µMRI T2* mapping of degenerated human meniscal specimens compared to histology
Benedikt Hager1,2,3, Sonja Walzer2, Vladimir Juras1,4, Andreas Berg5, Matthew DiFranco5, Vladimir Mlynarik1,3, Markus Schreiner2, Martin Zalaudek1, Stefan Domayer2, Joachim Friske1, Reinhard Windhager2, and Siegfried Trattnig1,3

1High Field MR Centre, Department of Biomedical Imgaing and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Department of Orthopaedic Surgery, Medical University of Vienna, Vienna, Austria, 3Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 4Department of Imaging Methods, Institute of Measurement Science, Slovak Academy of Sciences, Vienna, Austria, 5Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria

Synopsis

In this study, T2* maps of degenerated meniscal specimens were obtained using MRI on an ultra-high field scanner in combination with an MR microscopy insert and these images were compared to histological findings. The results showed that all five investigated menisci specimens had very similar morphological appearance when comparing histological images, T2* weighted images and T2* maps.

Introduction

MR signal from short T2 tissues such as tendons and menisci characteristically decays very fast, resulting in little to no signal on images acquired with echo times (TE) that are used in a clinical setting1. A novel variable echo time (vTE)2 sequence allows to display image contrast of short T2 tissues and is suitable for quantitative T2* mapping. To examine the relationship between T2* mapping and the degree of degeneration of human menisci, we analyzed T2* values of menisci specimens using MRI on a ultra-high field scanner in combination with MR microscopy insert and compared these images to histological findings. To the best of our knowledge, this is the first attempt of using T2* mapping on human mensici on a 7T- microimaging system and the first to compare T2* mapping technique of human meniscal fibrocartilage with histolochemical changes.

Methods and materials

Five meniscal segments were obtained from a pair of human lateral and medial menisci from the same osteoarthritic (OA) knee joint. All MRI acquisitions were performed on 7T MRI (Magnetom Siemens Healthcare, Erlangen, Germany) using a microimaging system3 providing a gradient strength of 750 mT/m. For T2* mapping a 19 mm - 1H NMR volume coil (Rapid Biomedical, Wuerzburg, Germany) was used. In preparation for our measurement we used a saturation recovery sequence to calculate T1 values (T1 ≈ 900 ms). The T1 values are then used to design our measurement protocol according to the Ernst angle to gain maximum signal intensity in the least amount of time. For quantitative mono-exponential T2* assessment a 3D variable echo time (vTE) sequence was used. The sequence is based on a gradient echo spoiled sequence, but was modified to use asymmetric readout and a variable echo time approach in phase and slice encoding direction1. The T2*maps were acquired using a single echo approach. This was done to ensure that the echo times are evenly distributed, and the short echo range (around 0.5-2.5 ms) is thoroughly sampled. Following echo times where used - TEs: 0.4, 0.7, 1.2, 1.7, 2.5, 4, 6, 8, 12 ms. The other imaging parameters were: FOV =12 x 14 mm2, pixel size = 60 x 60 μm2, slice thickness = 400 μm, Number of slices = 22, TR = 25 ms, flip angle = 9°, signal averages = 4, acquisition duration = 90 min. This approach allows to calculate T2* maps mono-exponentially with a high coefficient of determination (R2). Following the MR measurement, the triangle cross-sections were fixed in 4% formalin, decalcified, dehydrated and embedded in paraffin. Subsequently, 2.5 µm deparaffined sections were stained with picrosirius red for visualization of collagen distribution and imaged under polarized light. Safranin O staining was used for visualization of age related changes in OA including local increased appearance of glycosaminoglycans in the fibrocartilaginous tissue. Additionally Hematoxylin –Eosin staining was performed to overall evaluate the cell density and evidence of mucoid degeneration.

Results and Discussion

Qualitatively, the results show that thick fibrous bundles penetrate through the meniscus cross-section from the outer vascularized zone into the inner avascular zone. Figure 1 depicts one representative T2* weighted image of the human meniscus using short echo time (2.5 ms) and very high (microscopic) resolution. The T2* maps show values of approximately 6 ms for the circumferential fibre bundles (Fig. 2a). For the radial bundles, which are both fibrous and collagen based, the T2* values are much higher with values of approximately 10-15 ms. Figure 2b depicts the corresponding picrosirius red stained image measured using a polarized light filter. In vitro regional differences were evaluated by comparing T2* values of the red (vascularized) zone to the red-white and the white (avascular) zone of the menisci. The T2* values of the white zone are lowest in all 5 specimens with mean T2* values of 9.0 ± 1.0 ms whereas the mean T2* values of the red and redwhite zone are higher with 10.7 ± 1.0 ms and 9.7 ± 0.9 ms. Overall, all five menisci specimens investigated showed a very similar morphological appearance comparing histological images, T2* weighted images as well as T2* maps.

Conclusion

For the first time, T2* mapping with high spatial resolution of human menisci specimens was successfully performed on a 7 T scanner with a microimaging system. The results show that T2* mapping with microscopic resolution shows great promise for improving our understanding of degenerative changes in meniscus and may be used to estimate collagen organization and content.

Acknowledgements

The study was supported by a grant provided by Vienna Science and Technology Fund, Project WWTF-LS11-018.

References

[1] Robson MD, Gatehouse PD, Bydder M, Bydder GM (2003). Magnetic resonance: an introduction to ultrashort TE (UTE) imaging. J Comput Assist Tomogr. Nov-Dec;27(6):825-46. Review.

[2] Deligianni X. et al., High-resolution Fourier-encoded sub-millisecond echo time musculoskeletal imaging at 3 Tesla and 7 Tesla. Mag. Reson. Med. 2012; 70(5): 1434-1439

[3] Berg, A. Potthast, P. Starewicz. MR- Microscopy on a human 7T-scanner. Proc. ISMRM/ESMRMB 2010, progr nr. 1048, Stockholm, Sweden , 2010

Figures

Figure 1. T2* weighted image of one representative meniscus sample (TE = 2.5 ms, TR = 25 ms). The spot on the top of the image is caused by a small air bubble.

Figure 2.a) T2* map of a degenerated human meniscus measured with a vTE sequence. b) shows the corresponding picrosirius red stained slice measured using polarized light filter with 1x magnification.



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