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 T
2
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 setting
1. A novel variable echo time (vTE)
2
sequence allows to display image contrast of short T
2 tissues and is suitable
for quantitative T
2* mapping.
To
examine the relationship between T
2* mapping and the degree of degeneration of
human menisci, we analyzed T
2* 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 T
2* mapping on human mensici on a 7T- microimaging
system and the first to compare T
2* 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 system
3 providing a gradient strength of
750 mT/m. For T
2* 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 T
1 values (T
1 ≈ 900 ms). The T
1 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 T
2*
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 direction
1.
The
T
2*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 mm
2, pixel size = 60 x 60 μm
2, 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 T
2* maps
mono-exponentially with a high coefficient of determination (R
2).
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 T
2* weighted image of the human meniscus using
short echo time (2.5 ms) and very high (microscopic) resolution.
The T
2* 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 T
2* 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 T
2* values of the red
(vascularized) zone to the red-white and the white (avascular) zone of the menisci. The T
2* values of
the white zone are lowest in all 5 specimens with mean T
2* values of 9.0 ± 1.0 ms whereas the mean T
2* 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, T
2* weighted images as well as T
2*
maps.
Conclusion
For the first time, T
2* 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 T
2* 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
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M, Bydder GM (2003). Magnetic resonance: an introduction to ultrashort TE (UTE)
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