Longitudinal assessment of synovial, lymph node, and bone volumes in inflammatory arthritis in mice by in vivo magnetic resonance Imaging and microfocal computed tomography

被引：80

作者：

Proulx, Steven T. ^{[2
]}

Kwok, Edmund ^{[2
]}

You, Zhigang ^{[2
]}

Papuga, M. Owen ^{[2
]}

Beck, Christopher A. ^{[2
]}

Shealy, David J. ^{[3
]}

Ritchlin, Christopher T. ^{[2
]}

Awad, Hani A. ^{[2
]}

Boyce, Brendan F. ^{[2
]}

Xing, Lianping ^{[2
]}

Schwarz, Edward M. ^{[1
,2
]}

机构：

[1] Univ Rochester, Med Ctr, Ctr Musculoskeletal Res, Rochester, NY 14642 USA

[2] Univ Rochester, Rochester, NY USA

[3] Centocor Res & Dev, Radnor, PA USA

来源：

ARTHRITIS AND RHEUMATISM | 2007年 / 56卷 / 12期

关键词：

D O I：

10.1002/art.23128

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Objective. To develop longitudinal 3-dimensional (3-D) measures of outcomes of inflammation and bone erosion in murine arthritis using contrast-enhanced magnetic resonance imaging (CE-MRI) and in vivo microfocal computed tomography (micro-CT) and, in a pilot study, to determine the value of entry criteria based on age versus synovial volume in therapeutic intervention studies. Methods. CE-MRI and in vivo micro-CT were performed on tumor necrosis factor-transgenic (TNF-Tg) mice and their wild-type littermates to quantify the synovial and popliteal lymph node volumes and the patella and talus bone volumes, respectively, which were validated histologically. These longitudinal outcome measures were used to assess the natural history of erosive inflammatory arthritis. We also performed anti-TNF versus placebo efficacy studies in TNF-Tg mice in which treatment was initiated according to either age (4-5 months) or synovial volume (3 mm(3) as detected by CE-MRI). Linear regression was performed to analyze the correlation between synovitis and focal erosion. Results. CE-MRI demonstrated the highly variable nature of TNF-induced joint inflammation. Initiation of treatment by synovial volume produced significantly larger treatment effects on the synovial volume (P = 0.04) and the lymph node volume (P < 0.01) than did initiation by age. By correlating the MRI and micro-CT data, we were able to demonstrate a significant relationship between changes in synovial and patellar volumes (R-2 = 0.75, P < 0.01). Conclusion. In vivo CE-NIRI and micro-CT 3-D outcome measures are powerful tools that accurately demonstrate the progression of erosive inflammatory arthritis in mice. These methods can be used to identify mice with arthritis of similar severity before intervention studies are initiated, thus minimizing heterogeneity in outcome studies of chronic arthritis seen between genetically identical littermates.

引用

页码：4024 / 4037

页数：14

共 47 条

[31]

Bone edema scored on magnetic resonance imaging scans of the dominant carpus at presentation predicts radiographic joint damage of the hands and feet six years later in patients with rheumatoid arthritis [J].