Evidence map›Paper›PMID 29383528›Full record

ArticleEuropean radiology2018

Detection of early cartilage damage: feasibility and potential of gagCEST imaging at 7T.

Sander Brinkhof, Razmara Nizak, Vitaliy Khlebnikov, Jeanine J Prompers, Dennis W J Klomp, Daniel B F Saris

Abstract readEvaluation Study
In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. MRI-based TSkeletal radiology · 2023
    Review
  5. Biogenic Imaging Contrast Agents.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Review
  6. AcidoCEST-UTE MRI Reveals an Acidic Microenvironment in Knee Osteoarthritis.International journal of molecular sciences · 2022
    Article
  7. Review
  8. Review
  9. Latest advancements in imaging techniques in OA.Therapeutic advances in musculoskeletal disease · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Musculoskeletal MR Imaging Applications at Ultra-High (7T) Field Strength.Magnetic resonance imaging clinics of North America · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Sander BrinkhofDepartment of Radiology, UMC Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. s.brinkhof@umcutrecht.nl.ORCID http://orcid.org/0000-0002-2377-6317
Razmara NizakDepartment of Orthopaedics, UMC Utrecht, Utrecht, The Netherlands.
Vitaliy KhlebnikovDepartment of Radiology, UMC Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Jeanine J PrompersDepartment of Radiology, UMC Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Dennis W J KlompDepartment of Radiology, UMC Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Daniel B F SarisDepartment of Orthopaedics, UMC Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose was to implement a fast 3D glycosaminoglycan Chemical Exchange Saturation Transfer (gagCEST) sequence at 7 T, test stability and reproducibility in cartilage in the knee in healthy volunteers, and evaluate clinical applicability in cartilage repair patients.

methodsExperiments were carried out on a 7-T scanner using a volume transmit coil and a 32-channel receiver wrap-around knee coil. The 3D gagCEST measurement had an acquisition time of 7 min. Signal stability and reproducibility of the GAG effect were assessed in eight healthy volunteers. Clinical applicability of the method was demonstrated in five patients before cartilage repair surgery.

resultsCoefficient of variation of the gagCEST signal was 1.9%. The reproducibility of the GAG effect measurements was good in the medial condyle (ICC = 0.87) and excellent in the lateral condyle (ICC = 0.97). GAG effect measurements in healthy cartilage ranged from 2.6%-12.4% compared with 1.3%-5.1% in damaged cartilage. Difference in GAG measurement between healthy cartilage and damaged cartilage was significant (p < 0.05).

conclusionsA fast 3D gagCEST sequence was applied at 7 T for use in cartilage in the knee, acquired within a clinically feasible scan time of 7 min. We demonstrated that the method has high stability, reproducibility and clinical applicability. KEY POINTS: • gagCEST measurements are stable and reproducible • A non-invasive GAG measurement with gagCEST can be acquired in 7 min • gagCEST is able to discriminate between healthy and damaged cartilage.

Indexed as

AdultCartilage, ArticularCartilage DiseasesFeasibility StudiesFemaleGlycosaminoglycansHealthy VolunteersHumansImaging, Three-DimensionalKnee JointMagnetic Resonance ImagingMaleReproducibility of ResultsYoung AdultGlycosaminoglycansCartilageGlycosaminoglycansKneeMagnetic resonance imagingOsteoarthritis

Identifiers

PMID29383528
PMCPMC5986839

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.