Electronic Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
MRI of Articular Cartilage - New Methods
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 25 |
14:00 |
3229. |
T1 MRI
of the glenohumeral joint cartilage
Scott Puckhaber1, Matthew Fenty2,
Nancy Major3, and Ravinder Reddy2
1Duke University School of
Medicine, Durham, NC, United States, 2CMROI,
Radiology, University of Pennsylvania,
Philadelphia, PA, United States, 3Musculoskeletal
Imaging, Department of Radiology, Hospital
of the University of Pennsylvania,
Philadelphia, PA, United States
Glenohumeral arthritis is a disabling
condition and may severely affect quality of
life and activities of recreation and daily
living. With shoulder injuries, either
traumatic or from repeated stresses, the
integrity of the cartilage may become
compromised due to several factors such as
abnormal loading conditions and repeated
stresses. Osteoarthritic changes to
articular cartilage such as loss and
breakdown of proteoglycan molecules has been
quantified with high sensitivity with T 1 MRI
. The aim of this study was to develop a T 1 MRI
protocol to accurately quantify biochemical
properties of the glenohumeral articular
cartilage to monitor the development of
cartilage degeneration in vivo.
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14:30 |
3230. |
Feasibility of
High Resolution T2 and T2* mapping of
Metacarpophalangeal Joints in Children at 3T
Chen Lin1, Scott A Persohn1,
and Boaz Karmazyn1
1Department of Radiology and
Imaging Science, Indiana University School
of Medicine, Indianapolis, IN, United States
A pilot study of shows high resolution of T2
and T2* mapping metacarpophalangeal
cartilage in children is feasible at 3T
despite its small size. The mean T2 value
for normal group is 42.6±5.5msec and the
mean T2* is 20.9±5.1msec. The profiles of T2
and T2* along the thickness of cartilage are
consistent between subject. However, both
inter-subject and intra subject variation of
T2* is greater than T2, suggesting that T2
values would be a more reliable biomarker
for detecting and monitoring the involvement
of cartilage in diseases such as Juvenile
idiopathic arthritis (JIA).
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15:00 |
3231. |
Quantitative
Magnetization Transfer of Entire Human
Patellofemoral Joint in 30 Minutes
Nade Sritanyaratana1, Alexey
Samsonov2, Samuel A Hurley3,
Kevin M Johnson2, Pouria
Mossahebi1, Walter F Block1,3,
and Richard Kijowski2
1Biomedical Engineering,
University of Wisconsin - Madison, Madison,
WI, United States, 2Radiology,
University of Wisconsin - Madison, Madison,
WI, United States, 3Medical
Physics, University of Wisconsin - Madison,
Madison, WI, United States
Longitudinal osteoarthritis (OA) research
studies require non-invasive contrast
mechanisms to observe disease progression.
Since articular cartilage has a high
macromolecular concentration consisting
primarily of collagen and proteoglycan,
quantitative magnetization transfer (qMT)
could be sensitive to its macromolecular
content and structure. However, given the
constraints of cost and patient tolerance,
MR examination times in OA research studies
are generally limited to only 30 to 45
minutes. As qMT requires the acquisition of
multiple MT-weighted images, extremely long
scan times are a limitation. We investigate
methods for qMT imaging of the entire human
patellofemoral joint in less than 30
minutes.
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15:30 |
3232. |
Evaluation of
the Articular Cartilage of the Wrist Joint Using
Two-Dimensional and Three-Dimensional Sequences
at 1.5T and 3T
Albert Paul Meier1, Humberto
Rosas1, Jonathan Tueting2,
and Richard Kijowski1
1Department of Radiology,
University of Wisconsin, Madison, WI, United
States, 2Department
of Orthopedics, University of Wisconsin,
Madison, WI
The study was performed to compare various
two-dimensional and three dimensional MR
sequences at 1.5T and 3T for evaluating the
articular cartilage in human cadaveric wrist
joints. Image quality and diagnostic
performance was higher at 3T than at 1.5T.
FGRE at 3T was the best sequence for
evaluating articular cartilage and had the
highest cartilage SNR, highest CNR between
cartilage and bone, highest subjective rank
for image quality, and highest diagnostic
performance for detecting cartilage lesions.
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Electronic
Posters : Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
Bone: Assessment of Traveculae & Structural Analysis
Tuesday May 10th
Exhibition Hall |
13:30 - 15:30 |
Computer 26 |
13:30 |
3233. |
The effects of organic
nitrates on lumbar spine bone mineral density and marrow
blood perfusion in ovariectomized female rats.
Yi-Xiang Wang1, Min Deng1, and
James F Griffith1
1Department of Imaging and Interventional
Radiology, The Chinese University of Hong Kong, Shatin,
NT, Hong Kong
Recent evidences suggest that nitrates, drugs typically
prescribed for the treatment of angina, may be effective
in preventing postmenopausal osteoporosis. However, the
mechanism of how nitrates influence bone mechanism
remains unclear. This study investigated the relation
among the effect of nitrates on bone marrow perfusion
and bone mineral density in female ovariectomized rats.
This study shows isosorbide-5-mononitrate orally
administered 50 mg/kg per day b.i.d partially prevented
the lumbar spine bone loss due to ovariectomy, and
maintained the blood perfusion in lumbar vertebral
marrow. Histology showed vertebral marrow composition
reflected these changes.
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14:00 |
3234. |
Feasibility of Assessing
Trabecular Structure Using a Standard Clinical MRI Scanner
Christie McComb1, Christopher Leddy2,
John Foster1, Gillian Anderson2,
and S Faisal Ahmed2
1Clinical Physics, Royal Hospital for Sick
Children, Glasgow, United Kingdom, 2Developmental
Endocrinology Research Group, Royal Hospital for Sick
Children, Glasgow, United Kingdom
This study aimed to assess the feasibility of acquiring
high resolution (micro) MRI images of the proximal tibia
using routinely available coils and pulse sequences, and
to determine whether this could be used to assess
trabecular bone structure. Images were obtained from
healthy volunteers and volunteers with Osteogenesis
Imperfecta using a 3T Siemens Verio MRI scanner with a
Tx/Rx extremity coil. Four key bone parameters were
quantified from the images using in-house analysis
software developed using IDL. The results showed that
the clinical MRI facilities in our institution can
successfully be used to discriminate between healthy and
diseased states of trabecular bone.
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14:30 |
3235. |
Quantification using
Textural Analysis on MR Bone Data
Victor Rakesh Lazar1, Gary P Liney2,
David J Manton1, Peter Gibbs1,
Celia Gregson3, Sue Steel4, Joern
Rittweger5, Jonathan Tobias3, and
Lindsay W Turnbull1
1Centre for Magnetic Resonance
Investigations, University of Hull & HYMS, Hull,
Humberside, United Kingdom, 2Radiation
Physics, University of Hull, Hull, United Kingdom,3Academic
Rheumatology, University of Bristol, Bristol, United
Kingdom, 4Centre
for Metabolic Bone Disease, Hull Royal Infirmary, Hull,
United Kingdom, 5Institute
for Biomedical Research into Human Movement and Health,
Manchester Metropolitan University, Manchester, United
Kingdom
The aim of this study is to demonstrate the potential of
textural analysis (TA) tool for possible quantification
of MRI trabecular bone. Segmented trabecular MRI image
from distal tibia and radius was processed from 52
volunteers with pQCT data using MATLAB to produce five
basic textural parameters and bone volume fraction (BVF).
Good correlation was observed between pQCT (BMD) and MRI
(BVF) data. Mild to moderate correlation was observed in
certain TA properties with relation to pQCT and MRI. TA
shows good potential for bone quantification in MRI in
addition to structure and composition.
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15:00 |
3236. |
Analyses of restricted
diffusion of water molecules using trabecular bone phantom
Risa Yorimitsu1, Tosiaki Miyati1,
Takashi Minami1, Harumasa Kasai2,
Nobuyuki Arai2, Hirohito Kan1,
Akihiro Kitanaka1, Tatsuhiko Matsushita1,
Masaki Hara2, and Yuta Shibamoto2
1Division of Health Sciences, Graduate School
of Medical Science, Kanazawa University, Kanazawa,
Ishikawa, Japan, 2Department
of Radiology, Nagoya City University Hospital
The purpose of our study was to clarify the relationship
between fast and slow diffusing components obtained
diffusion magnetic resonance imaging (MRI) and
trabecular bone structure with an original phantom. Our
original phantom enables to analyze restricted
diffusion, and this analytical method could obtain more
detailed information of trabecular bone structure.
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Electronic
Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
Quantitative MRI: Link to Material Properties
Wednesday May 11th
Exhibition Hall |
13:30 - 15:30 |
Computer 27 |
13:30 |
3237. |
Quantitative MRI as an
indirect evaluation tool of the mechanical properties of
muscles
Delphine Périé1,2, Renaud Grenier1,
Guillaume Gilbert3, and Gilles Beaudoin4
1Mechanical Engineering, Ecole
Polytechnique de Montréal, Montréal, Québec, Canada, 2Research
Center, CHU Sainte-Justine, Montréal, Québec,
Canada, 3Philips
Healthcare, Montréal, Québec, Canada, 4Physics
and Biomedical Engineering, CHUM Notre Dame,
Montréal, Québec, Canada
It is well established that MR parameters obtained
by quantitative MRI (qMRI) are linked to the
mechanical properties and biochemical composition of
cartilages. We hypothesise that a relationship
exists between mechanical properties and MR
parameters of muscles. A qMRI acquisition and a
tensile test were performed on adult rabbit muscles,
in a state of rigor or post-rigor mortis. The
tension variation between rigor mortis and
post-rigor mortis comes from the degradation of
myosin and actin. The results indicate that the
muscle Young’s modulus, i.e. the passive mechanical
behaviour, can be evaluated indirectly from qMRI
using magnetization transfer and diffusion tensor
acquisitions.
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14:00 |
3238. |
Association of MR
Relaxation Times and Functional Behavior of
Osteoarthritic Cartilage using Loaded Knee MRI
Karupppasamy Subburaj1, Richard B Souza1,2,
Christoph Stehling3, Brad T Wyman4,
Marie-Pierre Hellio Le Graverand-Gastineau4,
Thomas M Link1, Xiaojuan Li1,
and Sharmila Majumdar1
1Department of Radiology and Biomedical
Imaging, University of California San Francisco, San
Francisco, California, United States, 2Department
of Physical Therapy and Rehabilitation Science,
University of California San Francisco, San
Francisco, California, United States, 3Department
of Clinical Radiology, University of Muenster,
Münster, Germany, 4Pfizer,
Inc., Groton, CT, United States
The purpose of this study was to assess the
relationship between MR relaxation times and
biomechanical response of articular cartilage to
physiological loading (cartilage-on-cartilage
contact area and deformation) in OA subjects and
controls. The contact area in the medial compartment
was significantly higher in OA subjects than
controls. The pooled data show that cartilage
deformation in medial compartment was significantly
higher than the lateral compartment. The T 1 and
T 2 relaxation
times, contact area and cartilage deformation in OA
subjects were higher than normal subjects. These
results suggest that the structural degradation
affects the load bearing capacity of the cartilage.
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14:30 |
3239. |
Relationship between
Relaxation Component T2 values and Weight Fractions and
Mechanical Moduli in Native Cartilage
Onyi Irrechukwu1, Sarah von-Thaer1,
Eliot Frank2, David Reiter1,
Alan Grodzinsky2, and Richard Spencer1
1National Institute on Aging, National
Institutes of Health, Baltimore, Maryland, United
States, 2Massachusetts
Institute of Technology, Cambridge, Massachusetts,
United States
The objective of this study was to correlate the
components and fractions determined from
multiexponential analysis of cartilage transverse
relaxation with tissue mechanical properties.
Analysis was performed on bulk T2 relaxation data
obtained from bovine nasal cartilage explants.
Identical explants were mechanically tested in
unconfined compression to determine matrix dynamic
and equilibrium moduli. Four relaxation components,
interpreted in terms of tissue water compartments,
were detected in all explants. Compressive moduli
were positively correlated with fractions
representing macromolecules and negatively
correlated with macromolecular component T2 values.
This is consistent with increased stiffness
resulting from increasing macromolecular
concentration and decreasing water mobility.
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15:00 |
3240. |
Estimating the
short-time elastic modulus of cartilage using T1 and
T2
Kathryn E Keenan1,2, Thor Besier1,
R Lane Smith1,2, Gary S Beaupre1,2,
and Garry E Gold1
1Stanford University, Stanford, CA,
United States, 2Bone
& Joint RR&D Center, VAHCS, Palo Alto, CA, United
States
Cartilage material properties have been related to
MR parameters, but initial elastic modulus, which is
useful in subject-specific finite element models of
walking, has not been studied. Initial elastic
modulus (E 0) of human patellar cartilage
was regressed with T1 and
T2 relaxation times. T1 did
not individually correlate with E 0, nor
did T2. However, sGAG and collagen were individually
correlated with E 0. T1 was
related to sGAG, while T2 was not related to
collagen. T1 and
T2 were significantly correlated in this study.
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Electronic
Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
Intervertebral Disk: Quantitative Analysis
Thursday May 12th
Exhibition Hall |
13:30 - 15:30 |
Computer 28 |
13:30 |
3241. |
Assessment of
mechanical properties of isolated intervertebral discs
using quantitative Magnetic Resonance Imaging
Delphine Périé1,2, Maximilien Recuerda1,3,
Guillaume Gilbert4, and Gilles Beaudoin5
1Mechanical Engineering, Ecole
Polytechnique de Montréal, Montréal, Québec, Canada, 2Research
Center, CHU Sainte-Justine, Montréal, Québec,
Canada, 3Reserach
Center, CHU Sainte-Justine, Montréal, Québec,
Canada, 4Philips
Healthcare, Montréal, Québec, Canada, 5Physics
and Biomedical Engineering, CHUM Notre Dame,
Montréal, Québec, Canada
We hypothesed that the compressive modulus and
hydraulic permeability of the intervertebral disc
can be explained by a combination of MRI parameters.
Mechanical properties from unconfined compression
tests, confined compression tests and direct
measurements of permeability, and MRI properties
from quantitative T1, T2, ADC, FA and MT
acquisitions were evaluated on in-situ and digested
bovine isolated discs. Relationships were found
between axial or radial hydraulic permeability and
quantitative MRI parameters. The changes induced by
the trypsin treatment were detected by both
mechanical tests and quantitative MRI. Thus the
relationships found between permeability and MRI
parameters are valid for both groups.
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14:00 |
3242. |
Correlation between
ADC and T1-Relaxation
Time for In-Vivo Assessment of Intervertebral Disc
Degeneration
Hon J Yu1, Shadfar Bahri1,
Lutfi Tugan Muftuler1, Orhan Nalcioglu1,
and Vance Gardner2
1Center for Functional Onco-Imaging,
University of California, Irvine, CA, United States, 2Orthopaedic
Education and Research Institute of Southern
California, Orange, CA, United States
Measurements of apparent diffusion coefficient (ADC)
and T1rho-relaxation time were investigated as a
combined means for in-vivo assessment of the
degenerative states in lumbar discs. Visual
classification of disc degeneration based on
morphological change such as Pfirrmann grades,
currently only-accepted means to assess
disc-degeneration in vivo, is fundamentally
inadequate as a quantitative means for assessment of
disc degeneration or for validating other
quantitative measurements in correlation with disc
degeneration. The results indicate a strong positive
linear correlation between the ADC and
T1rho-relaxation time values in association with
disc degeneration, demonstrating the potential
values of ADC and T1rho as a combined means for
in-vivo assessment of disc-degeneration.
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14:30 |
3243. |
Sensitivity of
quantitative MRI to the compressive state of the
isolated intervertebral discs
Delphine Périé1,2, Yann-Guirec Manach1,
Guillaume Gilbert3, and Gilles Beaudoin4
1Mechanical Engineering, Ecole
Polytechnique de Montréal, Montréal, Québec, Canada, 2Research
Center, CHU Sainte-Justine, Montréal, Québec,
Canada, 3Philips
Healthcare, Montréal, Québec, Canada, 4Physics
and Biomedical Engineering, CHUM Notre Dame,
Montréal, Québec, Canada
The present question focuses on the influence of
mechanical loading during MRI acquisition on the
relaxation times, magnetization transfer and
diffusion parameters within the intervertebral disc.
Quantitative MR measurements were carried out on
isolated bovine discs submitted to 0%, 5%, 10%, 20%
and 40% deformation. No significant differences were
observed between the loading cases for all MR
parmeters. Even if the disc conditions changed
between the different MR sequences, loading and
relaxation of disc tissues did not affect the MRI
parameters. Quantitative MRI of isolated discs is
not sensitive to the compressive state when changing
from 0% to 40% deformation.
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15:00 |
3244. |
In Vivo Sodium and
Proton T1rho MR Imaging of Human Spine Disc at 3T
Chan Hong Moon1, Jung-Hwan Kim1,
Xiang He1, Tiejun Zhao2, and
Kyongtae Ty Bae1
1Radiology, University of Pittsburgh,
Pittsburgh, PA, United States, 2MR
Research Support, Siemens Healthcare, Pittsburgh,
PA, United States
We obtained consistent T2, T1rho, and sodium
concentration in intervertebral discs from normal
subjects using spin-lock, and ultra-short echo-time
spiral sequence with a dual-tuned multi-channel RF
torso coil at 3T human scanner. These MR-based
measures of intervertebral discs may play an
important role as imaging biomarkers for early
diagnosis of degenerative disc disease..
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Electronic
Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
MSK - New Sequences, Interesting Applications
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 29 |
14:00 |
3245. |
T2-weighted-MRI
and Dielectric Spectroscopy to investigate collagen
structure behaviour during cartilage dehydration
Cesare E. M. Gruber1,2, Cesare Cametti1,3,
Bruno Maraviglia1,4, and Silvia Capuani1,2
1Physics, "Sapienza" University of Rome,
Rome, Italy, 2CNR-IPCF
UOS, Rome, Italy, 3CNR-CRS-SOFT,
Rome, Italy, 4Santa
Lucia Foundation, Neuroimaging Laboratory, Rome, Italy
Cartilage aging, associated to a reduction in water
content, is one of the leading risk factor for the
developing of osteoarthritis. Aim of this study was to
investigate cartilage dehydration, by means of
quantitative T2-weighted-MRI and radiowave
dielectric-spectroscopy (DS) measurements as a function
of dehydration time. Both techniques provided indirect
information on the structural cartilage changes. In
particular, DS provides the fraction of the broken
hydrogen bounds between microfibrils, while T2 is
most sensible to the fleeble interacting water with
collagen network. Our experimental data can help to
elucidate the ability of T2 maps
to detect cartilage damage.
|
14:30 |
3246. |
Clinical Feasibility of a
new partial spoiling T2 Mapping approach after Cartilage
Repair of the Knee
Goetz Hannes Welsch1,2, Oliver Bieri3,
Klaus Scheffler3, Tallal Charles Mamisch4,
Kolja Gelse2, Alina Messner1,
Stefan Marlovits1, and Siegfried Trattnig1
1Medical University of Vienna, Vienna,
Vienna, Austria, 2Department
of Trauma Surgery, University of Erlangen-Nuremberg,
Erlangen, Bavaria, Germany, 3University
of Basel, 4University
of Berne
Aim of this study was to evaluate the feasibility of a
new quantitative T2 mapping approach using partial
spoiling in patients after cartilage repair of the knee;
furthermore to compare and correlate the results against
the established methodology of T2 mapping with a
multi-slice multi-echo (MSME) technique. Both
quantitative T2 techniques showed comparable results and
a high correlation in the evaluation of cartilage repair
tissue and healthy reference cartilage. The new
technique may provide additional benefits and
possibilities in future approaches allowing for high
resolution and three-dimensional, isotropic quantitative
T2 mapping.
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15:00 |
3247. |
A model-based approach for
fast T2 mapping of articular cartilage
Chuan Huang1, Mihra S Taljanovic2,
and Maria I Altbach2
1Mathematics, University of Arizona, Tucson,
Arizona, United States, 2Radiology,
University of Arizona
Quantitative T2 measurements have been explored for
evaluating articular cartilage and a correlation between
increasing T2 values and cartilage degeneration has been
observed. Conventional multi-echo imaging techniques
have been used for cartilage T2 mapping. However, the
acquisition of data with adequate spatial resolution
requires long scanning times. Reducing acquisition time
is generally done at the expense of temporal resolution
(i.e., small number of TE points), lower spatial
resolution, lower SNR, or reduced number of slices. In
this work, we demonstrate the ability to use a Principal
Component Model-based algorithm to reconstruct high
resolution T2 maps of cartilage from highly undersampled
radial Fast Spin-Echo (FSE) data, hence achieving
multi-fold acquisition time reduction.
|
15:30 |
3248. |
IMPROVED 3D-FSE ISOTROPIC
IMAGING OF THE KNEE USING ENHANCED FLIP ANGLE MODULATION AND
CRUSHER GRADIENT OPTIMIZATION
Michael Muelly1, Willis Huang2,
Weitian Chen3, Donglai Huo4,
Xiaoli Zhao4, and Garry Gold2
1Pennsylvania State University, Hershey, PA,
United States, 2Radiology,
Stanford University, Stanford, CA, United States, 3Global
Applied Science Laboratory, GE Healthcare, Menlo Park,
CA, United States, 4PSD
and Applications, GE Healthcare, Waukesha, WI, United
States
Rapid 3D-FSE sequences allow for isometric acquisition
of images that can be reformatted in multiple planes
without slice gaps, enabling acquistion of an full
diagnostic knee MR dataset in 6 minutes. These methods
typically require a trade-off between signal-to-noise
ratio and image blur. We present a 3D-FSE sequence with
improved SNR and decreased blur for diagnosis of
pathologies of the knee. Improvements in phantom,
volunteer, and patient images are presented.
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Tuesday May 10th
|
13:30 - 15:30 |
Computer 29 |
13:30 |
3249. |
Joint anatomical and
biochemical imaging using 3D FSE
Weitian Chen1, Tao Zhang2, Eric T
Han1, and Garry E Gold3
1Global Applied Science Laboratory, GE
Healthcare, Menlo Park, CA, United States, 2Electrical
Engineering, Stanford University, Palo Alto, CA, United
States, 3Radiology,
Stanford University, Palo Alto, CA, United States
Intermediate- or T2-weighted FSE sequences are commonly
used in clinical MRI for detection of joint
abnormalities such as meniscus tears, ligamentous
injury, or cartilage damage. Current standard MRI is
used for diagnosis of anatomy change only. T1rho and T2
mapping have been reported to have potential for early
detection of biochemical symptoms of osteoarthritis. In
this work, we invesitage a 3DFSE based approach for
joint high resolution biochmeical imaging and
T2-weightged anatomical imaging with a clinical
reasonable scan time.
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14:00 |
3250. |
Impact of Compressed
Sensing on Volumetric Knee MRI
Shreyas S Vasanawala1, Peng Lai2,
Marcus T Alley1, Garry E Gold1,
John M Pauly3, and Michael Lustig4
1Radiology, Stanford University, Stanford,
CA, United States, 2ASL
West, GE Healthcare, Menlo Park, CA, United States, 3Electrical
Engineering, Stanford University, Stanford, CA, United
States, 4Electrical
Engineering & CS, UC Berkeley, Berkeley, CA, United
States
We investigate whether compressed sensing (CS)
volumetric FSE joint MRI enables thinner slices with
improved quality of reformatted images. A volumetric FSE
sequence was modified for compatibility with both
parallel imaging (ARC) L1-SPIRiT compressed sensing (CS)
reconstructions. 24 consecutive routine knee MRI
patients additionally underwent volumetric imaging: 12
each at low and high acceleration. For each subject, 12
anatomic structures were evaluated on both volumetric
ARC and CS images and compared with conventional 2D FSE.
Thinner slices afforded by the higher acceleration of CS
improves volumetric knee MRI, particularly for
delineation of structures primarily evaluated on
reformatted images.
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14:30 |
3251. |
Simultaneous MRI
acquisition of Both Knee Joints with Multitransmit
Technology at 3T
Wenbo Wei1, Guang Jia1, David C
Flanigan2, Christopher C Kaeding2,
Steffen Sammet1, Peter Arjan Wassenaar1,
and Michael V Knopp1
1Wright Center of Innovation in Biomedical
Imaging and Department of Radiology, The Ohio State
University, Columbus, OH, United States, 2Department
of Orthopedics, The Ohio State University, Columbus, OH,
United States
Multitransmit technology has the potential to overcome
local SAR limitations and make flip angles more uniform.
In this study, color coded SNR maps and B1 frequency
shift maps are generated to compare the multitransmit
technology to traditional, single channel technology. It
is shown that the the local SAR is reduced substantially
and image homogeneity is improved with multitransmit.
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15:00 |
3252. |
Bilateral Hip MRI using
Dual-Band Excitation with Slab-Phase Modulation
Misung Han1, Brian Andrew Hargreaves2,
and Roland Krug1
1Radiology and Biomedical Imaging, University
of California - San Francisco, San Francisco, CA, United
States, 2Radiology,
Stanford University, Stanford, CA, United States
For conventional high-resolution MRI of the hip to
assess cartilage degeneration or the trabecular bone
microstructure, only a single hip is imaged at a time
because of the relatively large distance between the two
hips. However, bilateral 3D hip imaging would allow more
accurate diagnosis of pathologies with increased SNR
compared to two separate MR scans, and could be also
beneficial for dynamic contrast-enhanced MRI of bone
marrow. In this work, we demonstrate time-efficient
sagittal bilateral hip imaging using dual-slab
excitation incorporating slab-phase modulation. This
imaging technique was validated in 3D RF-spoiled
gradient-echo and 3D balanced steady-state free
precession sequences.
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Wednesday May 11th
|
13:30 - 15:30 |
Computer 29 |
13:30 |
3253. |
MULTI-PLANAR ASSESSMENT OF
THE ELBOW JOINT USING ISOTROPIC RESOLUTION VIPR-ATR IMAGING
Larry Hernandez1, Jessica L Klaers1,
Walter F Block1,2, and Rick Kijowski3
1Medical Physics, University of Wisconsin,
School of Medicine & Public Health, Madison, WI, United
States, 2Biomedical
Engineering, University of Wisconsin, Madison, WI,
United States, 3Radiology,
University of Wisconsin, School of Medicine & Public
Health, Madison, WI, United States
The study was performed to compare normalized SNR and
CNR efficiency of VIPR-ATR and currently used MR
sequences for evaluating the elbow joint. VIPR-ATR
produces multi-planar images of the elbow joint with 0.4
mm isotropic resolution in 5 minutes. VIPR-ATR has
significantly higher (p<0.05) cartilage and fluid
normalized SNR efficiency and significantly higher
(p<0.05) normalized CNR efficiency between fluid and
adjacent joint structure when compared to PD-FSE,
T2-FSE, SPGR, and FSE-Cube. VIPR-ATR can create reformat
images in any plane following a single acquisition which
is especially useful when evaluating the complex
anatomic structures of the elbow joint.
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14:00 |
3254. |
Magnetic Resonance
Lymphography at 3T: A Promising Noninvasive Approach to
Characterize Inguinal Lymphatic Vessel Leakage
Qing Lu1, Jianrong Xu1, Ningfei
Liu2, and Xihai Zhao3
1Department of Radiology, Renji hospital
Shanghai Jiaotong University School of Medicine,
Shanghai, China, People's Republic of, 2Plastic
& Reconstructive Surgery, Shanghai 9th People¡¯s
Hospital, Shanghai Jiao Tong University School of
Medicine, Shanghai, 3Center
for BioMedical Imaging Research (CBIR), Tsinghua
University School of Medicine, Beijing, China, People's
Republic of
Inguinal lymphatic vessel leakage is a severe
complication due to the injury of lymphatic vessels.
This study sought to characterize the lymphatic vessel
leakage using MR lymphangiography (MRL) in 16 patients
with suspected injury of lymphatic vessels after surgery
or blunt trauma. We found that the effusion of
lymphoceles or lymphatic fistulas can be clearly
depicted by MRL. Additionally, the number and maximum
diameter of enhanced lymphatic vessels in legs with
lymphatic leakage were significantly greater than that
of legs without lymphatic leakage. Our findings
demonstrated that MRL is a promising noninvasive
approach to assess inguinal lymphatic vessel leakage.
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14:30 |
3255. |
3T high resolution MR
Neurography of sciatic neuropathy
Avneesh Chhabra1, Theodoros Soldatos2,
Gustav Andreisek3, and John A Carrino4
1MSK Radiology, Johns Hopkins University
School of Medicine, Baltimore, MD, United States, 2Radiology,
Johns Hopkins University School of Medicine, Baltimore,
MD, United States, 3Radiology,
University Hospital, Zurich, Switzerland, 4Radiology,
Johns Hopkins University School of Medicine, Baltimore,
MD
Purpose: To assess quantitative and qualitative models
to evaluate patients with and without sciatic neuropathy
to increase the accuracy of 3T MRN. Methods: 3T MRN of
the pelvis and thighs of 32 subjects, 15 sciatic
neuropathy and 17 control cases. Results: The abnormal
sciatic nerves exhibited higher nerve/vessel SI ratios,
higher incidence of nerve and fascicular abnormalities
and muscle denervation changes. A cut-off value of
nerve/vessel SI ratio of 0.89 exhibited high accuracy.
27% of sciatic neuropathies did not show muscle
denervation changes. Conclusion: Both qualitative and
quantitative criteria should be employed to suggest a
MRN diagnosis of sciatic neuropathy.
|
15:00 |
3256. |
Magic Angle effect: a
relevant artifact in MR Neurography at 3T?
Thorsten Kästel1, Sabine Heiland2,
Philipp Baeumer2, Andreas Bartsch2,
Martin Bendszus2, and Mirko Pham2
1Department of Neuroradiology, University of
Heidelberg Medical Center, Heidelberg,
Baden-Württemberg, Germany, 2University
of Heidelberg Medical Center
MR Neurography (MRN) is an emerging diagnostic test to
localize nerve lesions by hyperintense T2-w contrast. An
artefact potentially mimicking lesions is the “Magic
Angle Effect” appearing in tissue densely composed of
collagen. To what extent this artefact is able to
provoke false positive findings in MRN is unclear. In
this experimental study, 25 healthy subjects underwent
MRN of the sciatic nerve using a dual-echo
turbo-spin-echo sequence to calculate T2-relaxation at
seven precisely adjusted angles relative to B0. We show,
that the potential for false positive findings is low,
particularly at angulations < 30° relative to B0.
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Electronic
Posters
: Musculoskeletal Imaging
|
Click on
to view the abstract pdf and click on
to view the video presentation. |
Muscle: Diabetes, Muscular Dystrophy, Diffusion Tensor
Monday May 9th
Exhibition Hall |
14:00 - 16:00 |
Computer 30 |
14:00 |
3257. |
Diffusion tensor imaging
evaluation of upper leg muscular changes after long distance
running
Martijn Froeling1,2, Gustav J Strijkers1,
Mario Maas2, Klaas Nicolay1, and
Aart J Nederveen2
1Biomedical NMR, Department of Biomedical
Engineering, Eindhoven University of Technology,
Eindhoven, Netherlands, 2Department
of Radiology, Academic Medical Center, University of
Amsterdam, Amsterdam, Netherlands
Very mild muscle damage cannot be evaluated using
traditional techniques. Diffusion tensor imaging is a
noninvasive technique that allows the quantification of
the diffusion properties of water in anisotropic tissue
in vivo. We hypothesize that diffusion perpendicular to
the fiber direction will increase because of swelling or
disruption of diffusion-hindering membranes. This could
serve as an early indicator for exercise induced muscle
injury. To investigate this hypothesis we acquired DTI
data of 5 amateur long distance runners one week before,
and 2 days and 3 weeks after they participated in a
marathon.We have shown that rigorous muscle exercise by
running increases the diffusivity of water in skeletal
muscles that are known to suffer most, like the ST and
BF
|
14:30 |
3258. |
T2-weighted imaging and
stimulated echo diffusion tensor imaging in chronic
exertional compartment syndrome calf muscle
Eric Edward Sigmund1, Dabang Sui1,
Philip A Hodnett2, Kecheng Liu3,
KellyAnne McGorty1, Michael Mechlin1,
and Jenny Bencardino1
1Radiology, New York University Langone
Medical Center, New York, NY, United States, 2Department
of Radiology, NYU Langone Center, New York, New York,
United States, 3Siemens
Medical Systems, United States
Chronic exertional compartment syndrome (CECS) is a
muscular disorder with fluid retention following
exertion causing hypoperfusion and disability whose
microscopic pathophysiology is not completely
understood. T2-weighted imaging (T2w) and stimulated
echo diffusion tensor imaging (DTI) were applied to
suspected CECS patients before and after exertion. T2w
signal intensity increases following exercise by at
least 20% in some groups (defined as “CECS positive”).
Diffusion eigenvalues increase in all groups following
exertion by ~10%, and larger increases occur in CECS
positive groups (20-40%). Fractional anisotropy also
decreases in all groups following exertion, suggesting
at least a partial role of myofiber dilation.
|
15:00 |
3259. |
Towards a general approach
for skeletal muscle DTI acquisition and post-processing
Martijn Froeling1,2, Aart J Nederveen2,
Maarten R Drost3, K Nicolay1, and
Gustav J Strijkers1
1Biomedical NMR, Department of Biomedical
Engineering, Eindhoven University of Technology,
Eindhoven, Netherlands, 2Department
of Radiology, Academic Medical Center, Amsterdam,
Netherlands, 3Department
of Human Movement Science, School for Nutrition,
Toxicology and Metabolism, Maastricht University,
Maastricht, Netherlands
In this study we present a generalized strategy for
acquiring and post processing of in vivo skeletal muscle
DTI data in order to correct and minimize the above
complications. The approach is demonstrated with fiber
tractography of skeletal muscle in five regions of the
human body : lower back, pelvic floor, upper leg,
forearm and masticator muscles.
|
15:30 |
3260. |
Fiber architecture of the
female pelvic floor: An exploratory investigation using
different diffusion MRI tractography algorithms
Martijn Froeling1,2, Gustav J Strijkers1,
Ben Jeurissen3, Marije P van der Paardt2,
Jaap Stoker2, Klaas Nicolay1, Aart
J Nederveen2, and Alexander Leemans4
1Biomedical NMR, Department of Biomedical
Engineering, Eindhoven University of Technology,
Eindhoven, Netherlands, 2Department
of Radiology, Academic Medical Center, Amsterdam,
Netherlands, 3Vision
Lab, Department of Physics, University of Antwerp,
Antwerp, Belgium, 4Image
Sciences Institute, University Medical Center Utrecht,
Utrecht, Netherlands
In this study, we explored both DTI and CSD based
tractography algorithms to invesitgate the female pelvic
floor muscle anatomy in vivo. We have shown that both
DTI and CSD can adequately describe the global
architecture of the female pelvic floor. However, in
regions with complex structures they show different
results.
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Tuesday May 10th
|
13:30 - 15:30 |
Computer 30 |
13:30 |
3261. |
Two pools of inorganic
phosphate in canine model of DMD caracterized by
magnetization transfer 31P
NMRS
Claire Wary1,2, Thibaud Naulet1,2,
Jean-Laurent Thibaud1,3, Aurélien Monnet1,2,
Stephane Blot3, and Pierre G Carlier1,2
1NMR Laboratory, Institute of Myology, Paris,
France, 2IdM
NMR Laboratory, CEA, I²BM, MIRCen, Paris, France, 3UPR
of Neurobiology, Ecole Nationale Veterinaire d'Alfort,
Maisons Alfort, France
We have identified a resonance, 0.3 ppm upfield from
cytosolic Pi (Pia), which appears to be a second, more
alkaline, Pi resonance (Pib) in muscle of dystrophic
dogs (GRMD). Interestingly, Pib/Pia decreased with
disease progression, and pHb was correlated to pHa
Chemical exchange by inverse hydrolysis of ATP was
measured by a combination of magnetisation transfer
measurements and T1 with magnetisation transfer, in an
attempt to distinguish and chacterize the two
components. The T1 of Pia and Pib were equivalent, but
chemical exchange of both compartments were very reduced
in GRMD dogs compared to controls.
|
14:00 |
3262. |
Single- versus multipeak
modeling of Dixon images to determine the fat fraction in
patients with Duchenne muscular dystrophy
Beatrijs H.A. Wokke1, Clemens Bos2,
Holger Eggers3, Janneke C. van den Bergen1,
Andrew Webb4, Jan J. Verschuuren1,
and Hermien E. Kan4
1Neurology, Leiden University Medical Center,
Leiden, Netherlands, 2Philips
Healthcare, Best, Netherlands, 3Philips
Healthcare, Hamburg, Germany, 4Radiology,
Leiden University Medical Center, Leiden, Netherlands
With the development of potential therapies for muscle
diseases such as Duchenne muscular dystrophy (DMD)
methods for quantitative follow-up are becoming
increasingly important. Chemical-shift based water-fat
separation can be used in the quantitative assessment of
the fat fraction in affected muscles. In our study, we
have applied a multipeak fitting method in patients with
DMD and our results show that single peak modeling of
the fat signal consistently results in lower values of
the fat fraction compared to multipeak fitting,
especially in the midrange of fat fractions. This can be
particularly important in the inclusion and follow up of
DMD patients in therapeutic trials.
|
14:30 |
3263. |
Reduced T2* values in
Soleus Muscle of Type 2 Diabetes Mellitus
Chun S Zuo1, Donald Simonson2,
Young-Hoon Sung1, Rosemond Villafuerte1,
and Perry F Renshaw1
1McLean Hospital, Boston, MA, United States, 2Brigham
and Women’s Hospital, Boston, MA, United States
We have examined T2* of soleus in Type 2 Diabetes
Mellitus (T2DM) compared to that of normal healthy
subjects in a cross-sectional study. We found that
soleus T2* is significantly correlated with age and the
presence of diabetes. Among factors that may contribute
to T2* values, the lowered T2* value in the T2DM soleus
muscle is most consistent with poor regional
microvascular circulation which suggests that the T2DM
soleus is likely under tissue oxygenation stress.
|
15:00 |
3264. |
In vivo 1H
MRS monitoring of intra-myocellular lipids after acute
muscle injury in healthy and dystrophic mouse muscles
Su Xu1,2, Da Shi1,2, Steven Roys1,2,
Alan McMillian1,2, Rao Gullapalli1,2,
and Rich Lovering3
1Diagnostic Radiology and Nuclear Medicine,
University of Maryland School of Medicine, Baltimore,
MD, United States, 2Core
for Translational Research in Imaging @ Maryland
University of Maryland School, 3Department
of Orthopaedics, University of Maryland School of
Medicine, Baltimore, MD, United States
We assessed the potential of in
vivo 1H
MRS to monitor the intra-myocellular lipids in acute
skeletal muscle injury in healthy and mdx mice
(an animal model for human Duchenne muscular dystrophy).
We found that mdx mice
demonstrated very low intra-myocellular lipids level.
However, injury caused a significant increase in
intra-myocellular lipids in the mdx group
only. Histology confirmed the changes quantified by the in
vivo 1H
MRS. We propose that in
vivo 1H
MRS is a sensitive measure of muscle injury with
potential applicability in preclinical therapeutic
screening studies in rodents.
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Wednesday May 11th
|
13:30 - 15:30 |
Computer 30 |
13:30 |
3265. |
Distinct inter- and
intra-muscular features observed by MR imaging and
spectroscopy in patients with FSHD uncover pathobiological
processes in disease development
Barbara H Janssen1, Rob J.W. Arts2,
Nicoline B.M. Voet3, Christine I.H.C. Nabuurs1,
Baziel G.M. van Engelen2, and Arend Heerschap1
1Radiology, Radboud University Nijmegen
Medical Centre, Nijmegen, Netherlands, 2Neurology,
Radboud University Nijmegen Medical Centre, Nijmegen,
Netherlands,3Rehabilitation, Radboud
University Nijmegen Medical Centre, Nijmegen,
Netherlands
To assess muscular involvement and progression towards a
diseased state in FSHD-patients we used fat infiltration
and PCr/ATP measured by 1H¬-MRI and 31P-MRS of the thigh
muscles as non-invasive biomarkers. Almost all
investigated muscles were either not or entirely fat
infiltrated. In muscles showing intermediate fatty
infiltration we found that fat-content increased over
the length of the muscle in the distal direction.
Interestingly only the intermediately affected muscles
also showed a change in fat-content over time. The
fat-infiltration is inversely correlated with muscle
strength. A decreased PCr/ATP ratio shows that energy
metabolism is compromised in remaining muscles.
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14:00 |
3266. |
Quantitative MRI for
muscle characterisation – initial comparison of young adults
with cerebral palsy to normal subjects
Jonathan James Noble1,2, Sanjay Vijayanathan3,
Adam P Shortland1,3, and Geoff D
Charles-Edwards1,3
1King's College London, London, United
Kingdom, 2King's
College Hospital, London, United Kingdom, 3Guy's
and St Thomas' Hospital, London, United Kingdom
The aim of this study was to compare quantitative MRI
measurements from Dixon-based imaging and diffusion
tensor imaging (DTI) in the calf muscles of young adults
with cerebral palsy and healthy volunteers. A higher
average percentage fat content was observed for the CP
group compared to the ND group, which was significant
when all three muscles are combined (p=0.019). The mean
ADC value for the CP group was consistently lower for
all muscles investigated, and statistically significant
for the lateral gastrocnemius (p=0.013) and muscles
combined (p=0.009). No significant difference was found
between CP and ND subject groups FA values.
|
14:30 |
3267. |
Metformin severely impairs in
vivo muscle
oxidative capacity in a rat model of type 2 diabetes
Bart Wessels1, Jolita Ciapaite1,
Klaas Nicolay1, and Jeanine Prompers1
1Biomedical NMR, Eindhoven University of
Technology, Eindhoven, Netherlands
In this study we investigated the effect of the
anti-diabetic drug metformin on in
vivo and in
vitro skeletal
muscle mitochondrial function in Zucker diabetic fatty
(ZDF) rats using 31P
magnetic resonance spectroscopy (MRS) and
high-resolution respirometry, respectively. In
vivo dynamic 31P
MRS demonstrated that two weeks of treatment with
metformin severely impairs in
vivo muscle
oxidative capacity both in diabetic and healthy ZDF
rats. In
vitro complex
I-supported respiration was only reduced in the diabetic
group. The 2-fold decrease in in
vivo muscle
oxidative capacity could therefore not be fully
attributed to metformin’s inhibitory effect on
mitochondrial complex I.
|
15:00 |
3268. |
Assessment of changes in
regional distribution of skeletal muscle adipose tissue in
type 2 diabetes using quantitative IDEAL gradient echo
imaging
Dimitrios C Karampinos1, Thomas Baum1,
Lorenzo Nardo1, Julio Carballido-Gamio1,
Paran S. Yap1, Huanzhou Yu2, Ann
Shimakawa2, Thomas M. Link1, and
Sharmila Majumdar1
1Department of Radiology and Biomedical
Imaging, University of California, San Francisco, San
Francisco, CA, United States, 2Global
Applied Science Laboratory, GE Healthcare, Menlo Park,
CA, United States
Changes in adipose tissue compartmentalization within
skeletal muscle have been observed in patients with type
2 diabetes. Segmentation of T1-weighted images has been
traditionally used to characterize these changes with
significant limitations in quantifying fat content
alterations in localized muscle anatomical regions.
Quantitative chemical shift-based water/fat separation,
like IDEAL gradient echo imaging, enables fat
quantification with the spatial resolution of
conventional imaging. In the present study, quantitative
IDEAL is applied in a study of 46 post-menopausal women
to investigate changes in regional distribution of calf
muscle adipose tissue between controls and patients with
type 2 diabetes.
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Thursday May 12th
|
13:30 - 15:30 |
Computer 30 |
13:30 |
3269. |
Diffusion tensor imaging
of acute muscular injury in normal and dystrophic mice
Alan B McMillan1, Da Shi1, Su Xu1,
and R M Lovering2
1Diagnostic Radiology and Nuclear Medicine,
University of Maryland School of Medicine, Baltimore,
Maryland, United States, 2University
of Maryland School of Medicine, Orthopaedics, Baltimore,
Maryland, United States
This work investigates diffusion tensor imaging (DTI)
and T2 parameter mapping in acute muscle injury of
normal and dystrophic mice. Dystrophic mice experienced
a force loss that was 2x greater than normal, indicating
a more significant injury. Consistent with post-injury
edema, significant increases in T2 are observed in
proximal sections of the tibialis anterior (TA).
However, significant changes in DTI parameters are seen
in both the middle and proximal sections of the TA,
suggesting that DTI may be a more sensitive marker of
acute skeletal muscle injury.
|
14:00 |
3270. |
The Effect of Diffusion
Tensor Imaging SNR on Skeletal Muscle Tractography
Armen Alex Gharibans1, Curtis Laurence
Johnson1, Danchin Daniel Chen1,
and John G Georgiadis1
1Mechanical Science and Engineering,
University of Illinois at Urbana-Champaign, Urbana, IL,
United States
Since skeletal muscle DTI has relatively low SNR, the
choice of the tractography method and minimum SNR
required should be important parameters in the design of
any DTI protocol for skeletal muscle, if the results are
to be compared across subjects and scanners. This work
is focused on studying the effect of DTI SNR on
tractography in skeletal muscle by comparing the
convergence of a number of geometrical tract
characteristics for four deterministic tracking
algorithms. As an indication, the interpolated
streamline method converged at SNR~15, Tensorline and
Runge-Kutta at SNR~20, and FACT at SNR~40.
|
14:30 |
3271. |
Quantitative Effects of
Inclusion of Fat on Diffusion Tensor MRI of Human Thigh
Muscles
Sarah E Williams1,2, Anneriet Heemskerk3,4,
Edward Brian Welch2,3, Bruce M. Damon2,3,
and Jane H Park3,5
1Biomedical Engineering, Vanderbilt
University, Nashville, TN, United States, 2Institute
of Imaging Science, Vanderbilt University, Nashville,
TN, United States, 3Radiology
and Radiological Sciences, Vanderbilt University,
Nashville, TN, United States, 4Radiology,
Erasmus Medical Center, Nashville, TN, United States, 5Molecular
Physiology and Biophysics, Vanderbilt University,
Nashville, TN, United States
Adipose infiltration into skeletal muscle due to disease
may confound muscle diffusion measurements. We
determined the water signal percentage which must be
present in a region of interest to allow it to represent
the diffusion properties of the muscle accurately.
Quantitative fat-water percentage maps were created, and
the indices of the diffusion tensor were related to the
water percentage in regions of interest in the image.
The measured diffusion properties for regions containing
water signal percentages of <40% differed significantly
from those of pure muscle. This should be considered
when using water diffusion to represent microstructural
damage in muscle.
|
15:00 |
3272. |
In Vivo Muscle Fiber
Curvature Measurements Using DT-MRI
Anneriet Heemskerk1,2, Zhaohua Ding1,3,
Tuhin Sinha1,4, Kevin J. Wilson3,
and Bruce M. Damon1,3
1Radiology and Radiological Sciences,
Vanderbilt University, Nashville, TN, United States, 2Erasmus
Medical Center, Rotterdam, Netherlands, 3Institute
of Imaging Science, Vanderbilt University, Nashville,
TN, United States, 4Radiology,
UC-San Francisco, San Francisco, CA, United States
Muscle fiber curvature is an important architectural
parameter that may affect pressure development and
perfusion patterns during contraction. Here we show the
capability of measuring fiber curvature using DT-MRI
fiber tracking data, the improvement in the estimates by
using fiber tract smoothing methods, and the changes in
curvature that result from changes in muscle-tendon unit
length.
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