Advanced Morphological and Biochemical Magnetic Resonance Imaging of Cartilage Repair Procedures in the Knee Joint at 3 Tesla

MR Center, Department of Radiology, Medical University of Vienna, Vienna, Austria.
Seminars in musculoskeletal radiology (Impact Factor: 1.09). 10/2008; 12(3):196-211. DOI: 10.1055/s-0028-1083104
Source: PubMed


Morphological and biochemical magnetic resonance imaging (MRI) is due to high field MR systems, advanced coil technology, and sophisticated sequence protocols capable of visualizing articular cartilage in vivo with high resolution in clinical applicable scan time. Several conventional two-dimensional (2D) and three-dimensional (3D) approaches show changes in cartilage structure. Furthermore newer isotropic 3D sequences show great promise in improving cartilage imaging and additionally in diagnosing surrounding pathologies within the knee joint. Functional MR approaches are additionally able to provide a specific measure of the composition of cartilage. Cartilage physiology and ultra-structure can be determined, changes in cartilage macromolecules can be detected, and cartilage repair tissue can thus be assessed and potentially differentiated. In cartilage defects and following nonsurgical and surgical cartilage repair, morphological MRI provides the basis for diagnosis and follow-up evaluation, whereas biochemical MRI provides a deeper insight into the composition of cartilage and cartilage repair tissue. A combination of both, together with clinical evaluation, may represent a desirable multimodal approach in the future, also available in routine clinical use.

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    • "There are more studies analyzing repair tissue after ACI [39, 63, 69, 124, 125, 132, 165, 174–176]. Higher delta relaxation rates and lower T1-Gd values, indicating lower GAG contents, were reported for repair tissue than for normal cartilage at baseline and 1 year, 3–13 months, and 9–42 months after MACI [35, 102]. "
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    ABSTRACT: Background. New quantitative magnetic resonance imaging (MRI) techniques are increasingly applied as outcome measures after cartilage repair. Objective. To review the current literature on the use of quantitative MRI biomarkers for evaluation of cartilage repair at the knee and ankle. Methods. Using PubMed literature research, studies on biochemical, quantitative MR imaging of cartilage repair were identified and reviewed. Results. Quantitative MR biomarkers detect early degeneration of articular cartilage, mainly represented by an increasing water content, collagen disruption, and proteoglycan loss. Recently, feasibility of biochemical MR imaging of cartilage repair tissue and surrounding cartilage was demonstrated. Ultrastructural properties of the tissue after different repair procedures resulted in differences in imaging characteristics. T2 mapping, T1rho mapping, delayed gadolinium-enhanced MRI of cartilage (dGEMRIC), and diffusion weighted imaging (DWI) are applicable on most clinical 1.5 T and 3 T MR scanners. Currently, a standard of reference is difficult to define and knowledge is limited concerning correlation of clinical and MR findings. The lack of histological correlations complicates the identification of the exact tissue composition. Conclusions. A multimodal approach combining several quantitative MRI techniques in addition to morphological and clinical evaluation might be promising. Further investigations are required to demonstrate the potential for outcome evaluation after cartilage repair.
    BioMed Research International 05/2014; 2014:840170. DOI:10.1155/2014/840170 · 1.58 Impact Factor
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    • "SPGR/FLASH sequences are readily available on almost all MRI scanners and do not require specific hard- or software, whereas the DESS is currently only available from one vendor [33]. Because the DESS acquires two separate images with different echo times simultaneously, this additionally provides potential opportunity to estimate T2 and to obtain morphological and compositional information of the cartilage from a single high-resolution data set [69]. This approach is still undergoing validation. "
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    ABSTRACT: Quantitative measures of cartilage morphology (i.e., thickness) represent potentially powerful surrogate endpoints in osteoarthritis (OA). These can be used to identify risk factors of structural disease progression and can facilitate the clinical efficacy testing of structure modifying drugs in OA. This paper focuses on quantitative imaging of articular cartilage morphology in the knee, and will specifically deal with different cartilage morphology outcome variables and regions of interest, the relative performance and relationship between cartilage morphology measures, reference values for MRI-based knee cartilage morphometry, imaging protocols for measurement of cartilage morphology (including those used in the Osteoarthritis Initiative), sensitivity to change observed in knee OA, spatial patterns of cartilage loss as derived by subregional analysis, comparison of MRI changes with radiographic changes, risk factors of MRI-based cartilage loss in knee OA, the correlation of MRI-based cartilage loss with clinical outcomes, treatment response in knee OA, and future directions of the field.
    01/2011; 2011(2090-1984):475684. DOI:10.1155/2011/475684
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    ABSTRACT: A two-dimensional measurement technique based on the electro-optical Kerr effect for electrical field distribution in dielectric liquids is described. The optic phase distribution of light is modulated in square pulsed mode by optical and electric modulations respectively. To decrease the effect of the noise component resulting from the electro-hydro-dynamic motion of the dielectric liquid, a diagnostic image lock-in amplifier technique is proposed
    Properties and Applications of Dielectric Materials, 1997., Proceedings of the 5th International Conference on; 01/1997
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