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Online Gather.town Pitches - Musculoskeletal
Weekend and Oral

Digital Poster (no CME credit)

Online Gather.town Pitches (no CME credit)

ISMRT Educational Session

ISMRT Poster Presentations (no CME credit)

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Musculoskeletal Online Gather.town Pitches (No CME Credit)
Session Title

MSK I

Program # 3081 - 3092
Monday, 09 May 2022 | 09:15
Program # 3093 - 3106
Monday, 09 May 2022 | 09:15

MSK II

Program # 3107 - 3112
Monday, 09 May 2022 | 09:15

MSK III

Program # 3390 - 3404
Monday, 09 May 2022 | 17:00

MSK II

Program # 4429 - 4435
Wednesday, 11 May 2022 | 14:30

MSK IV

Program # 4615 - 4629
Thursday, 12 May 2022 | 09:15

MSK III

Program # 4630 - 4638
Thursday, 12 May 2022 | 09:15

MSK V

Program # 4939 - 4953
Thursday, 12 May 2022 | 17:00

MSK I

Gather.town Space: South East
Room: 2
Monday 9:15 - 11:15
Musculoskeletal
Module : Module 12: MSK I

3081
Booth 1
Assessment of idiopathic inflammatory myopathy using muscle T2 mapping segmented by Deep Anatomical Federated Network (DAFNE)
Fengdan Wang1, Francesco Santini2, Jinxia Zhu3, Tom Hilbert4,5,6, Tobias Kober4,5,6, and Zhengyu Jin1

1Radiology, Peking Union Medical College Hospital, Beijing, China, 2University Hospital Basel, Basel, Switzerland, 3Siemens Healthcare Ltd., Beijing, China, 4Siemens Healthcare AG, Lausanne, Switzerland, 5Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 6École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland

Idiopathic Inflammatory Myopathy (IIM) is a group of immune-mediated myopathies, with high morbidity and mortality. Prior work showed that dedicated accelerated T2 mapping of bilateral thighs can be performed within 3 minutes at high resolution and can detect IIM-induced muscle inflammation. However, manual drawing methods to delineate regions of interest are subject to sampling errors. This study investigated the first utility of a fully automated deep-learning method for segmentation of T2 maps in 64 patients with IIM against healthy controls, with results confirming its feasibility, accuracy, and efficiency.

3082
Booth 2
Quantification of bone marrow component change using chemical shift-encoded MRI in Ankylosing Spondylitis patients in different stages
Liping Ma1, Long Qian2, Zhibin Zeng1, Cuiyun Sheng1, Yang Wang1, Gen Li3, and Gaoyun Wu1

1Department of Radiology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China, 2MR Research, GE Healthcare, Bejing, China, 3Department of Emergency, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China

Quantification of fat fraction (FF) and R2* in areas of bone marrow edema (BME) and fat metaplasia in different stages Ankylosing Spondylitis (AS). 75 AS in 3 different stage (early acute group, late acute group, stable group), 42 BME and 39 fat metaplasia were detected. Difference of FF, R2* in BME and fat metaplasia in different stages were compared and relationship between FF and R2* were analyzed. Result showed R2* in fat metaplasia, but not in BME, is significantly negative with FF. FF and R2* measurements can quantitatively analyze bone marrow component change in AS.

3083
Booth 3
3D texture analysis of MRI relaxation time maps for assessment of repair cartilage with treatment of mesenchymal progenitor cells
Xinxin Zhao1, Jingjing Ruan1, Jia Li2, Chengxiang Dai3, and Yan Zhou1

1Department of Radiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 160, Pujian Road, Shanghai, 200127, China., Shanghai, China, 2Department of Rheumatology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 160, Pujian Road, Shanghai, 200127, China., Shanghai, China, 3Cellular Biomedicine Group, Inc., No. 85 Faladi Road, Building 3, Zhangjiang, Pudong New Area, Shanghai, 201210, China., Shanghai, China

We used 3D texture analysis of MRI relaxation times, combined with clinical outcomes, to evaluate the potential of repair cartilage with allogeneic human adipose-derived mesenchymal progenitor cells in patients with KOA. Significant differences were observed in texture RLM parameters of T1rho and T2 maps in patients. We also found correlations between WOMAC pain scores and texture parameters, suggesting the spatial heterogeneity of relaxation time maps maybe associated with clinical scores. As conclusion, texture analysis has potential applications in understanding mechanism of stem cells repairing cartilage and assessing response to treatment.


3084
Booth 4
Repeatability and feasibility of amide proton transfer imaging in musculoskeletal tumors
Ming Wen1, Yujin Zhang1, Jianling Cui1, and Zhiwei Shen2

1The Third Hospital, Hebei Medical University, Shijiazhuang, China, 2Philips healthcare,Beijing,China, Beijing, China

Amide proton transfer (APT) imaging is a noninvasive emerging molecular MRI technique. Currently, APT was mainly used for the diagnosis, classify and recurrence prediction of head glioma. The application in other tissue such as musculoskeletal disease is limited. The feasibility and the repeatability of APT imaging in body or other tissues is necessary for its clinical practice. In this study, we explorer the scan-rescan repeatability of APT imaging in musculoskeletal (MSK) tumor on a clinical 3.0T MR scanner, and further to differentiate malignant from benign solid tumors in the study.

3085
Booth 5
The diagnostic value of dynamic contrast enhancement (DCE-MR) and ZOOmitDWI quantitative parameters for the activity of sacroiliac arthritis
Qingqing Zhu1 and Mengxiao Liu2

1department of radiology, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, China, 2MR scientific Marketing, Diagnostic Imaging, Siemens Healthineers Ltd, Shanghai, China

The purpose of this study was to evaluate the relationship between magnetic resonance dynamic contrast-enhanced imaging and quantitative parameters of the ZOOMit-DWI technique and the activity of sacroiliac arthritis. Dynamic enhanced MRI microvascular permeability parameters can visually reflect the microcirculatory perfusion status of the subchondral bone marrow region of the sacroiliac joint, and its diagnostic efficacy is better than DWI-ADC. Sacral Ktrans values and sacral iAUC values are highly correlated with ASDAS-CRP scores, which can be used as important quantitative indicators for assessing the inflammatory activity of the sacroiliac joint.

3086
Booth 6
Feasibility Study of T2* Mapping, R2* Mapping and T1 Mapping Technology in the Quantitative Evaluation for Primary Osteoporosis of Lumbar Spine
Yuan Li1, Guanhua Yang1, Wei Jing1, Shimin Lan1, and Xiuzheng Yue2

1The First People's Hospital of Shizuishan, Shizuishan, China, 2Philips Healthcare, Beijing, China

The aim of this study was to investigate the feasibility of T2* mapping, R2* mapping and T1 mapping techniques for quantitative assessment of primary osteoporosis of the lumbar spine.The differences and correlation between T2* mapping, R2* mapping and T1 mapping values of patients with osteoporosis group and the normal population were analyzed. The statistical results of our data showed that the T2 values in the osteoporotic group of L3 and L5 vertebrae were greater than the normal group, and the R2* values and T1 values were less than the normal group.
 

3087
Booth 7
CSE-MRI Detects the Changes in Bone Marrow Fat after Weight Loss Induced by Healthy Low-carbohydrate Diet
Lin Gengyun1, Wu Junying1, Wen Zhibo1, and Zhao Chen2

1Zhujiang Hospital, Guangzhou, China, 2Philips Healthcare, Guangzhou, China

Obesity is a global health condition that leads to many kinds of diseases. Bone marrow fat (BMF) is considered as the third largest fat depot in human body. It has been proved that BMF is closely related with energy storage, bone metabolism,  endocrine function and hematologic diseases. To understand the relation between BMF and weight loss is crucial within obesity related diseases scenario. Few studies have been published focusing on BMF variation so far. In this study, chemical shift encoding-based water-fat MRI (CSE-MRI) was employed to demonstrate the positive correlation between BMF and parts of the weight loss indicators.

3088
Booth 8
Three-dimensional ultrashort echo time MRI to evaluate sacroiliac joint in patients with ankylosing spondylitis
Cui Ren1, Qing Li2, Stefan Sommer3,4,5, Qiao Zhu1, and Hui Shu Yuan1

1Radiology, Peking University Third Hospital, Beijing, China, 2MR Collaborations, Siemens Healthineers Ltd., Shanghai, China, 3Siemens Healthcare, Zurich, Switzerland, 4Swiss Center for Musculoskeletal Imaging (SCMI), Balgrist Campus, Zurich, Switzerland, 5Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare AG, Lausanne, Switzerland

To assess the diagnostic performance of three-dimensional ultrashort echo time sequence (3D-UTE) in bone erosion detection of the sacroiliac joint (SIJ) in patients with clinically confirmed ankylosing spondylitis (AS) and to test whether SIJ cartilage T2* values might help in identification of patients with AS.


3089
Booth 9
The potential role of MRI-based bone marrow Radiomics in survival prediction of newly diagnosed multiple myeloma
Yang LI1 and Nan Hong1

1Peking university people's hospital, Beijing, China

Multiple myeloma (MM) is the second most common hematologic malignancy. Despite the more effective therapies were introduced, this incurable disease remains highly heterogeneous in clinical outcome. Accurate predicative markers for prognosis are needed to develop appropriate treatment in newly diagnosed MM.

3090
Booth 10
Intravoxel Incoherent Motion-Diffusion Weighted Imaging derived parameters for survival prediction of multiple myeloma
Yang LI1 and Nan Hong1

1Peking university people's hospital, Beijing, China

The prognostic biomarkers for multiple myeloma (MM) was urgently needed, and this study was the first to confirm the value of Intravoxel Incoherent Motion-Diffusion Weighted Imaging (IVIM-DWI) for predicting progression-free survival in patients with MM.Purpose: To evaluate the prognostic ability of Intravoxel Incoherent Motion-Diffusion Weighted Imaging (IVIM-DWI) derived parameters in newly diagnosed multiple myeloma (MM).

3091
Booth 11
The Trajectory of Knee Structures Before The Onset of Rheumatoid Arthritis: A 4-Year Longitudinal Magnetic Resonance Imaging Study
Qiaoling Zhong1, Xintao Zhang1, Zhongping Zhang2, and Xiaodong Zhang1

1Department of Medical Imaging, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China, 2Philips Healthcare, Guangzhou, China

The knee joint is one of the most commonly affected large joint in rheumatoid arthritis (RA). Its progression often causes joint destruction and deformity. The cartilage injury, bone marrow lesions and synovitis scores of the knees at baseline, P-1 (1 year prior to P0), and P0 (time of onset of RA) were evaluated using the MOAKS score. The generalized estimation equation (GEE) was used to compare the MR scores of knee joints at three time points to observe the longitudinal changes. The changes of bone marrow lesions and synovitis scores in knee joints were significant before the occurrence of RA.

3092
Booth 12
Evaluation of Multimodal MRI in RA Efficacy Based on Quantitative Bone Marrow Edema
Wenzhao Yuan1, Yi Dai2, Yiwu Lei3, Fang Qin4, Huiting Zhang5, Zisan Zeng3, and Liling Long1

1The First Affiliated Hospital of Guangxi Medical University, Nanning, China, 2Radiology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China, 3Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China, 4Rheumatology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China, 5Siemens Healthcare Ltd., Wuhan, China

This study evaluated the efficacy of MRI bone marrow edema imaging for rheumatoid arthritis (RA). Wrist joints of RA patients were examined at baseline and follow-up with T1 mapping, T2 mapping and IVIM, and their clinical indicator DAS28-ESR was also collected. Results showed that the changes of both T1 and D values had statistically positive correlations with DAS28-ESR. And the results showed that T1 and D values of bone marrow edema area in lunate bone, triangle bone and capitate bone can significantly reflect the curative effect of RA, and the change rate of T1 can predict the curative effect.


MSK I

Gather.town Space: South East
Room: 3
Monday 9:15 - 11:15
Musculoskeletal
Module : Module 27: MSK II

3093
Booth 1
Feasibility of ZTE-MRI on wrist in comparison with routine MR imaging and radiography
Xingyao Yu1, Weiyin Vivian Liu2, Ling Sang3, Qianqian Feng3, Kejun Wang3, and Lin Xu3

1Biomedical Engineering College, Hubei University of Medicine, Shiyan, Hubei, China, 2GE Healthcare, Beijing, China, 3Taihe Hospital, Hubei University of Medicine, Shiyan Hubei, China

ZTE-MRI have high feasibility of angle measurements such as femoral neck-shaft angle as well as bone erosions on temporomandibular joint in reflection of altered bone morphometry and function. In our study, X-ray taken as reference, good consistency of ulnar deviation angle and the length of ulnar styloid process was shown between each two modalities, but better consistency between ZTE-MRI processed with average intensity projection and X-ray. Significantly different number of bone erosions between ZTE-MRI and T1 weighted images were found. To sum up, ZTE-MRI might have potential in elevating diagnosis efficiency of detecting altered bone morphometry and function.  

3094
Booth 2
Three-dimensional architecture and diffusion properties of the medial gastrocnemius muscle in human infants in vivo
Brian V. Y. Chow1,2, Bart Bolsterlee1,3, Catherine Morgan4, Caroline Rae1, David I. Warton5,6, Iona Novak4,7, Suzanne Davies1, Ann Lancaster1, Gordona C. Popovic5,8, Rodrigo R. N. Rizzo1,2, Claudia Y. Rizzo1, Maria Kyriagis9, Melissa Smith1, Erin Muling1, and Robert D. Herbert1,2

1Neuroscience Research Australia, Sydney, Australia, 2School of Medical Sciences, University of New South Wales, Sydney, Australia, 3Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Australia, 4Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, Australia, 5School of Mathematics and Statistics, University of New South Wales, Sydney, Australia, 6Evolution & Ecology Research Centre, University of New South Wales, Sydney, Australia, 7Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, 8Stats Central, Mark Wainwright Analytical Centre, University of New South Wales, Sydney, Australia, 9Rehab2Kids, Sydney Children’s Hospital, Sydney, Australia

Diffusion tensor magnetic resonance imaging (DT-MRI) was used to investigate the three-dimensional architecture and diffusion properties of medial gastrocnemius muscles in living human infants aged 2-3 months. Mean muscle volume, physiological cross-sectional area and fascicle length in infants were 1.8%, 3.8% and 47.2% of values previously obtained in 8 adult muscles. Radial diffusivity in infant muscle was half that in adult muscle, presumably because infant muscle fibres have much smaller transverse dimensions.


3095
Booth 3
Shoulder PROPELLER MRI with Deep learning-based reconstruction: image quality and agreement between standard and accelerated sequence
Jisook Yi1, Ho-Joon Lee1, Seok Hahn1, Joonsung Lee2, Xinzeng Wang3, and Maggie Fung4

1Radiology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea, Republic of, 2GE Healthcare, Seoul, Korea, Republic of, 3GE Healthcare, Houston, TX, United States, 4GE Healthcare, New York, NY, United States

Although the shorter scan time enabled by DLRecon has potential to reduce motion related image degradation, it cannot remove or mitigate such artifacts. The periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) or similar techniques can reduce motion artifacts in shoulder MRI, however usually takes a longer time to acquire. Recently, DLRecon for PROPELLER has been developed. Accelerated PROPELLER sequence with DLRecon showed improved image quality and comparable interobserver agreement for shoulder pathology compared to standard PROPELLER acquisition with conventional reconstruction, despite the shorter scan time (45% reduction).  


3096
Booth 4
Dynamic T2 mapping of human skeletal muscles via multiple overlapping-echo detachment planar imaging
Yang Qizhi1, Wang Xiaoyin2, Cai Shuhui1, He Hongjian2, Cai Congbo1, Wu Zhigang3, and Zhong Jianhui2,4

1Department of Electronic Science, School of Electronic Science and Engineering, Xiamen University, Xiamen, Fujian, China, 2Center for Brain Imaging Science and Technology, College of Biomedical Engineering and Instrumental Science, Zhejiang University, Hangzhou, Zhejiang, China, 3MSC Clinical & Technical Solutions, Philips Healthcare, Shenzhen, Guangdong, China, 4Department of Imaging Science, University of Rochester, Rochester, NY, United States

Magnetic resonance (MR) parametric mapping and MR dynamic imaging are both valuable clinical tools. Nevertheless, quantitative imaging and high time resolution usually cannot be achieved simultaneously with conventional dynamic MR imaging methods. Herein, the multiple overlapping-echo detachment imaging (MOLED) method with short echo time (TE), dubbed MOLED-short, is proposed to fetch the dynamic variation of T2 value on in vivo extremities with high temporal resolution (about 110 ms). The robustness of MOLED-short was demonstrated. MOLED-short can capture immediate T2 changes of muscles and may provide new insights into the metabolic responses of musculatures to human activities.

3097
Booth 5
Clinical Feasibility Study of Accelerated 2D Magnetic Resonance shoulder Imaging Using Deep Learning-based Algorithm
Jing Liu1, Ke Xue2, Yongming Dai2, Peng Wu2, and Jianxing Qiu1

1Peking University First Hospital, Beijing, China, 2MR Collaboration, Central Research Institute,United Imaging Healthcare, Shanghai, China

Deep Learning-based magnetic resonance imaging (DL-MRI) could accelerate 3D MRI scanning time. In this study, we investigate the feasibility of DL-MRI in 2D shoulder MRI. Totally 20 consecutive patients were enrolled for both conventional MRI and DL-MRI. Both qualitative and quantitative analyses were conducted to compare the image quality and lesion diagnosis on conventional MRI and DL-MRI. And our results revealed that DL-MRI was valuable for improving the overall workflow of shoulder MRI with scanning time saved and image quality improved.

3098
Booth 6
Efficacy of motion-free MRI of the shoulder using Compressed SENSE MultiVane
Shinji Saruya1, Masami Yoneyama2, Yasutomo Katsumata2, Kaiji Inoue1, Eito Kozawa1, and Mamoru Niitsu1

1Saitama Medical University, iruma-gun, Japan, 2Philips Japan, minato-ku, Japan

Combining Compressed SENSE (CS), an acceleration technique that combines with compressed sensing and SENSE, with MultiVane achieves comparable scan time to Cartesian scan and increases motion robustness while maintaining similar image quality to Cartesian scan without increasing streak artifacts. We compared this newly developed CS-MultiVane with conventional acquisition method such as routine SENSE, SENSE-MuliVane with reduction factor = 1.0 and SENSE-MuliVane with reduction factor = 1.4 in terms of the overall image quality, overall degree of artifacts and signal-to-noise ratio (SNR). In conclusion, CS-MultiVane acquisition method is feasible for MRI of the shoulder.

3099
Booth 7
Monitoring changes of Achilles Tendon in amateur Marathon athletes by using component Analysis UTE-T2* technology: a preliminary study
Dantian Zhu1, Yijie Fang1, Wenhao Wu1, Wenjun Yu1, Wei Li1, Yajun Ma2, and Shaolin Li1

1Department of Radiology, Fifth Affiliated Hospital, SUN Yat-Sen University, Zhuhai, China, 2Department of Radiology, University of California, San Diego, CA, United States

 Long-distance running is a common cause of Achilles tendinopathy. A fast, reliable, and non-invasive magnetic resonance imaging (MRI) technique to track the early changes in tendon is of critical importance for effective clinical intervention and evaluation that can prevent the progression of Achilles tendinopathy. This study aims to evaluate UTE-T2* in the detection of changes in the Achilles tendons of amateur marathon runners before and after long-distance running.

3100
Booth 8
Acceleration of 3D Ankle Joint T2WI-SPAIR Images with Compressed SENSE to display the anterior talofibular ligament
Xiaoyan ZHANG1, Peiqi MA1, Yushan YUAN1, Zhongqiu WANG1, Bin Peng1, and Xiuzheng YUE2

1Fuyang People's Hospital, Fuyang Anhui, China, 2Philips Healthcare, Beijing, China

Compressed SENSE(CS) is a new techonolgy that can be effective accelerat 3D acquisitions and  reduce scan times.In this study ,we discuss the value of the compressed sensing technology’s three-dimensional MR to display the anterior talofibular ligament (ATFL), and compare the impact of different acceleration factors on imaging. We find that when the acceleration factor(AF) of CS is six, scan times was reduced by 60 percent without significant degradation of image quality.

3101
Booth 9
Preliminary assessment of 3D APT-weighted combined with diffusion weighted imaging in characterization of bone and soft tissue tumors
Ying Li1, Jingliang Cheng1, Wenhua Zhang1, and Liangjie Lin2

1The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China, 2Philips Healthcare, Beijing, 100102, China, Beijing, China

Amide proton transfer weighted imaging (APTWI) is a noninvasive emerging molecular MRI technique based on chemical exchange saturation transfer (CEST) between amide protons of proteins and polypeptides and free water protons. This work investigated and evaluated the ability of APT parameter in distinguishing benign from malignant bone and soft tissue tumors. Results indicated that APTWI combined with diffusion weighted imaging showed a significantly improved differentiation between benign and malignant tumors.

3102
Booth 10
Predicting Knee Osteoarthritis Progression with an Interpretable Deep Learning Approach on MRIs: Data from the Osteoarthritis Initiative
Jiaping Hu1, Chuanyang Zheng2, Lijie Zhong1, Keyan Yu1, Yanjun Chen1, Zhao Wang2, Zhongping Zhang3, Qi Dou2, and Xiaodong Zhang1

1Department of Medical Imaging, The Third Affiliated Hospital of Southern Medical University, GuangZhou, China, 2Department of Computer Science & Engineering, The Chinese University of Hong Kong, HongKong, China, 3Philips Healthcare, GuangZhou, China

Identifying knee osteoarthritis progressors is significant. MRIs can reflect the structures of the knee. However, currently no tool could rapidly and objectively predict knee osteoarthritis progression based on MRI. Therefore, we applied deep learning algorithms on MRIs of the whole knee to predict progression at three time points. The Gradient-weighted Class Activation Maps were employed for interpretability, and the highlighted infrapatellar fat pad (IPFP) was segmented for progression prediction. We showed that the deep learning framework performed well on discrimination of progressors, especially at 24th months, and that the infrapatellar fat pad plays an important role in predicting progression.

3103
Booth 11
Differential Diagnosis of Dermatofibrosarcoma Protuberans: Clinical Values of High-resolution DCE-MRI
QIUYU YU1, YANG YANG1, RENJUN HUANG1, YONGGANG LI1, NAIHUI ZHOU2, PING LI1, PENG WU3, and MENGXIAO TANG4

1Radiology, The First Affiliated Hospital of Soochow University, SUZHOU, China, 2Dermatology, The First Affiliated Hospital of Soochow University, SUZHOU, China, 3Philips Healthcare, SHANGHAI, China, 4Radiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, HANGZHOU, China

Dermatofibrosarcoma protuberans (DFSP) is a type of intermediately malignant cutaneous spindle cell neoplasms, which is easy to be confused with several benign ones even after needle biopsy, especially cellular fibrous histiocytoma (cFH), resulting in inadequate excision and local recurrence. We found that as a novel skin imaging technique, high-resolution (HR) DCE MRI could distinguish DFSP. The features include infiltration of surrounding fat, ill-defined margins and large quantitative parameters. Both DFSP and cFH have type-III time-signal intensity curves (TICs). In contrast, other confused lesions presented type-II-or-I TIC. The recommendation of preoperative HR-MRI could assist dermatologists to perform surgical plan more confidently.  

3104
Booth 12
Deep Learning for Veterinary MRI: Automated Detection of Intervertebral Disc Herniation in Pet Dogs
Guoxiong Deng1,2,3, Shoujin Huang1, Ziran Chen1, Lifeng Mei1, Jianzhong Li3, Ruixiang Jiang3, WenYue Xiao3, Dexing Wei3, Yan Kang1,2, and Mengye Lyu1,2

1College of Health Science and Environmental Engineering, Shenzhen Technology University, Shenzhen, China, 2College of Applied Sciences, Shenzhen University, Shenzhen, China, 3Shenzhen GoldenStone Medical Technology Co. , Ltd, Shenzhen, China

The automated detection of Intervertebral disc (IVD) herniation in animal MRI may facilitate veterinary diagnosis, yet it is rarely studied due to the lack of training data and the challenges from inter-breed variations. Here, we constructed a dog spinal cord MRI dataset with bounding box annotations of herniated discs, and conducted experiments using a number of well-known deep learning models. We demonstrated that automated detection of animal IVD herniation was feasible and in general two-stage detection models such as Faster R-CNN outperformed one-stage models.


3105
Booth 13
QMRI for assessment of anterior cruciate ligament mucoid degeneration and injury
Guangtao Fan1, Yudan Li1, Fenglin Xue1, Yilong Huang1, Yanlin Li 1, Guoliang Wang1, Tianfu Qi1, Lisha Nie2, and Bo He1

1the First Affiliated Hospital of Kunming Medical University, Kunming, China, 2GE Healthcare, MR Research, Beijing, China

The study aims to explore the difference in relaxation time between mucoid degeneration (MD) and injured anterior cruciate ligament (ACL), and evaluate the performance of QMRI (Quantitative magnetic resonance imaging) to identify the grade of MD and injured ACL. It was concluded that T2 * value of the ACL-MD group was higher than that of the injured group, T1, T2 and T2* could be used to quantitatively identify different grades of ACL-MD (T2* may deliberately has the highest diagnostic efficacy), and the same goes for T1 to evaluate ACL injury.

3106
Booth 14
Fast and accurate creatine chemical exchange saturation transfer muscle imaging with quasi-steady state post-processing algorithm at 3T
Zhou Liu1,2, Qian Yang1, Honghong Luo1, Dehong Luo1, Long Qian3, Xin Liu2, Hairong Zheng2, Phillip Zhe Sun4, and Yin Wu2

1National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China, 2Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 3GE Healthcare, Beijing, China, 4Emory University School of Medicine, Atlanta, GA, United States

Although CrCEST MRI is increasingly employed in muscle imaging, its measurement depends on the RF saturation duration (Ts) and relaxation delay (Td). This study evaluated the quasi-steady-state (QUASS) algorithm for fast and robust CrCEST measurement. Briefly, CrCEST experiments were performed at 3T under two representative imaging conditions. Both phantom and volunteer experiments showed that the routine CrCEST increased significantly with Ts and Td and were significantly smaller than the corresponding QUASS indices. In comparison, the QUASS CrCEST meaurement showed little dependence on the scan protocol, establishing the robustness and accuracy of QUASS CrCEST muscle MRI.


MSK II

Gather.town Space: South East
Room: 4
Monday 9:15 - 11:15
Musculoskeletal
Module : Module 27: MSK II

3107
Booth 1
Association of Thigh Muscle Fat with Isometric Strength Measurements in Patients with T2DM  Using Chemical Shift Encoding-Based Water-Fat MRI
Hongli Zhu1, Yilong Huang1, Lisha Nie2, Hanxue Cun1, Tianfu Qi1, and Bo He1

1Department of Medical Imaging, First Affiliated Hospital of Kunming Medical University, Kunming, China, 2GE Healthcare, MR Research China, Beijing, China

  Iterative decomposition of water and fat with echo asymmetry and least-squares estimation quantitation sequence (IDEAL-IQ) is a chemical shift encoding-based water-fat MRI technique which allows noninvasive fat quantification. In this study, we investigated the correlation between thigh muscle fat fraction (FF) and isokinetic strength measurements in middle-aged and elderly obese participants with T2DM scanned at 3.0T MR. Intramuscular FF was shown to be a significant predictor of peak torque (PT) and total work (TW) in the thigh muscle. Therefore, intramuscular FF might provide reliable imaging markers for the prevention and monitoring of thigh muscle dysfunction in participants with T2DM.

3108
Booth 2
Exercise-induced muscle hyperemia as quantified by a BOLD modelling approach
Yujie Wang1,2, Christopher J. Hanrahan3, and Jeff L. Zhang1

1Vascular and Physiologic Imaging Research (VPIR) Lab, School of Biomedical Engineering, ShanghaiTech University, Shanghai, China, 2School of Life Science and Technology, ShanghaiTech University, Shanghai, China, 3Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States

Muscle hyperemia after exercise is a physiologic phenomenon that could reflect muscle function and performance. For a group of human subjects, we performed dynamic BOLD scan of calf muscles immediately after in-scanner plantar flexion. To analyze the dynamic data, a kinetic model of deoxy-hemoglobin (dHb) was proposed, with exponentially decayed perfusion as determinant. A hyperemia index (HI) was defined based on the estimated perfusion parameters, and was compared to muscle perfusion measured by DCE scans. In conclusion, we proposed a quantitative model for analyzing post-exercise muscle BOLD data, and the new parameter “hyperemia index”.

3109
Booth 3
Preliminary study of various models of DWI and diffusion kurtosis imaging on differential diagnosis of spinal metastase and chordoma
Jiahui Zhang1,2, Qizheng Wang2, and Ning Lang2

1Department of Radiology, Peking Union Medical College Hospital, Beijing, China, 2Peking University Third Hospital, Beijing, China

Metastases and chordoma are both malignant tumors. When the manifestations are not typical, the two are prone to misdiagnosis. DWI using a biexponential model measured ADC, D, D*, and f. DWI using a stretched-exponential model obtained DDC, and α. DKI derived MD and MK. The monoexponential, biexponential, and stretched-exponential models of DWI and DKI have differential diagnostic value for spinal metastases and chordoma. Among the single parameter values, the D value has the highest AUC. Combining the values of three parameters (D, f, and α) can significantly improve the diagnostic efficiency of identifying spinal metastases and chordoma.


3110
Booth 4
Development and validation of an MRI-based radiomics nomogram for distinguishing multiple myeloma from bone metastasis of breast cancer
Miyuki Takasu1, Konagi Takeda1, Saki Kawai1, Nobuko Tanitame1, Akihisa Tamura1, Makoto Iida1, Yuji Akiyama2, and Kazuo Awai2

1Diagnostic Radiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan, 2Diagnostic Radiology, Hiroshima University Hospital, Hiroshima, Japan

We established and validated the feasibility of an MRI-based radiomics nomogram to differentiate between multiple myeloma (MM) and bone metastasis of breast cancer (BC). Regions of interest were drawn for the largest bone lesion per patient on T1- and T2-weighted images of patients with MM (n = 85) and BC (n = 70) from two institutions. The machine learning model with logistic regression resulted in the best performance for differentiating MM from BC with both sequences in the test cases. Our proposed clinical radiomics analysis shows promise in differentiating MM from bone metastasis of BC.

3111
Booth 5
Intravoxel incoherent motion imaging of masticatory muscles in patients with head and neck cancer
Chia-Wei Lin1, Kai-Lun Cheng2, Hsueh-Ju Lu3, Ying-Hsiang Chou1,4, Yeu-Sheng Tyan1,2, and Ping-Huei Tsai1,2

1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan, 3Division of Medical Oncology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan, 4Department of Radiation Oncology, Chung Shan Medical University Hospital, Taichung, Taiwan

Head and Neck Cancer (HNC) is one of the most common cancers worldwide. Although skeletal muscle depletion or muscle dysfunction is associated with cancer progression, changes in masticatory muscle diffusion and perfusion in HNC are still unclear. This study aims to assess the masticatory muscle perfusion and diffusion in HNC using intravoxel incoherent motion (IVIM) imaging. Our preliminary result indicated the normalized D* values in masticatory muscles were significantly lower in HNC patients than that in controls, suggesting the possibility of reduced masticatory muscle perfusion in HNC.

3112
Booth 6
Lower-limb fat: how it is distributed spatially and its potential in approximating whole-body fat content
Xin Mu1, Zhenfeng Lv2, Meng Tian3, and Jeff L Zhang1

1Vascular and Physiologic Imaging Research (VPIR) Lab, School of Biomedical Engineering, ShanghaiTech University, Shanghai, China, 2School of Biomedical Engineering, ShanghaiTech University, Shanghai, China, 3School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China

Fat content in lower limb is of highly clinical interest as it reflects physical activity. In this study, we quantified lower-limb fat content in a comprehensive way using a Dixon method. We found that fat content in lower limb generally decreased from pelvis to ankle. Of particular note, fat content in thigh was significantly higher than that in calf, and can potentially differentiate subjects with different body-mass index (BMI). It is also encouraging that fat content for a single cross-section at mid-thigh (30 sec scan time) approximated whole-limb fat content well, as it makes whole-body quantification in clinical setting feasible.



MSK III

Gather.town Space: South East
Room: 5
Monday 17:00 - 19:00
Musculoskeletal
Module : Module 27: MSK II

3390
Booth 1
Tongue Deformation and Strain Estimation using Tagged RT-MRI and Optical Flow
Ye Tian1, Weiyi Chen1, Dani Byrd2, Shrikanth Narayanan1,2, and Krishna S. Nayak1

1Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, CA, United States, 2Department of Linguistics, University of Southern California, Los Angeles, CA, United States

Real-time MRI plays an important role in studying articulator movements during typical and atypical human speech. Recently, real-time tagging methods were developed to reveal inner tongue movements, including deformations in the body of the tongue that were previously unobservable. Here, we demonstrate tracking of tongue deformations and estimation of tongue strain from real-time tagging, using a motion-compensated total generalized variation reconstruction and optical flow. Optical flow tracking has an averaged error of 1.10±0.83mm, compared with manually tracked tagged line intersections, while intra-observer variability is 0.80±0.49mm. The estimated tongue deformation and strain maps provide for linguistically sensible interpretation.

3391
Booth 2
Reproducibility of Alkaline Inorganic Phosphate Quantification using 31P-Magnetic Resonance Spectroscopy at 3T
Alexs A Matias1, Corinna F Serviente1,2, Stephen T Decker1, Muhammet E Erol1, Gaia Giuriato 3, Yann Le Fur4, Rajakumar Nagarajan 5, and Gwenael Layec1,6

1Kinesiology, University of Massachusetts at Amherst, Amherst, MA, United States, 2Center for Health and Human Performance, Institute for Applied Life Sciences, University of Massachusetts at Amherst, Amherst, MA, United States, 3Neuroscience, Biomedicine, and Movement Science, University of Verona, Verona, Italy, 4Centre de Resonance Magnetique Biologique et Medicale, Marseille, France, 5Human Magnetic Resonance Center, Institute for Applied Life Sciences, University of Massachusetts at Amherst, Amherst, MA, United States, 6Institute for Applied Life Sciences, University of Massachusetts at Amherst, Amherst, MA, United States

Alkaline inorganic phosphate (Pialk) is a promising biomarker of mitochondrial content in vivo that is technically challenging to assess at 3T. The absolute and relative reproducibility of Pialk in the quadriceps muscle across two visits were assessed in healthy sedentary-to-moderately active young adults using 31P-MRS at 3T. The results of this study demonstrate an excellent absolute and relative reproducibility of the quantification of Pialk in the quadriceps muscle at 3T provided that the coil is positioned at the mid-thigh. 


3392
Booth 3
Effect of Acquisition and Analysis Conditions on Accuracy of DTI-Based Muscle Architecture Estimates: Predictions Using Numerical Simulations
Xingyu Zhou1,2, Carly Lockard2,3, Melissa Hooijmans4, and Bruce Damon2,3

1Biomedical Engineering, Vanderbilt University, Nashvill, TN, United States, 2Carle Clinical Imaging Research Program, Carle Health, Urbana, IL, United States, 3Stephens Family Clinical Research Institute, Carle Health, Urbana, IL, United States, 4Amsterdam University Medical Center, Amsterdam, Netherlands

Diffusion-tensor imaging (DTI) based fiber tractography is a useful tool to study the architecture of human skeletal muscle. However, effects of image acquisition and analysis conditions on the outcome of architectural estimates are challenging to examine in vivo. In this work, we describe a numerical simulation framework where the ground truth of muscle architecture is known and the outcome can be tested under different conditions. Results show that the estimate of fiber curvature is most affected by image noise. While second-order polynomial fitting of fiber tracts is more robust to image noise, third-order fitting performs better on highly curved fibers.


3393
Booth 4
R1rho Dispersion in Lumbar Muscles
Alan E. Rivera-Garcia1, Jay D. Turner2, Juan Uribe2, Richard D. Dortch1, John C. Gore3, and Ping Wang1

1Translational Neuroscience, Barrow Neurological Institute, Phoenix, AZ, United States, 2Barrow Neurological Institute, Phoenix, AZ, United States, 3Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States

R1rho imaging can provide novel information on dynamic processes within tissues, allowing for a more comprehensive analysis of the parameters of chemical exchange and/or intrinsic microstructure. We measured the dispersion of R1rho with different locking fields in the major lumbar muscles of psoas, paraspinal muscles (multifidus and erector spinae), and quadratus lumborum. The results showed that R1rho dispersion is significant and measurable at 3T which may provide a new way to characterize muscles involved in low back pain.

3394
Booth 5
Quantitative assessment of peripheral metabolism and perfusion with dynamic 1H MRI in healthy and diabetic individuals
Ryan Wahidi1, Yi Zhang2, Ran Li1, Mohammed A. Zayed3, Mary K. Hastings4, and Jie Zheng1

1Radiology, Washington University School of Medicine, St. Louis, MO, United States, 2Zhejiang University, Hangzhou, China, 3Department of Surgery, Section of Vascular Surgery, Washington University School of Medicine, St. Louis, MO, United States, 4The Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, United States

The objective of this study is to analyze the efficacy of quantitative PCr MRI in quantifying differing muscle tissue PCr kinetics in healthy individuals and diabetic patients. Healthy subjects and diabetic patients underwent PCr and perfusion imaging in calf muscle at rest, during isometric plantarflexion, and for a recovery period. Only the healthy group displayed moderate correlation between PCr and perfusion. The diabetic patient group displayed attenuated recovery speed of PCr after exercise and no correlation between PCr and perfusion.

3395
Booth 6
Deep Learning Based Automatic Pipeline for Quantitative Assessment of Thigh Muscle Fatty Infiltration in Post-traumatic Osteoarthritis
Sibaji Gaj1, Brendan L. Eck1, Dongxing Xie1, Richard Lartey1, Charlotte Lo1, Mingrui Yang1, Kunio Nakamura1, Carl S. Winalski2, Kurt Spindler3, and Xiaojuan Li1

1Biomedical Engineering, Cleveland Clinic, Cleveland, OH, United States, 2Radiology, Cleveland Clinic, Cleveland, OH, United States, 3Orthopaedics, Cleveland Clinic, Cleveland, OH, United States

Quantitative assessment of thigh muscle morphology and fatty infiltration (FF%) in post-traumatic osteoarthritis is limited. In this work, we developed a deep learning based accurate segmentation method for muscles, bone and adipose tissue from thigh MRI and used these segmentation for automated quantification of FF and cross sectional area(CSA) of these tissues. 16 patients at 10 years after ACL reconstruction were studied. The proposed method showed significant improvement in segmentation metrics (Dice, Average surface distance (ASD)) and CSA compared with popular U-Net based deep learning models. For CSA and FF% quantification, automated methods had similar measurements compared with manual segmentation.

3396
Booth 7
Evaluation of Meniscus Degeneration in Patients with Posterior Root Tear of Medial Meniscus Using T2* Mapping at 7T – Comparison with Arthroscopy
Stefan Zbyn1,2, Abdul Wahed Kajabi1,2, Ariel N. Rodriguez3, Gregory J. Metzger1, Robert F. LaPrade3, and Jutta M. Ellermann1,2

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 3Edina-Crosstown Surgery Center, Twin Cities Orthopedics, Minneapolis, MN, United States

Although T2 mapping allows noninvasive evaluation of meniscus degeneration, its application at 7T requires spin echo sequences with relatively long repetition times to meet the specific absorption rate (SAR) limits which can restrict the resolution of maps. This 7T study evaluates the potential of T2* mapping for the assessment of meniscal degeneration in six patients with arthroscopically verified posterior root tears of the medial meniscus and in healthy volunteers. Increased T2* in degenerated meniscus regions suggest T2* mapping is sensitive to meniscus degeneration. T2* mapping is a promising biomarker of early meniscal degeneration which is less SAR-demanding than T2 mapping.

3397
Booth 8
MRI quantitative assessment of muscular changes associated to a rehabilitation strategy in FSHD patients
Camille Noël1,2, Constance Patricia Michel1, Amira Trabelsi1, Sébastien Vansteenkiste2, Emmanuelle Salort-Campana3, Maëva Cotinat2,4, Virginie De Bovis Milhe3, Laurent Bensoussan2,4,5, Shahram Attarian3, and David Bendahan1

1Aix Marseille University, Center for magnetic resonance in biology and medecine, Marseille, France, Metropolitan, 2Physical and Rehabilitation Medecine Departement, APHM, Marseille, France, Metropolitan, 3Reference Centre for Neuromuscular Diseases and ALS, APHM, Marseille, France, Metropolitan, 4CNRS, INT UMR 7289, Aix Marseille University, Marseille, France, Metropolitan, 5UGECAM Institut Universitaire de Réadaptation de Valmante Sud, Marseille, France, Metropolitan

Facioscapulohumeral dystrophy is the third genetic myopathy. Given that no therapeutic strategy has proved to be successful, rehabilitation has been considered as an interesting alternative. The aim of this study was to quantitatively evaluate the effects of a personalized rehabilitation strategy using MRI by tracking fat fraction (FF) and contractile volume (CV) over time. The lower limb was scanned before and after a rehabilitation program. FF and CV remained stable over the training period. Clinical parameters evolved positively. FF and CV were correlated to isokinetic strength thereby indicating that both metrics could be considered as biomarkers of the pathology progression.  

3398
Booth 9
Validation of Muscle Fiber Architecture of the Human Tongue Revealed by Diffusion MRI with Histology Verification
Xiao Liang1, Nahla M H Elsaid2, Li Jiang1, Steve Roys1, Maureen Stone3, Jerry L Prince4, Adam C Puche5, Rao P Gullapalli1, and Jiachen Zhuo1

1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States, 2Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, United States, 3Department of Neural and Pain Sciences and Department of Orthodontics, University of Maryland School of Dentistry, Baltimore, MD, United States, 4Department of Electrical and Computer Engineering, Johns Hopkins University, Baltimore, MD, United States, 5Department of Anatomy and Neurobiology, University of Maryland School of Medicine, Baltimore, MD, United States

Advanced dMRI techniques have been used to resolve the complex tongue muscle architecture. However, dMRI-derived tongue muscle architecture has not been validated with histology. In this study, we validated the dMRI-derived tongue muscle architecture with histology of a tongue specimen. dMRI was acquired for a post-mortem head and a healthy volunteer. dMRI-derived muscle fiber orientations, visualized as the tractogram, were compared against microscopic histology slices of the tongue specimen. Muscle fibers in the tractograms show good correspondence with those appearing in the histology images. The study demonstrates that dMRI can accurately reveal the complex muscle architecture of the human tongue.

3399
Booth 10
Transient Biochemical Recovery of Skeletal Muscles Post-exercise with Simultaneous Dynamic T1rho and T2 Mapping
Esther Rong1, Jason Matakas1, Steven Shamah1, Jenna Le1, Karen Sperling1, Can Wu2, and Qi Peng1

1Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, United States, 2Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, United States

T1ρ and T2 contrasts provide complementary information on tissue properties. Therefore, their transient recovery after exercise to pre-exercise equilibria is potentially a functional biomarker for muscle disorder diagnosis and treatment evaluation. In this pilot study, we implemented and tested a high-temporal-resolution dynamic MRI sequence for simultaneous T1ρ and T2 mapping immediately after exercise. T1ρ and T2 contrasts presented unique transient recovery time courses in different skeletal muscles. Dynamic information derived from our imaging approach could potentially lead to greater sensitivity and specificity in evaluating muscle conditions compared with traditional methods with either T1ρ or T2 contrast alone.

3400
Booth 11
A comparison of muscle pennation angles measured with DTI fiber tractography and 3D-ultrasound
Laura Secondulfo1, Moritz Eggelbusch2, Rob C.I. Wust 2,3, Guido Weide3, Richard T. Jaspers3, Aart J. Nederveen4, Melissa Hooijmans1, and Gustav Strijkers1

1Biomedical Engineering and Physics, Amsterdam University Medical Center, Amsterdam, Netherlands, 2Laboratory for Myology, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands, 3Department of Rehabilitation Medicine, VU University Medical Center Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands, 44 Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

Pennation angle is an important architecture parameter to understand muscle functioning. It is commonly measured using 2D ultrasound. However, it is difficult to infer 3D muscle architecture from 2D imaging. Therefore, we compare the pennation angle measurements obtained with 3D-DTI fiber-tractography and 3D-ultrasound (3D-US). We acquired data of the Vastus Lateralis muscle in 9 healthy subjects. The mean pennation angle with 3D-US was 18.9°± 5.9°, whereas we found 33.3°±6.7° (straight fiber approximation) and 34.5°±4.8°(curved fiber fit) for DTI fiber-tractography. These differences between 3D-US and DTI could be of technical or physiological origin.

3401
Booth 12
Improving cortical bone imaging using a novel Flexible Ultra Short Echo time (FUSE) sequence for optimal synthetic CT generation
Lumeng Cui1, Emily J. McWalter1,2, Gerald R. Moran3, and Niranjan Venugopal4

1Division of Biomedical Engineering, University of Saskatchewan, Saskatoon, SK, Canada, 2Department of Mechanical Engineering, University of Saskatchewan, Saskatoon, SK, Canada, 3Research Collaboration Manager, Siemens Healthcare Limited, Oakville, ON, Canada, 4Department of Radiology, University of Manitoba, Winnipeg, MB, Canada

Ultrashort echo time (UTE) pulse sequences are used in synthetic computed tomography (sCT) generation for MR-based radiation treatment planning (RTP). This study used a novel Flexible UTE sequence (FUSE) for improving cortical bone imaging. Using a human skull, we applied the optimized UTE acquisition techniques and parameters and verified the improvements in overall image quality of cortical bone in comparison to a product UTE sequence. Also, we have shown the feasibility and potential of our FUSE sequence for generating the sCT data that is clinically equivalent to the traditional CT for RTP.

3402
Booth 13
Bilateral characterization of fractional anisotropy within the anterior cruciate ligament: A step toward clinical use of DTI in the knee
Allen A Champagne1, Andrew McGuire2, Kaden Shearer1, Don Brien3, Paul A Martineau4, and Davide D Bardana2

1School of Medicine, Queen's University, Kingston, ON, Canada, 2Department of Orthopedic Surgery, Queen's University, Kingston, ON, Canada, 3Center for Neuroscience Studies, Queen's University, Kingston, ON, Canada, 4Department of Orthopedic Surgery, McGill University, Montréal, QC, Canada

Diffusion tensor imaging (DTI) has emerged as biomarker to characterize the ligamentization process of the anterior cruciate ligament (ACL), following surgical reconstruction. One major limitation to this approach is the necessity for pre-injury baseline measurements to be used as a frame of reference, in order to inform clinical decision making with respect to recovery of the graft, and return-to-activity (RTA). Here, we explore the linear relationship for anisotropy between knees bilaterally, in healthy participants, to provide a methodological framework that allows for the clinical integration of DTI to monitor recovery of the tendon autograft, following surgical reconstruction, and inform RTA.

3403
Booth 14
In vivo metabolic characterization of vegetarian diet effects on skeletal muscle using magnetic resonance spectroscopy
Joevin Sourdon1,2, Tangi Roussel1,2, Pierre Daude1,2, Monique Bernard1,2, Frank Kober1,2, and Stanislas Rapacchi1,2

1Aix-Marseille Université, CNRS, CRMBM, Marseille, France, 2AP-HM, Hôpital universitaire Timone, CEMEREM, Marseille, France

Vegetarian nutrition may contribute for metabolic differences that we proposed to explore non-invasively. 6 omnivores and 6 lacto-ovo-vegetarians underwent a 7T MRI exam including proton and phosphorus magnetic resonance spectroscopy to measure creatine (tCr), phosphocreatine (PCr) and triglyceride components in the soleus muscle. tCr and unsaturated fatty acids concentration were reduced in vegetarians but similar PCr/γ-ATP ratios were found. We show that vegetarian diet induces lower skeletal muscle creatine and different lipid profiles, which was not associated with altered bioenergetic reserve. This protocol opens new avenues to explore the impact of diet in skeletal muscle.


3404
Booth 15
Using DL Reconstruction and 3D Directionally-Selective Crusher Gradients to Improve 3D Brachial Plexus Magnetic Resonance Neurography
Yan Wen1, Ek Tsoon Tan2, Marc Lebel3, Suryanarayanan Kaushik3, Maggie Fung1, and Darryl B. Sneag2

1GE Healthcare, New York, NY, United States, 2Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, United States, 3GE Healthcare, Waukesha, WI, United States

To improve vascular suppression in 3D brachial plexus MR neurography (MRN) with FSE readouts, 3D directionally-selective crusher gradient technique was implemented. 3D Deep learning reconstruction (DLRecon 3D) with denoising and sharpening properties was applied to improve nerve conspicuity. Preliminary data showed that using both DLRecon 3D reconstruction and 3D crusher gradients resulted in improved image quality, image sharpness, and vascular suppression.



MSK II

Gather.town Space: North East
Room: 4
Wednesday 14:30 - 16:30
Musculoskeletal
Module : Module 12: MSK I

4429
Booth 1
Water-Fat Separation from Dual-Echo Dixon Imaging Using Deep Learning
Yan Wu1, Marc Alley 1, Keshav Datta1, Zhitao Li 1, Christopher Sandino 1, Zhifei Wen2, Michael Lustig3, John Pauly1, and Shreyas Vasanawala1

1Stanford University, Stanford, CA, United States, 2Hoag Hospital, Newport Beach, CA, United States, 3University of California, Berkeley, Berkeley, CA, United States

We design a data-driven method to generate water/fat images from dual-echo complex Dixon images, aimed at near-instant water-fat separation with high robustness. A hierarchical convolutional neural network is employed, where ground truth images are obtained using a binary quadratic optimization approach. With IRB approval and informed consent, 9281 image sets are collected from 30 pediatric patients to train and test networks, with the application of six-fold cross validation. In addition to high fidelity and significantly reduced processing time, the predicted images are superior to the ground truth in mitigation of water/fat swaps and correction of artifacts introduced by metallic implants. 

4430
Booth 2
AI-based prediction of patient mobility using MRI data from the Osteoarthritis Initiative
Bragi Sveinsson1,2 and Matthew S Rosen1,2,3

1Radiology, A. A. Martinos Center, Massachusetts General Hospital, Boston, MA, United States, 2Radiology, Harvard Medical School, Boston, MA, United States, 3Physics, Harvard University, Cambridge, MA, United States

With an aging population, decreased muscle mass from conditions such as sarcopenia can be expected to lead to frequently decreased mobility, lowering patient quality of life. To develop effective treatments to slow down mobility loss, it is essential to obtain robust, objective mobility measurements that ideally do not require patient tasks. In this work, we explore the feasibility of predicting patient mobility by applying a neural network on sagittal knee MR images and accelerometry data from the Osteoarthritis Initiative.

4431
Booth 3
Prediction of Total Knee Replacement using Vision Transformers
Chaojie Zhang1, Haresh Rengaraj Rajamohan2, Kyunghyun Cho2, Gregory Chang1, and Cem M. Deniz1

1Department of Radiology, New York University Langone Health, New York, NY, United States, 2Center for Data Science, New York University, New York, NY, United States

Vision transformers were used to predict total knee replacement within 9 years from magnetic resonance images. Inspired by MRNet, 2D slices of an MR image were encoded by a vision transformer and these encodings were aggregated to provide a single prediction outcome from a 3D MR volume. Our results suggest that the prediction performance of vision transformers was comparable with the models based on convolutional neural networks for the outcome prediction task. Moreover, training models with stochastic gradient descent optimizer provided a better performance compared with the Adam optimizer.

4432
Booth 4
Statistical Shape Models of Bone and Cartilage for Predicting Demographics: Data from the Osteoarthritis Initiative
Anthony A Gatti1, Kuan-Chieh Wang2, Garry E. Gold1, Scott L. Delp3, and Akshay C. Chaudhari1

1Radiology, Stanford University, Stanford, CA, United States, 2Computer Science, Stanford University, Stanford, CA, United States, 3Bioengineering, Stanford University, Stanford, CA, United States

Three-dimensional statistical shape models built from MRI data can predict future disease and distinguish between groups. However, these models do not leverage the major advantage of MRI – the ability to visualize and quantify soft tissues such as cartilage. This study built three MRI-based statistical shape models, 1) bone shape, 2) cartilage thickness, 3) both bone shape and cartilage thickness. We showed that bone shape and bone shape + cartilage thickness models predicted sex with an R2 of ~0.9, significantly outperforming cartilage thickness alone (0.8). However, cartilage thickness alone was significantly better at predicting radiographic knee osteoarthritis.


4433
Booth 5
Design of a 13-Channel hybrid RF array with field rectification of dielectric material for foot/ankle imaging at 7T
Aditya Ashok Bhosale1, Leslie L Ying1, and Xiaoliang Zhang1

1Biomedical Engineering, University at Buffalo, Buffalo, NY, United States

This study proposes a 13-channel hybrid array system consisting of Microstrip transmission line resonators and half-birdcage coil and demonstrates the high-permittivity dielectric material’s positive effect on the B1 field distribution.

4434
Booth 6
Deblurring 3D FSE Images via Regularized Iterative Demodulation of T2 Decay
Yan Wen1, Ek Tsoon Tan2, Maggie Fung1, and Darryl B. Sneag2

1GE Healthcare, New York, NY, United States, 2Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, United States

The 3D FSE sequence is widely used in clinical MRI for its capability to collect many phase encoding lines in each RF excitation. However, the signals during the long echo train readout are modulated by the T2 decay, resulting in blurring. An algorithm is presented to retrospectively demodulate estimated T2 decay from the actual signal. In the preliminary data, the proposed algorithm demonstrated success in deblurring the images.


4435
Booth 7
Quantitative evaluation of tendon enthesis using ultrashort echo time magnetic resonance imaging (UTE-MRI) techniques
Saeed Jerban1, Alecio Lombardi1, Yajun Ma1, Amir M Afsahi1, Dina Moazamian1, Jiyo Athertya1, Hyungseok Jang1, Christine B Chung1, Jiang Du1, and Eric Y Chang1,2

1Department of Radiology, University of California, San Diego, San Diego, CA, United States, 2Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States

Entheses are transition zones connecting flexible tissues such as tendons and ligaments to bone. Conventional MRI sequences detect little or no signal from entheses as a result of their short T2* values. Alternatively, ultrashort echo time MRI (UTE-MRI) with TE<50 μs can be used to image tissues with short T2 and T2* for quantitative assessment. The feasibility of using quantitative UTE-MRI techniques for the evaluation of entheses regions of Achilles tendons in cadaveric ankle specimens was investigated. Using 20 cadaveric ankle specimens, high quality images were obtained with significant entheses signal which enabled excellent UTE-T1, UTE-Adiab-T1r, and UTE-MT model fittings.


MSK IV

Gather.town Space: North West
Room: 5
Thursday 9:15 - 11:15
Musculoskeletal
Module : Module 12: MSK I

4615
Booth 1
Feasibility of synthetic PD-weighted images on degenerative OA in comparison to structural ZTE-MRI
Huizheng Wang1, Weiyin Vivian Liu2, Xingyao Yu3, Wen Chen4, Ling Sang4, and Kejun Wang4

1Department of Radiology, Taihe Hospital, Jinzhou Medical University Union Training Base, Shiyan,Hubei, China, 2GE Healthcare, Beijing, China, 3Biomedical Engneering College,Hubei University of Medicine, Shiyan,Hubei, China, 4Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan,Hubei, China

Image follow-up for intervention effectiveness of osteoarthritis is necessary to avoid or slow down the development of joint space stenosis, bone sclerosis and osteophyte formation. Compared to ZTE-MRI with the feature of nominal zero echo time, MAGIC, synthetic MRI, offers not only anatomical structure images but also T1, T2, and PD maps. We found a significant correlation between joint space value and meniscus volume in reflection of antagonism effect of joint space and surrounding tissues. Proton density weighted synthetic MR images (PD-MAGIC) offered as good as ZTE-MR structure images and might supplement quantitative information clinically to improve  follow-up diagnostic performance.

4616
Booth 2
Accelerated 3D PDWI in knee imaging: Quality and efficiency of a deep learning-based Compressed SENSE reconstruction
Lin Mu1, Ying Qiu2, Yun Pei3, Yi Zhu4, and Ke Jiang4

1Radiology, The First Hospital of Jilin University, Changchun, China, 2The First Hospital of Jilin University, Changchun, China, 3College of Electronic Science and Engineering, Jilin University, Changchun, China, 4Philips Healthcare, Beijing, China

The use of three dimensional (3D) volumetric acquisition in clinical settings has been limited due to long scan time. A deep learning-based reconstruction algorithm allows shortening of scan time and provide comparable overall image quality when compared with standard sequences. Adaptive-CS-Net, a deep neural network previously introduced at the 2019 fast MRI challenge, was expanded and presented here as a Compressed-SENSE Artificial Intelligence (CS-AI) reconstruction. The purpose of the study is to determine the feasibility of 3D PDWI accelerated with CS-AI for evaluating the knee image quality and compared with SENSE and standard Compressed-SENSE.

4617
Booth 3
Knee Osteoarthritis: Automatic Grading with Deep Learning
Junru Zhong1, Yongcheng Yao1, Sheheryar Khan2, Fan Xiao1, Dόnal G. Cahill1, James F. Griffith1, and Weitian Chen1

1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Sha Tin, NT, Hong Kong, 2School of Professional Education & Executive Development, The Hong Kong Polytechnic University, Kowloon, Hong Kong

We present a deep learning-based knee osteoarthritis grading system that automatically provides a binary classification for cartilage degeneration. The system was trained on MRI data sets applying MOAKS grading from the Osteoarthritis Initiative (OAI). The proposed method achieved an accuracy of 0.75 to 0.83, despite being conducted on highly imbalanced data sets. Significant improvement in accuracy is expected with more balanced data sets.


4618
Booth 4
Quantitative evaluation of cartilage damage in hemophiliac arthropathy using automatic segmentation of 3D high resolution MRI images
Jiajia Li1, Shufang Wei1, Xianchang Zhang2, Jing An3, Esther Raithel4, and Yinghui Ge1

1Fuwai Central China Cardiovascular Hospital, Zhengzhou, China, 2MR Collaboration, Siemens Healthineers Ltd, Beijing, China, 3Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China, 4Siemens Healthcare GmbH, Erlangen, Germany

Hemophilic arthropathy (HA) is a serious complication of haemophilia, characterized by bone and cartilage damage due to recurrent joint bleeding. Existing evidence showed HA has a fast disease progression. MRI-based evaluation plays an important role in the detection, categorization and staging of soft tissue and osteochondral changes in HA, which is important for assessing and monitoring treatment outcomes. However, currently semi-quantitative scoring system based on conventional MRI images cannot give an objective assessment of knee cartilage damage. To this end, this study for the first time used an automatic segmentation algorithm to quantitatively evaluate the morphological change of knee cartilage in HA.

4619
Booth 5
T2 map segmentation into the deep, intermediate, and superficial layers when staging of patellar cartilage chondromalacia
Elena Voronkova1,2, Petr Menshchikov3,4, Ilya Melnikov1, Andrei Manzhurtsev1,4, Maxim Ublinskii1, Denis Vorobyev1, Dmitriy Kupriyanov3, and Tolib Akhadov1

1Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow, Russian Federation, 2National Research Nuclear University MEPhI, Moscow, Russian Federation, 3Philips Healthcare, Moscow, Russian Federation, 4Institute of Biochemical Physics, Russian Academy of Sciences, Moscow, Russian Federation

This paper has demonstrated the benefits of segmentation into the deep, intermediate, and superficial layers in analysis of T2 maps of patellar cartilage with chondromalacia. In the deep and intermediate layers, the Т2 values were significantly different in all the patients groups, while the T2 values in the superficial layer did not depend on the disease grade. Compared with the whole cartilage assessment, this approach increased the sensitivity and specificity of chondromalacia staging by 17% and therefore can significantly increase the clinical efficiency of T2 mapping.

4620
Booth 6
In vivo Feasibility of Three-Dimensional Simultaneous Quantitative T1-T2-T2* Mapping (SQUMA) for Knee Cartilage
Renchi Ma1, Huiyu Qiao2, Xinrong Qiao1, Huijun Chen2, Xihai Zhao2, and Zhuozhao Zheng1

1Department of Radiology, Beijing Tsinghua Changgung Hospital, School of Medicine, Tsinghua University, Beijing 102218, China, Beijing, China, 2The Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing 100084, China, Beijing, China

T1, T2, and T2* mapping provide valuable information for evaluating joint cartilage. However, few studies simultaneously quantified T1, T2, and T2* map to evaluate knee cartilage. In this study, a three-dimensional (3D) simultaneous quantitative T1-T2-T2* mapping (SQUMA) sequence is utilized in knee cartilage. Excellent correlation and good consistency in measuring T1, T2 and T2* values were found between 3D SQUMA sequence and referenced sequences in phantom studies. The T1, T2 and T2* values of knee cartilage were 949.90±82.59 ms, 36.85±2.25 ms and 27.89±5.74 ms, respectively, with good repeatability. 3D SQUMA sequence is feasible for in vivo evaluation of knee cartilage.

4621
Booth 7
Can infrapatellar fat pad predict the incidence of knee osteoarthritis by using deep learning based on MRI? Data from osteoarthritis initiative
Keyan Yu1,2, Chuanyang Zheng3, Jiaping Hu1, Lijie Zhong1, Xiaodong Zhang1, and Qi Dou3

1Department of Medical Imaging, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China, 2Department of Radiology, Peking University Shenzhen Hospital, Shenzhen, China, 3Department of Computer Science & Engineering, The Chinese University of Hong Kong, Hong Kong, China

Infrapatellar fat pad (IPFP) is an important risk factor for the incident of radiographic knee osteoarthritis (iROA)1, 2. However, the potential of being an independent biomarker to predict iROA is untapped. Deep learning (DL) is a set of algorithms that enable computers to discover complicated patterns in large data sets3. In this study, we train a DL model to predict iROA with auto-segmented IPFP, comparing it to the DL model set up with corresponding whole knee MR images (MRI). The results reveal that IPFP alteration can predict iROA independently comparably to the whole knee MRI at one year before iROA.

4622
Booth 8
Application of MR diffusion tensor imaging (DTI) in acute anterior cruciate ligament (ACL) injury
Xiaoxuan Wang1, Xiaowen Ma1, Xiaocheng Wei2, and Haiyan Li1

1Department of Magnetic Resonance Imaging, Hong Hui Hospital of Xi’an Jiaotong University, Xi’an, China, 2GE Healthcare, Beijing, China

In this study, we aim to investigate whether DTI is superior to conventional MRI in evaluating acute ACL injury. It was concluded that the mean FA values is lower and the mean ADC values is higher in the ACL injury group than control group. The sensitivity, specificity, accuracy and Kappa value of DTI were higher than those of conventional MRI.

4623
Booth 9
In vivo preliminary assessment of knee cartilage degeneration by Quantitative Ultrashort Echo Time MRI
Xiaolian Su1, Guangyu Tang1, and Pu-Yeh Wu2

1Department of Radiology, Shanghai tenth People’s Hospital, Tongji University School of Medicine, Shanghai, China, shanghai, China, 2GE Healthcare, Beijing, China, Beijing, China

Recent advances in UTE-MRI techniques development allow for quantitative measurements of tissues with very short T2. However, in vivo experiments are needed to extend its application in clinical practice. In this in vivo study, we found that both UTE-MTR and UTE-adiabatic-T1rho values indicated a moderate correlation with MOAKS Grading. Meanwhile, both of them had moderate diagnostic efficacy for the mild cartilage degeneration (MOAKS = 1). These findings suggested that quantitative UTE-MRI techniques have a great potential as imaging biomarkers for early OA diagnosis in clinic.

4624
Booth 10
MIXTURE-DOSMA: Initial clinical research of a comprehensive and multi-parametric quantitative 3D knee MR exam in patients with knee joint pain.
Takayuki Sakai1, Jihun Kwon2, Masami Yoneyama2, Daichi Murayama1, Quin Lu3, Arjun Desai4, Akshay S Chaudhari5, Tosiaki Miyati6, Shigehiro Ochi1, and Atsuya Watanabe7,8

1Radiology, Eastern Chiba Medical Center, Chiba, Japan, 2Philips Japan, Tokyo, Japan, 3Philips Healthcare NA, San Francisco, CA, United States, 4Electrical Engineering, Stanford University, Stanford, CA, United States, 5Radiology, Stanford University, Stanford, CA, United States, 6Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan, 7General Medical Services, Chiba University Graduate School of Medicine, Chiba, Japan, 8Orthopaedic Surgery, Eastern Chiba Medical Center, Chiba, Japan

Multi-Interleaved X-prepared TSE with inTUitive RElaxometry (MIXTURE) is a recently developed 3D magnetization-prepared turbo spin-echo sequence. MIXTURE provides 3D high-resolution isotropic knee morphometry and T1ρ relaxometry in a clinically reasonable scan time. In this study, we integrated MIXTURE with the into a Deep-learning, Open-Source Medical Analysis (DOSMA) framework for deep learning-powered musculoskeletal MR image and evaluated its clinical usefulness in patients with knee joint pain. We show that the combination of MIXTURE and DOSMA enables a comprehensive whole knee MR exam including 3D isotropic submillimeter imaging, T2- and T1ρ-mapping, and standardized image analysis. The clinical insight MIXTURE-DOSMA brings is demonstrated. 

4625
Booth 11
Evaluate Articular Cartilage in Early-Stage Knee Osteoarthritis with a Two-Compartment Hybrid Multidimensional MR Imaging Method
Peng Luo1, Wentao Hu2, Guanwu Li1, and Yongming Dai2

1Department of Radiology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China, 2United Imaging Healthcare, Shanghai, China

Evaluation of early-stage knee osteoarthritis (OA) has long been of wide concern, while MRI has proved its value in this field by the richness of contrasts and non-invasive nature. However, MRI detection for composition change in OA still calls for deeper researches. ADC and T2 measured by conventional MRI are only an average of intra-voxel components and assumed to be independent. However, by performing a hybrid multidimensional MR imaging (HM-MRI) method, an implied correlation between ADC and T2 in articular cartilage has emerged. Moreover, Vnormal might offer extra information in detecting cartilage degeneration at early stage of OA than conventional ADC/T2 parameters.


4626
Booth 12
Reversible Changes in knee articular cartilage after half marathon: an MRI T2* study in heathy amateur runners
Yanjing Zhang1,2, Li Zhang3,4, Wanzhen Yao1,2, Siyu Dai1,2,5,6, Dingbo Shu1,2, Jianping Ding2,5,7, and Mengxiao Liu8

1Department of Radiology, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China, 2Institute of Sport Medicine, Hangzhou Normal University, Hangzhou, China, 3Department of Radiology, The Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, China, 4National Clinical Research Center for Child Health, Hangzhou, China, 5School of Clinical Medicine, Hangzhou Normal University, Hangzhou, China, 6Faculty of Medicine, The Chinese University of Hong Kong, HongKong, China, 71 Department of Radiology, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China, 8MR scientific Marketing, Diagnostic Imaging, Siemens Healthineers Ltd, Shanghai, China

This research investigated the difference in T2* value of knee cartilage between amateur runners and non-exercisers, and examined  the trends in the T2* value of knee cartilage in amateur runners before and after a half marathon. The results showed that the T2* value in lateral femorotibial joint of amateur runners was lower than non-exercisers. And the T2* value increased significantly after half-marathon running, and returned to the baseline level after 3 days. This indicates that long-term running may be beneficial to joint health; the effect of a half-marathon exercise on cartilage is reversible.

4627
Booth 13
AI-assisted compressed sensing (ACS) in accelerating knee MR imaging: A pilot study in adults
Xu Xu1, Chunchao Xia2, Wen Zeng2, Wanlin Peng2, Yongming Dai3, Ke Xue3, Zhenlin Li2, Zhenlin Li2, and Zhenlin Li2

1Department of Radiology, west China hospital of Sichuan University, Chengdu, China, 2west China hospital of Sichuan University, Chengdu, China, 3MR Collaboration, Central Research Institute, United Imaging Healthcare, Shanghai, China

In knee MRI, patients with pain or limited motion can have difficult to endure a long-time imaging position. At the same time, the relatively high spatial resolution and good image quality were required in such musculoskeletal MRI. Therefore, shortening scan time and improving the image quality is the aim of current knee MRI.Our study compared conventional parallel imaging (PI) and artificial intelligence assisted compressed sensing (ACS) in terms of imaging quality and diagnostic performance in knee MRI, and achieved a 5-minute comprehensive examination of the knee, without compromising either image quality or visualization of anatomical and pathological structures.


4628
Booth 14
Periodic assessment of four horns of knee meniscus using MR T2mapping images in volunteers before and after amateur marathons
Li Jujia1, Jian Zhao1, Xuesong Zhang1, Ping Zhang1, Congcong Ren1, Yan Zeng1, Ranxu Zhang1, Ming Wang1, and Xiaoyue Zhou2

1The Third Hospital of Hebei Medical University, Shijiazhuang, China, 2Siemens Healthineers, Ltd., Shanghai, 201318, China., Shanghai, China

T2 mapping can evaluate the dynamic changes of the meniscal microstructure. The study was designed to evaluate the T2 values of the menisci of amateur marathon volunteers at three different timings. Compared with the T2 values of menisci one week before running, the values 12 h after running increased significantly (P <0.05), and the values 2 months after running did not change significantly (P > 0.05). The result suggests that marathons do not necessarily cause irreversible knee damage. 

4629
Booth 15
A Systematic Cartilage Surface Segmentation Method for Cartilage Thickness Mapping
Yongcheng Yao1, Dόnal G. Cahill1, James F. Griffith1, and Weitian Chen1

1The Chinese University of Hong Kong, New Territories, Hong Kong

Thickness mapping techniques are important in the  management of osteoarthritis. Since most thickness mapping approaches require two surfaces as inputs, surface segmentation is important for articular cartilage thickness mapping. In this work, a systematic approach is proposed for automatic articular cartilage surface segmentation from a volume segmentation mask, which includes cartilage surface reconstruction, body surface construction, surface normal estimation, directional voxels searching, restricted surface dilation, and surface close operation. The proposed method can be used for reliable cartilage thickness mapping.


MSK III

Gather.town Space: North West
Room: 4
Thursday 9:15 - 11:15
Musculoskeletal
Module : Module 12: MSK I

4630
Booth 1
Associations and mediation effects analysis of cortical porosity index, CKD stages, and bone metabolism markers
Yan Xiong1, Shuang Hu1, Yao Zhang 1, Donglin Wen1, Weiyin Vivian Liu2, and Xiaoming Li 1

1Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, 2GE Healthcare, Beijing, China

Chronic kidney disease (CKD) has a significant negative impact on bone health. However, the mechanisms of cortical bone deterioration and cortical porosity enlargement caused by CKD have not been fully described. Double-echo ultrashort echo-time magnetic resonance imaging (UTE MRI) provides the possibility of quantifying cortical porosity in vivo. The increasing CKD stages were associated with a higher PI value (Ptrend < 0.001). The association of CKD stages and PI mediated 34.4% and 30.8% of the total effect by increased PTH and β-CTX, respectively. Our study revealed the internal mechanism of bone deterioration caused by CKD to some extent.

4631
Booth 2
Application of Multi-echo DIXON and HISTO to evaluate bone marrow fat/iron content in lumbar osteoporosis patients
Yang Wang1, Fengyu Sun1, Chen Zhang2, Haoran Sun1, Dong Li1, and Yuezeng Cai1

1Department of Radiology, Tianjin Medical University General Hospital, Tianjin, China, 2MR Scientific Marketing, Siemens Healthineers, Beijing, China

Our study investigated the feasibility of LiverLab technique, consisted of multi-echo DIXON and HISTO, to evaluate the vertebral BMFF and iron content for the diagnosis of osteoporosis. BMFF measured by multi-echo DIXON and HISTO was significantly increased in osteoporosis patients and strong negative correlation with BMD. Vertebral iron content had no difference in osteoporosis patients and no correlation with BMD. LiverLab technique, composed of multi-echo DIXON and HISTO, can quantitatively evaluate the changes in bone marrow fat content, and can be used as a potential biomarker for evaluating abnormal bone density and severity of osteoporosis.

4632
Booth 3
Focused shape model assessment of cam-type femoroacetabular impingement: 3D MR cam morphology visualizations with associated surgical reviews
Jessica Marie Bugeja1,2, Ying Xia1, Shekhar Chandra2, Nicholas Murphy3,4, Stuart Crozier2, David Hunter3,5, Jurgen Fripp1, and Craig Engstrom6

1AEHRC, CSIRO, Brisbane, Australia, 2School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia, 3Institute of Bone and Joint Research, University of Sydney, Sydney, Australia, 4Department of Orthopaedic Surgery, John Hunter Hospital, Newcastle, Australia, 5Department of Rheumatology, Royal North Shore Hospital, St Leonards, Australia, 6School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Australia

Evaluating hip shape change with statistical shape models (SSMs) has been reported as a biomarker for OA incidence, progression and end-stage outcomes. However, there have been few MR studies using 3D SSMs for assessing proximal femur shape, encompassing the femoral head-neck region, in patients with conditions such as FAI. To the best of our knowledge, we present the first study to use focused shape models from 3D MR hip images to assess a focal region of (clinical) interest for cam morphology evaluation in patients classified as having an ‘inadequate’, ‘borderline’ or ‘satisfactory’ surgical outcome as determined from expert surgical review.  

4633
Booth 4
Denoising of 3D Fast Spin Echo Magnetic Resonance Images Using Convolutional Neural Networks with Rapid 2-NEX Acquisitions
Shutian ZHAO1, Fan XIAO1, Siyue LI1, Dόnal G. Cahill1, James F. Griffith1, and Weitian CHEN1

1Imaging and Interventional Radiology, CUHK lab of AI in radiology (CLAIR), Department of imaging and interventional radiology, The Chinese university of Hong Kong, Hong Kong SAR, China

We propose a deep learning denoising network with rapid 2-NEX acquisitions that can improve structure detail on rapid acquisition 3D FSE knee MR images. We investigated and compared this method to both conventional and deep learning methods. We demonstrated that this new method has the potential to suppress noise while improving structural detail on 3D FSE knee MR images.

4634
Booth 5
Study on the relationship between accurate quantitative fat fraction of quadriceps femoris and patellofemoral arthritis by IDEAL-IQ
Binbin Yang1, Xiao cheng Wei2, and Xiao wen Ma1

1Honghui Hospital,Xi'an jiaotong University, Xi'an, China, 2GE Healthcare, Beijing, China

we aim to to explore the relationship between fat infiltration in quadriceps femoris with patellofemoral arthritis,It was concluded that IDEAL-IQ canbe a tool for quantification and prediction of patellar cartilage defect progression

4635
Booth 6
Evaluation of condylar osseous changes using wireless detector combined with PDWI sequence
Chong Tian1, Xinge Cheng2, Rongpin Wang1, Chunqi Qian3, Xianchun Zeng1, and Lisha Nie4

1Guizhou Provincial People's Hospital, Guiyang,Guizhou, China, 2Zunyi Medical University, Guiyang,Guizhou, China, 3Michigan State University, East Lansing, MI, USA, MI, United States, 4GE Healthcare, MR Research China, Beijing, Beijing,China, China

MRI is considered to be the reference method for the imaging and understanding of temporomandibular disease (TMD) , but it provides little or no detectable signal from cortical bone. A disc-shaped wireless detector (WD), which is more suitable for body superficial tissue or organ examination, is used to overcome the sensitivity limitation of conventional MRI in condyle imaging. This study aims to observe the capability of WD in showing the bone changes of TMD condyle on PDWI. Compared with the traditional MRI, WD  is suitable for imaging the condyle bone changes of TMD patients, and significantly improves the image quality.

4636
Booth 7
Quantitative assessment of bone erosion in patients with rheumatoid arthritis using ZTE-MRI
Xingyao Yu1, Weiyin Vivian Liu2, Chao Liu3, Hu Chen3, Jingyu Jiang1, Qianqian Feng3, and Lin Xu3

1Biomedical Engineering College, Hubei University of Medicine, Shiyan Hubei, China, 2GE Healthcare, Beijing, China, 3Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan Hubei, China

MRI is reckoned as the most sensitive tool for monitoring changes such as synovitis and bone marrow edema at early stage of rheumatoid arthritis (RA)[1, 2]. Our results showed that ZTE-MRI can better precisely detect bone erosion compared with fs PD as well as DR and reflect RA degree via the volume percentage of bone erosion over carpal bone. Overall, ZTE-MRI could be an alternative to routine PDWI in clinic practice to help clinicians make better diagnosis without influenced by bone marrow edema, joint effusion and thickening of the synovial membrane and also offer articular function assessment as radiography.

4637
Booth 8
Longitudinal Multiparametric Assessment of MRI in Symptomatic Knee Osteoarthritis and Correlation with Clinical Severity over 1 year
Woo Young Kang1, Suk-joo Hong1, Hyeonbin Lee1, Ji-Hoon Bae1, Zepa Yang1, and In-Seong Kim2

1Korea University Guro Hospital, Seoul, Korea, Republic of, 2Siemens Healthcare, Seoul, Korea, Republic of

MRI is a valuable tool for to assess osteoarthritis (OA) progression. Although OA is a progressive degenerative disease involving the entire joint structure, cartilage degeneration is the central hallmark of the disease. MRI enables quantitative and semiquantitative assessment of longitudinal changes in articular cartilage morphology and composition in knee OA. We investigated the association between MRI biomarkers and knee OA progression over 12 months.

4638
Booth 9
MIXTURE-DOSMA: A comprehensive and multi-parametric quantitative 3D knee MR exam in 10 minutes
Jihun Kwon1, Takayuki Sakai2, Masami Yoneyama1, Daichi Murayama2, Quin Lu3, Arjun D Desai4, Akshay S Chaudhari5, and Marc Van Cauteren6

1Philips Japan, Tokyo, Japan, 2Department of Radiology, Eastern Chiba Medical Center, Chiba, Japan, 3Philips Healthcare NA, San Francisco, CA, United States, 4Electrical Engineering, Stanford University, Stanford, CA, United States, 5Radiology, Stanford University, Stanford, CA, United States, 6Philips Healthcare, Best, Netherlands

Multi-Interleaved X-prepared TSE with inTUitive RElaxometry (MIXTURE) is a recently developed 3D magnetization-prepared turbo spin-echo sequence. MIXTURE provides 3D high-resolution isotropic knee morphometry and T1ρ relaxometry in a clinically reasonable scan time. In this study, we integrated MIXTURE with the Deep Open-Source Medical Analysis (DOSMA) framework for deep learning-powered musculoskeletal MR image analysis to expand its clinical usage. By exploiting the advantage of both techniques, we show that the combination of MIXTURE and DOSMA enables a comprehensive whole knee MR exam including 3D proton density-weighted isotropic submillimeter imaging, T2- and T1ρ-mapping, and standardized image analysis techniques.


MSK V

Gather.town Space: South West
Room: 3
Thursday 17:00 - 19:00
Musculoskeletal
Module : Module 12: MSK I

4939
Booth 1
Time-Dependent Diffusion Tensor Imaging and Modeling of Aging Muscles: Correlations to Muscle Strain, Histology and Physical Assessment
Vadim Malis1, Usha Sinha2, Edward Smitaman1, Jed Keenan Obra3, Henning T Langer3, Agata A Mossakowski3, Keith Baar3, and Shantanu Sinha1

1Radiology, UC San Diego, San Diego, CA, United States, 2Physics, San Diego State University, San Diego, CA, United States, 3Physiology and Membrane Biology, UC Davis, Davis, CA, United States

Diffusion modeling (RPBM) of the time dependence of the skeletal muscle diffusion eigenvalues was applied to probe tissue changes with age.  λ2 (TM=30 ms) was significantly lower in seniors; permeability and the residence time from RPBM were significantly positively correlated with grip size and 200 m walk. Significant negative correlations of λ1 and λ2 to age and to physical λ2 / λ3 to collagen matrix angle and to systolic/diastolic blood pressure were seen. λ2 and λ3 were significantly positively correlated to the projection of the strain on the diffusion eigenvector corresponding to the secondary eigenvalue.

4940
Booth 2
Quantitative Ultrashort Echo Time (UTE) imaging of Osteochondral Junction
Alecio F. Lombardi1,2, Zhao Wei1, Dina Moazamian1, Saeed Jerban1, Hyungseok Jang1, Nicole Le1, Jiang Du1, Christine B. Chung1,2, Eric Y. Chang1,2, and Ya-Jun Ma1

1Department of Radiology, University of California, San Diego, CA, United States, 2Radiology Service, Veterans Affairs, San Diego Healthcare System, San Diego, CA, United States

MRI-based compositional imaging of cartilage has higher sensitivity to detect early changes in osteoarthritis. The osteochondral junction (OCJ) is of particular interest since it has been associated with early changes and progression of cartilage degeneration. However, conventional MRI sequences cannot differentiate with high contrast the OCJ region for quantification. Here we present quantification of T1, T1rho, T2*, and macromolecular fraction (MMF) of deep and superficial layers knee cartilage using 3D ultrashort echo time (UTE) MRI cones sequences and correlate the values from the OCJ with the degree of cartilage degeneration according to the MRI Osteoarthritis Knee Cartilage Score (MOAKS).

4941
Booth 3
Study of Aging Muscles using 3D Strain and Strain Rate Projected along Muscle Fiber DTI Eigenvector Directions
Brandon Cunnane1, Vadim Malis2, Usha Sinha1, Ryan Hernandez1, John Hodgson3, and Shantanu Sinha2

1Physics, San Diego State University, San Diego, CA, United States, 2Radiology, UC San Diego, San Diego, CA, United States, 3Inteegrative Biology and Physiology, UC Los Angeles, Los Angles, CA, United States

Feasibility is shown of  studying aging muscles using rapid, compressed sensing VE-PC technique at relatively high isometric forces to calculate projections of 3D strain and strain rate tensor along fiber eigenvectors calculated from DTI.

4942
Booth 4
High Prevalence of Abnormal 3T MRI Findings in Clinically Asymptomatic Siblings of Patients with Osteochondritis Dissecans of the Knee
Abdul Wahed Kajabi1,2, Stefan Zbyn1,2, Marc A. Tompkins3, Bradley J. Nelson3, Kevin G. Shea4, Cathy S. Carlson5, and Jutta M. Ellermann1,2

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 3Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, United States, 4Stanford Children's Hospital, Stanford University, Palo Alto, CA, United States, 5Department of Veterinary Medicine, University of Minnesota, St. Paul, MN, United States

This study examined seven clinically asymptomatic siblings of patients with Osteochondritis Dissecans (OCD) utilizing 3T MRI, including quantitative apparent diffusion coefficient (ADC) mapping to evaluate morphological integrity of the epiphyseal cartilage, integrity of secondary physis and trabecular bone quality in the distal femoral condyles of bilateral knees. A high prevalence (86%) of morphological MRI abnormalities that can be seen in early OCD and increased diffusivity (high quantitative ADC values) in trabecular bone were detected. The high prevalence of early signs of OCD in clinically asymptomatic siblings of OCD patients supports evidence of a genetic predisposition for the disease.

4943
Booth 5
2D Fiber Strains Correlated to DTI in the Medial Gastrocnemius under Isometric Contractions at Different Foot Positions
Brandon Cunnane1, Usha Sinha1, Vadim Malis2, Ryan Hernandez1, John Hodgson3, and Shantanu Sinha2

1Physics, San Diego State University, San Diego, CA, United States, 2Radiology, UC San Diego, San Diego, CA, United States, 3Inteegrative Biology and Physiology, UC Los Angeles, Los Angles, CA, United States

Study of muscle fiber strains at different foot positions can reveal the dependence of muscle force on muscle architecture. Prior studies of isometric contraction in calf muscle using dynamic MRI revealed in the medial gastrocnemius (MG), strain heterogeneity along and across fibers, constant in-plane areas, and gear ratios decreasing with unloading. This study examines correlation of fiber strains in the MG at three-foot positions and two sub-maximal isometric contractions with fiber directions extracted from DTI. The plantarflexed foot position had the highest normalized fiber strain (to force and to torque) while the dorsiflexed position had the lowest normalized fiber strains.

4944
Booth 6
Correlation of 4D MRI and Motion Capture during Dynamic Wrist Movements
Mohammad Zarenia1, Samantha R. Schwartz2, Joshua M. Leonardis2, Alyssa J. Schnorenberg2, Volkan E. Arpinar1, Brooke A. Slavens2, and Kevin M. Koch1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 2Department of Rehabilitation Sciences & Technology, University of Wisconsin-Milwaukee, Milwaukee, WI, United States

4D MRI and external motion capture systems were utilized to track unconstrained movement of wrist carpal bones. Using slab-to-volume registration of dynamic MRI to static MRI reference images, wrist kinematic profiles for 19 healthy subjects were computed and compared to gold-standard motion analysis metrics during ulnar/radial deviation and flexion/extension motions. The agreement of kinematic measures derived using the intrinsic (i.e. carpal bone volume) MRI-based approach and external (sensor-based) motion capture methods provided validation of the deployed MRI-based kinematic profiling methodology.

4945
Booth 7
Correlation between T1, T1rho, T2*, MMF, and Biomechanics in Human Interspinous Ligament Using quantitative Ultrashort Echo Time (UTE) MRI
Alecio F. Lombardi1,2, Saeed Jerban1, Ya-Jun Ma1, Micah Blais3, Robert K. Eastlack3, Gregory M. Mundis Jr.3, Jiang M. Du1, Eric Y. Chang1,2, and Bahar K. Shahidi4

1Department of Radiology, University of California, San Diego, CA, United States, 2Radiology Service, Veterans Affairs, San Diego Healthcare System, San Diego, CA, United States, 3Department of Orthopedic Surgery, Scripps Clinic, San Diego, CA, United States, 4Department of Orthopedic Surgery, University of California, San Diego, CA, United States

This study aimed to quantify T1, T1rho, T2*, and MMF values of the human interspinous ligament using 3D ultrashort echo time (UTE) cones MRI and correlate them with biomechanical properties. We found a significant negative correlation between T1 and elastic modulus; significant moderate to strong negative correlations between T1rho and both tensile stress and maximum load; and significant moderate to strong positive correlations between MMF and both tensile stress and maximum load. There was an overall trend towards negative correlation between T2* and biomechanical properties.


4946
Booth 8
Single and Multi-channel evaluations of factors that affect cartilage T1ρ and T2 quantification
zhiyuan zhang1,2,3, Jeehun Kim2,3,4, Richard Lartey2,3, Carl S. Winalski2,3,5, and Xiaojuan Li2,3,5

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Program of Advanced Musculoskeletal Imaging (PAMI), Cleveland Clinic, Cleveland, OH, United States, 3Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States, 4Department of Electrical, Computer, and Systems Engineering, Case Western Reserve University, Cleveland, OH, United States, 5Department of Diagnostic Radiology, Imaging Institute, Cleveland Clinic, Cleveland, OH, United States

MR T1ρ and T2 have been suggested as promising imaging markers for detecting early cartilage degeneration in osteoarthritis1. However, one hurdle of applying such quantitative MRI to large clinical trials and clinical practice is the lack of standardization of data acquisition and processing. In this study, we evaluated multiple factors that affect cartilage T1ρ and T2 quantification including maximum TE, number of echoes, SNR, and fitting methods for single and multi-channel situations with simulations, phantoms and human data. Such evaluations will help to provide useful guidance in standardizing data acquisition and processing for cartilage T1ρ and T2 imaging.

4947
Booth 9
Dynamic T1ρ and T2 mapping of Articular Cartilage Biochemical Recovery Post-exercise with 3T MRI
Jason Matakas1, Steven Shamah1, Esther Rong1, Jenna Le1, Karen Sperling1, Can Wu2, and Qi Peng1

1Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, United States, 2Memorial Sloan Kettering Cancer Center, New York, NY, United States

Osteoarthritis (OA) is a leading cause of disability characterized by proteoglycan loss and collagen matrix disruption in the cartilage. Quantitative T1ρ and T2 mapping obtained in a static setting have been proposed to detect the biochemical changes associated with OA, which however lack the functional information of the cartilage. We here present a novel dynamic approach to elucidate biochemical recovery of knee cartilage after stair-climbing exercise with high-spatiotemporal-resolution simultaneous 3D T1ρ and T2 mapping. It could serve as an innovative, clinically feasible imaging biomarker to evaluate both biochemical and functional properties of cartilage for early OA diagnosis and prognosis.

4948
Booth 10
3T MRI Graph Analysis of the Proximal Femur trabecular network in Osteoporosis Subjects with Compared to Those without Prior Fragility Fractures
Anmol Monga1, Dimitri Martel1, Stephen Honig2, and Gregory Chang1

1Radiology, NYU Langone Health, New York, NY, United States, 2Osteoporosis Center, Hospital for Joint Diseases, NYU Langone Health, New York, NY, United States

Detecting microstructural information in bones leads to improved diagnosis, monitoring, and understanding of osteoporosis in patients. Recent advances allow for comprehensive and automated mining of quantitative image features to capture disease characteristics. Among these, graph and network analysis permit to characterize and assess network as the trabecular one and been previously applied in the wrist. In this study, we aim to apply the graph and network analysis method to the femoral trabecular bone network of osteoporosis subjects with and without previous fragility fracture history and assess features associated with fracture. 

4949
Booth 11
Trabecular bone imaging using 3D ultrashort echo time (UTE) Cones at the fat peak frequency: feasibility study
Saeed Jerban1, Michael Song2, Amir M Afsahi1, Dina Moazamian1, Michael Carl2, Yajun Ma1, Alecio Lombardi1, Christine B Chung1, Eric Y Chang1,3, and Jiang Du1

1Department of Radiology, University of California, San Diego, San Diego, CA, United States, 2General Electric Healthcare, San Diego, CA, United States, 3Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States

High susceptibility levels at the marrow/bone interface may significantly reduce T2* of marrow, leading to trabecular bone volume overestimation when imaged using conventional MRI sequences. The presence of fat in bone marrow further complicates trabecular bone imaging due to chemical shift artifacts. In this study, an ultrashort echo time MRI (UTE-MRI) technique focused on the fat peak frequency was investigated to image trabecular bone ex vivo and in vivo. This technique was shown to improve trabecular bone imaging by minimizing chemical shift artifacts as well as susceptibility related short T2* effects, thereby providing more accurate estimation of trabecular bone structure.

4950
Booth 12
3T Chemical Shift encoded MRI detects Bone Marrow Adipose Tissue changes In Osteoporosis with Fragility Fracture
Dimitri Martel1, Benjamin Leporq2, Anmol Monga1, Stephen Honig3, and Gregory Chang1

1Radiology, NYU Langone Health, New York, NY, United States, 2Université de Lyon; CREATIS CNRS UMR 5220, Inserm U1206, INSA-Lyon, Villeurbanne, France, 3Osteoporosis Center, Hospital for Joint Diseases, NYU Langone Health, New York, NY, United States

Osteoporosis (OP) is associated with low bone mass and deterioration of bone tissue microarchitecture leading to increased bone fragility and fracture risk. There are increasing pieces of evidence that bone marrow adipose tissues (BMAT) play a significant role in the pathophysiology of osteoporosis. Our aim was to assess the proximal femur BMAT composition in OP without (OP) and with history of fragility fracture (OP-Fx) and compare it to naive controls using Chemical Shift Encoded MRI. 

4951
Booth 13
Fatty Acid Composition of Proximal Femur Bone Marrow in Subjects with Systemic Lupus Erythematous Using 3T Magnetic Resonance Spectroscopy
Dimitri Martel1, Amit Saxena2, H. Michael Belmont2, Stephen Honig3, Anmol Monga1, and Gregory Chang1

1Department of Radiology, NYU Langone Health, New York, NY, United States, 2Department of Rheumatology, NYU Langone Health, New York, NY, United States, 3Osteoporosis Center, Hospital for Joint Diseases, NYU Langone Health, New York, NY, United States

Systemic Lupus Erythematosus (SLE) is a chronic, inflammatory, multisystem disease predominantly affecting young women. Patients with SLE have a significantly worse health-related quality of life compared to healthy subjects or patients with other chronic diseases. MSK manifestations in SLE patients are common, including reductions in bone quality. Studies using magnetic magnetic resonance spectroscopy (MRS) have shown that change in bone marrow fat amount and composition is associated with decreased bone quality. The aim of our study was to use MRS to assess differences of BMAT in SLE without treatment (n=28), SLE treated (n=15) and controls (n=21).

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Booth 14
Bone-marrow fatty-acids profiles from women calcaneus by 1H-MR Spectroscopy to search early osteoporotic biomarkers
Daniele Mattioli1, Vincenzo Vinicola2, Marco Montuori3, Umberto Tarantino4, and Silvia Capuani5

1Physics Dpt., Sapienza University of Rome, Rome, Italy, 2Center for Prevention, Diagnosis and Treatment of Osteoporosis, IRCCS Santa Lucia Foundation, Rome, Italy, 3Institute for Complex Systems, National Research Council CNR-ISC, Rome, Italy, 4Department of Orthopaedics and Traumatology, Tor Vergata University of Rome, Rome, Italy, 5Institute for Complex Systems, National Research Council CNR-ISC, Roma, Italy

Changes occurring in the bone-marrow fatty-acids (BMFA) could be precursors of the bone mineral loss due to the development of osteoporosis. In this view, early biomarkers of osteoporosis among BMFA could be highlighted by quantifying fatty-acids with 1H-MRS in young, premenopausal, postmenopausal women with normal t-score and in osteoporotic women. In this study, L13, L09, fUFA, and fPUFA together with TL quantification obtained in women calcanei  could be early osteoporosis markers. The present work confirms the potential of MRS to investigate BMFA metabolic variations due to postmenopause and to the development of osteoporosis. 


4953
Booth 15
Bone marrow fat quantification on vertebral and lower extremities using in-vivo MR spectroscopy: diabetes patients v.s healthy control
Po-hung Wu1, Kaipin Xu2, Gabby Joseph1, Yan Li1, Xiaojuan Li2, Thomas Link1, and Galateia Kazakia1

1Radiology and Biomedical Imaging, University of California - San Francisco, San Francisco, CA, United States, 2Biomedical Engineering, Program of Advanced Musculoskeletal Imaging (PAMI), Cleveland Clinic, Cleveland, OH, United States

Patients with type II diabetes (T2D) have increased fracture risk. Increased bone marrow fat is associated with increased fracture risk. We hypothesized that T2D patients will have altered bone marrow fat (BMF) and marrow composition biomarkers. In this study, we performed magnetic resonance spectroscopy (MRS) to quantify BMF and composition biomarkers at the spine in 37 T2D patients and 36 controls, and at the distal tibia in 30 T2D patients 32 controls. The results suggest that T2D may change vertebral marrow composition, particularly in men, which may be a factor in the development of increased bone fragility related to T2D.