Eric Y Chang1, Yajun Ma2, Jiang Du2. 1. Radiology Service, VA San Diego Healthcare System, San Diego, California Department of Radiology, University of California, San Diego Medical Center, San Diego, California ericchangmd@gmail.com. 2. Department of Radiology, University of California, San Diego Medical Center, San Diego, California.
Abstract
CONTEXT: Osteoarthritis (OA) is a common, worldwide disorder. Magnetic resonance (MR) imaging can directly and noninvasively evaluate articular cartilage and has emerged as an essential tool in the study of OA. EVIDENCE ACQUISITION: A PubMed search was performed using the keywords quantitative MRI and cartilage. No limits were set on the range of years searched. Articles were reviewed for relevance with an emphasis on in vivo studies performed at 3 tesla. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 4. RESULTS: T2, T2*, T1 (particularly when measured after exogenous contrast administration, such as with the delayed gadolinium-enhanced MR imaging of cartilage [dGEMRIC] technique), and T1ρ are among the most widely utilized quantitative MR imaging techniques to evaluate cartilage and have been implemented in various patient cohorts. Existing challenges include reproducibility of results, insufficient consensus regarding optimal sequences and parameters, and interpretation of values. CONCLUSION: Quantitative assessment of cartilage using MR imaging techniques likely represents the best opportunity to identify early cartilage degeneration and to follow patients after treatment. Despite existing challenges, ongoing work and unique approaches have shown exciting and promising results.
CONTEXT: Osteoarthritis (OA) is a common, worldwide disorder. Magnetic resonance (MR) imaging can directly and noninvasively evaluate articular cartilage and has emerged as an essential tool in the study of OA. EVIDENCE ACQUISITION: A PubMed search was performed using the keywords quantitative MRI and cartilage. No limits were set on the range of years searched. Articles were reviewed for relevance with an emphasis on in vivo studies performed at 3 tesla. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 4. RESULTS: T2, T2*, T1 (particularly when measured after exogenous contrast administration, such as with the delayed gadolinium-enhanced MR imaging of cartilage [dGEMRIC] technique), and T1ρ are among the most widely utilized quantitative MR imaging techniques to evaluate cartilage and have been implemented in various patient cohorts. Existing challenges include reproducibility of results, insufficient consensus regarding optimal sequences and parameters, and interpretation of values. CONCLUSION: Quantitative assessment of cartilage using MR imaging techniques likely represents the best opportunity to identify early cartilage degeneration and to follow patients after treatment. Despite existing challenges, ongoing work and unique approaches have shown exciting and promising results.
Authors: Behnam Namiranian; Saeed Jerban; Yajun Ma; Erik W Dorthe; Amir Masoud-Afsahi; Jonathan Wong; Zhao Wei; Yanjun Chen; Darryl D'Lima; Eric Y Chang; Jiang Du Journal: J Biomech Date: 2020-10-24 Impact factor: 2.712
Authors: Saeed Jerban; Takehito Hananouchi; Yajun Ma; Behnam Namiranian; Erik W Dorthe; Jonathan H Wong; Niloofar Shojaeiadib; Mei Wu; Jiang Du; Darryl D'Lima; Christine B Chung; Eric Y Chang Journal: J Orthop Res Date: 2022-01-28 Impact factor: 3.102
Authors: Shane A Shapiro; Jennifer R Arthurs; Michael G Heckman; Joseph M Bestic; Shari E Kazmerchak; Nancy N Diehl; Abba C Zubair; Mary I O'Connor Journal: Cartilage Date: 2018-08-30 Impact factor: 4.634