Carstens Ann, Kirberger Robert M, Velleman Mark, Dahlberg Leif E, Fletcher Lizelle, Lammentausta Eveliina
Section Diagnostic Imaging, Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Private Bag X04 Onderstepoort 0110, Pretoria, South Africa.
Little Company of Mary Hospital, George Storrar Ave, Pretoria, South Africa.
Vet Radiol Ultrasound. 2013 Jul-Aug;54(4):365-372. doi: 10.1111/vru.12030. Epub 2013 Apr 2.
Osteoarthritis of the metacarpo/metatarsophalangeal joints is one of the major causes of poor performance in horses. Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) may be a useful technique for noninvasively quantifying articular cartilage damage in horses. The purpose of this study was to describe dGEMRIC characteristics of the distal metacarpus3/metatarsus3 (Mc3/Mt3) articular cartilage in 20 cadaver specimens collected from normal Thoroughbred horses. For each specimen, T1 relaxation time was measured from scans acquired precontrast and at 30, 60, 120, and 180 min post intraarticular injection of Gd-DTPA(2-) (dGEMRIC series). For each scan, T1 relaxation times were calculated using five regions of interest (sites 1-5) in the cartilage. For all sites, a significant decrease in T1 relaxation times occurred between precontrast scans and 30, 60, 120, and 180 min scans of the dGEMRIC series (P < 0.0001). A significant increase in T1 relaxation times occurred between 60 and 180 min and between 120 and 180 min post Gd injection for all sites. For sites 1-4, a significant increase in T1 relaxation time occurred between 30 and 180 min postinjection (P < 0.05). Sites 1-5 differed significantly among one another for all times (P < 0.0001). Findings from this cadaver study indicated that dGEMRIC using intraarticular Gd-DTPA(2-) is a feasible technique for measuring and mapping changes in T1 relaxation times in equine metacarpo/metatarsophalangeal joint cartilage. Optimal times for postcontrast scans were 60-120 min. Future studies are needed to determine whether these findings are reproducible in live horses.
掌指/跖趾关节的骨关节炎是马匹运动能力下降的主要原因之一。延迟钆增强磁共振成像软骨(dGEMRIC)可能是一种用于无创量化马匹关节软骨损伤的有用技术。本研究的目的是描述从正常纯种马采集的20个尸体标本中远节掌骨3/跖骨3(Mc3/Mt3)关节软骨的dGEMRIC特征。对于每个标本,在关节内注射钆喷酸葡胺(Gd-DTPA(2-))前及注射后30、60、120和180分钟采集扫描图像,测量T1弛豫时间(dGEMRIC系列)。对于每次扫描,在软骨中使用五个感兴趣区域(部位1-5)计算T1弛豫时间。对于所有部位,在dGEMRIC系列的对比前扫描与30、60、120和180分钟扫描之间,T1弛豫时间显著降低(P < 0.0001)。在所有部位,注射钆后60至180分钟之间以及120至180分钟之间,T1弛豫时间显著增加。对于部位1-4,注射后30至180分钟之间T1弛豫时间显著增加(P < 0.05)。在所有时间点,部位1-5之间存在显著差异(P < 0.0001)。这项尸体研究的结果表明,使用关节内Gd-DTPA(2-)的dGEMRIC是一种测量和绘制马掌指/跖趾关节软骨T1弛豫时间变化的可行技术。对比后扫描的最佳时间为60-120分钟。需要进一步的研究来确定这些发现在活体马匹中是否可重复。