Evidence map›Paper›PMID 38922455›Full record

ArticleInsights into imaging2024

A feasibility study of in vivo quantitative ultra-short echo time-MRI for detecting early cartilage degeneration.

Xiaolian Su, Yitong Wang, Jieying Chen, Zonghui Liang, Lidi Wan, Guangyu Tang

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Article in Insights into imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Xiaolian SuDepartment of Radiology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Yitong WangDepartment of Radiology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Jieying ChenDepartment of Radiology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Zonghui LiangDepartment of Radiology, Shanghai Jing'an District Central Hospital, Shanghai, China.
Lidi WanDepartment of Radiology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200092, China. qldxt_wld1993@163.com.
Guangyu TangDepartment of Radiology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200092, China. tgy17@126.com.ORCID http://orcid.org/0009-0001-4692-5581

Funding

National Natural Science Foundation of China 81871325Science and technology innovation action project of STCSM 20Y11911800
6 · The paper itself

Abstract

objectivesTo explore the feasibility of Ultra-short echo time (UTE) - MRI quantitative imaging in detecting early cartilage degeneration in vivo and underlying pathological and biochemical basis.

methodsTwenty volunteers with osteoarthritis (OA) planning for total knee arthroplasty (TKA) were prospectively recruited. UTE-MRI sequences and conventional sequences were performed preoperatively. Regions of interests (ROIs) were manually drawn on the tibial plateau and lateral femoral condyle images to calculate MRI values. Cartilage samples were collected during TKA according to the preset positions corresponding to MR images. Pathological and biochemical components of the corresponding ROI, including histological grading, glycosaminoglycan (GAG) content, collagen integrity, and water content were obtained.

results91 ROIs from volunteers of 7 males (age range: 68 to 78 years; 74 ± 3 years) and 13 females (age range: 57 to 79 years; 67 ± 6 years) were evaluated. UTE-MTR (r = -0.619, p < 0.001), UTE-AdiabT1ρ (r = 0.568, p < 0.001), and UTE-T2* values (r = -0.495, p < 0.001) showed higher correlation with Mankin scores than T2 (r = 0.287, p = 0.006) and T1ρ (r = 0.435, p < 0.001) values. Of them, UTE-MTR had the highest diagnostic performance (AUC = 0.824, p < 0.001). UTE-MTR, UTE-AdiabT1ρ and UTE-T2* value was mainly related to collagen structural integrity, PG content and water content, respectively (r = 0.536, -0.652, -0.518, p < 0.001, respectively).

conclusionUTE-MRI have shown greater in vivo diagnostic value for early cartilage degeneration compared to conventional T2 and T1ρ values. Of them, UTE-MTR has the highest diagnostic efficiency. UTE-MTR, UTE-AdiabT1ρ, and UTE-T2* value mainly reflect different aspects of cartilage degeneration--integrity of collagen structure, PG content, and water content, respectively. CRITICAL RELEVANCE STATEMENT: Ultra-short echo time (UTE)-MRI has the potential to be a novel image biomarkers for detecting early cartilage degeneration in vivo and was correlated with biochemical changes of early cartilage degeneration. KEY POINTS: Conventional MR may miss some early cartilage changes due to relatively long echo times. Ultra-short echo time (UTE)-MRI showed the ability in identifying early cartilage degeneration in vivo. UTE-MT, UTE-AdiabT1ρ, and UTE-T2* mapping mainly reflect different aspects of cartilage degeneration.

Indexed as

Cartilage degenerationIn vivoMagnetic resonance imagingUltrashort echo time (UTE)

Identifiers

PMID38922455
PMCPMC11208376

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