Electronic Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
Reduction of Susceptibility Artifact: Imaging Around
Metallic Implants
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 19 |
14:00 |
3169. |
Distortion
Scout in Metal Implants Imaging
Guobin Li1, Mathias Nittka2,
Dominik Paul2, and Wei Jun Zhang1
1Siemens Mindit Magnetic
Resonance Ltd., Shenzhen, Guang Dong, China,
People's Republic of, 2Siemens
Healthcare Sector, Erlangen
In SEMAC and SEMAC-MAVRIC hybrid sequences,
additional z-phase encoding steps are used
to correct the through-plane distortion. But
the preknowledge of the distortion degree is
needed to determine the extension factor of
the z-phase encoding. In this work, a method
to scout the through-plane distortion by
applying the readout gradient in slice
direction is presented, which can be fully
integrated into SEMAC and SEMAC-MAVRIC
hybrid sequence.
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14:30 |
3170. |
MR Imaging
near orthopedic implants using Slice-Encoding
for Metal Artifact Correction and Off-Resonance
Suppression
Chiel Johan den Harder1, Ulrike A
Blume1, and Clemens Bos2
1MR CTO, Philips Healthcare,
Best, Netherlands, 2MR
Clinical Science, Philips Healthcare, Best,
Netherlands
Slice-Encoding for Metal Artifact Correction
(SEMAC) has been proposed for reducing image
distortions near metal implants. In SEMAC,
the number of through-plane phase encoding
steps determines the frequency range for
which slice distortions are corrected.
Signals with frequencies outside this range
will alias in through-plane direction. Here,
SEMAC and Off-Resonance Suppression (ORS)
are combined to limit signal selection to a
confined frequency range and thus prevent
back-folding. Phantom and in-vivo
experiments show that ORS allows substantial
reduction of phase encoding steps to obtain
SEMAC images without back-folding. The
resulting imaging time reduction supports
the clinical utility of SEMAC.
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15:00 |
3171. |
MSVAT-SPACE
for fast metal implants imaging
Guobin Li1, Mathias Nittka2,
Dominik Paul2, and Lars Lauer2
1Siemens Mindit Magnetic
Resonance Ltd., Shenzhen, Guang Dong, China,
People's Republic of, 2Siemens
Healthcare Sector, Erlangen
SEMAC and MAVRIC are two recently developed
techniques to significantly reduce the
geometric distortion caused by metallic
implants in MR examinations. However, both
two methods are suffering from long scan
time due to their intrinsic feature of 3D
acquisition. In this abstract, the
limitations of these two methods in terms of
sampling efficiency are analyzed and an
improved implementation MSVAT-SPACE is
presented to show the higher imaging speed
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15:30 |
3172. |
Combined
Parallel Imaging and Compressed Sensing on 3D
Multi-Spectral Imaging Near Metal Implants
Kevin M Koch1, and Kevin F King1
1Global Applied Science
Laboratory, GE Healthcare, Waukesha, WI,
United States
3D Multi-Spectral Imaging (3D-MSI) can
significantly reduce susceptibility
artifacts near metal implants. In order to
reduce these artifacts, 3D-MSI acquires a
large amount of spectral and spatially
encoded data. With such requirements, it is
challenging to acquire high-resolution
3D-MSI images in a clinical environment.
Here, we explore the combined effects of
data-driven parallel imaging and compressed
sensing in improving the resolution
capabilities of 3D-MSI near a total knee
replacement at 1.5T.
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Tuesday May 10th
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13:30 - 15:30 |
Computer 19 |
13:30 |
3173. |
Jacobian-Based
Correction of 3D-MSI Images Near Implanted Metal
Devices
Kevin M Koch1, Matthew A Koff2,
and Hollis G Potter2
1Global Applied Science
Laboratory, GE Healthcare, Waukesha, WI,
United States, 2Department
of Radiology and Imaging, Hospital for
Special Surgery, New York, NY, United States
3D-Multi-Spectral Imaging techniques
(MAVRIC, SEMAC, and combinations thereof)
can substantially reduce image artifacts in
the presence of implanted metal. Residual
susceptibility artifacts in 3D-MSI
techniques are commonly manifested as
localized “pileup” artifacts - where many
spins are frequency encoded to the same
spatial position. Here, we show that
spectral information inherent to 3D-MSI
acquisitions can be used to construct field
maps with sufficient accuracy to combat
these residual artifacts through estimation
of local gradients and Jacobian intensity
correction of shifted pixels. The proposed
methods are demonstrated on clinical images
at 1.5T of total knee and shoulder
replacements composed of cobalt-chromium
alloys.
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14:00 |
3174. |
POCS-based
Compressive Slice Encoding for Metal Artifact
Correction
Wenmiao Lu1, Jun Deng1,
Yi Lu2, Garry Gold3,
and Brian Hargreaves3
1Nanyang Tech. University,
Singapore, SG, Singapore, 2University
of Illinois, Urbana Champaign, United
States, 3Stanford
University, United States
Slice Encoding for Metal Artifact Correction
(SEMAC) fully corrects metal-induced
artifacts in MR images, which nevertheless
suffers from two main problems, namely long
scan times and low signal-to-noise ratio.
This work presents a new POCS-based
reconstruction procedure for SEMAC, which
fully exploit the correlation and sparsity
in SEMAC-encoded slices. The new
reconstruction procedure not only greatly
reduces scan times incurred to fully correct
metal-induced artifacts but also leads to
the improved SNR of SEMAC corrected result.
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14:30 |
3175. |
B1 Mapping
Near Metallic Implants
Uchechukwuka Diana Monu1, Pauline
W Worters2, Kyunghyun Sung2,
Kevin M Koch3, Garry E Gold2,
and Brian A Hargreaves2
1Electrical Engineering, Stanford
University, Stanford, CA, United States, 2Department
of Radiology, Stanford University, Stanford,
CA, United States, 3Applied
Science Lab, GE Healthcare, Waukesha, WI,
United States
In MRI, the measurement of RF excitation
fields is challenging. Furthermore, B0
inhomogeneities make B1 mapping near
metallic implants especially difficult.
Currently available B1 mapping methods that
are based on gradient echo and spin echo
techniques have not been successfully used
around metallic implants. This is mostly due
to signal loss from increased susceptibility
and imaging artifacts near metal. In this
work, B1 maps of phantoms were obtained
using the standard gradient echo double
angle method (DAM) and using the SEMAC DAM
on a 1.5T whole-body MR scanner. A good
comparison of these maps and matlab
simulations carried out to model the error
values of the SEMAC DAM, allowed for the
SEMAC DAM to be subsequently applied to a
metallic implant phantom at both 1.5T and
3T. The flip angle maps obtained show that
the proposed technique is a valid approach
for tackling the issue of B1 mapping near
metallic implants.
|
15:00 |
3176. |
Magnetic
Resonance Imaging of Metal-On-Metal Hip
Resurfacing Implants
Catherine Lee Hayter1, Matthew F
Koff1, Kevin F Koch2,
Parina Shah1, Edwin P Su3,
and Hollis G Potter1,4
1Department of Radiology and
Imaging, Hospital for Special Surgery, New
York, NY, United States, 2Applied
Science Laboratory, General Electric
Healthcare, Waukesha, Wisconsin, United
States, 3Center
for Hip Pain and Preservation, Hospital for
Special Surgery, New York, NY, United
States, 4Weill
Cornell Medical College of Cornell
University, New York, NY, United States
Metal-on-metal hip resurfacing is associated
with specific complications, including metal
hypersensitivity which may manifest as
synovitis, bursitis or osteolysis. The
purpose of this prospective, observational
study was to review patterns of osteolysis
and synovitis in symptomatic and
asymptomatic individuals following
resurfacing. Synovitis was detected in a
similar proportion of symptomatic and
asymptomatic patients. Osteolysis was only
detected in symptomatic individuals. The
similarities of the synovitis measurements
combined with the lack of correlation with
blood chromium and weak correlation with
blood cobalt ion levels indicate that
additional factors must be considered when
determining the long term prognosis of hip
resurfacing implants.
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Electronic
Posters : Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
Kinematic MR in the Knee & Small Joints/Inflammatory
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 20 |
14:00 |
3177. |
Dynamic imaging produces
different 3D knee kinematic information than static imaging
Agnes G d'Entremont1,2, Jurek
Nordmeyer-Massner3, Clemens Bos4,
David R Wilson2,5, and Klaas P Pruessmann3
1Mechanical Engineering, University of
British Columbia, Vancouver, BC, Canada, 2Centre
for Hip Health and Mobility, Vancouver, BC, Canada, 3Institute
for Biomedical Engineering, ETH and University of
Zurich, Zurich, Switzerland, 4Philips
Healthcare, Best, Netherlands, 5Orthopaedics,
University of British Columbia, Vancouver, BC, Canada
In many in vivo studies, knee kinematics have been
assessed using images acquired at a series of static
positions over the range of motion, however there may be
differences between the kinematics estimated from
sequential static poses of the joint and the kinematics
of the moving joint. Ten normal subjects were examined
using static and dynamic methods. Differences between
dynamic and static results were seen for nine of 11
kinematic parameters Dynamic-based 3D kinematics
measures provide different information from static 3D
measures, and may represent kinematic results closer to
those in activities of daily living.
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14:30 |
3178. |
Dynamic Imaging of 3d Knee
Kinematics using PC-VIPR
Robert Bradford1, Kevin Johnson2,
Oliver Wieben2, and Darryl Thelen1
1Mechanical Engineering, University of
Wisconsin - Madison, Madison, WI, United States, 2Medical
Physics, University of Wisconsin - Madison
Abnormal joint mechanics may contribute to the
development of osteoarthritis in individuals with prior
knee injuries. We evaluated the potential to use 3D
cine-PC VIPR sequence to directly measure knee
kinematics. Cyclic, loaded knee flexion-extension was
performed while 3D velocity images were collected.
Velocity data were numerically integrated to track tibia
and femur position and orientation. These kinematic data
were coupled with segmented models to visualize knee
joint motion and cartilage contact. The results are
promising and will be used to assess how well knee
reconstructive surgeries are able to restore normal
mechanics and thereby mitigate the potential for
osteoarthritis.
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15:00 |
3179. |
Compression of the knee
upon weight loading in healthy and osteoarthritis subjects
as measured by MRI and X-ray
Bradley T. Wyman1, Sebastian Cotofana2,
Yanwei Zhang1, Richard B Souza3,
M-P Hellio Le Graverand1, Xiaojuan Li3,
Sharmila Majumdar3, Thomas M Link3,
Felix Eckstein2, and Eric Vignon4
1Pfizer, Groton, CT, United States, 2Paracelsus
Medical University, Salzburg, Austria, 3University
Califorinia, San Francisco, San Francisco, CA, United
States, 4Universite
Claude Bernard, Lyon, France
MRI and x-rays were acquired of the knee in weight
bearing and non weight bearing conditions in 31
subjects. Eleven had no radiographic osteoarthritis
(OA), Kellgren and Lawrence grade (KLG) 0, and 10
subjects each with OA KLG 2, and 3. Joint space width
(JSW) was measured from the x-ray and mean medial
femoral tibial cartilage thickness (MFTC_ThCtAB) from
MRI. The compression in JSW and mean MFTC_ThCtAB under
load was not significantly different from zero in KLG 0
subjects but JSW and MFTC_ThCtAB were both greater and
significantly different from zero in KLG 2 and 3
subjects.
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15:30 |
3180. |
Fast dynamic multislice
MRI of the human knee using a motion device
Daniel Ludwig Weber1,2, Sebastian Klum2,
Sai Ramesh Raghuraman2, Joachim Hermann
Schrauth1,2, Peter Michael Jakob1,2,
and Daniel Haddad1,2
1MRB Research Center for Magnetic Resonance
Bavaria eV, Würzburg, Bavaria, Germany, 2Department
of Experimental Physics 5 (Biophysics), University of
Würzburg, Würzburg, Bavaria, Germany
Knee injuries are among the most common injuries of the
musculoskeletal system. Unfortunately, static MRI often
does not lead to satisfying diagnoses, especially in
difficult cases. We developed a motion device and – in
collaboration with Rapid Biomedical – a 16 channel
U-shaped coil array to enable dynamic imaging of the
knee for a characterization of the complex motion of the
knee or therapy monitoring after cartilage or ligament
reconstruction. A triggered, segmented, dynamic
multislice MRI sequence was used to acquire 4D datasets
in 8 minutes which can be visualized as several
compartments (femur, tibia, patella, infrapatellar fat
pad, cruciate ligaments).
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Tuesday May 10th
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13:30 - 15:30 |
Computer 20 |
13:30 |
3181. |
4D DYNAMIC MR IMAGING OF
THE WRIST AT 1.5 AND 3T: FIRST RESULTS FROM A FEASIBILITY
STUDY
CATHERINE N PETCHPRAPA1, THOMAS MULHOLLAND2,
VITO RUGGIERO3, and PHILIP HODNETT4
1RADIOLOGY, NYU HOSPITAL FOR JOINT DISEASES,
NEW YORK, NY, United States, 2NYU
LANGONE MEDICAL CENTER, United States, 3NYU
LANGONE MEDICAL CENTER, 4NYU
HOSPITAL FOR JOINT DISEASES
Kinematic evaluation of the wrist is important in the
diagnosis and management of wrist pathology. Altered
kinematics can lead to unbalanced joint loading and
ultimately, osteoarthritis. Unfortunately, dynamic
abnormalities of carpal motion are often missed by
static imaging. Using fast imaging techniques such as
HASTE, data can be rapidly acquired during normal wrist
motion and quickly processed into 2D and 3D cine loops.
We show that it is feasible to obtain this data at
little time cost; this may prove to be an important
addition to routine clinical imaging to provide
important kinematic information to the clinician.
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14:00 |
3182. |
Quantitative assessment of
mechanical ankle laxity using MR imaging
Christian Jürgen Seebauer1, Jens Rump2,
Hermann Josef Bail3, Felix Güttler2,
Bernd Hamm2, and Ulf Teichgräber2
1Center for Musculoskeletal Surgery,
Charité-Universitätsmedizin Berlin, Berlin, Berlin,
Germany, 2Department
of Radiology, Charité-Universitätsmedizin Berlin,
Berlin, Berlin, Germany, 3Department
of Trauma and Orthopedic Surgery, Clinic Nuremberg,
Nuremberg, Germany
To date, no reports document the advantages of the
combination of MRI and stress examination in the
assessment of mechanical ankle instability. In the
present study an MR-compatible stress device was
developed and tested for MR-safety. Bilateral MRI-stress
examinations were performed on 50 volunteers, i.e. 35
healthy subjects (group A) and 15 athletes suffering
from chronic ankle instability (group B). Both, the
inversion test and the anterior drawer test were
performed under axial, coronal, 45° para-axial and
sagittal T2W FSE image control. MR images were assessed
for the talar-tilt (TT), subtalar-tilt (STT),
anterior-talus-translation (ATT),
anterior-calcaneus-translation (ACT),
lateral-talocalcaneal-translation (MTCT) and the
ligaments of the lateral ankle (ATFL, CFL and PTFL).
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14:30 |
3183. |
Stress MRI of Ligamentous
Stabilizers in Acute and Chronic Acromioclavicular Joint
Instabilities
Marco Vicari1,2, Kaywan Izadpanah3,
Norbert P Suedkamp3, Matthias Weigel2,
Matthias Honal2, Elisabeth Weitzel3,
Elmar Kotter4, Mathias Langer4,
and Jan T Winterer4
1MRI R&D, Esaote S.p.A., Genova, Italy, 2Dept.
of Radiology, Medical Physics, University Medical Center
Freiburg, Freiburg, Germany, 3Dept.
of Orthopeadic and Trauma Surgery, University Medical
Center Freiburg, Freiburg, Germany, 4Dept.
of Radiology, Clinical Radiology, University Medical
Center Freiburg, Freiburg, Germany
Currently, clinical evaluation, plain and weighted
radiography are the gold standard for acromioclavicular
joint injury grading. A detailed injury identification
is sometimes lacking and this might explain the high
percentage of persisting or recurrent joint instability
after conservative or operative treatment. Biomechanical
tests have shown the importance of a complete anatomic
reconstruction of all ligamentous stabilizers, whose
planning requires detailed morphologic information.
Since weight-bearing shoulder MRI enables simultaneous
acquisition of morphology and functional integrity
information of all stabilizers of the acromioclavicular
joint, both in acute and chronic injuries, it may
improve the injury classification accuracy of borderline
cases and, thus, the therapeutic decision making
efficacy.
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15:00 |
3184. |
Assessment of length
variations of the coracoclavicular ligaments during arm
movement from MRI data
Matthias Honal1, Marco Vicari2,
Elisabeth Weitzel3, and Kaywan Izadpanah3
1Department of Radiology, Medical Physics,
University Medical Center Freiburg, Freiburg, Germany, 2Esaote
S. p. A., Genova, Italy, 3Department
of Orthopeadic and Trauma Surgery, University Medical
Center Freiburg, Freiburg, Germany
The precise analysis of the coracoclavicular ligaments
during arm movement may be important for the treatment
of acromioclavicular joint disruption. In this study a
semi-automatic method based on the registration of MRI
images is introduced which allows for the accurate
assessment of length variations of the coracoclavicular
ligaments for different arm abductions. Points in the
ligament insertion regions are manually defined for one
arm abduction only and automatically propagated to the
other arm abductions with high accuracy. Thus the
distance variations between points as a function of the
arm abduction can be reliably obtained.
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Wednesday May 11th
|
13:30 - 15:30 |
Computer 20 |
13:30 |
3185. |
MRI of the plantar plate
in the painful forefoot of patients with rheumatoid
arthritis
Heidi J Siddle1, Richard J Hodgson2,
Anthony C Redmond1,2, Andrew J Grainger2,3,
Richard J Wakefield1,2, David A Pickles4,
and Philip S Helliwell1
1Section of Musculoskeletal Disease,
University of Leeds, Leeds, West Yorkshire, United
Kingdom, 2Leeds
Musculoskeletal Biomedical Research Unit, Leeds, United
Kingdom,3Department of Radiology, Leeds
Teaching Hospitals NHS Trust, Leeds, United Kingdom, 4Department
of Rheumatology, Leeds Teaching Hospitals NHS Trust,
Leeds, United Kingdom
This study aims to characterise the structural changes
in the plantar plates of the lesser (2nd to 5th) MTP
joints in 24 patients with rheumatoid arthritis (RA)
using 3T MRI. PD FS, T2 FS and T1 post gadolinium
sequences were acquired through 96 lesser MTP joints.
Images were scored using the RAMRIS and plantar plates
were assessed for pathology. Plantar plate pathology was
most frequently demonstrated at the 5th MTP joint. A
statistically significant relationship was demonstrated
between plantar plate pathology and both bone oedema
erosion at the lesser MTP joints. There was no
significant relationship between synovitis and plantar
plate pathology.
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14:00 |
3186. |
Dynamic contrast enhanced
MRI of the Achilles enthesis in spondyloarthritis
Richard Hodgson1, Peter Wright2,
Andrew J Grainger2, Phillip J O'Connor2,
Phillip Helliwell3, Dennis McGonagle3,
Paul Emery3, and Matthew D Robson4
1LMBRU, University of Leeds, Leeds,
Yorkshire, United Kingdom, 2Leeds
Teaching Hospitals NHS Trust, 3University
of Leeds, 4University
of Oxford
Enthesitis is the hallmark of spondyloarthritis. 23
patients with SpA and 13 healthy volunteers were studied
with DCE-MRI of the tendon and the calcaneal bone marrow
at the Achilles enthesis. The relative early enhancement
rate was significantly greater in SpA patients than
healthy volunteers. The EER was significantly higher in
patients with power Doppler ultrasound abnormalities.
Tendon and bone changes were significantly correlated
(R=0.6). In conclusion, DCE-MRI may be useful for
assessing changes at the Achilles enthesis in
spondyloarthritis.
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14:30 |
3187. |
Comparison of MRI of the
hand and feet for detecting early arthritis
Andrew J Grainger1, Richard J Hodgson2,
Jackie Nam2, Edith Villeneuve2,
and Paul Emery2
1LMBRU, Leeds Teaching Hospitals NHS Trust,
Leeds, Yorkshire, United Kingdom, 2University
of Leeds
Objective: To determine whether MRI of the feet in
patients with suspected arthritis provides additional
diagnostic information over and above MRI of the hand
alone. Methods: 18 patients with suspected arthritis and
anti-CCP antibody underwent MRI of a hand and the feet.
Images were assessed for synovitis, marrow edema,
erosions and tenosynovitis. Results: 7 patients with
non-diagnostic hand MRI showed foot abnormalities. In 5
of these cases the foot imaging was suggestive of
rheumatoid arthritis. Conclusion: Imaging the feet in
patients with suspected arthritis may provide additional
information where hand imaging is non-diagnostic.
|
15:00 |
3188. |
Magnetisation Transfer
Contrast imaging of Synovitis in Arthritis.
Carole Burnett1, Andrew Grainger1,
Anthony Redmond1,2, and Richard Hodgson1,2
1LMBRU, Chapel Allerton Hospital, Leeds,
United Kingdom, 2Leeds
University, United Kingdom
Synovitis is an important feature of rheumatoid and
osteoarthritis and is well assessed by MRI. Previous
work suggested Magnetisation Transfer Contrast may be
helpful in the assessment of synovitis. Currently, the
gold standard for assessing synovitis with MRI requires
intravenous contrast agents which are associated with
discomfort, cost and potential patient complications.
The aim of this study was to compare magnetisation
transfer imaging with T1 weighted imaging after
administration of intravenous contrast for
quantification of synovitis.
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Thursday May 12th
|
13:30 - 15:30 |
Computer 20 |
13:30 |
3189. |
The Value of 3D eTHRIVE in
the Diagnosis of Early Rheumatoid Arthritis of the Hand at
3T
Kazuyuki Ohgi1, Masatoshi Hotta1,
Satoshi Doishita1, Akinori Harada1,
Akiyoshi Yamashita1, Hiroyuki Yokote1,
Shunji Tsukuda1, and Tetsuhisa Yamada1
1Department of Radiology, Japanese Red-Cross
Medical Center, Shibuya-ku, Tokyo, Japan
Early diagnosis is essential in patients with RA. This
study illustrates the usefulness of 3D eTHRIVE in MR
diagnosis of RA of the hand at 3T. 3D eTHRIVE can
provide useful information by eliminating partial volume
effect and by yielding excellent fat saturation, and has
a potential of playing important roles in the diagnosis
of RA.
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14:00 |
3190. |
In Vivo 19F
MRI for Sensitive Assessment of Arthritis: Antiinflammatory
Action of A2A Receptor Activation
Ulrich Flögel1, Lisa Galbarz1,
Zhaoping Ding1, Ali El-Tayeb2,
Christoph Jacoby1, Peter van Lent3,
Christa Müller2, and Jürgen Schrader1
1Institute for Cardiovascular Physiology,
Heinrich Heine University, Düsseldorf, NRW, Germany, 2PharmaCenter
Bonn, 3Radboud
University Nijmegen
Since arthritis is associated with persistent high
levels of inflammation, the present study made use of
the underlying autoimmune response to sensitively
monitor the development of arthritis. For this purpose,
we used emulsified perfluorocarbons (PFCs) which are
preferentially phagocytized by monocytes/macrophages and
readily detected by 19F
MRI. This approach was employed to assess the
therapeutical feasibility of adenosine A2A receptor
activation. The results (i) show that PFCs can serve as
MRI contrast agent for the early detection of arthritis,
thereby permitting a more timely therapeutic
intervention, and (ii) provide in
vivo evidence
for site-specific A2A stimulation as novel
antiinflammatory therapy.
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14:30 |
3191. |
Iterative decomposition of
water and fat with echo asymmetry and least-squares
estimation (IDEAL) of the wrist and finger at 3TMRI:
comparison with chemical shift selective fat suppression
images
Takatoshi Aoki1, Yoshiko Yamashita1,
Hiroyuki Takahashi1, Yoshiko Hayashida1,
Hodaka Oki1, Shigeru Hibino2,
Atsushi Nozaki2, Kazuyoshi Saito3,
Yoshiya Tanaka3, and Yukunori Korogi1
1Department of Radiology, University of
Occupational and Environmental Health School of
Medicine, Kitakyushu, Fukuoka, Japan, 2GE
Healthcare Japan, 3First
department of Internal Medicine, University of
Occupational and Environmental Health School of,
Kitakyushu, Fukuoka, Japan
A main challenge of clinical musculoskeletal imaging
with maintaining high SNR is uniform fat suppression in
areas of B0 inhomogeneity. Our purpose is to compare
IDEAL with chemical shift selective fat-suppressed
T1-weighted spin-echo (FS-CHESS-T1-SE) images for MR
imaging of the hand and finger at 3.0T MR system. Eight
healthy volunteers and 8 rheumatoid arthritis patients
were examined with both sequences. Image quality and
lesion delineation was better on IDEAL than on
FS-CHESS-T1-SE images. IDEAL compensates for the effects
of field inhomogeneities, providing uniform fat
suppression of the hand and finger than did
FS-CHESS-T1-SE sequence.
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15:00 |
3192. |
Progression of an
antigen-induced arthritis model in rat assessed by MRI
Lindsey Alexandra Crowe1, Frank Tobalem1,
David Tchernin2, Benedicte M-A Delattre1,
Kerstin Grosdemange1, Marije Koenders3,
Wim B van den Berg3, and Jean-Paul Vallée1
1Division of Radiology, Geneva University
Hospitals, University of Geneva, Faculty of Medicine,
Foundation for Medical Researchers, Geneva, Switzerland, 2Division
of Radiology, Geneva University Hospitals, Geneva,
Switzerland, 3Department
of Rheumatology, Rheumatology Research and Advanced
Therapeutics, Radboud University Nijmegen Medical
Center, Netherlands
In-vivo MR imaging of intra and extra-articular oedema
by T2 STIR MRI enables serial assessment of the
progression of an antigen-induced arthritis (AIA) model
in rat. Images were scored for the stage of the disease
by consent of 3 readers after blinding. All left control
knees scored zero for oedema and bone erosion, unlike
diseased right knees that showed a rapid peak in extra-articular
oedema, followed by intra-articular oedema and finally
bone erosion.
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|
|
Electronic
Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
MSK: 7T & Beyond MRI
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 21 |
14:00 |
3193. |
High resolution
imaging of the sacroiliac joints in ankylosing
spondylitis patients at 7 Tesla
Maartje E Vossen1, Wouter M Teeuwisse1,
Monique Reijnierse1, Desiree M van der
Heijde2, Nadine B Smith1, and
Andrew G Webb1
1Radiology, Leiden University Medical
Center, Leiden, Netherlands, 2Rheumatology,
Leiden University Medical Center
High spatial resolution images of the SI joints have
been acquired at 7 Tesla in both volunteers and
patients sufferenting from sacroilitis. Very small
cortical erosions can be visualized with an in-plane
resolution of 0.5 x .5 mm. Water/fat imaging using a
three-point Dixon method was shown to differentiate
between fatty infiltration and edema in a second
patient.
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14:30 |
3194. |
MR Imaging of the
Lower Extremities at 7 Tesla: Initial Experience with a
15 Channel Coil
Michael Bock1, Florian Meise1,
Titus Lanz2, Reiner Umathum1,
Lydia Schuster3, Lars Gerigk3,
Armin M Nagel1, Ann-Kathrin Homagk1,
and Wolfhard Semmler1
1Medical Physics in Radiology, German
Cancer Research Center (DKFZ), Heidelberg, Germany, 2RAPID
Biomedical GmbH, Rimpar, Germany, 3Radiology,
German Cancer Research Center (DKFZ), Heidelberg,
Germany
MR imaging of the knee has been demonstrated at 7
Tesla, but the full potential of the high field
strength has so far not been exploited due to the
lack of multi-channel receive coils. In this work we
present preliminary data acquired with a 15 channel
extremty coil which demonstrates that MR imaging of
the knee region is feasible with parallel imaging at
7 Tesla in clinically acceptable imaging times.
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15:00 |
3195. |
The Comparison of the
Performance of MRI Clinical Sequences for Ankle Imaging
at 3T vs 7T
Vladimir Juras1,2, Goetz Welsch1,
Ladislav Valkovic2, Pavol Szomolanyi1,2,
Iris-Melanie Nöbauer-Huhmann1, Ivan
Frollo2, and Siegfried Trattnig1
1Department of Radiology, Medical
University of Vienna, Vienna, Austria, Austria, 2Department
of Imaging Methods, Institute of Measurement
Science, Bratislava, Slovakia
The aim of this study was to investigate the
performance of the clinical MR sequences in in-vivo
ankle imaging at ultrahigh-field (7 Tesla) MR. As a
key parameter SNR and CNR of different structures
were used with 3 sequences (3D-GRE, 2D-SE, 2D-TSE).
Significantly better performance of clinical MR
sequences in ankle joint imaging at 7T in comparison
to 3T was observed. The substantial benefit from
ultrahigh-field could be demonstrated.
|
15:30 |
3196. |
Magnetic Resonance
Imaging of the Knee at 3 and 7 Tesla – comparison using
dedicated multi-channels coils and optimized 2D and 3D
protocols
Goetz Hannes Welsch1,2, Vladimir Juras1,
Pavol Szomolanyi1, Tallal Charles Mamisch3,
Peter Baer4, Claudia Kronnerwetter1,
Friedrich Frank Hennig2, Hiroyuki Fujita5,
and Siegfried Trattnig1
1Medical University of Vienna, Vienna,
Vienna, Austria, 2Department
of Trauma Surgery, University of Erlangen-Nuremberg,
Erlangen, Bavaria, Germany, 3University
of Berne, 4Siemens
Healthcare, 5Quality
Electrodynamics
Aim of this study was to compare the quantitative
and qualitative performance of a routine 8-channel
knee coil at 3T and a new 28-channel knee coil at
7T. Compared to an optimized 3T protocol, at 7T,
i)the resolution was increased whereas keeping the
same examination time and ii)the examination time
was reduced whereas keeping the spatial resolution
the same. CNR as well as the subjective quality
revealed better results for both 7T measurements
compared to the 3T measurements, documenting the
possible superiority of 7T MRI in the knee joint
compared to 3T in the presence of a dedicated
multi-channel coil.
|
Tuesday May 10th
|
13:30 - 15:30 |
Computer 21 |
13:30 |
3197. |
High Resolution MRI of
the Wrist at 7 Tesla Detects Subregional Variation in
Trabecular Bone Micro-architecture in Healthy Subjects
Gregory Chang1, Ligong Wang1,
Guoyuan Liang2, Graham C Wiggins1,
Punam K Saha2, and Ravinder R Regatte1
1NYU Langone Medical Center, New York,
NY, United States, 2University
of Iowa, Iowa City, Iowa, United States
High resolution 7 Tesla MRI can detect subregional
variations in trabecular bone micro-architecture of
the wrist in healthy subjects. These differences may
explain differences in individuals' bone quality and
fracture risk.
|
14:00 |
3198. |
Comparison of a 28
Channel Phased-Array Coil and a Circularly Polarized
Coil for Morphologic Imaging and T2 Mapping of Knee
Cartilage at 7 Tesla
Gregory Chang1, Ding Xia1,
Graham C Wiggins1, Guillaume Madelin1,
Christian Glaser1, Matthew Finnerty2,
Hiroyuki Fujita2, and Ravinder R Regatte1
1NYU Langone Medical Center, New York,
NY, United States, 2Quality
Electrodynamics, Mayfield Village, Ohio, United
States
This in vivo study on 10 healthy subjects compares
the performance of a 28 channel phased array coil
and a circularly polarized coil for morphologic
magnetic resonance imaging and T2 mapping of knee
cartilage at 7 Tesla. Signal-to-noise ratio and
contrast-to-noise ratio are higher with the 28
channel coil, favoring its use for future studies of
osteoarthritis or other knee pathology.
|
14:30 |
3199. |
Skeletal muscle
diffusion tensor imaging of the human forarm at 7T
Martijn Froeling1,2, Johannes M Hoogduin3,4,
Dennis W.J. Klomp3, Klaas Nicolay1,
Gustav J Strijkers1, and Aart J Nederveen2
1Biomedical NMR, Department of Biomedical
Engineering, Eindhoven University of Technology,
Eindhoven, Netherlands, 2Department
of Radiology, Academic Medical Center, Amsterdam,
Netherlands, 3Imaging
Division, University Medical Center Utrecht,
Utrecht, Netherlands, 4Brain
Division, University Medical Center Utrecht,
Utrecht, Netherlands
Data acquisition at high field increases the signal
allowing for higher spatial resolution. In this
study demonstrate the feasibility of DTI of skeletal
muscle at 7T maximizing the spatial resolution.
|
15:00 |
3200. |
Sodium (23Na)
MR Imaging at 7 T for the Evaluation of Repair Tissue
Quality in Patients after Two Cartilage Repair
Procedures
Stefan Zbyn1,2, David Stelzeneder1,
Goetz Hannes Welsch1,3, Lukas L. Negrin4,
Vladimir Juras1,5, Pavol Szomolanyi1,5,
Ronald Dorotka2, and Siegfried Trattnig1
1Department of Radiology, Medical
University Vienna, Vienna, Austria, 2Department
of Orthopaedic Surgery, Medical University Vienna,
Vienna, Austria, 3Department
of Trauma Surgery, University Hospital of Erlangen,
Erlangen, Germany, 4Department
of Trauma Surgery, Medical University Vienna,
Vienna, Austria, 5Department
of Imaging Methods, Institute of Measurement Science
- SAS, Bratislava, Slovakia
The aim was to apply gradient-echo sequence
optimized for sodium imaging at 7T for the
evaluation of repaired tissue glycosaminoglycan
(GAG) content in the patients after bone marrow
stimulation (BMS) and matrix-associated autologous
chondrocyte transplantation (MACT) treatment of
articular cartilage. Significantly lower GAG content
was found in the repaired tissue in comparison to
the native cartilage in both treatment groups and
significantly lower GAG content was observed in BMS
repair tissue in comparison to MACT repair tissue.
Our results suggest that the MACT treatment provides
higher GAG content and therefore higher quality
repair tissue in comparison to the BMS techniques.
|
Wednesday May 11th
|
13:30 - 15:30 |
Computer 21 |
13:30 |
3201. |
Detection of Fast
Decaying Lactate in Human Skeletal Muscle after Exercise
by 7T 1H MRS
Jimin Ren1, Ivan Dimitrov1,2,
Changho Choi1, A Dean Sherry1,3,
and Craig R Malloy1,4
1Advanced Imaging Research Center,
University of Texas Southwestern Medical Center,
Dallas, Texas, United States, 2Philips
Medical Systems, Cleveland, Ohio,3Department
of Chemistry, University of Texas at Dallas,
Richardson, Texas, United States, 4VA
North Texas Health Care System, Dallas, Texas,
United States
Lactate plays a crucial role in energy homeostasis
in body. Elevated lactate can be an important marker
of mitochondria disease, poor prognosis in acutely
ill patients, or nutritional deficiency of thiamine.
Lactate measurement by proton MRS is usually done by
detecting the methyl resonance. In muscle,
overlapping signals from lipids poses challenge to
the effectiveness of this approach. Here we
demonstrate that STEAM-based sequence with long echo
time at 7T allows detection of lactate methine
signal in exercised muscle in vivo. It is found that
lactate decays very fast (half time 1.4 min)
following 10 minutes of hand open-close exercise.
|
14:00 |
3202. |
Population-averaged 7T
1H MRS Determination of Metabolites in Human Skeletal
Muscle at Rest
Jimin Ren1, Ivan Dimitrov1,2,
Craig R Malloy1,3, and A Dean Sherry1,4
1Advanced Imaging Research Center,
University of Texas Southwestern Medical Center,
Dallas, Texas, United States, 2Philips
Medical System, Cleveland, Ohio, United States, 3VA
North Texas Health Care System, Dallas, Texas,
United States, 4Department
of Texas at Dallas, University of Texas at Dallas,
Richardson, Texas, United States
Proton MRS offers many advantages for detection of a
number of muscle metabolites. However, quantitative
and reliable measurement of muscle metabolites can
be quite challenging due to multiple factors
intrinsic to MRS and skeletal muscle itself. We
present here an optimized 1H MRS acquisition
protocol, termed “muscle module”, for acquisition of
high-quality spectra for easy data analysis. This
muscle module is based on a STEAM sequence, with
data acquisition at two different echo-times, TE 140
and 280 ms, without applying water-suppression
pulses. Its advantage in spectral resolution
enhancement and quantitative analysis is
demonstrated in a large population (n = 80).
|
14:30 |
3203. |
Phosphocreatine and
Acetylcarnitine in Skeletal Muscle During Exercise at 7T
by Interleaved 31P and 1H-MRS
Katja Heinicke1,2, Jackson Green1,2,
Ivan Dimitrov3,4, Sergey Cheshkov3,
Jimin Ren3, Craig R. Malloy3,
and Ronald G. Haller1,2
1Neuromuscular Center, Institute for
Exercise and Environmental Medicine, Texas Health
Presbyterian Hospital, Dallas, TX, United States, 2Department
of Neurology, University of Texas Southwestern
Medical Center, Dallas, TX, United States, 3Advanced
Imaging Research Center, University of Texas
Southwestern Medical Center, Dallas, TX, United
States, 4Philips
Medical Systems, Cleveland, OH, United States
31P-MRS provides insight into muscle energy
metabolism, and 1H-MRS offers direct measurement of
intramyocellular lipid concentration and the
concentration of acetylcarnitine which is important
for characterizing mitochondrial function and
integrity. The objective of this pilot study was to
evaluate the feasibility of interleaved 1H and
31P-MRS measurements in human skeletal muscle during
exercise in a 7 Tesla whole body magnet. This study
demonstrates that, it is possible to obtain
consecutive high resolution 1H-MRS and 31P-MRS
spectra in response to exercise. The rate of
recovery of high energy phosphates in skeletal
muscle post exercise is much faster than recovery of
acetylcarnitine.
|
15:00 |
3204. |
Comparison of 31P-MRS
at 3T and 7T for localized and non-localized acquisition
Wolfgang Bogner1, Marek Chmelik1,
Siegfried Trattnig1, and Stephan Gruber1
1Department of Radiology, Medical
University of Vienna, Vienna, Austria
For phosphorus magnetic resonance spectroscopy
(31P-MRS) the SNR of surface coil localized fully
relaxed 31P spectra was reported to be almost
doubled between 3T vs 7T in the human calf muscle.
These studies did not consider differences in the
sensitive volume of coils. Localized 31P-MRS allows
unbiased comparison of spectral quality between
different field strength. We found that the reported
SNR gain for surface coil localized 31P-MRS was
significantly underestimated. In our study localized
31P-MRS showed an ~3.2 times higher SNR at 7T than
at 3T with identical measurement parameters, while
surface coil localized 31P-MRS showed only an
increase by a factor of ~2.
|
Thursday May 12th
|
13:30 - 15:30 |
Computer 21 |
13:30 |
3205. |
In vivo 31P
diffusion tensor spectroscopy of human calf muscle
Hermien E. Kan1, Sebastian Aussenhofer1,
Andrew Webb1, Aranee Techawiboonwong2,
and Itamar Ronen1
1Radiology, Leiden University Medical
Center, Leiden, Zuid-Holland, Netherlands, 2Department
of Electrical Engineering, Mahidol University,
Nakornpathom, Thailand
Assessment of diffusive properties of phosphorous
metabolites using diffusion tensor spectroscopy
(DTS) has so far been limited to animal studies. 31P
DTS of the phosphocreatine signal could provide a
useful method to probe intracellular space in
humans, as it is not present in the same compartment
as the adipose tissue that influences DTI
measurements of skeletal muscle. In this study, we
show, for the first time in humans, that it is
feasible to obtain ADC and FA values of different
skeletal muscles in the human calf using 2D 31P
DT CSI and a newly developed coil design for 7T.
|
14:00 |
3206. |
T1-rho dispersion in
human OA cartilage specimens using HRMAS Spectroscopy at
11.7T
Keerthi Shet1, Hikari Yoshihara2,
Joe Schooler2, John Kurhanewicz2,
Michael Ries2, and Xiaojuan Li2
1Radiology, University of California, San
Francisco, San Francisco, CA, United States, 2University
of California, San Francisco
HRMAS NMR spectroscopy was used to quantify T1-rho
and T2 relaxation times and examine the T1-rho
dispersion characteristics of human OA cartilage
specimens. T2 of water in cartilage showed a
bi-exponential decay, with the shorter component
significantly higher in OA cartilage. A
mono-exponential decay was a better fit to T1-rho of
control cartilage as against a bi-exponential decay
for OA-cartilage. The longer T1-rho component of OA
cartilage was found to be significantly higher than
the T1-rho of healthy cartilage which can be
attributed to proteoglycan degeneration in OA
cartilage.
|
14:30 |
3207. |
Multiparametric
assessment of healthy and OA articular cartilage under
loading at 17.6 T
Jose G Raya1, Gerd Melkus2,
Silvia Adam-Neumair3, Kevin Dunham4,
Olaf Dietrich3, Maximilian F Reiser3,
Reinhard Putz3, Peter M Jakob5,
and Christian Glaser4
1Radiology, New York University Langone
Medical Center, New York, NY, United States, 2University
of California, San Francisco, 3University
of Munich, 4New
York University Langone Medical Center, 5University
of Wuerzburg
The aim of this work was to characterize the
functionality of human healthy and OA articular
cartilage using a multiparametric approach (T2, T1,
ADC, FA and water volume fraction). Samples of
healthy (n=10) and OA (n=3) patellar cartilage were
MRI examined at 17.6T (resolution=50×100μm2) native,
under loading (strain=26%) and 4h after relaxation
(n=5 healthy, n=1 OA). Differences in MRI parameters
between the native and loading examinations were
larger in absolute value and extension in OA than in
the healthy samples. After 4h relaxation, healthy
samples returned to their native values, whereas the
OA sample demonstrated signs of the indentation.
|
15:00 |
3208. |
A newly strictly
non-invasive experimental device allowing repeated MR
investigations of exercising hindlimb mouse muscles at
ultra-high field (11.75T)
Julien GONDIN1, Christophe VILMEN1,
Patrick J. COZZONE1, Guillaume DUHAMEL1,
and David BENDAHAN1
1Centre de Résonance Magnétique
Biologique et Médicale (CRMBM) - UMR CNRS 6612,
Faculté de Médecine - Université de la Méditerranée,
Marseille, France
We have constructed a strictly non-invasive
experimental setup adapted to an ultra-high field MR
system and report in the present work the results of
MRI investigation and force production measurements
in exercising hindlimb mouse muscles at ultra-high
field. This newly strictly non-invasive device
allowed highly reproducible measurements of both
force production and muscle activation (T2 changes)
in exercising hindlimb mouse muscles within an
ultra-high field magnet. Our setup appears as a
suitable tool for future ultra-high field functional
MR investigations of exercising hindlimb mouse
muscles.
|
|
|
Electronic
Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
Ultrashort TE: MSK Applications
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 22 |
14:00 |
3209. |
Free and bound water
quantification of cortical bone
Jiang Du1, Won Bae1, Hermida
Juan2, Eric Diaz1, Christine
Chung1, Darryl DLima2, and
Graeme Bydder1
1Radiology, University of California, San
Diego, San Diego, California, United States, 2Scripps
Reseach Institution
Bone water occurs at various locations and in
different states. It is associated with the mineral
phase, bound to the organic matrix, and a
significant fraction occurs in more or less free
form in the microscopic pores of the Haversian and
the lacuna-canalicular systems. A measure of free
water concentration can potentially provide a
surrogate measure of bone porosity, while a measure
of bound water reflects collagen content. Here we
propose to use bi-component analysis of UTE images
to quantify T2* and fractions of the free and bound
water components in cortical bone.
|
14:30 |
3210. |
Preliminary Results on
Bone Perfusion Measurement using Dynamic Contrast
Enhanced Ultrashort TE Imaging
Olivier M Girard1, Jiang Du1,
Robert F Mattrey1, and Graeme M Bydder1
1Department of Radiology, University of
California, San Diego, CA, United States
Dynamic Contrast Enhanced MRI has been applied for
micro-vascular characterization of various tissues
such as brain lesions and tumors. So far its
application to bone perfusion characterization has
been limited to bone marrow studies due to the lack
of detectable signal from cortical bone, which has
extremely short T2 and therefore cannot be detected
by conventional gradient echo sequences. Ultrashort
echo time (UTE) sequences offer an opportunity to
measure signal from cortical bone. In this
preliminary study we report on the kinetic analysis
of dynamic UTE imaging data of cortical bone
acquired on healthy volunteers using a clinical 3T
MR scanner.
|
15:00 |
3211. |
Ultrashort echo time
MRI for quantification of tendon disease in
spondyloarthritis.
Richard J Hodgson1, Nikesh Menon2,
Andrew J Grainger2, Philip O'Connor2,
Dennis McGonagle3, Philip Helliwell3,
Paul Emery3, and Matthew D Robson4
1LMBRU, University of Leeds, Leeds,
Yorkshire, United Kingdom, 2Leeds
Teaching Hospitals NHS Trust, 3University
of Leeds, 4University
of Oxford
There is increasing interest in quantifying tendon
disease in spondyloarthritis. Ultrashort echo time
and gradient echo images were acquired from the
Achilles tendon of 24 patients and 14 healthy
volunteers. Signal intensities at different echo
times before and after intravenous gadolinium were
normalized to the signal intensity on unenhanced UTE
images. Ratios were significantly greater in
patients with spondyloarthritis compared to
controls. This was most marked on the ratio of the
image acquired at TE=2ms to the UTE image. These
measurements are straightforward, reproducible and
fast and may be useful as potential quantitative
biomarkers of tendon disease in spondyloarthritis.
|
15:30 |
3212. |
1H
Relaxation Properties of Achilles Tendons Measured by
3D-UTE at 3T and 7T: a Feasibility Study
Vladimir Juras1,2, Stefan Zbyn1,
Vladimir Jellus3, Pavol Szomolanyi1,2,
Ivan Frollo2, and Siegfried Trattnig1
1Department of Radiology, Medical
University of Vienna, Vienna, Austria, Austria, 2Department
of Imaging Methods, Institute of Measurement
Science, Bratislava, Slovakia, 3Siemens
AG, Erlangen, Germany
Proton NMR relaxation properties (T2*) in
human Achilles tendon were assessed in vivo at 3T
and 7T field strength. 3D-UTE sequence (capable of
minimum TE=0.07ms) was used with the set of 8
different TE {min 0.07 ms, max 4.00 ms}. T2*
were found to be statistically significantly
different between two field strengths in the most of
the selected anatomical regions. Bulk T2*
was 0.98+/-0.08ms (3T) and 0.41+/-0.10 (7T). T2 may
prospectively serve as a marker for diagnosis of
early tendon diseases.
|
|
|
Electronic
Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
MRI of Articular Cartilage - Osteoarthritis
Tuesday May 10th
Exhibition Hall |
13:30 - 15:30 |
Computer 23 |
13:30 |
3213. |
Assessment of T1 and
T2 mapping as biomarkers of denaturalization in articular
cartilage with osteoarthritis: comparison with pathological
results after total knee replacement
Yukihisa Takayama1, Masamitsu Hatakenaka1,
Takashi Yoshiura1, Hidetoshi Tsushima2,
Ken Okazaki2, Kei Nishikawa3,
Makoto Obara4, Yukihide Iwamoto2,
and Hiroshi Honda1
1Department of Clinical Radiology, Graduate
School of Medical Sciences, Kyushu University, Fukuoka,
Fukuoka, Japan, 2Department
of Orthopaedic Surgery, Graduate School of Medical
Sciences, Kyushu University, Fukuoka, Fukuoka, Japan, 3Radiology
Center, Kyushu University Hospital, Fukuoka, Fukuoka,
Japan, 4Philips
Electronics Japan, Tokyo, Japan
We retrospectively compared T1ƒÏ and T2 mapping with
pathological results in osteoarthritis patients and
analyzed their detectability of an early stage of
denatured articular cartilage and correlations to the
severity of denaturalization. Both mappings are useful
to detect mild and moderate denaturalization prior to
thinning of the articular cartilage and to assess the
severity of denatured articular cartilage. In
particular, T1ƒÏ mapping is more sensitive than T2
mapping to detect early-stage denaturalization and to
assess the severity of denaturalization.
|
14:00 |
3214. |
T2, T1p, and Sodium MRI of
Articular Cartilage in Patients with Osteoarthritis Treated
with Arthritis Relief Plus Cream
Hillary Jayne Braun1, Melissa A Vogelsong1,2,
Ernesto Staroswiecki1,3, Brian A Hargreaves1,
Neal Bangerter4, Eric Han5, Jill
Fattor6, Anne L Friedlander7, Omer
Shah8, Jacquie M Beaubien9, and
Garry Evan Gold1
1Radiology, Stanford University, Stanford,
CA, United States, 2UCSF
School of Medicine, 3Electrical
Engineering, Stanford University, 4Electrical
Engineering, Brigham Young University, 5GE
Healthcare Global Applied Sciences Laboratory, Menlo
Park, CA, 6Stanford
Center on Longevity, Stanford University, Stanford, CA, 7VA
Palo Alto Healthcare Center, Palo Alto, CA, 8Georgetown
University School of Medicine, 9Psychology,
Stanford University, Stanford, CA
Arthritis Relief Plus (ARP) Cream has been previously
shown to relieve joint pain. In this study, MRI was used
to evaluate the knees of eight (5 experimental, 3
placebo) osteoarthritic patients before and after a
twelve-week course of topical ARP Cream application. T2,
T1ρ, and sodium imaging techniques were used to assess
the macromolecule content of cartilage. Significant
decreases in T1ρ relaxation times and increases sodium
signal in the medial femoral condyle regions of the
experimental group suggests there may be a benefit to
ARP Cream application. However, results should be
interpreted with caution due to the small sample size.
|
14:30 |
3215. |
The Relationship between
Knee Cartilage MR T2 and
Morphology in Subjects from the Incidence and Control
Cohorts of the Osteoarthritis Initiative
Gabby B. Joseph1, Thomas Baum1,
Julio Carballido-Gamio1, Lorenzo Nardo1,
Warapat Virayavanich1, Hamza Alizai1,
Michael C. Nevitt2, John A Lynch2,
Charles E. McCulloch2, Sharmila Majumdar1,
and Thomas M. Link1
1Department of Radiology and Biomedical
Imaging, University of California, San Francisco, San
Francisco, CA, United States, 2Department
of Epidemiology and Biostatistics, University of
California, San Francisco, San Francisco, CA, United
States
The purpose of this study is to 1) compare the
prevalence of focal knee abnormalities, the mean
cartilage MR T2 relaxation
time, and the spatial distribution of cartilage MR T2 relaxation
times between subjects from the control and incidence
cohorts of the OAI, and 2) determine the relationship
between MR cartilage T2 parameters
and cartilage morphology. The results indicate no
significant difference in the prevalence of knee
abnormalities (cartilage lesions, BME, meniscus lesions)
between the incidence and control groups; however, T2 parameters
(mean T2, GLCM contrast, and GLCM variance)
were significantly elevated in the incidence group.
|
15:00 |
3216. |
T2 relaxation time reveals
early cartilage changes after one-year and two-year
follow-up in subjects at risk for osteoarthritis: data from
Osteoarthritis Initiative
Annamari Herronen1, Eveliina Lammentausta2,
Risto O Ojala3, and Miika T Nieminen1,2
1Department of Medical Technology, University
of Oulu, Oulu, Finland, 2Department
of Diagnostic Radiology, Oulu University Hospital, 3Deaconess
Institute of Oulu
T2 relaxation time mapping is a potential biomarker to
follow biochemical changes in articular cartilage in OA
progression. Forty-one subjects at risk for OA from the
incidence cohort of the Osteoarthritis Initiative were
studied at baseline, one-year and two-year follow-up. T2
relaxation time in the medial and lateral weight-bearing
compartments of the femur was elevated after one and two
years as compared to baseline, while the
radiography-based KL-score remained zero at each
time-point. The present results are very promising in
view of predicting OA in subjects at risk for the
disease.
|
Wednesday May 11th
|
13:30 - 15:30 |
Computer 23 |
13:30 |
3217. |
In Vivo Sodium and Proton
T1rho MR Imaging of Human Knee Cartilage at 3T
Chan Hong Moon1, Jung-Hwan Kim1,
Tiejun Zhao2, Xiang He1, Bum-Woo
Park1, and Kyongtae Ty Bae1
1Radiology, University of Pittsburgh,
Pittsburgh, PA, United States, 2MR
Research Support, Siemens Healthcare, Pittsburgh, PA,
United States
We achieved consistent T2, T1rho, and sodium
concentration measurements in knee cartilages from
normal subjects using an in-house dual-tuned knee coil
and in-house sequences at 3T. We believe MR-based
physiological and metabolic measures of knee cartilage
may play an important role as imaging biomarkers for
early detection of knee ostheoarthritis.
|
14:00 |
3218. |
Does the scanner make a
difference? Interscanner variability of tibial cartilage T2
relaxation time – A comparison of three 1.5T and one 3T
scanner of one manufacturer
Annie Horng1, Sabine Weckbach2,
Mike Notohamiprodjo2, Malte Münkel2,
Jürgen Weber2, Maximilian F. Reiser2,
and Christian Glaser3,4
1Department of Clinical Radiology, University
Hospitals LMU Munich - Campus Grosshadern, Munich,
Bavaria, Germany, 2University
Hospitals LMU Munich - Campus Grosshadern, 3Center
of Biomedical Imaging, NYULMC, New York, New York,
United States, 4Department
of Clinical Radiology, University Hospitals LMU Munich -
Campus Grosshadern, Munich, Germany
Interscanner variability of T2 in healthy tibial
cartilage between three different 1.5T and a 3T scanner
of one manufacturer shows significant variability within
the same individuum with approximately 7% for global and
9.4% for layer-based values. This appears sufficient to
differentiate between healthy and diseased cartilage
which may show elevated values up to 70-180%. It still
may limit the ability to detect subtle changes under
intervention and in follow-up studies. Therefore to
reduce measurement error and increase sensitivity to
change, not only scanners from the same vendor but
identical scanner types within the product lines of a
vendor are recommendable.
|
14:30 |
3219. |
Experimental Investigation
into the Relationship between T2* and T2 in Cartilages at 3T
Yongxian Qian1, Ashley A Williams2,
Constance R. Chu2, and Fernando E. Boada1
1Radiology, University of Pittsburgh,
Pittsburgh, PA, United States, 2Orthopaedic
Surgery, University of Pittsburgh, Pittsburgh, PA,
United States
When voxel size is decreased (or image resolution is
increased), the impact of encoding gradient and B0-field
inhomogeneity on T2* time is decreased and as a result,
T2* time is supposed to be closer to T2 value. This
work, however, shows that T2* in cartilage explants from
human knees does not approach to T2 value when
increasing image resolution. The reason for this might
be that inhomogeneous microenvironment in tissue
dominates local field and T2* values.
|
15:00 |
3220. |
Quantitative cartilage
degeneration associated with spontaneous osteoarthritis in a
guinea pig model
Matthew Fenty1, Victor Babu Kassey1,
George Dodge2, Ari Borthakur1, and
Ravinder Reddy1
1CMROI, Radiology, University of
Pennsylvania, Philadelphia, PA, United States, 2McKay
Orthopaedics Labs, Department of Orthopaedic Surgery,
University of Pennsylvania School of Medicine,
Philadelphia, PA, United States
Osteoarthritis (OA) is a common and painful condition
with a multi-factorial etiology of the musculoskeletal
system affecting more than 50% of the U.S. population
over 65. Degeneration of the articular cartilage, which
is believed to be a primary factor in the development of
OA, is a slow process and typically takes decades to
have full thickness loss. Dunkin-Hartley guinea pigs
have been shown to develop OA with the earliest stage of
detection manifesting as early as three to four months
of age. T 1MRI
has been shown to correlate with cartilage proteoglycan
content. However, there have been no T 1 MRI
studies in the Dunkin-Hartley guinea pig model with
naturally occurring joint disease that closely mimics
human OA. The aim of this study is to quantify
age-dependent cartilage degeneration via T 1 MRI
with verification by histopathology measurements.
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Electronic
Posters
: Musculoskeletal Imaging
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Click on
to view the abstract pdf and click on
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Cartilage - Contrast Enhanced Imaging
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 24 |
14:00 |
3221. |
A New Approach to Analyze
dGEMRIC Measurements in Femoroacetabular Impingement
Riccardo Lattanzi1,2, Anna Krigel3,
Catherine Petchprapa2, Artem V Mikheev2,
Kevin Dunham2, Soterios Gyftopoulos2,
Tallas Charles Mamisch4, Young Jo Kim5,
Henry Rusinek2, Michael Recht2,
and Christian Glaser1,2
1Center for Biomedical Imaging, New York
University Langone Medical Center, New York, NY, United
States, 2Radiology,
New York University Langone Medical Center, New York,
NY, United States, 3New
York University School of Medicine, New York, NY, United
States, 4Clinical
Research, University of Bern, Bern, Switzerland, 5Orthopedic
Surgery, Children's Hospital, Boston, MA, United States
Corrective surgical procedures can delay osteoarthritis
for patients with femoroacetabular impingement (FAI) if
hip articular cartilage degeneration is diagnosed in its
early stages. Delayed Gadolinium-Enhanced MRI of
Cartilage (dGEMRIC) is used for the detection of early
biochemical changes in articular cartilage. A single
threshold value for all cases may not be indicated to
discriminate between normal and abnormal cartilage in
dGEMRIC T1 maps.
A method is proposed to standardize dGEMRIC measurements
in order to remove the effect of inter- and
intra-patient variability. Comparison with arthroscopic
findings showed 66% accuracy in assessing
anterior-superior, superior and posterior-superior
cartilage in 10 FAI patients.
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14:30 |
3222. |
Contrast agent diffusion
in dGEMRIC: exploring Donnan equlibrium in
vitro and in
vivo
Eveliina Lammentausta1,2, Eliot H Frank3,
Zana Hawezi2, Alan J Grodzinsky3,
and Leif E Dahlberg2
1Department of Diagnostic Radiology, Oulu
University Hospital, Oulu, Finland, 2Joint
and Soft Tissue Unit, Department of Clinical Sciences,
Lund University, Malmö, Sweden,3MIT,
Cambridge, MA, United States
Human femoral head cartilage was used to measure T1
relaxation time at constant intervals after exposure to
Gd-DTPA2- until ten hours and to determine the
depth-wise diffusion characteristics and fixed charge
density in cartilage assuming Donnan equilibrium. This
information was applied into a dynamic in vivo dGEMRIC
data to estimate the evolution of Gd concentration of
synovial fluid until two hours after intravenous
injection of Gd-DTPA2-. The results suggest that Gd
concentration is never in true equilibrium within the
cartilage in vivo. To improve in vivo dGEMRIC, careful
analysis by time and depth should be considered.
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15:00 |
3223. |
Depth-wise relaxivity of
Gd-DTPA2- and
Gd-DTPA-BMA in human femoral head cartilage
Eveliina Lammentausta1,2, Samo Lasic3,
Daniel Topgaard3, Olle Söderman3,
and Leif E Dahlberg2
1Department of Diagnostic Radiology, Oulu
University Hospital, Oulu, Finland, 2Joint
and Soft Tissue Unit, Department of Clinical Sciences,
Lund University, Malmö, Sweden,3Department of
Physical Chemistry, Lund University, Lund, Sweden
The aim of the current study was to investigate the
depth-wise variation of relaxivity in human femoral head
articular cartilage using anionic and nonionic contrast
agent. The relaxivities were nearly identical, with mean
value of 3.8 1/mM/s for both contrast agents, showing
similar values through the entire cartilage depth.
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15:30 |
3224. |
Optimization of a 3D
Phase-Sensitive IR protocol for DGEMRIC technique.
Michael Durkan1, Jerzy Szumowski2,
Dawson Brown1, Dennis Crawford1,
Erwin Schwarz2, and Katrina Heiles3
1Orthopaedics & Rehabilitation, Oregon Health
& Science University, Portland, Oregon, United States, 2Radiology,
Oregon Health & Science University, Portland, OR, United
States, 3Hewlett
Packard, United States
Phase-sensitive reconstruction of 3D IR images for
DGEMRIC technique doubles the dynamic range of data
which decreases the number of TI times needed for
fitting T1 relaxation maps. We will demonstrate that 3D
IR can be optimized with four TI points fit to
3-Parameter inversion recovery function. Using the
phase-sensitive reconstruction method for optimized
DGEMRIC exams result in total acquisition times less
than 10 minutes. Short exam time combined with reliable
T1-map calculation makes this approach a clinically
attractive implementation of DGEMRIC technique.
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Tuesday May 10th
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13:30 - 15:30 |
Computer 24 |
13:30 |
3225. |
Early and Delayed Contrast
Enhancement MRI of the knee
Wei Li1, Ewa Gliwa1, and
Pottumarthi V Prasad1
1Radiology, NorthShore University
HealthSystem, Evanston, IL, United States
Recent studies had indicated that neo-angiogenesis at
the bone-cartilage interface could lead to differences
in early enhancement in subjects with OA. In this study,
we have evaluated the relationship between the early
enhancement in the bone vs. cartilage in healthy
subjects and those with OA. We also evaluated any
potential correlation between the early and delayed
enhancement phases. We did observe a significant
correlation between the enhancement in bone and
cartilage. Our data suggest minimal differences in the
early enhancement in cartilage between subject with OA
and controls. There was only a weak correlation between
early and delayed enhancement phases.
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14:00 |
3226. |
Signal polarity
restoration in IR sequence for T1-mapping in the DGEMRIC
technique.
Jerzy Szumowski1, Michael Durkan2,
Katrina Heiles3, Dawson Brown2,
Erwin Schwarz2, and Dennis Crawford2
1Radiology, Oregon Health & Science
University, Portland, OR, United States, 2Oregon
Health & Science University, 3Hewlett-Packard
We present a reconstruction algorithm that restores
image signal polarity in IR sequence and effectively
doubles the dynamic range of data used for T1 curve
fitting in the DGEMRIC technique. We applied this
reconstruction algorithm with 3D IR gradient-echo
sequence for T1 mapping, validated the technique in a
phantom study and performed T1-map calculations in post
osteochondral allograft transplant (OAT) patients and
non-symptomatic volunteers. The proposed algorithm
significantly improves reliability of T1 relaxation time
fits to an inversion-recovery 3-parameter function. The
algorithm can be applied to any 2D or 3D IR acquisition
sequence used in conjunction with the DGEMRIC technique.
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14:30 |
3227. |
The effects of B1
inhomogeneity correction for 3D-Variable Flip Angle T1
measurements in hip-dGEMRIC at 3T and 1.5T
Carl Siversson1, Jenny Chan2, Carl
Johan Tiderius3, Tallal Charles Mamisch4,
Jonas Svensson1, and Young jo Kim2
1Department of Radiation Physics, Lund
University, Malmö, Sweden, 2Department
of Orthopaedics, Children's Hospital Boston, Boston, MA,
United States, 3Department
of Orthopaedics, Lund University, Malmö, Sweden, 4Department
of Orthopaedics, University of Bern, Bern, Switzerland
3D Variable Flip Angle (3D-VFA) is a T1 quantification
method commonly used in delayed Gadolinium enhanced MRI
of cartilage (dGEMRIC). Since 3D-VFA is sensitive to B1
variations a technique for correcting for this was
recently introduced. In this work 15 hips were studied
at 1.5T and 15 hips at 3T using this technique. The T1
data was calculated both with and without utilizing the
B1 correction. It was concluded that B1 inhomogeneities
in vivo are about twice as high at 3T compared to 1.5T.
At 3T B1 correction is essential, while at 1.5T it
appears to be of minor influence.
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15:00 |
3228. |
Histological Correlation
with MRI findings to monitor Gene Therapy in an “In Vivo”
Equine Model
Maria Isabel Menendez1,2, Daniel J Clark1,
Michelle Carlton3, David C Flanigan4,
Guang Jia1, Steffen Sammet5,
Steven Weisbrode6, Alicia L Bertone7,
and Michael V Knopp5
1Radiology, OSU Imaging Core Lab Wright
Center of Innovation in Biomedical Imaging, The Ohio
State University, Columbus, Ohio, United States, 2Clinical
Veterinary Sciences, College of Veterinary Medicine,
Columbus, Ohio, United States, 3Radiology,
Wright Center of Innovation in Biomedical Imaging, The
Ohio State University,4Orthopedics, The Ohio
State University Medical Center, Columbus, Ohio, United
States, 5Radiology,
OSU Imaging Core Lab Wright Center of Innovation in
Biomedical Imaging, The Ohio State University, Columbus,
Ohio, 6Veterinary
Biosciences, College of Veterinary Medicine, The Ohio
State University, Columbus, Ohio, 7Veterinary
Clinical Sciences, College of Veterinary Medicine, The
Ohio State University, Columbus, Ohio
Using MRI as a serial non-invasive technique to evaluate
healing of surgically created large osteochondral
defects in a weight-bearing femoral condyle in response
to percutaneous direct injection of adenoviral (Ad)
vectors containing coding regions for either human bone
morphogenetic proteins 2 (BMP-2) or -6. Four
osteochondral defects were drilled (n=20 defects).
Direct injection of Ad-BMP-2, Ad-BMP-6, Ad- green
fluorescence protein (GFP), or saline into the defect
was performed. Quantitative magnetic resonance imaging (qMRI)
and computed tomography (CT) were serially performed at
12, 24, and 52 weeks. At 52 weeks, histomorphometry and
microtomographic analyses were performed to correlate
and assess final subchondral bone and cartilage repair
tissue quality.
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