Quantitative Multinuclear Musculoskeletal Imaging Group (QMMIG), Center for Biomedical Imaging, Radiology Department, New York University Langone Medical Center, New York, NY 10016, USA.
NMR Biomed. 2012 Apr;25(4):530-7. doi: 10.1002/nbm.1768. Epub 2011 Aug 19.
The sodium concentration correlates directly with the concentration of proteoglycans (PG) in cartilage, the loss of which is an early signature of osteoarthritis (OA). As a result, quantitative sodium MRI is a promising technique for assessing the degradation of articular cartilage in patients with OA. Sodium relaxation times can also provide information on the degradation of cartilage: it has already been shown on bovine cartilage that T(1) and T2long are longer and T2short shorter when the PG concentration decreases. In this study, sodium T(1), T2short and T2long relaxation maps were measured in vivo at 7 T on 8 healthy volunteers and in 4 different regions of the cartilage in the knee joint. The patellar, femoro-tibial medial, lateral, and femoral condyle cartilage have an average T(1)~20 ms, but different T2short (from 0.5 ms to 1.4 ms) and T2long (from 11.4 ms to 14.8 ms). Statistically significant differences in T(1), T2short and T2long were observed between the different regions in cartilage (p << 10(- 5)). Statistical differences in T(1) were also observed between male and female data (p << 10(- 5)). These relaxation times measurements can further be applied as correction factors for sodium concentration maps in vivo and can also be useful as complementary information to quantitative sodium MRI in the quest for detecting early OA. These measurements were done on low resolution sodium images in order to acquire sufficient quality data for fitting (5 images for T(1) and 9 images for T2*) while keeping the total time of acquisition of the data reasonable for the volunteer's comfort (1 h 15 min).
钠浓度与软骨中蛋白聚糖(PG)的浓度直接相关,PG 的丢失是骨关节炎(OA)的早期特征。因此,定量钠 MRI 是评估 OA 患者关节软骨降解的一种很有前途的技术。钠弛豫时间也可以提供软骨降解的信息:已经在牛软骨上表明,当 PG 浓度降低时,T1 和 T2long 延长,T2short 缩短。在这项研究中,在 7T 下对 8 名健康志愿者的膝关节软骨进行了活体测量,得到了钠 T1、T2short 和 T2long 弛豫图。髌骨关节、股骨胫骨内侧、外侧和股骨髁软骨的平均 T1~20ms,但 T2short(0.5ms-1.4ms)和 T2long(11.4ms-14.8ms)不同。在软骨的不同区域之间,T1、T2short 和 T2long 存在统计学上的显著差异(p<0.0005)。在男性和女性数据之间也观察到 T1 的统计学差异(p<0.0005)。这些弛豫时间测量值可以进一步用作活体钠浓度图的校正因子,也可以作为定量钠 MRI 的补充信息,用于检测早期 OA。这些测量值是在低分辨率的钠图像上进行的,以便在保持志愿者舒适度的情况下(1 小时 15 分钟),获得足够的拟合质量数据(T1 为 5 张图像,T2*为 9 张图像)。