CMROI, Department of Radiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
J Magn Reson Imaging. 2012 Apr;35(4):891-8. doi: 10.1002/jmri.22867. Epub 2011 Nov 29.
To determine (i) the feasibility and intra- and inter-scan reproducibility of T(1ρ) MRI in assessing cartilage degeneration in a guinea pig model with naturally occurring joint disease that closely mimics human osteoarthritis (OA), (ii) demonstrate the sensitivity of T(1ρ) MRI in assessing the age dependent cartilage degeneration in OA progression as compared to histopathological changes.
Duncan-Hartley guinea pigs were obtained at various ages and maintained under an IACUC approved protocol. The left hind stifle joint was imaged using T(1ρ) MRI on a 9.4 Tesla Varian horizontal 20 cm bore scanner using a custom surface coil. Reproducibility of T(1ρ) MRI was assessed using 4-month-old guinea pigs (N = 3). Three age cohorts; 3 month (N = 8), 5 month (N = 6), and 9 month (N = 5), were used to determine the age-dependent osteoarthritic changes as measured by T(1ρ) MRI. Validation of age-dependent cartilage degeneration was confirmed by histology and Safranin-O staining.
T(1ρ) values obtained in the cartilage of the stifle joint in guinea pigs were highly reproducible with an inter-scan mean coefficient of variation (CV) of 6.57% and a maximum intra-scan CV of 9.29%. Mean cartilage T(1ρ) values in animals with late stage cartilage degeneration were 56.3-56.9 ms (5-9 month cohorts) were both significantly (P < 0.01) higher than that obtained from 3-month-old cohort (44 ms) demonstrating an age-dependent variation. T(1ρ) was shown to be significantly greater than T(2) . T(1ρ) dispersion was observed in this animal model for the first time showing an increase of 45% between 500 Hz and 1500 Hz spin-locking frequency. Cartilage thickness measurements were calculated from single mid-coronal histology sections from same animals used for T(1ρ) MRI. Thickness calculations showed insignificant differences between 3- and 5-month cohorts and was significantly decreased by 9 months of age (P < 0.01). A moderate correlation (R(2) = 0.45) existed between T(1ρ) values and signal intensity of Safranin-O stain.
The data presented demonstrate that T(1ρ) MRI is highly reproducible in this spontaneous model of OA and may serve as a noninvasive tool to characterize joint cartilage degeneration during OA. Age-dependent changes, verified with histological measurements of proteoglycan loss, correlated with T(1ρ) across different age groups. T(1ρ) has adequate dynamic range and is sensitive to detect and track the progression of cartilage degeneration in the guinea pig model before gross anatomical changes such as cartilage thinning has occurred. This study presents a technological advancement that would permit longitudinal studies of evaluating disease-modifying therapies useful for treating human OA.
确定(i) T(1ρ)MRI 在评估具有与人骨关节炎(OA)密切相似的自然发生关节疾病的豚鼠模型中的软骨退变方面的可行性和内在及扫描间可重复性,(ii)证明 T(1ρ)MRI 在评估 OA 进展中年龄相关性软骨退变方面的敏感性与组织病理学变化相比。
在获得了各种年龄的 Duncan-Hartley 豚鼠,并根据 IACUC 批准的方案进行了维护。在具有定制表面线圈的 9.4T Varian 水平 20cm 孔径扫描仪上,使用 T(1ρ)MRI 对左后膝关节进行成像。使用 4 个月大的豚鼠(N=3)评估 T(1ρ)MRI 的可重复性。使用 3 个月(N=8),5 个月(N=6)和 9 个月(N=5)的三个年龄组来确定 T(1ρ)MRI 测量的年龄相关性 OA 变化。通过组织学和番红 O 染色验证年龄相关性软骨退变的验证。
豚鼠膝关节软骨中获得的 T(1ρ)值具有高度的可重复性,其扫描间平均变异系数(CV)为 6.57%,最大扫描内 CV 为 9.29%。具有晚期软骨退变的动物的平均软骨 T(1ρ)值为 56.3-56.9ms(5-9 个月组)均明显高于 3 个月组(44ms),表明存在年龄相关性变化。 T(1ρ)明显大于 T(2)。在这种动物模型中,首次观察到 T(1ρ)的分散,在 500Hz 和 1500Hz 自旋锁定频率之间增加了 45%。从用于 T(1ρ)MRI 的同一动物的单个中冠状组织学切片中计算出软骨厚度测量值。 3 至 5 个月组之间的厚度计算无显着差异,而 9 个月时显着减少(P <0.01)。 T(1ρ)值与番红 O 染色的信号强度之间存在中度相关性(R(2)= 0.45)。
所提供的数据表明,T(1ρ)MRI 在这种自发的 OA 模型中具有高度的可重复性,并且可以作为一种非侵入性工具来表征 OA 期间关节软骨的退变。用组织学测量法测量的蛋白聚糖损失验证了与年龄相关的变化与不同年龄组的 T(1ρ)相关。 T(1ρ)具有足够的动态范围,并且在发生软骨变薄等大体解剖变化之前,对检测和跟踪豚鼠模型中软骨退变的进展非常敏感。本研究提出了一项技术进步,这将允许进行评估对人类 OA 有用的疾病修饰疗法的纵向研究。