T2* mapping of hip joint cartilage in various histological grades of degeneration

T2* mapping of hip joint cartilage in various histological grades of degeneration
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DOI:
10.1016/j.joca.2012.03.011
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发表时间:
2012-07-01
影响因子:
7
通讯作者:
Zilkens, C.
Zilkens, C.
中科院分区:
医学2区
文献类型:
--
作者:
Bittersohl, B.;Miese, F. R.;Zilkens, C.

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目标:方法:对21例骨关节炎(OA)不同组织学严重程度的股骨头标本进行磁共振成像(MRI)和T2* 标测,包括用于软骨形态评估的三维(3D)双回波稳态(DESS)序列和用于T2* 标测的3D多回波数据图像组合(MEDIC)序列。随后,在所有标本中进行组织学评估,以将T2* 映射的观察结果与组织学分析相关联。根据Mankin评分,将组织学变化确定为4个等级:0级(Mankin评分0-4)、I级(评分5-8)、II级(评分9-10)和III级(评分11-14)。结果:T2* 值随软骨退变程度的增加而显著降低(总P值
Objective: To evaluate T2* values in various histological severities of osteoarthritis (OA).Method: Magnetic resonance imaging (MRI) and T2* mapping including a three-dimensional (3D) double-echo steady-state (DESS) sequence for morphological cartilage assessment and a 3D multiecho data image combination (MEDIC) sequence for T2* mapping were conducted in 21 human femoral head specimens with varying severities of OA. Subsequently, histological assessment was undertaken in all specimens to correlate the observations of T2* mapping with histological analyses. According to the Mankin score, four grades of histological changes were determined: grade 0 (Mankin scores of 0-4), grade I (scores of 5-8), grade II (scores of 9-10), and grade III (scores of 11-14). For reliability assessment, cartilage T2* measurements were repeated after 4 weeks in 10 randomly selected femoral head specimens.Results: T2* values decreased significantly with increasing cartilage degeneration (total P-values