Quantitative Magnetic Resonance T2 Relaxometry Imaging of Knee Joint Tibia & Femoral Articular Cartilage

Authors

DOI:

https://doi.org/10.14738/jbemi.36.2527

Keywords:

Diagnostic Radiology, MRI

Abstract

 

Background: The knee joint is the largest synovial joint in the body with multiple articulating surface. The major consists of the articulation between the femur and tibia, which is weight bearer of the whole body weight and for the balance; and this articulation surface has a major chance of breakdown easily due to various reasons.

MR imaging is a powerful tool for the morphologic and compositional imaging of cartilage in the knee for the detection of early cartilaginous degeneration and increased utility for the assessment of cartilage repair techniques.

 

Aim: To obtain T2 relaxometry value of knee joint tibia and femoral articular cartilage & to compare the T2 relaxometry values of the early Osteoarthritic patients with that of the other cause.

Material & Methods: 20 patients who presented themselves in Radiology department of either sex whose reports and image data’s are collected prospectively during the study period of December 2011 to February 2012. All the patients’ data within the study period were collected. Patients were selected irrespective of their age group, gender and pathologic findings, a detailed history with various patient’s data includes patient demography, age, sex and the study reports are collected and is entered in a specially designed Profoma. The acquired study data of Sagittal T2 Mapping High Resolution sequence of each patient are then post processed by using a GE Advantage Workstation (version 4.4) and T2 Relaxometry values of various knee joint cartilages (Medial & Lateral femoral and tibial cartilage) are collected by using a special software and is entered in the table.

Conclusion: Conventional MRI may not show early cartilage changes; Cartilage edema following trauma (or) Due to osteoarthritis can be picked up early by T2 Mapping. hence it is useful in early patient management.

Key words: MRI, Knee joint imaging, tibia and femoral cartilage Imaging, Joint cartilage, T2 Relaxometry, T2 Mapping, osteoarthritis, Knee trauma, Medial and Lateral Tibia and Femoral Cartilage.

References

(1) 1,2d A Binks, Phd, 2r J Hodgson, Phd, Frcr, 3m E Ries, Phd, 1,2r J Foster, Phd, 2,4s W Smye, Phd, 1,2d Mcgonagle, Phd, Frcpi And 1,2a Radjenovic, Phd on Quantitative parametric MRI of articular cartilage: a review of progress and open challenges

(2) Asbjørn Årøen 1,2,3*, Helga Brøgger 4 , Jan Harald Røtterud 1, Einar Andreas Sivertsen 5, Lars Engebretsen 2,6 and May Arna Risberg on Evaluation of focal cartilage lesions of the knee using MRI T2 mapping and delayed Gadolinium Enhanced MRI of Cartilage (dGEMRIC)

(3) Richard Kijowski, MD, Donna G. Blankenbaker, MD, Alejandro Munoz del Rio, PhD, Geoffrey S. Baer, MD, and Ben K. Graf, MD on Evaluation of the Articular Cartilage of the Knee Joint: Value of Adding a T2 Mapping Sequence to a Routine MR Imaging Protocol

(4) Sharmila Majumdar and Blumenkrantz on Quantitative Magnetic Resonance Imaging of Articular Cartilage in Osteoarthritis.

(5) Iwan Van Breuseghem, , Hilde T. C. Bosmans, , Luce Vander Els, Frederik Maes, on the Feasibility of T2 Mapping of human femoro-tibial Cartilage With Turbo Mixed MR Imaging at 1.5 T.

(6) Crema MD, Roemer FW, Marra MD, Burstein D, Gold GE, Eckstein F, Baum T, Mosher TJ, Carrino JA, Guermazi A. Articular cartilage in the knee: current MR imaging techniques and applications. Radiographics - .Jan-Feb 2011.

(7) A. A. O. Carneiro; G. R. Vilela; D. B. de Araujo; O. Baffa on MRI relaxometry: methods and applications

(8) Michel D. Crema, MD, Frank W. Roemer, MD, Monica D. Marra, MD, Deborah Burstein, PhD, Garry E. Gold, MD, MSEE, Felix Eckstein, MD, Thomas Baum, MD, Timothy J. Mosher, MD, John A. Carrino, MD, MPH, and Ali Guermazi, MD on Articular Cartilage in the Knee: Current MR Imaging Techniques and Applications in Clinical Practice and Research

(9) C. Liess, S. Lu¨Sse, N. Karger, M. Heller and C.-C. Glu¨Er - On the detection of changes in cartilage water content using MRI T2-Mapping.

(10) Tallal C. Mamisch MD, Siegfried Trattnig MD, Sebastian Quirbach MD, Stefan Marlovits MD, Lawrence M. White MD, and Goetz H. Welsch, on the Quantitative T2 Mapping of knee cartilage: Differentiation of healthy control cartilage and cartilage repair tissue in the knee with unloading.

(11) Jinfa Xu, Guohua Xie, Yujin Di, Min Bai, Xiuqin Zhao on The Value Of T2-Mapping and DWI in the Diagnosis Of early Knee cartilage injury.

(12) Frank W. Roemer, MD, Michel D. Crema, MD, Siegfried Trattnig, MD, and Ali Guermazi, MDAddress correspondence to F.W.R on Advances in Imaging of Osteoarthritis and Cartilage

(13) Garry E. Gold, Christina A. Chen,Seungbum, Brian A. Hargreaves, Neal K. Bangerters on Recent Advances in MRI of Articular Cartilage.

(14) Klaus M. Friedrich, Timothy Shepard, Valesca Sarkis De Oliveira, Ligong Wang, James S.Babb, Mark Schweitzer, Ravinder Regatte on the T2 measurements of cartilage in osteoarthritis patients with meniscal tears.

(15) Bae JH1,2, Hosseini A1, Wang Y3, Torriani M4, Gill TJ5, Grodzinsky AJ3, Li G1 On Articular Cartilage Of The Knee 3 Years After ACL Reconstruction. A Quantitative T2 Relaxometry Analysis Of 10 Knees.

(16) Li H1, Chen S2, Tao H2, Chen S3. On Quantitative MRI T2 relaxation time evaluation of knee cartilage: comparison of meniscus-intact and -injured knees after anterior cruciate ligament reconstruction.

(17) Mingqian Huang, MD Mark E. Schweitzer, MD on The Role of Radiology in the Evolution of the Understanding of Articular Disease

(18) Jan S. Bauer, MD, Stefanie J. Krause, MD, Christian J. Ross, MD, Roland Krug, PhD, Julio Carballido-Gamio, PhD, Eugene Ozhinsky, BA, Sharmila Majumdar, PhD, and Thomas M. Link, MD on Volumetric Cartilage Measurements of Porcine Knee at 1.5-T and 3.0-T MR Imaging: Evaluation of Precision and Accuracy

(19) Hamza Alizai, USA And Ali Guermazi, USA/Qatar On Quantitative Mri Of Cartilage

(20) Martin Torriani Atul K. TanejaAli HosseiniThomas J. GillMiriam A. BredellaGuoan Li on T2 relaxometry of the infrapatellar fat pad after arthroscopic surgery

(21) Hyun Jung Yoon, MD,1 Young Cheol Yoon, MD, 1 and Bong-Keun Choe, MD2 on T2 Values of Femoral Cartilage of the Knee Joint: Comparison between Pre-Contrast and Post-Contrast Images

(22) Mamisch TC1, Trattnig S, Quirbach S, Marlovits S, White LM, Welsch GH. on Quantitative T2 mapping of knee cartilage: differentiation of healthy control cartilage and cartilage repair tissue in the knee with unloading--initial results.

(23) Welsch GH1, Mamisch TC, Domayer SE, Dorotka R, Kutscha-Lissberg F, Marlovits S, White LM, Trattnig S. on Cartilage T2 assessment at 3-T MR imaging: in vivo differentiation of normal hyaline cartilage from reparative tissue after two cartilage repair procedures--initial experience.

(24) White LM1, Sussman MS, Hurtig M, Probyn L, Tomlinson G, Kandel R. on Cartilage T2 assessment: differentiation of normal hyaline cartilage and reparative tissue after arthroscopic cartilage repair in equine subjects.

(25) Welsch GH1, Mamisch TC, Hughes T, Zilkens C, Quirbach S, Scheffler K, Kraff O, Schweitzer ME, Szomolanyi P, Trattnig S. on In vivo biochemical 7.0 Tesla magnetic resonance: preliminary results of dGEMRIC, zonal T2, and T2* mapping of articular cartilage.

(26) Hussain Tameem and Usha Sinha on An Atlas-Based Approach to Study Morphological Differences in Human Femoral Cartilage Between Subjects from Incidence and Progression Cohorts: MRI Data from Osteoarthritis Initiative

(27) Alex Pai,1 Xiaojuan Li,2 and Sharmila Majumdar2 - A comparative study at 3 Tesla of sequence dependence of T2 quantitation in the knee

(28) Catherine Westbrook MRI IN PRACTICE – Third Edition.

(29) Alfred L. Horowitz, MRI Physics for Radiologist – Second Edition.

(30) Thomas M. Link a book on Cartilage Imaging: Significance, Techniques, and New Developments

(31) Gray’s Anatomy for students – Second Edition

(32) McGraw-Hill Concise Encyclopedia of Bioscience. © 2002 by The McGraw-Hill Companies, Inc.

Downloads

Published

2016-12-30

How to Cite

Soundarajan, R. K. (2016). Quantitative Magnetic Resonance T2 Relaxometry Imaging of Knee Joint Tibia & Femoral Articular Cartilage. Journal of Biomedical Engineering and Medical Imaging, 3(6), 44. https://doi.org/10.14738/jbemi.36.2527