Quantitative magnetic resonance imaging of articular cartilage in osteoarthritis.

Magnetic resonance imaging of articular cartilage has recently been recognized as a tool for the characterization of cartilage morphology, biochemistry and function. In this paper advancements in cartilage imaging, computation of cartilage volume and thickness, and measurement of relaxation times (T2 and T1Rho) are presented. In addition, the delayed uptake of Gadolinium DTPA as a marker of proteoglycan depletion is also reviewed. The cross-sectional and longitudinal studies using these imaging techniques show promise for cartilage assessment and for the study of osteoarthritis.

[1]  Sharmila Majumdar,et al.  A pilot, two-year longitudinal study of the interrelationship between trabecular bone and articular cartilage in the osteoarthritic knee. , 2004, Osteoarthritis and cartilage.

[2]  T. Fairbank Knee joint changes after meniscectomy. , 1948, The Journal of bone and joint surgery. British volume.

[3]  Ali Guermazi,et al.  Increase in bone marrow lesions associated with cartilage loss: a longitudinal magnetic resonance imaging study of knee osteoarthritis. , 2006, Arthritis and rheumatism.

[4]  Vincent J Schmithorst,et al.  Mapping T2 relaxation time in the pediatric knee: feasibility with a clinical 1.5-T MR imaging system. , 2002, Radiology.

[5]  Johanne Martel-Pelletier,et al.  Long term evaluation of disease progression through the quantitative magnetic resonance imaging of symptomatic knee osteoarthritis patients: correlation with clinical symptoms and radiographic changes , 2005, Arthritis research & therapy.

[6]  A Guermazi,et al.  The relationship between specific tissue lesions and pain severity in persons with knee osteoarthritis. , 2006, Osteoarthritis and cartilage.

[7]  J. Dunn,et al.  Micro-imaging of articular cartilage: T2, proton density, and the magic angle effect. , 1998, Academic radiology.

[8]  T. Mosher,et al.  Effect of gender on in vivo cartilage magnetic resonance imaging T2 mapping , 2004, Journal of magnetic resonance imaging : JMRI.

[9]  C. E. Henning,et al.  Knee joint surface changes. Long-term follow-up meniscus tear treatment in stable anterior cruciate ligament reconstructions. , 1983, Clinical orthopaedics and related research.

[10]  L D Hall,et al.  Measurement of localized cartilage volume and thickness of human knee joints by computer analysis of three-dimensional magnetic resonance images. , 1998, Investigative radiology.

[11]  F. Cicuttini,et al.  Longitudinal study of changes in tibial and femoral cartilage in knee osteoarthritis. , 2004, Arthritis and rheumatism.

[12]  C. Peterfy,et al.  Imaging of the disease process , 2002, Current opinion in rheumatology.

[13]  R Burgkart,et al.  Long-term and resegmentation precision of quantitative cartilage MR imaging (qMRI). , 2002, Osteoarthritis and cartilage.

[14]  T. Spector,et al.  Radiological progression of osteoarthritis: an 11 year follow up study of the knee. , 1992, Annals of the rheumatic diseases.

[15]  G A Ateshian,et al.  Knee cartilage topography, thickness, and contact areas from MRI: in-vitro calibration and in-vivo measurements. , 1999, Osteoarthritis and cartilage.

[16]  K. T. Scott,et al.  Protocol issues for delayed Gd(DTPA)2–‐enhanced MRI (dGEMRIC) for clinical evaluation of articular cartilage , 2001, Magnetic resonance in medicine.

[17]  A Guermazi,et al.  Change in joint space width: hyaline articular cartilage loss or alteration in meniscus? , 2006, Arthritis and rheumatism.

[18]  T. Schnitzer,et al.  Severity of articular cartilage abnormality in patients with osteoarthritis: evaluation with fast spin-echo MR vs arthroscopy. , 1994, AJR. American journal of roentgenology.

[19]  R. Malamet,et al.  A survey of osteoarthritis of the knee in the elderly. , 1983, The Journal of rheumatology.

[20]  Sharmila Majumdar,et al.  Osteoarthritis: MR imaging findings in different stages of disease and correlation with clinical findings. , 2003, Radiology.

[21]  D. Schurman,et al.  Risk factors for the development of osteoarthrosis of the knee. , 1990, Clinical orthopaedics and related research.

[22]  L. Sharma,et al.  Local factors in osteoarthritis , 2001, Current opinion in rheumatology.

[23]  V. Mlynárik,et al.  Transverse relaxation mechanisms in articular cartilage. , 2004, Journal of magnetic resonance.

[24]  J. B. Kneeland,et al.  Sensitivity of MRI to proteoglycan depletion in cartilage: comparison of sodium and proton MRI. , 2000, Osteoarthritis and cartilage.

[25]  L. Kazis,et al.  The Association of Bone Marrow Lesions with Pain in Knee Osteoarthritis , 2001, Annals of Internal Medicine.

[26]  F. Cicuttini,et al.  The determinants of change in patella cartilage volume in osteoarthritic knees. , 2002, The Journal of rheumatology.

[27]  Charles A McKenzie,et al.  Delayed gadolinium-enhanced magnetic resonance imaging of cartilage in knee osteoarthritis: findings at different radiographic stages of disease and relationship to malalignment. , 2005, Arthritis and rheumatism.

[28]  L. D. de Bont,et al.  The structure, biochemistry, and metabolism of osteoarthritic cartilage: a review of the literature. , 1995, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[29]  L W Jelinski,et al.  Diffusion and relaxation mapping of cartilage‐bone plugs and excised disks using microscopic magnetic resonance imaging , 1994, Magnetic resonance in medicine.

[30]  F. Cicuttini,et al.  Longitudinal study of the relationship between knee angle and tibiofemoral cartilage volume in subjects with knee osteoarthritis. , 2004, Rheumatology.

[31]  Pottumarthi Prasad,et al.  Three-Dimensional T1 Mapping for dGEMRIC at 3.0 T Using the Look Locker Method , 2006, Investigative radiology.

[32]  P. Leander,et al.  Delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC): intra‐ and interobserver variability in standardized drawing of regions of interest , 2004, Acta radiologica.

[33]  Sharmila Majumdar,et al.  T2 relaxation time measurements in osteoarthritis. , 2004, Magnetic resonance imaging.

[34]  H. Lindberg,et al.  Heavy labor and the occurrence of gonarthrosis. , 1987, Clinical orthopaedics and related research.

[35]  D. Burstein,et al.  T2 and T1rho MRI in articular cartilage systems. , 2004, Magnetic resonance in medicine.

[36]  J. Feagin The syndrome of the torn anterior cruciate ligament. , 1979, The Orthopedic clinics of North America.

[37]  H. Riihimäki,et al.  Weight changes and the risk of knee osteoarthritis requiring arthroplasty , 2004, Annals of the rheumatic diseases.

[38]  A. Borthakur,et al.  Correlation of T1ρ with fixed charge density in cartilage , 2004, Journal of magnetic resonance imaging : JMRI.

[39]  E. Roos,et al.  Positive effects of moderate exercise on glycosaminoglycan content in knee cartilage: a four-month, randomized, controlled trial in patients at risk of osteoarthritis. , 2005, Arthritis and rheumatism.

[40]  Juha Töyräs,et al.  Prediction of biomechanical properties of articular cartilage with quantitative magnetic resonance imaging. , 2004, Journal of biomechanics.

[41]  C. Thomsen,et al.  Delayed gadolinium-enhanced magnetic resonance imaging (dGEMRIC) of hip joint cartilage: better cartilage delineation after intra-articular than intravenous gadolinium injection , 2006, Acta radiologica.

[42]  C C Glüer,et al.  Quantification of articular cartilage in the knee with pulsed saturation transfer subtraction and fat-suppressed MR imaging: optimization and validation. , 1994, Radiology.

[43]  S. Majumdar,et al.  Magnetic resonance evaluation of the interrelationship between articular cartilage and trabecular bone of the osteoarthritic knee. , 2004, Osteoarthritis and cartilage.

[44]  P. Dieppe,et al.  Comparison of visual and radiographic detection of bony changes at the knee joint. , 1990, BMJ.

[45]  J. B. Kneeland,et al.  T1ρ‐relaxation in articular cartilage: Effects of enzymatic degradation , 1997, Magnetic resonance in medicine.

[46]  D Resnick,et al.  Abnormalities of articular cartilage in the knee: analysis of available MR techniques. , 1993, Radiology.

[47]  Martha L. Gray,et al.  T2 and T1ρ MRI in articular cartilage systems , 2004 .

[48]  Wei Li,et al.  Bone Marrow Edema and Its Relation to Progression of Knee Osteoarthritis , 2003, Annals of Internal Medicine.

[49]  F. Cicuttini,et al.  Comparison of patella cartilage volume and radiography in the assessment of longitudinal joint change at the patellofemoral joint. , 2004, The Journal of rheumatology.

[50]  P. Sambrook,et al.  The association of cartilage volume with knee pain. , 2003, Osteoarthritis and cartilage.

[51]  Xiaojuan Li,et al.  In vivo 3T spiral imaging based multi‐slice T1ρ mapping of knee cartilage in osteoarthritis , 2005, Magnetic resonance in medicine.

[52]  Felix Eckstein,et al.  Accuracy and precision of quantitative assessment of cartilage morphology by magnetic resonance imaging at 3.0T. , 2005, Arthritis and rheumatism.

[53]  R. Moskowitz Osteoarthritis, diagnosis and management , 1984 .

[54]  D. Burstein,et al.  Magnetic Resonance Imaging of Relative Glycosaminoglycan Distribution in Patients with Autologous Chondrocyte Transplants , 2001, Investigative radiology.

[55]  D. Elliott,et al.  Quantification of cartilage biomechanical and biochemical properties via T1ρ magnetic resonance imaging , 2005, Magnetic resonance in medicine.

[56]  I. Kiviranta,et al.  Delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) and T2 characteristics of human knee articular cartilage: Topographical variation and relationships to mechanical properties , 2004, Magnetic resonance in medicine.

[57]  Martha L Gray,et al.  Assessment of early osteoarthritis in hip dysplasia with delayed gadolinium-enhanced magnetic resonance imaging of cartilage. , 2003, The Journal of bone and joint surgery. American volume.

[58]  F. Eckstein,et al.  Magnetic resonance imaging (MRI) of articular cartilage in knee osteoarthritis (OA): morphological assessment. , 2006, Osteoarthritis and cartilage.

[59]  J. B. Kneeland,et al.  3D-T1ρ-relaxation mapping of articular cartilage , 2004 .

[60]  Y. Xia,et al.  Relaxation anisotropy in cartilage by NMR microscopy (muMRI) at 14-microm resolution. , 1998, Magnetic resonance in medicine.

[61]  J. B. Kneeland,et al.  T1ρ relaxation mapping in human osteoarthritis (OA) cartilage: Comparison of T1ρ with T2 , 2006 .

[62]  Yang Xia,et al.  Relaxation anisotropy in cartilage by NMR microscopy (μMRI) at 14‐μm resolution , 1998 .

[63]  K. Kaufman,et al.  Fate of the ACL-injured Patient , 1994, The American journal of sports medicine.

[64]  D. Felson,et al.  Weight Loss Reduces the Risk for Symptomatic Knee Osteoarthritis in Women , 1992, Annals of Internal Medicine.

[65]  L. Sharma,et al.  dGEMRIC as a function of BMI. , 2006, Osteoarthritis and cartilage.

[66]  Johanne Martel-Pelletier,et al.  Quantitative magnetic resonance imaging evaluation of knee osteoarthritis progression over two years and correlation with clinical symptoms and radiologic changes. , 2004, Arthritis and rheumatism.

[67]  F Eckstein,et al.  A non-invasive technique for 3-dimensional assessment of articular cartilage thickness based on MRI. Part 1: Development of a computational method. , 1997, Magnetic resonance imaging.

[68]  M Deimling,et al.  Cartilage disorders: comparison of spin-echo, CHESS, and FLASH sequence MR images. , 1987, Radiology.

[69]  F. Cicuttini,et al.  How does tibial cartilage volume relate to symptoms in subjects with knee osteoarthritis? , 2004, Annals of the rheumatic diseases.

[70]  H. Imhof,et al.  The role of relaxation times in monitoring proteoglycan depletion in articular cartilage , 1999, Journal of magnetic resonance imaging : JMRI.

[71]  T D Cooke,et al.  Radiographic assessment of progression in osteoarthritis. , 1987, Arthritis and rheumatism.

[72]  M. Reiser,et al.  Assessment of normal patellar cartilage volume and thickness using MRI: an analysis of currently available pulse sequences , 1996, Skeletal Radiology.

[73]  M S Laasanen,et al.  Proteoglycan and collagen sensitive MRI evaluation of normal and degenerated articular cartilage , 2004, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[74]  V J Schmithorst,et al.  MR imaging and T2 mapping of femoral cartilage: in vivo determination of the magic angle effect. , 2001, AJR. American journal of roentgenology.

[75]  H. Rechl,et al.  Structure, function, and degeneration of bovine hyaline cartilage: assessment with MR imaging in vitro. , 1989, Radiology.

[76]  J. B. Kneeland,et al.  In vivo proton MR three-dimensional T1rho mapping of human articular cartilage: initial experience. , 2003, Radiology.

[77]  D. Burstein,et al.  Three‐dimensional delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) at 1.5T and 3.0T , 2006, Journal of magnetic resonance imaging : JMRI.

[78]  D. Zurakowski,et al.  Delayed gadolinium-enhanced magnetic resonance imaging of cartilage to predict early failure of Bernese periacetabular osteotomy for hip dysplasia. , 2006, The Journal of bone and joint surgery. American volume.

[79]  F Eckstein,et al.  Side differences of knee joint cartilage volume, thickness, and surface area, and correlation with lower limb dominance--an MRI-based study. , 2002, Osteoarthritis and cartilage.

[80]  Yi Liu,et al.  Change in knee cartilage T2 at MR imaging after running: a feasibility study. , 2005, Radiology.

[81]  Carl Johan Tiderius,et al.  Delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) in early knee osteoarthritis , 2003, Magnetic resonance in medicine.

[82]  Miika T Nieminen,et al.  T2 of articular cartilage in the presence of Gd‐DTPA2− , 2004, Magnetic resonance in medicine.

[83]  Arijitt Borthakur,et al.  Proteoglycan depletion-induced changes in transverse relaxation maps of cartilage: comparison of T2 and T1rho. , 2002, Academic radiology.

[84]  G. Guillot,et al.  T 2 mapping : an efficient MR quantitative technique to evaluate spontaneous cartilage repair in rat patella 1 , 2004 .

[85]  Bruce C. Po,et al.  Glycosaminoglycan distribution in cartilage as determined by delayed gadolinium-enhanced MRI of cartilage (dGEMRIC): potential clinical applications. , 2004, AJR. American journal of roentgenology.

[86]  M Lequesne,et al.  Longitudinal radiologic evaluation of osteoarthritis of the knee. , 1992, The Journal of rheumatology.

[87]  J. B. Kneeland,et al.  Proteoglycan‐induced changes in T1ρ‐relaxation of articular cartilage at 4T , 2001, Magnetic resonance in medicine.

[88]  J. B. Kneeland,et al.  3D-T1rho-relaxation mapping of articular cartilage: in vivo assessment of early degenerative changes in symptomatic osteoarthritic subjects. , 2004, Academic radiology.

[89]  J. Kellgren,et al.  Radiological Assessment of Osteo-Arthrosis , 1957, Annals of the rheumatic diseases.

[90]  D. Burstein,et al.  Gd‐DTPA2− as a measure of cartilage degradation , 1996, Magnetic resonance in medicine.

[91]  P A Dieppe,et al.  No loss of cartilage volume over three years in patients with knee osteoarthritis as assessed by magnetic resonance imaging. , 2002, Osteoarthritis and cartilage.

[92]  Deborah Burstein,et al.  Spatially‐localized correlation of dGEMRIC‐measured GAG distribution and mechanical stiffness in the human tibial plateau , 2005, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[93]  Flavia Cicuttini,et al.  Knee structural alteration and BMI: a cross-sectional study. , 2005, Obesity research.

[94]  F. Cicuttini,et al.  Association between knee cartilage volume and bone mineral density in older adults without osteoarthritis. , 2004, Rheumatology.

[95]  Jean-Pierre Ruaud,et al.  Effect of proteoglycan depletion on T2 mapping in rat patellar cartilage. , 2005, Radiology.

[96]  F. Cicuttini,et al.  The determinants of change in tibial cartilage volume in osteoarthritic knees. , 2002, Arthritis and rheumatism.

[97]  T. Stammberger,et al.  Determination of 3D cartilage thickness data from MR imaging: Computational method and reproducibility in the living , 1999, Magnetic resonance in medicine.

[98]  V. Mlynárik,et al.  Proteoglycan depletion and magnetic resonance parameters of articular cartilage. , 2001, Archives of biochemistry and biophysics.

[99]  L. Sharma,et al.  The role of knee alignment in disease progression and functional decline in knee osteoarthritis. , 2001, JAMA.

[100]  C J Taylor,et al.  The use of active shape models for making thickness measurements of articular cartilage from MR images , 1997, Magnetic resonance in medicine.

[101]  M S Laasanen,et al.  T2 relaxation time and delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC) of human patellar cartilage at 1.5 T and 9.4 T: Relationships with tissue mechanical properties , 2006, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[102]  Van,et al.  Spatial variation of T2 in human articular cartilage. , 1997, Radiology.

[103]  M. Hochberg,et al.  Reliability of a quantification imaging system using magnetic resonance images to measure cartilage thickness and volume in human normal and osteoarthritic knees. , 2003, Osteoarthritis and cartilage.

[104]  S Majumdar,et al.  MR imaging and early cartilage degeneration and strategies for monitoring regeneration. , 2006, Journal of musculoskeletal & neuronal interactions.

[105]  V J Schmithorst,et al.  Spatial variation in cartilage T2 of the knee , 2001, Journal of magnetic resonance imaging : JMRI.

[106]  High-resolution magnetic resonance imaging of articular cartilage: correlation with histology and pathology. , 1998, Topics in magnetic resonance imaging : TMRI.

[107]  D. Burstein,et al.  Nondestructive imaging of human cartilage glycosaminoglycan concentration by MRI , 1999, Magnetic resonance in medicine.

[108]  T J Mosher,et al.  Human articular cartilage: influence of aging and early symptomatic degeneration on the spatial variation of T2--preliminary findings at 3 T. , 2000, Radiology.

[109]  Dragica Bobinac,et al.  Changes in articular cartilage and subchondral bone histomorphometry in osteoarthritic knee joints in humans. , 2003, Bone.

[110]  Youssef Zaim Wadghiri,et al.  Macroscopic structure of articular cartilage of the tibial plateau: influence of a characteristic matrix architecture on MRI appearance. , 2004, AJR. American journal of roentgenology.