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关节软骨中 T 和 T 的升高与早期骨关节炎中的软骨和骨损伤有关:一项初步研究。

Elevated adiabatic T and T in articular cartilage are associated with cartilage and bone lesions in early osteoarthritis: A preliminary study.

机构信息

Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland.

Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

出版信息

J Magn Reson Imaging. 2017 Sep;46(3):678-689. doi: 10.1002/jmri.25616. Epub 2017 Jan 24.

Abstract

PURPOSE

To evaluate adiabatic T and T of articular cartilage in symptomatic osteoarthritis (OA) patients and asymptomatic volunteers, and to determine their association with magnetic resonance imaging (MRI)-based structural abnormalities in cartilage and bone.

MATERIALS AND METHODS

A total of 24 subjects (age range: 50-68 years; 12 female) were enrolled, including 12 early OA patients and 12 volunteers with normal joint function. Patients and volunteers underwent 3T MRI. T , adiabatic T , and T relaxation times of knee articular cartilage were measured. Proton density (PD)- and T -weighted MR image series were also obtained and separately evaluated for morphological changes using the MRI OA Knee Scoring (MOAKS) system. Comparisons using the Mann-Whitney nonparametric test were performed after dividing the study participants according to physical symptoms as determined by Western Ontario and McMaster Universities (WOMAC) score or presence of cartilage lesions, bone marrow lesions, or osteophytes.

RESULTS

Elevated adiabatic T and T relaxation times of articular cartilage were associated with cartilage loss (P = 0.024-0.047), physical symptoms (0.0068-0.035), and osteophytes (0.0039-0.027). Elevated adiabatic T was also associated with bone marrow lesions (0.033).

CONCLUSION

Preliminary data suggest that elevated adiabatic T and T of cartilage are associated with morphological abnormalities of cartilage and bone, and thus may be applicable for in vivo OA research and diagnostics.

LEVEL OF EVIDENCE

2 Technical Efficacy: Stage 2 J. MAGN. RESON. IMAGING 2017;46:678-689.

摘要

目的

评估有症状骨关节炎(OA)患者和无症状志愿者的关节软骨绝热 T1 和 T2 值,并确定它们与软骨和骨的磁共振成像(MRI)结构性异常的相关性。

材料与方法

共纳入 24 名受试者(年龄范围:50-68 岁;女性 12 名),包括 12 名早期 OA 患者和 12 名关节功能正常的志愿者。患者和志愿者均接受 3T MRI 检查。测量膝关节关节软骨的 T1、绝热 T1 和 T2 弛豫时间。还获得质子密度(PD)和 T1 加权 MR 图像系列,并使用 MRI OA 膝关节评分(MOAKS)系统分别评估形态变化。根据 Western Ontario 和 McMaster 大学(WOMAC)评分或软骨损伤、骨髓病变或骨赘的存在对研究参与者进行划分后,使用 Mann-Whitney 非参数检验进行比较。

结果

关节软骨绝热 T1 和 T2 弛豫时间升高与软骨丢失(P=0.024-0.047)、躯体症状(0.0068-0.035)和骨赘(0.0039-0.027)有关。绝热 T1 升高也与骨髓病变有关(0.033)。

结论

初步数据表明,软骨绝热 T1 和 T2 升高与软骨和骨的形态异常有关,因此可能适用于体内 OA 研究和诊断。

证据水平

2 技术效果:2 级 J. MAGN. RESON. IMAGING 2017;46:678-689.

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