Summary
This chapter describes the computerized analysis of quantitative magnetic resonance (MR) parameters of water protons within articular cartilage. Those parameters were found to be consistently within a defined range for normal healthy cartilage and altered in a reproducible manner when the cartilage was fibrillated or the matrix degraded. T1 and T2 relaxation rates and magnetization transfer characteristics (T1sat and Msat/M0) of water in distal interphalangeal (DIP) joints were analyzed from a set of MR images acquired in vivo with a total scan time of 35 min, slice thickness of 1.5 mm, and resolution of 150µm2. A significant two- to threefold increase in the T2 and Msat/M0 ratio was found in DIP cartilage from asymptomatic volunteers compared to patients with nodal osteoarthritis. A similar increase was identified in 3-mm-diameter, full-depth biopsy samples from osteoarthritic (OA) femoral cartilage representative of different stages in cartilage degeneration compared to values obtained from processing images of the knee of normal volunteers with a slice thickness of 2 mm and resolution of 600µm2. This technology therefore provides an objective and quantitative means of identifying and monitoring cartilage degradation and repair within joints in vivo.
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© 1999 Springer-Verlag Tokyo
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Tyler, J.A., Hall, L.D., Watson, P.J. (1999). Development of Quantitative Magnetic Resonance Imaging for Assessment of Cartilage Damage and Repair in Vivo. In: Tanaka, S., Hamanishi, C. (eds) Advances in Osteoarthritis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68497-8_7
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DOI: https://doi.org/10.1007/978-4-431-68497-8_7
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