Kyle W. Sexton1, Hasan Celik1, Kenneth W. Fishbein1, and Richard G. Spencer1
1National Institute on Aging, National Institutes of Health, Baltimore, MD, United States
Synopsis
Quantification of cartilage matrix components with nuclear
magnetic resonance has potential applications to the early diagnosis of
osteoarthritis. Ex-vivo cartilage samples are often used to observe the MR
parameters of healthy and degraded cartilage. To ensure the accuracy of MR
parameters, the storage of the explants is extremely important. DPBS is often used to immerse
cartilage tissue specimens during imaging, with the assumption that it prevents
dehydration. In this study it was found that storing
BAC tissue explants in DPBS can rapidly and significantly increase the observed
T2 values. An alternative storage medium to maintain T2
stability is Fluorinert.Introduction
Quantification of cartilage matrix components with nuclear magnetic
resonance(NMR) has potential applications to the early diagnosis of
osteoarthritis. MR parameters have been measured
on cartilage explants digested with aqueous enzyme solutions to simulate osteoarthritic
effects[1]. Results show increased T2, however it is not clear how sample handling and exposure
to various aqueous and non-aqueous solutions impact observed MR parameters[2]. In this work we investigated the effects of storage in solutions
commonly used in ex-vivo cartilage research, DPBS and Fluorinert, on T2
relaxation in bovine articular cartilage (BAC).
Methods
BAC samples
were harvested from the load-bearing region of the patella of 6 adult animals.
The patella was continuously washed during harvesting with Fluorinert® FC-770. Each
extracted BAC plug was immediately weighed and placed in a glass NMR tube as
shown in Fig.1. The remaining volume of
the sample tube was filled with Fluorinert to match the susceptibility of the
cartilage sample to improve shimming.
Experimental data were collected on a 9.4T Bruker Avance III NMR
spectrometer equipped with a Micro2.5 micro-imaging probe and a 5 mm solenoidal
coil. Signal from the
subchondral region of the sample was eliminated using saturation slabs for the
non-localized relaxometry experiments. Data were acquired at 4°C to minimize sample degradation and
each sample was oriented so that B0 was approximately at the magic
angle relative to a vector normal to the articular surface, maximizing SNR and
eliminating laminar variations in image intensity. T2 measurements were
conducted using a CPMG sequence with acquisition at echo maxima with echo time
TE=100µs, number of echoes NE=4096 and repetition time TR=10s. Data were
analyzed using the non-negative least squares algorithm as described in [3] and
reported as the first moment, <T2>, as described in Fig.2.
The samples were randomly divided into three
groups, each with N=2, with two groups exposed to Fluorinert only and one also
exposed to DPBS. Samples from the first group(F1) were kept in the instrument undisturbed
(at 4°C) and T2 relaxometry data were acquired
at 1, 1.5, 2, 4, 6, 9, 12, 24, 48, 72 hours of Fluorinert exposure. The second
group (D1) was used to observe the effect of conventional storage in DPBS. After
each data acquisition, each D1 sample was taken out of its NMR tube and placed
in DPBS (at 4°C), resulting in 0.5, 1, 2, 3, and 24 total
hours of exposure to DPBS. Samples were weighed after each exposure time. The
last group (F2) was used to evaluate the effects of the sample handling protocol
followed for the D1 group. The same procedure for D1 was repeated in F2 but samples
were placed in Fluorinert instead of DPBS during the soaking period.
Results
Fig.3 shows <T2> values for F1,
which varied little in the first 6 hours, and then stabilized after 24 hours.
After 72 hours, <T2> increased by 7ms(15%). Figure 4a shows
the <T2> values for D1 and F2. After the first thirty minutes of soaking
in DPBS, the <T2> values increased by 55.15ms(130%).
Conversely, the <T2>
values of
F2 decreased by 1.95ms(5.63%). Figure 4b displays the change in sample weight
for D1 and F2. Throughout sample handling as described above, the average
weight increased by 5.4mg(15.8%) and decreased by 4.95mg(14.3%) for D1 and F2 respectively.
Discussion
DPBS is often used to immerse cartilage tissue
specimens during imaging, with the assumption that it prevents dehydration as it
mimics the natural conditions of synovial fluid. However, the structure of the
explanted cartilage tissue is compromised, exposing the transitional and deep
zones directly to the aqueous storage solution, whereas cartilage tissue is
exposed to synovial fluid only on the superficial surface under normal
conditions. Water content of the cartilage tissue increased, as evidenced by
increased sample weights, resulting in dramatically increased <T2>.
One way to alleviate these effects is to use a hydrophobic solution that
preserves water content of excised articular cartilage without infiltrating the
tissue. As shown in Fig. 3, storing the
BAC samples in Fluorinert resulted in a small increase in <T2>
over 72 hours. On the other hand, the
<T2> values of F2 did decrease gradually with each handling
step, possibly due to the dehydration during sample manipulation, as evidenced
by decreasing sample weights.
Conclusion
Storing BAC tissue explants in DPBS can significantly
increase the observed T2 relaxation time. The extent of this effect
needs to be further explored for enzymatic degradation studies. An alternative
storage medium to maintain T2 stability is Fluorinert.
Acknowledgements
This research was supported entirely by the Intramural Research Program of the NIH, National Institute on Aging.References
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