Gahunia H K, Lemaire C, Babyn P S, Cross A R, Kessler M J, Pritzker K P
Department of Pathology, Mount Sinai Hospital, Toronto, ON, Canada.
J Rheumatol. 1995 Sep;22(9):1747-56.
To assess cartilage matrix quality variation by anatomical location and extent of osteoarthritis (OA) using quantitative magnetic resonance imaging (MRI) and to compare the anatomic MR morphologic features with corresponding histological findings.
We studied 18 fully encapsulated right knee joints from a population of rhesus monkeys with a high incidence of degenerative arthritis resembling human OA. Relaxation times (T1 and T2) spin density, and cartilage thickness were determined along 8 contiguous anteroposterior segments of articular cartilage. Histological slides, prepared in the same plane as the MR image, were assessed for OA severity. Using a modification of Mankin's OA classification, each quadrant was grouped into normal (0), mild (1), moderate (2), or severe OA (3). Histopathological scores served as the standard and corresponding MR quadrants were classified accordingly.
Cumulative results revealed a significant decrease in T1 relaxation time (p = 0.04) and an increase in T2 relaxation time (p = 0.03) in the mild and severe OA groups, respectively. Statistically significant changes in spin density and cartilage thickness measurements were not observed. MR signal intensity abnormalities in selected regions of interest were demarcated and studied histologically. Regions with histological proliferating chondrocytes or fibrillated cartilage showed bright signal intensity on MR images (TR = 3000 ms; TE = 10 ms) and corresponded with elevated T1 and T2 values. Histological regions of collagen condensation showed low signal intensity on MR images (TR = 3000 ms; TE = 10 ms) and corresponded with decreased T1 and T2 relaxation times.
Topological quantitative MRI relaxation time assessment demonstrates increasing cartilage matrix quality variation with OA progression.
使用定量磁共振成像(MRI)评估骨关节炎(OA)的解剖位置和程度对软骨基质质量的影响,并将解剖学MR形态学特征与相应的组织学结果进行比较。
我们研究了18个完全包裹的恒河猴右膝关节,这些猴子患有类似于人类OA的退行性关节炎的高发病率。沿着关节软骨的8个连续前后节段测定弛豫时间(T1和T2)、自旋密度和软骨厚度。在与MR图像相同平面制备的组织学切片用于评估OA严重程度。使用改良的Mankin OA分类法,每个象限分为正常(0)、轻度(1)、中度(2)或重度OA(3)。组织病理学评分作为标准,相应的MR象限据此分类。
累积结果显示,轻度和重度OA组的T1弛豫时间分别显著降低(p = 0.04)和T2弛豫时间增加(p = 0.03)。未观察到自旋密度和软骨厚度测量的统计学显著变化。在选定的感兴趣区域标记MR信号强度异常并进行组织学研究。组织学上有增殖软骨细胞或纤维化软骨的区域在MR图像上显示高信号强度(TR = 3000 ms;TE = 10 ms),并与升高的T1和T2值相对应。胶原凝聚的组织学区域在MR图像上显示低信号强度(TR = 3000 ms;TE = 10 ms),并与降低的T1和T2弛豫时间相对应。
拓扑定量MRI弛豫时间评估表明,随着OA进展,软骨基质质量变化增加。