Relating MR relaxation times of


Journal

Osteoarthritis and cartilage open
ISSN: 2665-9131
Titre abrégé: Osteoarthr Cartil Open
Pays: England
ID NLM: 101767068

Informations de publication

Date de publication:
Jun 2020
Historique:
entrez: 11 5 2021
pubmed: 12 5 2021
medline: 12 5 2021
Statut: epublish

Résumé

Quantitative magnetic resonance imaging (MRI), e.g. relaxation parameter mapping, may be sensitive to structural and compositional tissue changes, and could potentially be used to non-invasively detect and monitor early meniscus degeneration related to knee osteoarthritis. To investigate MR relaxation times as potential biomarkers for meniscus degeneration through comparisons with histopathology. We measured MR relaxation parameters in the posterior horn of 40 menisci (medial and lateral) at a wide range of degenerative stages. T1, T2 and T2* were mapped using standard and ultrashort echo time sequences at 9.4 T and compared to gold standard histology using Pauli's histopathological scoring system, including assessment of surface integrity, collagen organization, cellularity and Safranin-O staining. All three relaxation times increased with total Pauli score (mean difference per score (95% CI) for T2*: 0.62 (0.37, 0.86), T2: 0.83 (0.53, 1.1) and T1: 24.7 (16.5, 32.8) ms/score). Clear associations were seen with scores of surface integrity (mean difference per score for T2*: 3.0 (1.8, 4.2), T2: 4.0 (2.5, 5.5) and T1: 116 (75.6, 156) ms/score) and collagen organization (mean difference between highest and lowest score for T2*: 5.3 (1.6, 8.9), T2: 6.1 (1.7, 11) and T1: 204 (75.9, 332) ms). The results were less clear for the remaining histopathological measures. MR relaxation times T1, T2 and T2* of

Sections du résumé

BACKGROUND BACKGROUND
Quantitative magnetic resonance imaging (MRI), e.g. relaxation parameter mapping, may be sensitive to structural and compositional tissue changes, and could potentially be used to non-invasively detect and monitor early meniscus degeneration related to knee osteoarthritis.
OBJECTIVE OBJECTIVE
To investigate MR relaxation times as potential biomarkers for meniscus degeneration through comparisons with histopathology.
METHODS METHODS
We measured MR relaxation parameters in the posterior horn of 40 menisci (medial and lateral) at a wide range of degenerative stages. T1, T2 and T2* were mapped using standard and ultrashort echo time sequences at 9.4 T and compared to gold standard histology using Pauli's histopathological scoring system, including assessment of surface integrity, collagen organization, cellularity and Safranin-O staining.
RESULTS RESULTS
All three relaxation times increased with total Pauli score (mean difference per score (95% CI) for T2*: 0.62 (0.37, 0.86), T2: 0.83 (0.53, 1.1) and T1: 24.7 (16.5, 32.8) ms/score). Clear associations were seen with scores of surface integrity (mean difference per score for T2*: 3.0 (1.8, 4.2), T2: 4.0 (2.5, 5.5) and T1: 116 (75.6, 156) ms/score) and collagen organization (mean difference between highest and lowest score for T2*: 5.3 (1.6, 8.9), T2: 6.1 (1.7, 11) and T1: 204 (75.9, 332) ms). The results were less clear for the remaining histopathological measures.
CONCLUSIONS CONCLUSIONS
MR relaxation times T1, T2 and T2* of

Identifiants

pubmed: 33972933
doi: 10.1016/j.ocarto.2020.100061
pmc: PMC7610736
mid: EMS122080
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : European Research Council
ID : 336267
Pays : International
Organisme : European Research Council
ID : 771121
Pays : International

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors have no conflicts of interest to declare.

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Auteurs

Emma Einarsson (E)

Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden.
Clinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Jonas Svensson (J)

Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden.
Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.

Elin Folkesson (E)

Clinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Molecular Skeletal Biology and Rheumatology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Iida Kestilä (I)

Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland.

Jon Tjörnstrand (J)

Orthopedics, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden.

Pernilla Peterson (P)

Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden.
Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.

Mikko A J Finnilä (MAJ)

Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland.

H Velocity Hughes (HV)

Clinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Aleksandra Turkiewicz (A)

Clinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Simo Saarakkala (S)

Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland.
Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.

Martin Englund (M)

Clinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Classifications MeSH