Ji Hyun Lee1,2, Farid Badar1,2, John Matyas3, and Yang Xia1,2
1Physics, Oakland University, Rochester, MI, United States, 2Center for Biomedial Research, Oakland University, Rochester, MI, United States, 3Univeristy of Calgary, Calgary, AB, Canada
Synopsis
This study aims to quantify the
loading-modified T1 in articular cartilage using a canine model of early osteoarthritis
(OA) at different degradation stages, at a 17.6µm resolution and with the use
of Gd contrast agent. Both lesion and mechanical compression were found to alter
T1 in cartilage at each sub-tissue zone and topographically, which provide a
better understanding of the MRI properties of cartilage during joint loading.
This result could help to design effective protocols in clinical MRI to better
detect and manage the osteoarthritic diseases.PURPOSE
To
determine the effects of mechanical loading on T1 relaxation times in cartilage
in the presence of Gd ions, in several early stages of OA using the anterior
cruciate ligament transection (ACLx) model of canines.
METHODS
Thirteen skeletally mature
dogs underwent ACLx in one knee. Six animals were sacrificed 8 weeks and 7 dogs
were sacrifices 12 weeks post surgery. Animals were
handled according to the protocols approved by the Institutional Review Boards.
A non-metallic compression device was built as previously described
1. Five rectangular blocks were harvested from the central load-bearing
area of fresh medial tibia from both knees. Each block was immersed in 1mM
gadolinium contrast agent and stored at 4˚C until experiment. Quantitative µMRI
T1 imaging at the magic angle were carried out on a Bruker AVANCE II 300 NMR (7-Tesla/89-mm)
and micro-imaging accessory (Bruker instrument, Billerica, MA) and a
custom-made 5-mm solenoid coil. Specimen
positioning and MR imaging plane orientation received particular attention to
enable a comparison of the results of quantitative cartilage analysis on T1
maps across the different time points. The average
T1 values and standard deviations were calculated for both bulk and sub-tissue
zones. One-way ANOVA with Bonferroni was used to test the differences among
locations and zones. Difference of T1 values before and after loading (total of
89 specimen) was measured for both bulk and sub-tissue zones at each time
point. Paired student t-test was performed to determine the loading effect. A p
value of less than 0.05 was considered as an indication of statistical
significance. (Additional data of the normal controls
from a related project (N=7) was used for statistical comparison
2.)
RESULTS
Fig 1 showed a
representative set of T1 images of the medial tibia joints of unloaded (a) and
loaded (b) at five different stages: N (23%), 8C (40%), 12C (13.3%), 8X (30.2%)
and 12X (22.7%). (The percentage inside each bracket is the amount of strain in
the compression.) T1 profiles showed an increasing
trend monotonically from the surface to deep cartilage when it was not loaded (Fig
2, solid) and a significant increase of T1 values near the surface when the
tissue was loaded (Fig 2 open) in all specimens. By averaging the profiles in each
tissue zones, the mean T1 values in the meniscus-covered area were significantly higher than those from the uncovered area,
for most sub-tissue zones except RZ2 as well as all zones of 12X. Loading increased the mean T1
values significantly in most surface zones (SZ, TZ)
3. The amount of changes in T1 as
the function of mechanical strain showed a trend towards smaller values from
the articular surface (SZ) to the TZ, RZ1, and further to RZ2, for both covered
and uncovered areas at all OA-time-points. Fig 3 showed the statistic result at
SZ between unloaded and loaded at OA-time-points (***: p<0.001). At all sub-tissue zones, the
mean T1 values among the OA-time-points were significantly different.
DISCUSSION
This study characterized the
knee cartilage using T1 in at different stages of OA, reflecting early
degradation and loading effects. We measured mean T1 not only in bulk but also in
each sub-tissue zone before and after loading. With the number of sample at
nineteen, we observed significant differences in most of the sub-tissue zones
as well as in bulk, among the OA time-points as well as before and after
loading at each time-point. We found topographical variations of T1 between the
meniscus-covered and uncovered areas at each OA time-point at most sub-tissue zones except RZ2, while the difference was not
significant at bulk and 12X. Further, this study showed direct evidence that
the T1 values were significantly changed with compression of the cartilage.
More importantly, the magnitude of these changes was highly dependent on the
sub-tissue zone and level of strain, with larger increased in the SZ and TZ as
compared to the RZs.
SIGNIFICANCES
This study statistically analyzed both topographical and zonal variations
of T1 under different strains and at different time-points of early OA,
using µMRI at 17.6µm-resolution. The results suggest that the progression of
early OA in medical tibia cartilage varies topographically and the mechanical
compression could alter the T1 relaxation time of articular cartilage at each
sub-tissue zone and topographically. The detailed knowledge of the
topographical maps of T1 and the strain-modified T1 of cartilage could provide
a better understanding of the mechanical compliance of cartilage during joint
loading, and could help to design effective protocols clinically by detecting
the early stage of OA.
Acknowledgements
Y Xia thanks NIH for the R01 grants (AR 45172; AR
52353) and Oakland University for the Research Excellence Fund in
Biotechnology. The authors are grateful to Ms.
Janelle Spann (Michigan Resonance Imaging, Rochester Hills, MI) for providing
the contrast agent and other lab members for their supports, especially Dr. Nian Wang, Mr. Daniel
Mittlestaed and Mr. David Kahn for their support.References
1. Lee JH, Badar F, Kahn D,
Matyas J, Qu X, Xia Y (2015) Loading-induced changes on topographical
distributions of the zonal properties of osteoarthritic tibial cartilage - A
study by magnetic resonance imaging at microscopic resolution. J Biomech 48
(13):3634-3642. doi:10.1016/j.jbiomech.2015.08.011
2. Lee JH, Badar F, Kahn D,
Matyas J, Qu X, Chen CT, Xia Y (2014) Topographical Variations of the
Strain-dependent Zonal Properties of Tibial Articular Cartilage by Microscopic
MRI. Connect Tissue Res 55 (3):205-216. doi:DOI: 10.3109/03008207.2014.894997
3. Wang N, Badar F, Xia Y (2015)
MRI properties of a unique hypo-intense layer in degraded articular cartilage.
Phys Med Biol 60 (22):8709-8721. doi:10.1088/0031-9155/60/22/8709