Department of Electrical and Biomedical Engineering, University of Vermont, United States.
Department of Electrical and Biomedical Engineering, University of Vermont, United States; Department of Orthopaedics and Rehabilitation, University of Vermont, United States.
J Biomech. 2024 May;169:112133. doi: 10.1016/j.jbiomech.2024.112133. Epub 2024 May 4.
Abnormal loading is thought to play a key role in the disease progression of cartilage, but our understanding of how cartilage compositional measurements respond to acute compressive loading in-vivo is limited. Ten healthy subjects were scanned at two timepoints (7 ± 3 days apart) with a 3 T magnetic resonance imaging (MRI) scanner. Scanning sessions included T1ρ and T2* acquisitions of each knee in two conditions: unloaded (traditional MRI setup) and loaded in compression at 40 % bodyweight as applied by an MRI-compatible loading device. T1ρ and T2* parameters were quantified for contacting cartilage (tibial and femoral) and non-contacting cartilage (posterior femoral condyle) regions. Significant effects of load were found in contacting regions for both T1ρ and T2*. The effect of load (loaded minus unloaded) in femoral contacting regions ranged from 4.1 to 6.9 ms for T1ρ, and 3.5 to 13.7 ms for T2*, whereas tibial contacting regions ranged from -5.6 to -1.7 ms for T1ρ, and -2.1 to 0.7 ms for T2*. Notably, the responses to load in the femoral and tibial cartilage revealed opposite effects. No significant differences were found in response to load between the two visits. This is the first study that analyzed the effects of acute loading on T1ρ and T2* measurements in human femoral and tibial cartilage separately. The results suggest the effect of acute compressive loading on T1ρ and T2* was: 1) opposite in the femoral and tibial cartilage; 2) larger in contacting regions than in non-contacting regions of the femoral cartilage; and 3) not different visit-to-visit.
异常负荷被认为在软骨疾病进展中起关键作用,但我们对软骨成分测量值如何对体内急性压缩负荷做出反应的理解有限。10 名健康受试者在两次时间点(相隔 7±3 天)使用 3T 磁共振成像(MRI)扫描仪进行扫描。扫描过程包括在两种情况下对每个膝关节进行 T1ρ和 T2采集:未加载(传统 MRI 设定)和在 MRI 兼容的加载装置施加的 40%体重的压缩下加载。对接触软骨(胫骨和股骨)和非接触软骨(股骨后髁)区域进行 T1ρ和 T2参数定量。在接触区域中,T1ρ和 T2都发现了负荷的显著影响。在股骨接触区域中,负荷(加载减去未加载)的影响范围从 T1ρ的 4.1 到 6.9ms,T2的 3.5 到 13.7ms,而胫骨接触区域从 T1ρ的-5.6 到-1.7ms,T2的-2.1 到 0.7ms。值得注意的是,股骨和胫骨软骨对负荷的反应呈现相反的效果。在两次访问之间,对负荷的响应没有发现显著差异。这是第一项分析急性加载对人股骨和胫骨软骨的 T1ρ和 T2测量值的影响的研究。结果表明,急性压缩负荷对 T1ρ和 T2*的影响是:1)在股骨和胫骨软骨中相反;2)在股骨软骨的接触区域比非接触区域更大;3)两次访问之间没有差异。