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.
Eur J Radiol. 2013 Nov;82(11):1946-52. doi: 10.1016/j.ejrad.2013.05.010. Epub 2013 Jun 13.
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.
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.
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.
There exists some degree of association between knee alignment and subregional T1ρ values of femorotibial cartilage and menisci in patients with clinical OA.
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。
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。
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)。
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。