect to the zonal dependency of T2 and T2* relaxation for the deep and superficial regions of healthy articular cartilage and cartilage repair tissue.
There was a statistically significant correlation between T2 and T2* values. Both parameters demonstrated similar spatial dependency, with longer values measured toward the articular surface for healthy articular cartilage. No spatial variation was observed for cartilage repair tissue after MFX.
Within this feasibility study, both T2 and T2* relaxation parameters demonstrated a similar response in the assessment of articular cartilage and cartilage repair tissue. The potential advantages of T2*-mapping of cartilage include faster imaging times and the opportunity for 3D acquisitions, thereby providing greater spatial resolution and complete coverage of the articular surface.
T2 映射技术使用弛豫常数作为软骨结构的间接标志物,并且弛豫常数也已被证明是软骨评估的敏感参数。作为一种可能的额外稳健生物标志物,T2*弛豫时间是评估关节软骨生化特性的潜在临床可行参数。
在 3.0T MRI 上,使用多回波自旋回波 T2 映射技术和多回波梯度回波 T2映射序列,对 15 名健康志愿者和 15 名接受微骨折治疗(MFX)后的患者的膝关节进行评估。使用对数线性最小二乘法拟合方法,评估 T2 和 T2弛豫的线性图,以了解健康关节软骨和软骨修复组织的深层和浅层区域的分区依赖性。
T2 和 T2*值之间存在统计学显著相关性。这两个参数都表现出相似的空间依赖性,对于健康的关节软骨,在关节表面处测量到的数值较长。MFX 后软骨修复组织没有观察到空间变化。
在这项可行性研究中,T2 和 T2弛豫参数在评估关节软骨和软骨修复组织时表现出相似的反应。软骨 T2-映射的潜在优势包括更快的成像时间和 3D 采集的机会,从而提供更高的空间分辨率和关节表面的完整覆盖。