Centre for Osteoarthritis Pathogenesis Versus Arthritis, Kennedy Institute of Rheumatology, University of Oxford, UK.
Department of Biomedical Engineering, Hong Kong Polytechnic University, Hong Kong.
Osteoarthritis Cartilage. 2020 Jul;28(7):874-884. doi: 10.1016/j.joca.2020.03.016. Epub 2020 Apr 16.
Preclinical imaging in osteoarthritis is a rapidly growing area with three principal objectives: to provide rapid, sensitive tools to monitor the course of experimental OA longitudinally; to describe the temporal relationship between tissue-specific pathologies over the course of disease; and to use molecular probes to measure disease activity in vivo. Research in this area can be broadly divided into those techniques that monitor structural changes in tissues (microCT, microMRI, ultrasound) and those that detect molecular disease activity (positron emission tomography (PET), optical and optoacoustic imaging). The former techniques have largely evolved from experience in human joint imaging and have been refined for small animal use. Some of the latter tools, such as optical imaging, have been developed in preclinical models and may have translational benefit in the future for patient stratification and for monitoring disease progression and response to treatment. In this narrative review we describe these methodologies and discuss the benefits to animal research, understanding OA pathogenesis, and in the development of human biomarkers.
骨关节炎的临床前影像学是一个快速发展的领域,主要有三个目标:提供快速、敏感的工具来纵向监测实验性 OA 的进程;描述疾病过程中组织特异性病变之间的时间关系;并使用分子探针在体内测量疾病的活性。该领域的研究可以大致分为监测组织结构变化的技术(微 CT、微 MRI、超声)和检测分子疾病活性的技术(正电子发射断层扫描(PET)、光学和光声成像)。前者的技术主要源自人类关节成像的经验,并已针对小动物的使用进行了改进。后者的一些工具,如光学成像,已经在临床前模型中开发出来,未来可能在患者分层以及监测疾病进展和对治疗的反应方面具有转化意义。在本叙述性综述中,我们描述了这些方法,并讨论了它们对动物研究、对 OA 发病机制的理解以及对人类生物标志物开发的益处。