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Pre-contrast T1 and cartilage thickness as confounding factors in dGEMRIC when evaluating human cartilage adaptation to physical activity.
BMC Medical Imaging ( IF 2.9 ) Pub Date : 2019-12-31 , DOI: 10.1186/s12880-019-0399-0
Carl Johan Tiderius 1 , Zana K Hawezi 1 , Lars E Olsson 2, 3 , Leif E Dahlberg 1
Affiliation  

BACKGROUND The dGEMRIC (delayed Gadolinium-Enhanced MRI of Cartilage) technique has been used in numerous studies for quantitative in vivo evaluation of the relative glycosaminoglycan (GAG) content in cartilage. The purpose of this study was to determine the influence of pre-contrast T1 and cartilage thickness when assessing knee joint cartilage quality with dGEMRIC. METHODS Cartilage thickness and T1 relaxation time were measured in the central part of the femoral condyles before and two hours after intravenous Gd-DTPA2- administration in 17 healthy volunteers from a previous study divided into two groups: 9 sedentary volunteers and 8 exercising elite runners. Results were analyzed in superficial and a deep weight-bearing, as well as in non-weight-bearing regions of interest. RESULTS In the medial compartment, the cartilage was thicker in the exercising group, in weight-bearing and non-weight-bearing segments. In most of the segments, the T1 pre-contrast value was longer in the exercising group compared to the sedentary group. Both groups had a longer pre-contrast T1 in the superficial cartilage than in the deep cartilage. In the superficial cartilage, the gadolinium concentration was independent of cartilage thickness. In contrast, there was a linear correlation between the gadolinium concentration and cartilage thickness in the deep cartilage region. CONCLUSION Cartilage pre-contrast T1 and thickness are sources of error in dGEMRIC that should be considered when analysing bulk values. Our results indicate that differences in cartilage structure due to exercise and weight-bearing may be less pronounced than previously demonstrated.

中文翻译:

在评估人类软骨对身体活动的适应性时,预先对比T1和软骨厚度是dGEMRIC中的混杂因素。

背景技术dGEMRIC(软骨延迟Ga增强MRI)技术已用于众多研究中,用于体内定量评估软骨中相对糖胺聚糖(GAG)含量。这项研究的目的是确定使用dGEMRIC评估膝关节软骨质量时,造影剂T1和软骨厚度的影响。方法在先前研究的17名健康志愿者中,在静脉注射Gd-DTPA2-之前和之后2小时测量了股骨the中央部分的软骨厚度和T1松弛时间,将其分为两组:9名久坐的志愿者和8名运动的精英运动员。在表浅和较深的负重区域以及感兴趣的非负重区域对结果进行了分析。结果在内侧隔室中 在负重和不负重运动组中,软骨在运动组中较厚。在大多数节段中,运动组的T1对比值比久坐组更长。两组在浅表软骨中的对比前T1都比深层软骨中的要长。在浅表软骨中,g的浓度与软骨厚度无关。相反,在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。在负重和非负重细分市场中 在大多数节段中,运动组的T1对比值比久坐组更长。两组在浅表软骨中的对比前T1都比深层软骨中的要长。在浅表软骨中,g的浓度与软骨厚度无关。相反,在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。在负重和非负重细分市场中 在大多数节段中,运动组的T1对比值比久坐组更长。两组在浅表软骨中的对比前T1均长于深层软骨。在浅表软骨中,g的浓度与软骨厚度无关。相反,在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。与久坐组相比,运动组的T1造影前值更长。两组在浅表软骨中的对比前T1都比深层软骨中的要长。在浅表软骨中,g的浓度与软骨厚度无关。相反,在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。与久坐组相比,运动组的T1造影前值更长。两组在浅表软骨中的对比前T1都比深层软骨中的要长。在浅表软骨中,g的浓度与软骨厚度无关。相反,在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。两组在浅表软骨中的对比前T1均长于深层软骨。在浅表软骨中,g的浓度与软骨厚度无关。相反,在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中的误差来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。两组在浅表软骨中的对比前T1都比深层软骨中的要长。在浅表软骨中,g的浓度与软骨厚度无关。相反,在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。在深软骨区域the浓度与软骨厚度之间存在线性关系。结论软骨的预对比T1和厚度是dGEMRIC中误差的来源,在分析体积值时应予以考虑。我们的结果表明,由于运动和负重导致的软骨结构差异可能不如先前证明的明显。
更新日期:2020-04-22
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