Ultrashort Echo Time T1ρ Is Sensitive to Enzymatic Degeneration of Human Menisci

Chang, Eric Y.; Campos, Juliana; Bae, Won C.; Znamirowski, R; Statum, Sheronda; Du, Jiang; Chung, Christine B.

doi:10.1097/rct.0000000000000265

Cited by 5 publications

(1 citation statement)

References 42 publications

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“…The T1ρ values may reflect changes to the extracellular matrix (ECM), such as proteoglycan (PG) loss. Many in vitro studies have shown that UTE-T1ρ enables the quantitative assessment of short T2 tissues in the musculoskeletal system, and UTE-T1ρ values increase with structural changes in short T2 tissues (14)(15)(16)(17)(18). The magnetization transfer ratio (MTR) provides a measure of the magnetization exchange rate of hydrogen protons bound to macromolecules such as collagen and free water (19).…”

Section: Introductionmentioning

confidence: 99%

Preliminary study on the assessment of early cartilage degeneration by quantitative ultrashort echo time magnetic resonance imaging in vivo

Su¹,

Zhang²,

Gao³

et al. 2022

Quant Imaging Med Surg

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Background: To investigate the feasibility of quantitative ultrashort echo time magnetic resonance imaging (UTE-MRI) techniques for assessing early cartilage degeneration in vivo.Methods: A total of 46 patients with knee pain due to osteoarthritis (OA) as the main complaint were recruited into the study. We performed MRI examinations with different quantitative UTE-MRI techniques, including UTE-based magnetization transfer (MT), UTE-adiabaticT1ρ, and UTE-T2* mapping on a 3.0T clinical magnetic resonance (MR) scanner (MR750; GE Healthcare, Milwaukee, WI, USA). Three regions of interest (ROIs) were manually drawn on the medial and lateral femoral condyles and the corresponding medial and lateral tibial plateaus, respectively. A total of 561 ROIs (12 ROIs for each knee) were finally included and divided into 3 groups according to the MRI Osteoarthritis Knee Score (MOAKS): normal (MOAKS 0, n=175), mild degeneration (MOAKS 1, n=283), and moderate degeneration (MOAKS 2, n=103). One-way analysis of variance (ANOVA) and Tamhane's T2 test were used to compare the differences of quantitative UTE-biomarkers among different groups. The analysis of Spearman's correlation was used to assess the correlation between the UTE-biomarkers and MOAKS grading. The diagnostic efficacy of different quantitative UTE-MRI techniques for detecting mild cartilage degeneration was evaluated using the receiver operating characteristic (ROC) curve. Results:The UTE-MT ratio (UTE-MTR) and the UTE-adiabatic T1ρ values had a moderate correlation with the MOAKS grading (r=−0.523, P<0.001; r=0.531, P<0.001, respectively), while the UTE-T2* was weakly correlated with the MOAKS grading (r=−0.396, P<0.001). For the normal group (MOAKS 0) and the mild group (MOAKS 1), the UTE-MTR values were 21.09%±3.03% and 17.30%±3.22%, respectively. The UTE-adiabatic T1ρ values were 30.43±6.26 ms and 35.05±8.78 ms for the normal group (MOAKS 0) and the mild group (MOAKS 1), respectively. With respect to the UTE-T2* values, the normal group (MOAKS 0) values were 21.49±3.96 ms and the mild group (MOAKS 1) values were 19.86±3.08 ms. All the differences between the 2 groups of the 3 UTE-MRI values were significant. The AUCs of the UTE-MTR, UTEadiabatic T1ρ, and UTE-T2* mapping were 0.794, 0.732, and 0.651, respectively. Conclusions:The quantitative UTE-MRI techniques (UTE-MT, UTE-adiabatic T1ρ, and UTE-T2* mapping) show great promise for assessing the early degeneration of articular cartilage in vivo, and the UTE-We present the following article in accordance with the STARD reporting checklist (available at https://qims. amegroups.com/article/view/10.21037/qims-21-1181/rc). Methods ParticipantsA total of 46 OA patients, including 26 males (age range: 30 to 71 years; 48.3±11.1 years) and 20 females (age range: 37 to 72 years; 51.0±7.9 years) with complaints of knee joint discomfort and no contraindication to MRI examination were recruited within a year. Among them, 5 patients were scanned bilaterally. The exclusion criteria included previous knee surgery or traumatic knee i...

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