A general computing method for spatial cartilage thickness from co-planar MRI.

Techniques for assessing cartilage thickness from planar magnetic resonance (MR) images have traditionally accounted for surface curvature only in the image plane. Many joints, such as the knee and hip, have significant curvature normal (transverse) to the image plane which results in overestimation of in-plane cartilage thickness measurements. We developed a generalized computing method for calculating spatial thickness distribution of joint cartilage from co-planar MR images which accounts for transverse surface curvature. We applied the technique using fat-suppressed SPGR (spoiled gradient recalled in the steady-state) MR images of two human acetabulae and compared the results with a previously validated spherical model of the acetabulum which also accounts for transverse curvature of the cartilage surface. The agreement between the generalized model and validated spherical model was very good for both acetabular specimens (correlation: r = 0.998, p < 0.001; differences: p > 0.63). We conclude that the generalized method is acceptable for computing spatial cartilage thickness distribution of joints with complex geometries, such as the knee.