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.
5. Nissi MJ, Mangia S, Michaeli S,
Nieminen MT. Orientation anisotropy of rotating frame and T2 relaxation
parameters in articular cartilage. 2013; Salt Lake City, UT, USA. p 3552.
6. Nissi MJ, Casula V, Lammentausta E,
Michaeli S, Mangia S, Auerbach E, Ellermann J, Nieminen MT. Reduction of magic
angle effect for quantitative MRI of articular cartilage in vivo. 2015;
Toronto, ON, Canada. p 1193.
7. Liimatainen T, Sorce DJ, O'Connell R,
Garwood M, Michaeli S. MRI contrast from relaxation along a fictitious field
(RAFF). Magn Reson Med 2010;64(4):983-994.
8. Akella SV, Regatte RR, Wheaton AJ,
Borthakur A, Reddy R. Reduction of residual dipolar interaction in cartilage by
spin-lock technique. Magn Reson Med 2004;52(5):1103-1109.
9. Ellermann J, Ling W, Nissi MJ, Arendt
E, Carlson CS, Garwood M, Michaeli S, Mangia S. MRI rotating frame relaxation
measurements for articular cartilage assessment. Magn Reson Imaging
2013;31(9):1537-1543. doi: 10.1016/j.mri.2013.06.004.