Evaluation of the degenerative pattern of PCL in osteoarthritis patients using UTE-T2 mapping.

Magnetic resonance image (MRI) Osteoarthritis (OA) Posterior cruciate ligament (PCL) Ultra-short echo time-enhanced (UTE)

Journal

Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology
ISSN: 2214-6873
Titre abrégé: Asia Pac J Sports Med Arthrosc Rehabil Technol
Pays: Singapore
ID NLM: 101648546

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 29 09 2020
revised: 18 01 2021
accepted: 27 01 2021
entrez: 8 3 2021
pubmed: 9 3 2021
medline: 9 3 2021
Statut: epublish

Résumé

The posterior cruciate ligament (PCL) is one of the essential stabilizers of the knee joint and it was demonstrated that its degenerative change related to the knee osteoarthritis (OA). We aimed to evaluate signal of the PCL in OA patients in comparison with healthy young and elderly volunteers using the ultra-short echo timeenhanced (UTE)-T2∗ mapping, and to validate these findings with histology. Thirty asymptomatic volunteers, 13 young people (younger group) and 17 elderly people (elder group), and 27 patients who had undergone total knee arthroplasty (OA group) were enrolled in this study. UTE-T2∗ maps of PCL were obtained from all participants. The PCL was divided into proximal, middle, and distal parts and the UTET2∗ values obtained from each part were compared among the groups. In OA group, the sacrificed PCLs were evaluated histologically in each part corresponding to the part of UTE-T2∗ maps and compared. The UTE-T2∗ values in OA group were significantly higher than those in other groups except in distal part. In elder group, the UTE-T2∗ values were significantly higher than those in younger group only in the proximal part. Moreover, in OA group, the UTE-T2∗ values in proximal and middle parts were significantly higher than those in distal part. There was a moderate correlation between the UTE-T2∗ values and histological scores. The specific signal intensity pattern of the PCL in patients with OA was demonstrated using UTE-T2∗ mapping, and these findings were related to histological degenerated status of the PCL.

Sections du résumé

BACKGROUND BACKGROUND
The posterior cruciate ligament (PCL) is one of the essential stabilizers of the knee joint and it was demonstrated that its degenerative change related to the knee osteoarthritis (OA). We aimed to evaluate signal of the PCL in OA patients in comparison with healthy young and elderly volunteers using the ultra-short echo timeenhanced (UTE)-T2∗ mapping, and to validate these findings with histology.
METHODS METHODS
Thirty asymptomatic volunteers, 13 young people (younger group) and 17 elderly people (elder group), and 27 patients who had undergone total knee arthroplasty (OA group) were enrolled in this study. UTE-T2∗ maps of PCL were obtained from all participants. The PCL was divided into proximal, middle, and distal parts and the UTET2∗ values obtained from each part were compared among the groups. In OA group, the sacrificed PCLs were evaluated histologically in each part corresponding to the part of UTE-T2∗ maps and compared.
RESULTS RESULTS
The UTE-T2∗ values in OA group were significantly higher than those in other groups except in distal part. In elder group, the UTE-T2∗ values were significantly higher than those in younger group only in the proximal part. Moreover, in OA group, the UTE-T2∗ values in proximal and middle parts were significantly higher than those in distal part. There was a moderate correlation between the UTE-T2∗ values and histological scores.
CONCLUSIONS CONCLUSIONS
The specific signal intensity pattern of the PCL in patients with OA was demonstrated using UTE-T2∗ mapping, and these findings were related to histological degenerated status of the PCL.

Identifiants

pubmed: 33680861
doi: 10.1016/j.asmart.2021.01.004
pii: S2214-6873(21)00004-2
pmc: PMC7899951
doi:

Types de publication

Journal Article

Langues

eng

Pagination

35-40

Informations de copyright

© 2021 Asia Pacific Knee, Arthroscopy and Sports Medicine Society. Published by Elsevier (Singapore) Pte Ltd.?.

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Auteurs

Seiju Hayashi (S)

Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Tomoyuki Nakasa (T)

Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Yoshiko Matsuoka (Y)

Department of Clinical Radiology, Hiroshima University Hospital Clinical Support, Hiroshima, Japan.

Yuji Akiyama (Y)

Department of Clinical Radiology, Hiroshima University Hospital Clinical Support, Hiroshima, Japan.

Masakazu Ishikawa (M)

Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Atsuo Nakamae (A)

Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Kazuo Awai (K)

Department of Diagnostic Radiology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Nobuo Adachi (N)

Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Classifications MeSH