Skip to main content
Erschienen in: Skeletal Radiology 5/2019

02.02.2019 | Scientific Article

T2 mapping of cartilage and menisci at 3T in healthy subjects with knee malalignment: initial experience

verfasst von: Jiangtao Zhu, Ningfan Hu, Xiaoyun Liang, Xiaojing Li, Jian Guan, Yajuan Wang, Ligong Wang

Erschienen in: Skeletal Radiology | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To assess the relationship between knee alignment and T2 values of femorotibial cartilage and menisci in healthy subjects at 3 T.

Materials and methods

Thirty-six healthy subjects divided into three subgroups of 12 neutral, 12 varus, and 12 valgus alignment of the femorotibial joint were investigated on 3-T MR scanner using a 2D multi-echo turbo spin-echo (TSE) sequence for T2 mapping. Wilcoxon signed-rank test and analysis of covariance (ANCOVA) were performed to determine any statistically significant differences in subregional T2 values of femorotibial cartilage and menisci among the three subgroups of healthy subjects.

Results

Lateral femoral anterior cartilage subregion (52 ± 3 ms, mean ± standard deviation; 53 ± 2 ms) had significantly higher T2 values (p < 0.05) than medial femoral anterior cartilage subregion (51 ± 2 ms; 51 ± 2 ms) in varus and valgus groups, respectively. There were statistically significant differences (p < 0.05) in T2 values of tibial central cartilage subregion between lateral and medical compartment among varus, valgus, and neutral subgroups. Lateral body segment of meniscus (41 ± 3 ms) had significantly higher (p < 0.05) T2 values than medial body segment (40 ± 2 ms) in the varus subgroup.

Conclusions

Some degree of correlation between knee alignment and subregional T2 values of femorotibial cartilage and menisci exists in healthy subjects. These findings indicate that T2 mapping may be sensitive in assessing the load distribution pattern of human cartilage and menisci with knee alignment abnormality, which may be used as reference baseline when understanding the occurrence and progression of knee osteoarthritis.
Literatur
1.
Zurück zum Zitat Maizlin ZV, Clement JJ, Patola WB, Fenton DM, Gillies JH, Vos PM, et al. T2 mapping of articular cartilage of glenohumeral joint with routine MRI correlation—initial experience. HSS J. 2009;5:61–6.CrossRefPubMedPubMedCentral Maizlin ZV, Clement JJ, Patola WB, Fenton DM, Gillies JH, Vos PM, et al. T2 mapping of articular cartilage of glenohumeral joint with routine MRI correlation—initial experience. HSS J. 2009;5:61–6.CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Friedrich KM, Shepard T, Chang G, Wang L, Babb JS, Schweitzer M, et al. Does joint alignment affect the T2 values of cartilage in patients with knee osteoarthritis? Eur Radiol. 2010;20:1532–8.CrossRefPubMed Friedrich KM, Shepard T, Chang G, Wang L, Babb JS, Schweitzer M, et al. Does joint alignment affect the T2 values of cartilage in patients with knee osteoarthritis? Eur Radiol. 2010;20:1532–8.CrossRefPubMed
3.
Zurück zum Zitat Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000;133:635–46.CrossRefPubMed Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000;133:635–46.CrossRefPubMed
4.
Zurück zum Zitat Sharma L, Song J, Felson DT, Cahue S, Shamiyeh E, Dunlop DD. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA. 2001;286:188–95.CrossRefPubMed Sharma L, Song J, Felson DT, Cahue S, Shamiyeh E, Dunlop DD. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA. 2001;286:188–95.CrossRefPubMed
6.
Zurück zum Zitat Arokoski JP, Jurvelin JS, Vaatainen U, Helminen HJ. Normal and pathological adaptations of articular cartilage to joint loading. Scand J Med Sci Sports. 2000;10:186–98.CrossRefPubMed Arokoski JP, Jurvelin JS, Vaatainen U, Helminen HJ. Normal and pathological adaptations of articular cartilage to joint loading. Scand J Med Sci Sports. 2000;10:186–98.CrossRefPubMed
7.
Zurück zum Zitat Wang L, Chang G, Bencardino J, Babb JS, Rokito A, Jazrawi L, et al. T1rho MRI at 3T of menisci in patients with acute anterior cruciate ligament (ACL) injury. J Magn Reson Imaging. 2015;41:544–9.CrossRefPubMed Wang L, Chang G, Bencardino J, Babb JS, Rokito A, Jazrawi L, et al. T1rho MRI at 3T of menisci in patients with acute anterior cruciate ligament (ACL) injury. J Magn Reson Imaging. 2015;41:544–9.CrossRefPubMed
8.
Zurück zum Zitat Wang L, Salibi N, Chang G, Bencardino JT, Babb JS, Rokito A, et al. Evaluation of subchondral bone marrow lipids of acute anterior cruciate ligament (ACL)-injured patients at 3T. Acad Radiol. 2014;21:758–66.CrossRefPubMedPubMedCentral Wang L, Salibi N, Chang G, Bencardino JT, Babb JS, Rokito A, et al. Evaluation of subchondral bone marrow lipids of acute anterior cruciate ligament (ACL)-injured patients at 3T. Acad Radiol. 2014;21:758–66.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Wang L, Vieira RL, Rybak LD, Babb JS, Chang G, Krasnokutsky S, et al. Relationship between knee alignment and T1ρ values of articular cartilage and menisci in patients with knee osteoarthritis. Eur J Radiol. 2013;82:1946–52.CrossRefPubMedPubMedCentral Wang L, Vieira RL, Rybak LD, Babb JS, Chang G, Krasnokutsky S, et al. Relationship between knee alignment and T1ρ values of articular cartilage and menisci in patients with knee osteoarthritis. Eur J Radiol. 2013;82:1946–52.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Wang L, Salibi N, Chang G, Vieira RL, Babb JS, Krasnokutsky S, et al. Assessment of subchondral bone marrow lipids in healthy controls and mild osteoarthritis patients at 3T. NMR Biomed. 2012;25:545–55.CrossRefPubMed Wang L, Salibi N, Chang G, Vieira RL, Babb JS, Krasnokutsky S, et al. Assessment of subchondral bone marrow lipids in healthy controls and mild osteoarthritis patients at 3T. NMR Biomed. 2012;25:545–55.CrossRefPubMed
11.
Zurück zum Zitat Gong J, Pedoia V, Facchetti L, Link TM, Ma CB, Li X. Bone marrow edema-like lesions (BMELs) are associated with higher T1ρ and T2 values of cartilage in anterior cruciate ligament (ACL)-reconstructed knees: a longitudinal study. Quant Imaging Med Surg. 2016;6:661–70.CrossRefPubMedPubMedCentral Gong J, Pedoia V, Facchetti L, Link TM, Ma CB, Li X. Bone marrow edema-like lesions (BMELs) are associated with higher T1ρ and T2 values of cartilage in anterior cruciate ligament (ACL)-reconstructed knees: a longitudinal study. Quant Imaging Med Surg. 2016;6:661–70.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991;9:113–9.CrossRefPubMed Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991;9:113–9.CrossRefPubMed
13.
Zurück zum Zitat Tetsworth K, Paley D. Malalignment and degenerative arthropathy. Orthop Clin North Am. 1994;25:367–77.PubMed Tetsworth K, Paley D. Malalignment and degenerative arthropathy. Orthop Clin North Am. 1994;25:367–77.PubMed
14.
Zurück zum Zitat Chang EY, Du J, Chung CB. UTE imaging in the musculoskeletal system. J Magn Reson Imaging. 2015;41:870–83.CrossRefPubMed Chang EY, Du J, Chung CB. UTE imaging in the musculoskeletal system. J Magn Reson Imaging. 2015;41:870–83.CrossRefPubMed
15.
Zurück zum Zitat Surowiec RK, Lucas EP, Ho CP. Quantitative MRI in the evaluation of articular cartilage health: reproducibility and variability with a focus on T2 mapping. Knee Surg Sports Traumatol Arthrosc. 2014;22:1385–95.CrossRefPubMed Surowiec RK, Lucas EP, Ho CP. Quantitative MRI in the evaluation of articular cartilage health: reproducibility and variability with a focus on T2 mapping. Knee Surg Sports Traumatol Arthrosc. 2014;22:1385–95.CrossRefPubMed
16.
Zurück zum Zitat Liu F, Chaudhary R, Hurley SA, Munoz DRA, Alexander AL, Samsonov A, et al. Rapid multicomponent T2 analysis of the articular cartilage of the human knee joint at 3. 0T J Magn Reson Imaging. 2014;39:1191–7.CrossRefPubMed Liu F, Chaudhary R, Hurley SA, Munoz DRA, Alexander AL, Samsonov A, et al. Rapid multicomponent T2 analysis of the articular cartilage of the human knee joint at 3. 0T J Magn Reson Imaging. 2014;39:1191–7.CrossRefPubMed
17.
Zurück zum Zitat Goodwin DW, Wadghiri YZ, Zhu H, Vinton CJ, Smith ED, Dunn JF. Macroscopic structure of articular cartilage of the tibial plateau: influence of a characteristic matrix architecture on MRI appearance. Am J Roentgenol. 2004;182:311–8.CrossRef Goodwin DW, Wadghiri YZ, Zhu H, Vinton CJ, Smith ED, Dunn JF. Macroscopic structure of articular cartilage of the tibial plateau: influence of a characteristic matrix architecture on MRI appearance. Am J Roentgenol. 2004;182:311–8.CrossRef
18.
Zurück zum Zitat Prasad AP, Nardo L, Schooler J, Joseph GB, Link TM. T1ρ and T2 relaxation times predict progression of knee osteoarthritis. Osteoarthr Cartilage. 2013;21:69–76.CrossRef Prasad AP, Nardo L, Schooler J, Joseph GB, Link TM. T1ρ and T2 relaxation times predict progression of knee osteoarthritis. Osteoarthr Cartilage. 2013;21:69–76.CrossRef
19.
Zurück zum Zitat Tsai PH, Chou MC, Lee HS, Lee CH, Chung HW, Chang YC, et al. MR T2 values of the knee menisci in the healthy young population: zonal and sex differences. Osteoarthr Cartilage. 2009;17:988–94.CrossRef Tsai PH, Chou MC, Lee HS, Lee CH, Chung HW, Chang YC, et al. MR T2 values of the knee menisci in the healthy young population: zonal and sex differences. Osteoarthr Cartilage. 2009;17:988–94.CrossRef
21.
Zurück zum Zitat Shapiro LM, McWalter EJ, Son MS, Levenston M, Hargreaves BA, Gold GE. Mechanisms of osteoarthritis in the knee: MR imaging appearance. J Magn Reson Imaging. 2014;39:1346–56.CrossRefPubMedPubMedCentral Shapiro LM, McWalter EJ, Son MS, Levenston M, Hargreaves BA, Gold GE. Mechanisms of osteoarthritis in the knee: MR imaging appearance. J Magn Reson Imaging. 2014;39:1346–56.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Wang L, Regatte RR. Quantitative mapping of human cartilage at 3.0 T: parallel changes in T2, T1ρ, and dGEMRIC. Acad Radiol. 2014;21:463–71.CrossRefPubMedPubMedCentral Wang L, Regatte RR. Quantitative mapping of human cartilage at 3.0 T: parallel changes in T2, T1ρ, and dGEMRIC. Acad Radiol. 2014;21:463–71.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Friedrich KM, Shepard T, de Oliveira VS, Wang L, Babb JS, Schweitzer M, et al. T2 measurements of cartilage in osteoarthritis patients with Meniscal tears. Am J Roentgenol. 2009;193:W411–5.CrossRef Friedrich KM, Shepard T, de Oliveira VS, Wang L, Babb JS, Schweitzer M, et al. T2 measurements of cartilage in osteoarthritis patients with Meniscal tears. Am J Roentgenol. 2009;193:W411–5.CrossRef
24.
Zurück zum Zitat Brouwer GM, van Tol AW, Bergink AP, Belo JN, Bernsen RM, Reijman M, et al. Association between valgus and varus alignment and the development and progression of radiographic osteoarthritis of the knee. Arthritis Rheum. 2007;56:1204–11.CrossRefPubMed Brouwer GM, van Tol AW, Bergink AP, Belo JN, Bernsen RM, Reijman M, et al. Association between valgus and varus alignment and the development and progression of radiographic osteoarthritis of the knee. Arthritis Rheum. 2007;56:1204–11.CrossRefPubMed
25.
Zurück zum Zitat Kraus VB, Vail TP, Worrell T, McDaniel G. A comparative assessment of alignment angle of the knee by radiographic and physical examination methods. Arthritis Rheum. 2005;52:1730–5.CrossRefPubMed Kraus VB, Vail TP, Worrell T, McDaniel G. A comparative assessment of alignment angle of the knee by radiographic and physical examination methods. Arthritis Rheum. 2005;52:1730–5.CrossRefPubMed
26.
Zurück zum Zitat Peterfy CG, Guermazi A, Zaim S, Tirman PF, Miaux Y, White D, et al. Whole-organ magnetic resonance imaging score (WORMS) of the knee in osteoarthritis. Osteoarthr Cartilage. 2004;12:177–90.CrossRef Peterfy CG, Guermazi A, Zaim S, Tirman PF, Miaux Y, White D, et al. Whole-organ magnetic resonance imaging score (WORMS) of the knee in osteoarthritis. Osteoarthr Cartilage. 2004;12:177–90.CrossRef
27.
Zurück zum Zitat Eckstein F, Ateshian G, Burgkart R, Burstein D, Cicuttini F, Dardzinski B, et al. Proposal for a nomenclature for magnetic resonance imaging based measures of articular cartilage in osteoarthritis. Osteoarthr Cartilage. 2006;14:974–83.CrossRef Eckstein F, Ateshian G, Burgkart R, Burstein D, Cicuttini F, Dardzinski B, et al. Proposal for a nomenclature for magnetic resonance imaging based measures of articular cartilage in osteoarthritis. Osteoarthr Cartilage. 2006;14:974–83.CrossRef
28.
Zurück zum Zitat Li X, Benjamin Ma C, Link TM, Castillo DD, Blumenkrantz G, Lozano J, et al. In vivo T(1rho) and T(2) mapping of articular cartilage in osteoarthritis of the knee using 3T MRI. Osteoarthr. Cartilage. 2007;15:789–97.CrossRef Li X, Benjamin Ma C, Link TM, Castillo DD, Blumenkrantz G, Lozano J, et al. In vivo T(1rho) and T(2) mapping of articular cartilage in osteoarthritis of the knee using 3T MRI. Osteoarthr. Cartilage. 2007;15:789–97.CrossRef
29.
Zurück zum Zitat David-Vaudey E, Ghosh S, Ries M, Majumdar S. T2 relaxation time measurements in osteoarthritis. Magn Reson Imaging. 2004;22:673–82.CrossRefPubMed David-Vaudey E, Ghosh S, Ries M, Majumdar S. T2 relaxation time measurements in osteoarthritis. Magn Reson Imaging. 2004;22:673–82.CrossRefPubMed
30.
Zurück zum Zitat Tanamas S, Hanna FS, Cicuttini FM, Wluka AE, Berry P, Urquhart DM. Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review. Arthritis Rheum. 2009;61:459–67.CrossRefPubMed Tanamas S, Hanna FS, Cicuttini FM, Wluka AE, Berry P, Urquhart DM. Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review. Arthritis Rheum. 2009;61:459–67.CrossRefPubMed
31.
Zurück zum Zitat Hunter DJ, Sharma L, Skaife T. Alignment and osteoarthritis of the knee. J Bone Joint Surg Am. 2009;91(Suppl 1):85–9.CrossRefPubMed Hunter DJ, Sharma L, Skaife T. Alignment and osteoarthritis of the knee. J Bone Joint Surg Am. 2009;91(Suppl 1):85–9.CrossRefPubMed
32.
Zurück zum Zitat Hunter DJ, Niu J, Felson DT, Harvey WF, Gross KD, McCree P, et al. Knee alignment does not predict incident osteoarthritis: the Framingham osteoarthritis study. Arthritis Rheum. 2007;56:1212–8.CrossRefPubMed Hunter DJ, Niu J, Felson DT, Harvey WF, Gross KD, McCree P, et al. Knee alignment does not predict incident osteoarthritis: the Framingham osteoarthritis study. Arthritis Rheum. 2007;56:1212–8.CrossRefPubMed
33.
Zurück zum Zitat Sauerschnig M, Bauer JS, Kohn L, Hinterwimmer S, Landwehr S, Woertler K, et al. Alignment does not influence cartilage T2 in asymptomatic knee joints. Knee Surg Sports Traumatol Arthrosc. 2014;22:1396–403.CrossRefPubMed Sauerschnig M, Bauer JS, Kohn L, Hinterwimmer S, Landwehr S, Woertler K, et al. Alignment does not influence cartilage T2 in asymptomatic knee joints. Knee Surg Sports Traumatol Arthrosc. 2014;22:1396–403.CrossRefPubMed
34.
Zurück zum Zitat Shoemaker SC, Markolf KL. The role of meniscus in the anterior-posterior stability of the loaded anterior cruciate-deficient knee. Effects of partial versus total excision. J Bone Joint Surg Am. 1986;68:71–9.CrossRefPubMed Shoemaker SC, Markolf KL. The role of meniscus in the anterior-posterior stability of the loaded anterior cruciate-deficient knee. Effects of partial versus total excision. J Bone Joint Surg Am. 1986;68:71–9.CrossRefPubMed
35.
Zurück zum Zitat Wang L, Chang G, Xu J, Vieira RL, Krasnokutsky S, Abramson S, et al. T1rho MRI of menisci and cartilage in patients with osteoarthritis at 3T. Eur J Radiol. 2012;81:2329–36.CrossRefPubMed Wang L, Chang G, Xu J, Vieira RL, Krasnokutsky S, Abramson S, et al. T1rho MRI of menisci and cartilage in patients with osteoarthritis at 3T. Eur J Radiol. 2012;81:2329–36.CrossRefPubMed
36.
Zurück zum Zitat Nebelung S, Tingart M, Pufe T, Kuhl C, Jahr H, Truhn D. Ex vivo quantitative multiparametric MRI mapping of human meniscus degeneration. Skelet Radiol. 2016;45:1649–60.CrossRef Nebelung S, Tingart M, Pufe T, Kuhl C, Jahr H, Truhn D. Ex vivo quantitative multiparametric MRI mapping of human meniscus degeneration. Skelet Radiol. 2016;45:1649–60.CrossRef
37.
Zurück zum Zitat Lohmander LS, Englund PM, LDahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med. 2007;35:1756–69.CrossRefPubMed Lohmander LS, Englund PM, LDahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med. 2007;35:1756–69.CrossRefPubMed
38.
Zurück zum Zitat Mosher TJ, Smith H, Dardzinski BJ, Schmithorst VJ, Smith MB. MR imaging and T2 mapping of femoral cartilage: in vivo determination of the magic angle effect. AJR Am J Roentgenol. 2001;177:665–9.CrossRefPubMed Mosher TJ, Smith H, Dardzinski BJ, Schmithorst VJ, Smith MB. MR imaging and T2 mapping of femoral cartilage: in vivo determination of the magic angle effect. AJR Am J Roentgenol. 2001;177:665–9.CrossRefPubMed
39.
Zurück zum Zitat Wang L, Regatte RR. Investigation of regional influence of magic-angle effect on T2 in human articular cartilage with osteoarthritis at 3T. Acad Radiol. 2015;22:87–92.CrossRefPubMedPubMedCentral Wang L, Regatte RR. Investigation of regional influence of magic-angle effect on T2 in human articular cartilage with osteoarthritis at 3T. Acad Radiol. 2015;22:87–92.CrossRefPubMedPubMedCentral
Metadaten
Titel
T2 mapping of cartilage and menisci at 3T in healthy subjects with knee malalignment: initial experience
verfasst von
Jiangtao Zhu
Ningfan Hu
Xiaoyun Liang
Xiaojing Li
Jian Guan
Yajuan Wang
Ligong Wang
Publikationsdatum
02.02.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 5/2019
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-019-3164-0

Weitere Artikel der Ausgabe 5/2019

Skeletal Radiology 5/2019 Zur Ausgabe

Browser's Notes

Browser’s notes

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.