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.
J Orthop Res. 2021 Jan;39(1):63-73. doi: 10.1002/jor.24780. Epub 2020 Jun 24.
Chondral lesions lead to degenerative changes in the surrounding cartilage tissue, increasing the risk of developing post-traumatic osteoarthritis (PTOA). This study aimed to investigate the feasibility of quantitative magnetic resonance imaging (qMRI) for evaluation of articular cartilage in PTOA. Articular explants containing surgically induced and repaired chondral lesions were obtained from the stifle joints of seven Shetland ponies (14 samples). Three age-matched nonoperated ponies served as controls (six samples). The samples were imaged at 9.4 T. The measured qMRI parameters included T , T , continuous-wave T (CWT ), adiabatic T (AdT ), and T (AdT ) and relaxation along a fictitious field (T ). For reference, cartilage equilibrium and dynamic moduli, proteoglycan content and collagen fiber orientation were determined. Mean values and profiles from full-thickness cartilage regions of interest, at increasing distances from the lesions, were used to compare experimental against control and to correlate qMRI with the references. Significant alterations were detected by qMRI parameters, including prolonged T , CWT , and AdT in the regions adjacent to the lesions. The changes were confirmed by the reference methods. CWT was more strongly associated with the reference measurements and prolonged in the affected regions at lower spin-locking amplitudes. Moderate to strong correlations were found between all qMRI parameters and the reference parameters (ρ = -0.531 to -0.757). T , low spin-lock amplitude CWT , and AdT were most responsive to changes in visually intact cartilage adjacent to the lesions. In the context of PTOA, these findings highlight the potential of T , CWT , and AdT in evaluation of compositional and structural changes in cartilage.
软骨病变导致周围软骨组织发生退行性改变,增加了发生创伤后骨关节炎(PTOA)的风险。本研究旨在探讨定量磁共振成像(qMRI)评估 PTOA 关节软骨的可行性。从 7 匹设得兰矮马的膝关节中获取包含手术诱导和修复的软骨病变的关节外植体(14 个样本)。3 匹年龄匹配的未手术的小马作为对照(6 个样本)。对样本进行 9.4T 成像。测量的 qMRI 参数包括 T1 、 T2 、连续波 T(CWT)、绝热 T(AdT)和 T(AdT)和沿虚构场的弛豫(Trelax)。作为参考,还确定了软骨平衡和动态模量、蛋白聚糖含量和胶原纤维取向。使用全层软骨感兴趣区域的平均值和轮廓,从病变处增加的距离,将实验与对照进行比较,并将 qMRI 与参考进行相关。qMRI 参数检测到明显的变化,包括病变附近区域的 T1 延长、CWT 和 AdT。参考方法证实了这些变化。CWT 与参考测量值的相关性更强,在较低的自旋锁定幅度下在受影响的区域延长。所有 qMRI 参数与参考参数之间都存在中度至强相关性(ρ=-0.531 至-0.757)。T1、低自旋锁定幅度 CWT 和 AdT 对病变附近视觉完整软骨的变化最敏感。在 PTOA 的背景下,这些发现强调了 T1、CWT 和 AdT 在评估软骨成分和结构变化方面的潜力。