Real-Time MRI and 3D Modeling: Development and Application to Patellofemoral Pain

描述（由申请人提供）：本研究的长期目标是开发和验证新的成像和生物力学建模技术，以确定导致个体患者关节损伤和疾病的因素。本研究的第一个目的是开发和验证一个系统，使用实时磁共振成像（MRI）来量化体内关节运动学。实时（MRI）提供了一种独特的成像方式来研究健康和病理关节的运动。第二个目标是开发一种基于图像的建模管道来估计生理负载条件下体内软骨应力。最后，我们将使用这个模型框架来研究常见的肌肉骨骼疾病，髌骨（PF）疼痛的病因。

DESCRIPTION (provided by applicant): The long-term goal of this research is to develop and validate novel imaging and biomechanical modeling techniques to identify factors that contribute to joint injury and disease in individual patients. The first aim of this research is to develop and validate a system to quantify joint kinematics in vivo using real-time magnetic resonance imaging (MRI). Real-time (MRI) provides a unique imaging modality to investigate the motion of healthy and pathological joints. The second aim is to develop an image-based modeling pipeline to estimate cartilage stress in vivo under physiological loading conditions. Finally, we will use this modeling framework to investigate the etiology of a common musculoskeletal disorder, patellofemoral (PF) pain. To achieve these aims, we will first improve the spatial and temporal resolution of the real-time MRI for musculoskeletal imaging. A rigid-body tracking technique will then be used to extract three-dimensional motion of bones from the real-time images. The accuracy of this system will be tested by tracking the motion of an MR-compatible dynamic phantom. An image-based finite element (FE) modeling pipeline will then be developed to incorporate patient-specific cartilage material properties obtained from MRI. A cadaver study will be carried out to correlate T1 and T2 relaxation times of cartilage from MRI with cartilage stiffness. Muscle forces for the FE model will be estimated using a musculoskeletal model that takes into account patient-specific muscle activation patterns. Finally, these imaging and modeling tools will be used to evaluate the mechanical etiology of PF pain. We will test a common clinical hypothesis, that PF pain is related to increased cartilage stress. We will estimate in vivo cartilage stress in a group of PF pain patients (n=40) and a group of pain-free controls (n=20) during static and dynamic squatting tasks. We will investigate a number of factors that may influence the cartilage stress, including: PF joint maltracking, contact area, joint contact forces, altered cartilage stiffness, and cartilage thickness. Musculoskeletal injuries and diseases are serious public health issues. The knee joint is particularly susceptible to injuries, which can lead to prolonged periods of inactivity, accelerated onset and progression of osteoarthritis and other health problems. The novel imaging and biomechanical modeling techniques developed in this research will be used to improve the diagnosis and treatment of a range of musculoskeletal disorders.