Longitudinal T2 Mapping and Texture Feature Analysis in the Detection and Monitoring of Experimental Post-Traumatic Cartilage Degeneration
Life, vol. 11, pp. 201
Abstract
BACKGROUND: Traumatic cartilage injuries predispose articulating joints to focal cartilage defects and, eventually, posttraumatic osteoarthritis. Current clinical-standard imaging modalities such as morphologic MRI fail to reliably detect cartilage trauma and to monitor associated posttraumatic degenerative changes with oftentimes severe prognostic implications. Quantitative MRI techniques such as T2 mapping are promising in detecting and monitoring such changes yet lack sufficient validation in controlled basic research contexts. MATERIAL AND METHODS: 35 macroscopically intact cartilage samples obtained from total joint replacements were exposed to standardized injurious impaction with low (0.49 J, n = 14) or high (0.98 J, n = 14) energy levels and imaged before and immediately, 24 h, and 72 h after impaction by T2 mapping. Contrast, homogeneity, energy, and variance were quantified as features of texture on each T2 map. Unimpacted controls (n = 7) and histologic assessment served as reference. RESULTS: As a function of impaction energy and time, absolute T2 values, contrast, and variance were significantly increased, while homogeneity and energy were significantly decreased. CONCLUSION: T2 mapping and texture feature analysis are sensitive diagnostic means to detect and monitor traumatic impaction injuries of cartilage and associated posttraumatic degenerative changes and may be used to assess cartilage after trauma to identify "cartilage at risk".
Authors 8
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Affiliation as printed
Department of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany
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Heinrich Heine University Düsseldorf
Affiliation as printed
Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225 Dusseldorf, Germany
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Heinrich Heine University Düsseldorf
Affiliation as printed
Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225 Dusseldorf, Germany
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Heinrich Heine University Düsseldorf
Affiliation as printed
Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225 Dusseldorf, Germany
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Affiliation as printed
Department of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany
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Affiliation as printed
Department of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany
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Affiliation as printed
Department of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany
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Sven Nebelung corresponding
Heinrich Heine University Düsseldorf
Affiliation as printed
Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225 Dusseldorf, Germany
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