Orientation anisotropy of quantitative rotating and laboratory frame relaxation parameters in articular cartilage
Jari Rautiainen1, Lassi Rieppo2,3, Simo Saarakkala2,3,4, and Mikko Johannes Nissi1,5

1Department of Applied Physics, University of Eastern Finland, Kuopio, Finland, 2Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 3Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland, 4Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland, 5Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland

Synopsis

Classical ($$$T_1$$$, $$$T_2$$$) and several rotating frame quantitative MR parameters have been used for evaluation of composition and structure of articular cartilage, and demonstrated to have variable sensitivity to tissue orientation. The orientation dependence of $$$T_1$$$, $$$T_2$$$, $$$T_2^*$$$, CW-$$$T_{1\rho}$$$ with four spin-lock amplitudes, adiabatic $$$T_{1\rho}$$$ with three different pulse modulations, adiabatic $$$T_{2\rho}$$$ and $$$T_{\rm RAFF}$$$ relaxation times were further investigated at 9.4T at different orientations of articular cartilage relative to B0 and compared with polarized light microscopy of the same tissue. $$$T_1$$$, adiabatic $$$T_{1\rho}$$$ with HS1-pulse and CW-$$$T_{1\rho}$$$ at 2 kHz spin-lock demonstrated the least orientation dependence.

Purpose

Orientation dependence for $$$T_2$$$ relaxation time in articular cartilage has been ascribed to residual dipolar interactions of water protons due to their restricted spatial arrangement within the collagen fibrils1. For continuous-wave (CW)-$$$T_{1\rho}$$$, reduction of orientation sensitivity in cartilage has been reported for increasing spin-lock powers2. Recently, other rotating frame relaxation (RFR) methods including adiabatic $$$T_{1\rho}$$$, adiabatic $$$T_{2\rho}$$$ and $$$T_{\rm RAFF}$$$ have been reported sensitive to cartilage degeneration3,4, and briefly investigated for their orientation sensitivities5,6. The purpose of this study was to investigate the orientation dependence of these parameters and evaluate against collagen fibril orientation as measured by polarized light microscopy (PLM).

Methods

Cylindrical osteochondral plugs ($$$n=2$$$, diameter=6mm) from bovine patella were prepared. The samples were placed inside a custom-built holder, which allowed rotation of the specimens with respect to the $$$B_0$$$ from outside the scanner, and immersed in perfluoropolyether. MRI was performed at 9.4 T using a 19 mm quadrature RF volume transceiver and VnmrJ3.1 Varian/Agilent DirectDrive console. The samples were imaged at seven different orientations, spanning 0-90 degrees with respect to $$$B_0$$$. The orientation was confirmed from scout images and later precisely measured from 3-D gradient echo (GRE) data acquired for every orientation. Relaxation time measurements were realized using a global preparation block coupled to fast spin echo (FSE) readout (TR=5s, ESP=5.5ms, ETL=8, matrix=256x64, FOV=16x16mm, 1mm slice, resolution along cartilage depth 62.5µm). The measurements included $$$T_1$$$ relaxation time with inversion recovery, $$$T_2$$$ with spin echo preparation, CW-$$$T_{1\rho}$$$ with four spin-lock amplitudes ($$$\gamma B_1$$$=250, 500, 1000 and 2000Hz), adiabatic $$$T_{1\rho}$$$ with HS1, HS4 and HS8 pulses ($$$\tau_{\rm p}$$$=4.5ms, and $$$\gamma B_{\rm 1,max}$$$=2.5, 1.2 and 1.04kHz, respectively, to match RMS power between the pulse shapes), adiabatic $$$T_{2\rho}$$$ with HS1-train embedded between adiabatic half passages and $$$T_{\rm RAFF}$$$7 ($$$\gamma B_1$$$=625Hz, $$$\tau_{\rm p}$$$=9ms). Finally, $$$T_2^*$$$ relaxation time was measured in the same slice using multi-echo-GRE sequence. All measurements were repeated for every orientation. After the MRI studies, the samples were fixed in 10% formalin for 48 hours and then decalcified in EDTA. After decalcification, unstained histological sections were prepared from the location of the MRI slice and digested with hyaluronidase enzyme for 18 hours to remove proteoglycans before PLM measurements. The collagen fibril orientation in the sections was measured using quantitative Abrio PLM imaging system. Finally, depth-wise profiles of relaxation times and collagen fibril orientation in the cartilage were obtained.

Results

$$$T_1$$$ relaxation time profiles showed the least variation with respect to tissue orientation. Similarly, adiabatic $$$T_{1\rho}$$$ with HS1 pulse modulation and CW-$$$T_{1\rho}$$$ at 2 kHz spin-lock amplitude demonstrated minimal orientation dependence (Figure 1). On the other hand, by using HS4 or HS8 pulses for adiabatic $$$T_{1\rho}$$$, or decreasing the spin-lock power of CW-$$$T_{1\rho}$$$, the orientation dependence was increased (Figure 2). $$$T_2$$$, $$$T_2^*$$$, $$$T_{\rm RAFF}$$$ and adiabatic $$$T_{2\rho}$$$ demonstrated significant orientation dependence (Figure 3). PLM revealed typical tri-laminar collagen orientation in the samples, starting with fibrils oriented along the cartilage surface and arching towards radial orientation at the cartilage-bone interface (Figures 1 and 2).

Discussion

Orientation dependence of several quantitative traditional and RFR MRI parameters in articular cartilage was investigated. The findings confirmed earlier reports on the sensitivity of $$$T_2$$$ relaxation time1, and the reduction of the orientation sensitivity with increasing spin-lock power for CW-$$$T_{1\rho}$$$2,8. The orientation dependencies of adiabatic $$$T_{1\rho}$$$, adiabatic $$$T_{2\rho}$$$ and $$$T_{\rm RAFF}$$$ have been investigated previously for articular cartilage5; however, no comparison with the actual gold standard, i.e, PLM has been reported. The present results confirmed the orientation dependence of $$$T_{\rm RAFF}$$$ and adiabatic $$$T_{2\rho}$$$ to be very similar with that of $$$T_2$$$ or $$$T_2^*$$$. Furthermore, an increase in the dependence for adiabatic $$$T_{1\rho}$$$ was observed with increasing pulse stretching factor, although the dependence was relatively low for all pulse shapes. Native $$$T_1$$$ relaxation and adiabatic $$$T_{1\rho}$$$ with HS1 pulses were found to be essentially independent of the tissue orientation. Similarly, CW-$$$T_{1\rho}$$$ at 2 kHz spin-lock power was found to be nearly independent of the orientation. However, increasing the spin-lock power of CW-$$$T_{1\rho}$$$ quickly leads to SAR values that are not clinically feasible (typically up to ~500Hz clinically applicable).

Conclusion

In conclusion, adiabatic $$$T_{1\rho}$$$, also reported sensitive to cartilage degeneration3,4,9, appeared as a promising, minimally orientation-dependent quantitative MRI parameter for the articular cartilage, as it is more flexible with respect to overcoming SAR issues. For native $$$T_1$$$ relaxation time, sensitivity (although somewhat variable) to degeneration has been reported, but in terms of SAR and orientation dependence it appeared as the most promising parameter.

Acknowledgements

Support from the Academy of Finland (grants #285909 and #293970) is gratefully acknowledged. The authors wish to thank Mr. Hassaan Elsayed for the sample-rotation holder.

References

1. Xia Y, Moody JB, Alhadlaq H. Orientational dependence of T2 relaxation in articular cartilage: A microscopic MRI (microMRI) study. Magn Reson Med 2002;48(3):460-469.

2. Wang N, Xia Y. Depth and orientational dependencies of MRI T(2) and T(1rho) sensitivities towards trypsin degradation and Gd-DTPA(2-) presence in articular cartilage at microscopic resolution. Magn Reson Imaging 2012;30(3):361-370. doi: 10.1016/j.mri.2011.10.004.

3. Rautiainen J, Nissi MJ, Liimatainen T, Herzog W, Korhonen RK, Nieminen MT. Adiabatic rotating frame relaxation of MRI reveals early cartilage degeneration in a rabbit model of anterior cruciate ligament transection. Osteoarthritis Cartilage 2014;22(10):1444-1452. doi: 10.1016/j.joca.2014.04.023.

4. Rautiainen J, Nissi MJ, Salo EN, Tiitu V, Finnila MA, Aho OM, Saarakkala S, Lehenkari P, Ellermann J, Nieminen MT. Multiparametric MRI assessment of human articular cartilage degeneration: Correlation with quantitative histology and mechanical properties. Magn Reson Med 2014. doi: 10.1002/mrm.25401.

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Figures

Figure 1. First three panels: relaxation time profiles over the cartilage depth for both samples at all orientations for $$$T_1$$$, adiabatic $$$T_{1\rho}$$$ with HS1 and CW-$$$T_{1\rho}$$$ at 2 kHz spin-lock amplitude. Fourth panel: collagen fibril orientation profiles from PLM for both samples. The color of the relaxation time profiles indicates the orientation of the sample in the magnetic field (surface normal vs. $$$B_0$$$).

Figure 2. Relaxation time profiles for both samples for adiabatic $$$T_{1\rho}$$$ with HS4 and HS8 and CW-$$$T_{1\rho}$$$ at 250, 500 and 1000 Hz spin-lock amplitude at all orientations. Last panel: collagen fibril orientation map for other of the samples, with the approximate region used for the average profiles indicated by the white box.

Figure 3. Relaxation time profiles for both samples for $$$T_2$$$, $$$T_2^*$$$, adiabatic $$$T_{2\rho}$$$ with HS1 and $$$T_{\rm RAFF}$$$ over the cartilage depth.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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