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一种独特的各向异性胶原退变(ARCADE)图谱,可作为人类膝关节软骨研究中复合弛豫测量(R-R)的有效替代方法。

A unique anisotropic R of collagen degeneration (ARCADE) mapping as an efficient alternative to composite relaxation metric (R -R ) in human knee cartilage study.

机构信息

Department of Radiology, University of Michigan, Ann Arbor, Michigan.

School of Kinesiology, University of Michigan, Ann Arbor, Michigan.

出版信息

Magn Reson Med. 2019 Jun;81(6):3763-3774. doi: 10.1002/mrm.27621. Epub 2019 Feb 22.

DOI:10.1002/mrm.27621
PMID:30793790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6435432/
Abstract

PURPOSE

Anisotropic transverse R (1/T ) relaxation of water proton is sensitive to cartilage degenerative changes. The purpose is to develop an efficient method to extract this relaxation metric in clinical studies.

METHODS

Anisotropic R can be measured inefficiently by standard R mapping after removing an isotropic contribution obtained from R mapping. In the proposed method, named as a unique anisotropic R of collagen degeneration (ARCADE) mapping, an assumed uniform isotropic R was estimated at magic angle locations in the deep cartilage, and an anisotropic R was thus isolated in a single T2W sagittal image. Five human knees from 4 volunteers were studied with standard R and R mappings at 3T, and anisotropic R derived from ARCADE on the T2W (TE = 48.8 ms) image from R mapping was compared with the composite relaxation (R - R ) using statistical analysis including Student's t-test and Pearson's correlation coefficient.

RESULTS

Anisotropic R (1/s) from ARCADE was highly positively correlated with but not significantly different from standard R - R (1/s) in the segmented deep (r = 0.83 ± 0.06; 8.3 ± 2.9 vs. 7.3 ± 1.9, P = .50) and the superficial (r = 0.82 ± 0.05; 3.5 ± 2.4 vs. 4.5 ± 1.6, P = .39) zones. However, after eliminating systematic errors by the normalization in terms of zonal contrast, anisotropic R was significantly higher (60.2 ± 18.5% vs. 38.4 ± 16.6%, P < .01) than R - R as predicted.

CONCLUSION

The proposed anisotropic R mapping could be an efficient alternative to the conventional approach, holding great promise in providing both high-resolution morphological and more sensitive transverse relaxation imaging from a single T2W scan in a clinical setting.

摘要

目的

水质子各向异性横向弛豫率 R1/T1 对软骨退行性变敏感。目的是开发一种在临床研究中提取这种弛豫指标的有效方法。

方法

通过从 R 映射中去除各向同性贡献来低效地测量各向异性 R1。在提出的方法中,称为胶原退变的各向异性 R1 专用图谱(ARCADE),在深软骨的魔角位置估计了一个假定的均匀各向同性 R1,并且在单个 T2W 矢状图像中分离了各向异性 R1。在 3T 下,对来自 4 名志愿者的 5 个膝关节进行了标准 R 和 R 映射研究,并使用统计分析比较了从 R 映射的 T2W(TE = 48.8ms)图像获得的 ARCADE 衍生的各向异性 R1 与复合弛豫(R-R),包括学生 t 检验和 Pearson 相关系数。

结果

ARCADE 中的各向异性 R1/s 与分割的深层(r = 0.83 ± 0.06;8.3 ± 2.9 vs. 7.3 ± 1.9,P =.50)和浅层(r = 0.82 ± 0.05;3.5 ± 2.4 vs. 4.5 ± 1.6,P =.39)区域的标准 R-R 高度正相关,但通过基于区域对比度的归一化消除系统误差后,各向异性 R1 显著更高(60.2 ± 18.5% vs. 38.4 ± 16.6%,P <.01),正如预期的那样。

结论

所提出的各向异性 R 图谱可以作为传统方法的有效替代方法,有望在临床环境中从单个 T2W 扫描提供高分辨率形态学和更敏感的横向弛豫成像。

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