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关节软骨 T2 星弛豫时间改变与机械紊乱的关系:在体犬冈上肌腱切断模型。

Alterations in articular cartilage T2 star relaxation time following mechanical disorders: in vivo canine supraspinatus tendon resection models.

机构信息

Department of Mechanical Engineering, Korea University Engineering Campus, Innovation Hall, Room 306, Anam-dong, Seongbuk-gu, Seoul, 02841, South Korea.

Department of Radiology, Gachon University Gil Medical Center, Incheon, South Korea.

出版信息

BMC Musculoskelet Disord. 2020 Jul 2;21(1):424. doi: 10.1186/s12891-020-03447-3.

Abstract

BACKGROUND

The role of altered joint mechanics on cartilage degeneration in in vivo models has not been studied successfully due to a lack of pre-injury information. We aimed 1) to develop an accurate in vivo canine model to measure the changes in joint loading and T2 star (T2*) relaxation time before and after unilateral supraspinatus tendon resections, and 2) to find the relationship between regional variations in articular cartilage loading patterns and T2* relaxation time distributions.

METHODS

Rigid markers were implanted in the scapula and humerus of tested dogs. The movement of the shoulder bones were measured by a motion tracking system during normal gaits. In vivo cartilage contact strain was measured by aligning 3D shoulder models with the motion tracking data. Articular cartilage T2* relaxation times were measured by quantitative MRI scans. Articular cartilage contact strain and T2* relaxation time were compared in the shoulders before and 3 months after the supraspinatus tendon resections.

RESULTS

Excellent accuracy and reproducibility were found in our in vivo contact strain measurements with less than 1% errors. Changes in articular cartilage contact strain exhibited similar patterns with the changes in the T2* relaxation time after resection surgeries. Regional changes in the articular cartilage T2* relaxation time exhibited positive correlations with regional contact strain variations 3 months after the supraspinatus resection surgeries.

CONCLUSION

This is the first study to measure in vivo articular cartilage contact strains with high accuracy and reproducibility. Positive correlations between contact strain and T2* relaxation time suggest that the articular cartilage extracellular matrix may responds to mechanical changes in local areas.

摘要

背景

由于缺乏损伤前的信息,活体模型中关节力学变化对软骨退变的作用尚未得到成功研究。我们的目的是:1)开发一种准确的活体犬模型,以测量单侧冈上肌腱切除前后关节负荷和 T2弛豫时间的变化,2)寻找关节软骨负荷模式的区域变化与 T2弛豫时间分布之间的关系。

方法

刚性标记物被植入试验犬的肩胛骨和肱骨中。在正常步态中,通过运动跟踪系统测量肩部骨骼的运动。通过将 3D 肩部模型与运动跟踪数据对齐,测量活体软骨接触应变。通过定量 MRI 扫描测量关节软骨 T2弛豫时间。比较冈上肌腱切除前后肩部的关节软骨接触应变和 T2弛豫时间。

结果

我们的活体接触应变测量具有出色的准确性和可重复性,误差小于 1%。切除手术后,关节软骨接触应变的变化与 T2弛豫时间的变化具有相似的模式。切除手术后 3 个月,关节软骨 T2弛豫时间的区域变化与局部接触应变变化呈正相关。

结论

这是首次使用高精度和可重复性测量活体关节软骨接触应变的研究。接触应变与 T2*弛豫时间之间的正相关性表明,关节软骨细胞外基质可能对局部区域的机械变化做出反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d601/7331159/9bd532f881e0/12891_2020_3447_Fig1_HTML.jpg

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