T2 and T1, MRI in articular cartilage systems

被引:257
作者
Menezes, NM
Gray, ML
Hartke, JR
Burstein, D
机构
[1] Harvard Univ, Inst Med, Beth Israel Deaconess Med Ctr, Dept Radiol, Boston, MA 02115 USA
[2] Harvard MIT, Div Hlth Sci & Technol, Cambridge, MA USA
[3] MIT, Dept Elect Engn & Comp Sci, Cambridge, MA 02139 USA
[4] New England Baptist Bone & Joint Inst, Boston, MA USA
[5] Pharmacia Corp, St Louis, MO USA
关键词
cartilage; MRI; Gd-DTPA(2); T-2; T-1p;
D O I
10.1002/mrm.10710
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
T-2 and T-1rho have potential to nondestructively detect cartilage degeneration. However, reports in the literature regarding their diagnostic interpretation are conflicting. In this study, T-2 and T-1rho were measured at 8.5 T in several systems: 1) Molecular suspensions of collagen and GAG (pure concentration effects): T-2 and T-1rho demonstrated an exponential decrease with increasing [collagen] and [GAG], with [collagen] dominating. T-2 varied from 90 to 35 ms and T-1rho from 125 to 55 ms in the range of 15-20% [collagen], indicating that hydration may be a more important contributor to these parameters than previously appreciated. 2) Macromolecules in an unoriented matrix (young bovine cartilage): In collagen matrices (trypsinized cartilage) T-2 and T-1rho values were consistent with the expected [collagen], suggesting that the matrix per se does not dominate relaxation effects. Collagen/GAG matrices (native cartilage) had 13% lower T-2 and 17% lower T-1rho than collagen matrices, consistent with their higher macromolecular concentration. Complex matrix degradation (interleukin-1 treatment) showed lower T-2 and unchanged T-1rho relative to native tissue, consistent with competing effects of concentration and molecular-level changes. In addition, the heterogeneous GAG profile in these samples was not reflected in T-2 or T-1rho 3) Macromolecules in an oriented matrix (mature human tissue): An oriented collagen matrix (GAG-depleted human cartilage) showed T-2 and T-1rho variation with depth consistent with 16-21% [collagen] and/or fibril orientation (magic angle effects) seen on polarized light microscopy, suggesting that both hydration and structure comprise important factors. In other human cartilage regions, T-2 and T-1rho abnormalities were observed unrelated to GAG or collagen orientation differences, demonstrating that hydration and/or molecular-level changes are important. Overall, these studies illustrate that T-2 and T-1rho are sensitive to biologically meaningful changes in cartilage. However, contrary to some previous reports, they are not specific to anyone inherent tissue parameter. (C) 2004 Wiley-Liss, Inc.
引用
收藏
页码:503 / 509
页数:7
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