Farid Badar1, Ji Hyun Lee1, and Yang Xia1
1Department of Physics and Center for Biomedical Research, Oakland University, Rochester, MI, United States
Synopsis
The consequences of two different zone-division
methods in MRI T2 of articular cartilage were studied, using an animal model of
early osteoarthritis (OA). By dividing the cartilage thickness unequally, significant
improvement in OA detection can be achieved – both in the deeper cartilage as
well as between the contralateral and normal tissue. This improved detection
may become important in the clinical diagnostics of early OA.Purpose
This study was performed to compare the
consequences of different zone-divisions in MRI T2 of articular cartilage using
an animal model of early osteoarthritis (OA).
Material and Methods
The progression of
osteoarthritis was studied using eighteen mature canines, which was approved by
the institutional review committee. Six animals were the non-operated normal
controls (Normal) and twelve animals underwent anterior cruciate ligament (ACL)
transection on one of their knees. The operated animals were sacrificed 8 week
and 12 weeks post-surgery (8wk-OA, 12wk-OA). The non-transected contralateral knees
in these animals were also studied (8wk-C, 12wk-C). Within 24 hours of
sacrifice, the intact knee joints were first imaged using a Varian 7T/20cm macro-MRI.
T2 experiments were carried out using a multi-slice multi-echo
(MSME) pulse sequence. The ten echo times were 10, 20, 30, ... 100ms, with TR
set at 3 seconds. The FOV was 5cm with a matrix size at 256 x 256. The imaging matrix
was reconstructed in post-acquisition to 512 x 512 using Varian’s Fourier
reconstruction. Ten interleaved image slices were selected, approx. 2.5mm apart
from each other. To determine the sub-tissue zonal division accurately, the
joint capsules were opened after macro-MRI. Each medial tibial plateau was cut
into five cartilage-bone blocks, which were T2 imaged on a Bruker 7T/9cm µMRI,
at 17µm pixel resolution. Both macro-MRI and µMRI images were approximately at
the same tissue locations in the knee. The data in this report were entirely
from the macro-MRI experiments; the µMRI data, which would be presently in a
separate report, only provided the criteria for the sub-tissue zone division
1
in this report.
Results
Fig 1a shows the quantitative T2 maps by macro-MRI,
with the medial tibial location highlighted in Fig 1b (the cropped ROI) and the
equivalent µMRI T2 map from the similar location in Fig 1c. Two methods of image
analysis were used in macro-MRI T2 data analysis: (1) an equal division of the entire
cartilage from the surface to the cartilage-bone interface (Fig 2), and (2) an unequal
division of the same cartilage based on the knowledge from µMRI zones (Fig 3). With
the equal division (Fig 2), significant difference can be detected statistically
in Zone I between Normal and both OA groups; however, there were no statistical
significance between Normal and Contralateral cartilage, or among any
comparison in Zone II and Zone III. With the zonal knowledge from µMRI, the
unequal division of the same T2 profiles from macro-MRI enabled the significant
differences to be detected statistically in the superficial zone (SZ) between
the Normal and OA, and between the Normal and Contralateral cartilage. In
addition, significant differences can also be detected statistically in two
sub-tissue zones (the transitional zone TZ and the upper radial zone RZ1).
Discussion
T2 in cartilage increases due to the progression
of OA. This comparative project studies the intermediate-resolution macro-MRI
T2 data, which shows the critical role of the zonal division in the detection
of OA by MRI. The use of the equal division of cartilage thickness, which is
common in clinical MRI of human cartilage
2, can detect cartilage
degradation, but only in the surface tissue, and only between the directly
lesioned tissue and the healthy tissue. This equal division has failed to
detect the smaller differences in T2 between the normal and contralateral
cartilage. In contrast, an unequal zonal division can significantly improve the
detection of cartilage degradation – in the deeper tissues as well as between
the contralateral and normal tissue. This improved detection may become
important in the clinical diagnostics of early OA. We are completing a topographical
analysis of this data at multiple resolutions, which could provide further
insight into the complications of both depth-dependent and topographically
distributed OA degradation on the medial tibial plateau.
Conclusion
In this study, we utilized the knowledge from
the high-resolution µMRI zonal division to divide the T2 profiles at the
intermediate resolution macro-MRI both equally and non-equally. We show
significant differences between the two image analysis methods in the detection
of small changes in T2 due to OA progression. A similar approach
3 could
be developed and implemented in the image analysis in clinical MRI of human OA,
to improve the detection sensitivity towards the early signs of cartilage
degeneration in clinical MRI of human.
Acknowledgements
Y Xia thanks NIH for the R01 grant (AR052353).
The authors are grateful to Dr. James R Ewing and Dr. Gary Ding (Henry Ford
Hospital Neurology Dept.) for accessing to the 7T/20cm Varian MRI. References
1 Lee
JH, Xia Y. Quantitative zonal
differentiation of articular cartilage by microscopic magnetic resonance
imaging, polarized light microscopy, and Fourier-transform infrared imaging.
Microsc Res Tech 2013, 76(6):625-632.
2 Wei
B, Zong M, Yan C, Mao F, Guo Y, Yao Q, Xu Y, Wang L. Use of quantitative MRI for the detection of progressive cartilage
degeneration in a mini-pig model of osteoarthritis caused by anterior cruciate
ligament transection. J Magn Reson
Imaging 2015, 42(4):1032-1038.
3 Xia
Y. Resolution ‘Scaling Law’ in MRI of
Articular Cartilage. Osteoarthritis
Cartilage 2007, 15(4):363–365.