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膝关节骨关节炎患者膝关节对线与关节软骨和半月板 T1ρ 值的关系。

Relationship between knee alignment and T1ρ values of articular cartilage and menisci in patients with knee osteoarthritis.

机构信息

Quantitative Multinuclear Musculoskeletal Imaging Group (QMMIG), Center for Biomedical Imaging, Department of Radiology, New York University Langone Medical Center, New York, NY 10016, USA; School of Radiation Medicine and Protection, Medical College of Soochow University; School for Radiological and interdisciplinary Sciences (RAD-X), Soochow University, Suzhou, Jiangsu 215123, China.

出版信息

Eur J Radiol. 2013 Nov;82(11):1946-52. doi: 10.1016/j.ejrad.2013.05.010. Epub 2013 Jun 13.

Abstract

OBJECTIVE

To assess the relationship between knee alignment and subregional T1ρ values of the femorotibial cartilage and menisci in patients with mild (Kellgren-Lawrence grade 1) to moderate (KL3) osteoarthritis (OA) at 3T.

MATERIALS AND METHODS

26 subjects with a clinical diagnosis of KL1-3 OA were included and subdivided into three subgroups: varus, valgus, and neutral. All subjects were evaluated on a 3T MR scanner. Mann-Whitney and Wilcoxon signed rank tests were performed to determine any statistically significant differences in subregional T1ρ values of femorotibial cartilage and menisci among the three subgroups of KL1-3 OA patients.

RESULTS

Medial femoral anterior cartilage subregion in varus group had significantly higher (p<0.05) T1ρ values than all cartilage subregions in valgus group. Medial tibial central cartilage subregion had significantly higher T1ρ values (p<0.05) than lateral tibial central cartilage subregion in varus group. The posterior horn of the medial meniscus in neutral group had significantly higher T1ρ values (p<0.0029) than all meniscus subregions in valgus group.

CONCLUSION

There exists some degree of association between knee alignment and subregional T1ρ values of femorotibial cartilage and menisci in patients with clinical OA.

摘要

目的

在 3T 磁共振成像(MRI)扫描仪上评估轻度(Kellgren-Lawrence 分级 1)至中度(KL3)骨关节炎(OA)患者膝关节对线与股骨胫骨软骨和半月板亚区 T1ρ 值之间的关系。

材料与方法

纳入 26 例临床诊断为 KL1-3OA 的患者,并将其分为三组:内翻组、外翻组和中立组。对所有患者进行 3T MRI 评估。采用曼-惠特尼 U 检验和 Wilcoxon 符号秩检验,比较 KL1-3OA 患者三组间股骨胫骨软骨和半月板亚区 T1ρ 值是否存在统计学差异。

结果

内翻组中内侧股骨前软骨亚区 T1ρ 值明显高于外翻组所有软骨亚区(p<0.05)。内翻组中内侧胫骨中央软骨亚区 T1ρ 值明显高于外侧胫骨中央软骨亚区(p<0.05)。中立组中内侧半月板后角 T1ρ 值明显高于外翻组所有半月板亚区(p<0.0029)。

结论

在临床 OA 患者中,膝关节对线与股骨胫骨软骨和半月板亚区 T1ρ 值之间存在一定程度的关联。

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