Bone, Cartilage & Joint MRI
Musculoskeletal Wednesday, 19 May 2021
Digital Poster
2946 - 2965
2966 - 2985

Oral Session - Bone, Cartilage & Joint MRI
Musculoskeletal
Wednesday, 19 May 2021 14:00 - 16:00
  • Predicting delayed union in osteoporotic vertebral fractures in the acute phase with intravoxel incoherent motion
    Hiroyuki Takashima1,2, Tsuneo Takebayashi3, Yasuhisa Abe3, Rui Imamura1, Hiroshi Oguma3, Izaya Ogon2, Yoshihiro Akatsuka1, and Toshihiko Yamashita2
    1Division of Radiology and Nuclear Medicine, Sapporo Medical University Hospital, Sapporo, Japan, 2Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan, 3Department of Orthopaedic Surgery, Sapporo Maruyama Orthopedic Hospital, Sapporo, Japan
    IVIM enables the evaluation of the intramedullary perfusion disorder in VF, which delays the bone union process, and is useful to predict VF prognosis.
    Fig. 2: Comparison between favorable and unfavorable group on each IVIM parameter.
    Fig. 1: Image of IVIM parameters for analysis
  • Quantification of Synovial Fluid using Magnetic Resonance Fingerprinting Multicomponent Imaging in Articular Cartilage of Knee
    Seung Eun Lee1, Joon-Yong Jung1, and Dongyeob Han2
    1Seoul St. Mary’s Hospital, Seoul, Korea, Republic of, 2Siemens Healthineers, Seoul, Korea, Republic of
    In ex vivo experiment and clinical study, we demonstrated that SFF map generated by multicomponent MRF framework can quantify synovial fluid in small cartilage defect, and provides direct information on cartilaginous water content.
    Figure 1. Cartilage segmentation on bovine cartilage in normal cartilage (A), cartilage with 0.6mm holes (B), 0.9mm holes (C) and 1.2mm holes (D). (E, F) Segmentation area indicated with colors in sagittal plane and leg specimen. (G) Result of cartilaginous fluid fraction in each location.
    Figure 3. Knee cartilage segmentations of 3D FSE image and PD map in osteoarthritis patient. A cartilage defect in posterior medial femoral condyle is demonstrated in 3D FSE image (green arrow) and shows good correlation with fluid exclusion image (FEI) on SFF map, better than FEI on T2 map.
  • Advanced Low-Field MRI of Hip Arthroplasty Implants: First Experience at 0.55 T
    Iman Khodarahmi1, Inge Manuela Brinkmann2, Dana Lin1, Mary Bruno1, Patricia Johnson1, Florian Knoll1, Mahesh Bharath Keerthivasan2, Hersh Chandarana1, and Jan Fritz1
    1Department of Radiology, New York University School of Medicine, New York, NY, United States, 2Siemens Medical Solutions USA Inc., Malvern, PA, United States
    Metal artifacts from hip arthroplasty implants are substantially smaller at 0.55T than clinical 1.5T, holding great promise for improved metal artifact reduction MRI of hip arthroplasty implants. Our preliminary results suggest clinically viable sequence acquisition times of ≤ 6-min.
    Figure 3: Coronal MR images of cobalt-chromium and titanium-on-ceramic hip arthroplasty implant systems using the clinical protocol at 1.5T and the proposed protocol at 0.55T. Despite higher SEMAC encoding steps at 1.5T, metal artifacts are substantially smaller at 0.55T.
    Figure 4: Axial MR images of cobalt-chromium and titanium-on-ceramic hip arthroplasty implant systems using matched protocols at 1.5T and 0.55T. Metal artifacts are substantially smaller at 0.55T.
  • Skull MRI with MUFFIN: MUlti-Frame Forward-modeled Image Numismatics
    Cihat Eldeniz1, Udayabhanu Jammalamadaka1, Gary B. Skolnick2, Paul K. Commean1, Kamlesh B. Patel2, and Hongyu An1
    1Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, United States, 2Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, United States
    CT may cause cancer due to ionizing radiation. MRI is vulnerable to motion. Sedation reduces motion, but can be harmful. In order to replace CT and skip sedation, we developed an MRI scheme that is robust to motion and also performs motion correction.
    MUFFIN processing. The first 5 spokes were discarded to reach a steady state. The rest was split into 14 frames. 40% apodization was a good tradeoff between resolution and undersampling-related artifacts. The density compensation function was V-shaped. After determining the reference frame (by picking the closest rotation vector to the mean rotation vector), all transformations to and from the reference frame were used in the optimization to obtain the corrected volume.
    Top row: A sample slice for Patient 1 acquired with CT and MRI. The dashed red circles indicate the sutures (quite fine structures, and hence difficult to see without looking closely).The uncorrected image is missing both sutures. The green arrows exemplify the detail and sharpness recovered by MUFFIN. Bottom row: 3D renderings. The uncorrected one is barely showing any sutures, while the similarity between the CT skull and the MUFFIN MRI skull is striking.
  • Assessing the Viability of Carpal Bone Kinematic Profiles Extracted from 4D MRI
    Kevin Matthew Koch1, Mohammad Zarenia2, V. Emre Arpinar2, L Tugan Muftuler3, Alyssa Joy Schnorenberg 4, Joshua Leonardis4, Brooke Slavens4, and Andrew S Nencka2
    1Medical College of Wisconsin, Milwaukee, WI, United States, 2Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States, 4University of Wisconsin, Milwaukee, Milwaukee, WI, United States
    4D dynamic MRI is combined with a slab-to-volume boundary-based registration to high resolution static images in navigating carpal bones through unconstrained motion.   Sample temporal kinematic carpal profiles constructed with this method are analyzed for viability in future analyses.  
    Figure 1: A-C) Orthogonal imaging planes through the carpal bones of a 3D SPGR acquisition utilized to segment the bones of interest. Segmentation was performed manually and takes into account the cortical bone gap boundary on the images. D) Resulting point cloud of boundary points derived from the high-resolution segmentations. E) Sample slices of 3D dynamic SPGR images utilized to track the static segmentations and the points of interest identified on those segmentations. Kinematic profiles are derived from the tracked points on the static segmentations.
    Figure 4: Exemplary kinematic profiles from the study cohort. A) Scaphoid-Capitate center of mass distance and B) Scaphoid-Capitate center of mass angle. For reference and to demonstrate the impact of the basic processing steps applied to generate these profiles, the raw input data for these profiles is displayed in C) scaphoid-capitate center of mass distance and D) scaphoid capitate center of mass angle.
  • 2D Texture Analysis based approach for detection of Osteoporosis on 1.5T on T1-weighted MR images
    Preety Krishnan1, Tejas J Shah2, Akshay Godkhindi2, Rupsa Bhattacharjee3, Stanley Kovil Pichai3, Ajay Krishnan1, Bharat Dave1, and Indrajit Saha3
    1Stavya Spine Research Institute, Ahmedabad, India, 2MR, Philips Innovation Campus, Bangalore, India, 3Philips India Limited, Gurgaon, India
    The proposed logistic regression model based on 9 texture features, highlighted in Figure 3 in green, can be used clinically on 1.5T systems on T1W images to detect osteoporosis in Spine.
    Figure 1: Process for automated texture analysis based classification. Location of the sagittal slice selected for subsequent analysis is shown in a., The regions of interest (ROIs) selected manually for L1-L5 vertebrae are shown in b., the classes of texture features computed are shown in c., the process of feature selection is shown in d. and the steps for generation and selection of classifier models for classification of cases into osteoporotic or non-osteoporotic is shown in e.
    Table 2: ROC analysis parameters for different classifiers indicating their respective effectiveness
  • Transverse Relaxation Anisotropy of Tendons Studied by MR Microscopy
    Benedikt Hager1,2,3, Markus M. Schreiner4, Sonja M. Walzer4, Lena Hirtler5, Vladimir Mlynarik1, Martin Zalaudek1, Andreas Berg6, Xeni Deligianni7,8, Oliver Bieri7,8, Reinhard Windhager4, Vladimir Juras1, and Siegfried Trattnig1
    1Department of Biomedical Imaging and Image-guided Therapy, High Field MR Centre, Medical University of Vienna, Vienna, Austria, 2CD Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Austrian Cluster for Tissue Regeneration, Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Vienna, Austria, 4Department of Orthopedics and Trauma-Surgery, Medical University of Vienna, Vienna, Austria, 5Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna, Vienna, Austria, 6Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 7Division of Radiological Physics, Department of Radiology, University of Basel Hospital, Basel, Switzerland, 8Department of Biomedical Engineering, University of Basel, Allschwil, Switzerland
    In this study, the orientation dependence of T2* decay and the mono- vs. bi-exponentiality of T2* decay of Achilles and patellar tendons were investigated in vitro with a variable echo time sequence and microscopic resolution, and the results were compared with histological findings. 

    Figure 2 a) Representative T2* map of one tendon measured at 0° shows the difference between T2* values of fascicle bundles and non-fasicle connective tissue (endotendon, epitenon). This difference is also visible in a morphological T2 weighted image (TE= 6.6ms) (b).

    c,d) Histological assessment was performed with Picrosirius red staining and polarized light microscopy as well as Safranin-O staining. The shape of the fiber bundles and the connective tissue between them are clearly visible.

    Figure 3) One Achilles and one patellar tendon each were measured at 11 fiber-to-field angles. The mean monoexponential T2* values (T2*m) from 30 consecutive slices are provided. The percentage of voxels preferentially following a bi-exponential decay (measured by AICC and F-test) is given for all voxels and orientations. Boxplots are shown on the right.
  • Measures of bone water and porosity are associated with whole-bone stiffness and mineral density in the human femur
    Brandon Clinton Jones1,2, Hyunyeol Lee1, Shaowei Jia1,3, Anna Feng1, Snehal S Shetye4, Hee Kwon Song1, Felix Werner Wehrli1, and Chamith Sudesh Rajapakse1,4
    1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3Biomedical Science and Medical Engineering, Beihang University, Beijing, China, 4Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, United States
    Pore water content, total water content, and porosity index were all associated with whole-bone stiffness and mineral density in cadaveric proximal femora. Cortical bone water measures may therefore provide useful information on cortical bone health.
    Flow chart illustrating workflow for the study. (A) representative sagittal UTE image. (B) axial slice of CT scan with the 3 calcium calibration rods. (C) 1-cm cortical analysis mask region which is chosen just inferior to the lesser trochanter. The proximal and distal slices of the UTE sequences are shown. Note higher signal within the cortical bone in the first than in the second echo image. Soft tissue is suppressed in the IR sequence, retaining only bound water signal from the cortical bone and the calibration sample. (D) overview of the mechanical testing methodology.
    Correlation plots between imaging parameters and whole-bone stiffness. Error clouds indicate 95% confidence intervals. Asterisks indicate significant correlations. Pore water and porosity index, which are surrogates of cortical porosity, were negatively correlated to stiffness and mineral density. Pore water content and porosity index were also strongly positively correlated with each other. Pore water concentrations were greater than bound water concentrations and thus contributed more to the total water content.
  • Simultaneous assessment of vertebral fractures and edema of the thoracolumbar spine on water-fat and SW images derived from a single-TE UTE scan
    Sophia Kronthaler1, Christof Boehm1, Peter Börnert2, Ulrich Katscher2, Kilian Weiss3, Marcus R. Makowski1, Benedikt J. Schwaiger1, Alexandra S. Gersing1, and Dimitrios C. Karampinos1
    1Department of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany, 2Philips Research Laboratory, Hamburg, Germany, 3Philips Healthcare, Hamburg, Germany
    The proposed methodology enables single-point Dixon and SW imaging the simultaneous assessment of vertebral fractures and edema of the thoracolumbar spine from a single-TE UTE sequence.
    Figure 5: Comparison of spDixon, STIR, UTE-SWI and CT in three patients with acute vertebral fractures (red arrows) and bone marrow edema (S1 and S2). The edema and fracture line were visible in the spDixon Water–fat images and the SWI images. The second subject showed signs of a chronic vertebral fracture (green arrow), without signal alterations neither in the STIR nor the UTE image. The third subject showed signs of an acute vertebral fracture such as a compaction zone (red arrows) as well as ventral and a small dorsal spondylophytes (white arrows) one level lower.
    Figure 1: spDixon processing pipeline: A) The UTE phase $$$\angle\left(S_{\text{exp}}\right)$$$ contained contributions from the B1 phase which varied along AP and RL (x-y-plane). B) A POCS-like algorithm was used to solve Equation [4]. The update was calculated using conjugate gradients (CG). C) After n-update steps the phase error ϕn was estimated. In the corrected UTE phase ϕ0 – ϕn unwanted phase components and the B1 phase contribution were removed.
  • Quantification of bone marrow edema in RA by using high-speed T2-corrected multiecho acquisition of 1H magnetic resonance spectroscopy
    Wenzhao Yuan1, Yiwu Lei1, Cheng Tang1, Fang Qin1, Jing Wen1, Chenhui Li2, Min Ling1, Jiang Huang1, Huiting Zhang3, and Liling Long1
    1The First Affiliated Hospital of Guangxi Medical University, Nanning, China, 2Siemens Healthcare Ltd., Guangzhou, China, 3Siemens Healthcare Ltd., Wuhan, China
    The HISTO sequence could measure the bone marrow FF of the wrist joint.   FF value increased as the DAS28-ESR decreased in RA patients.  The HISTO sequence can monitor the therapeutic effect of RA.
    Table 2 Clinical data and HISTO FF values of RA patients at each follow-up time point (mean ± SD) CRP, C-reactive protein; DAS28-ESR, 28-joint disease activity score using erythrocyte-sedimentation rate; ESR, erythrocyte-sedimentation rate; FF, fat fraction; HISTO, high-speed T2-corrected multiecho sequence; PLT, platelet count; RA, rheumatoid arthritis; RF, rheumatoid factor Change 1, the baseline value minus the value at 4 weeks Change 2, the value at 4 weeks minus the value at 8 weeks Change 3, the value at 8 weeks minus the value at 12 weeks
    Fig. 2 Trend of the correlation between DAS28-ESR and HISTO values in RA patients during treatment. DAS28-ESR, 28-joint Disease Activity Score using erythrocyte-sedimentation rate; HISTO, high-speed T2-corrected multiecho sequence; FF, fat fraction; RA, rheumatoid arthritis
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Digital Poster Session - Cartilage I
Musculoskeletal
Wednesday, 19 May 2021 15:00 - 16:00
  • Relaxation Time Mapping of Knee Articular Cartilage Using Magnetic Resonance Fingerprinting
    Sanam Assili1, Victor Casula1,2, Jaakko Ikäheimo1, Egor Panfilov1, Ari Väärälä1, Martijn A. Cloos3, Riccardo Lattanzi4, and Miika T. Nieminen1,2,5
    1Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 2Medical Research Center, University of Oulu and Oulu University Hospital, Oulu, Finland, 3Centre for Advanced Imaging, University of Queensland, Brisbane, Queensland, Australia, 4Center for Advanced Imaging Innovation and Research, New York University Grossman School of Medicine, New York, NY, United States, 5Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland
    In cartilage-mimicking phantoms, MRF-derived T1 and T2 relaxation time measurements show excellent agreement with conventional relaxation time mapping techniques. Furthermore, MRF demonstrates topographical variation of T1 and T2 relaxation times typical to human knee cartilage in vivo
    Figure 5. T1 and T2 relaxation time maps from right knee joint of 34-year-old female obtained with conventional inversion recovery (IR) and multi-echo spin-echo (MESE) sequences (total time acquisition 26:48 min) and MRF with 6shot (9:01 min) and 4shots (6:01 min).
    Figure 3. MRF-T1 relaxation times (6shots) of superficial and deep cartilage layers from lateral (A) and medial (B) tibiofemoral subregions (n=10 knees).
  • Deriving a Cartilage Signature to Predict Joint Replacement in Osteoarthritis
    Edward Peake1,2,3, Stefan Pszczolkowski1,2,3, Christoph Arthofer2,3,4, and Dorothee P Auer1,2,3
    1NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, United Kingdom, 2Radiological Sciences, Division of Clinical Neuroscience, University of Nottingham, Nottingham, United Kingdom, 3Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 4Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United Kingdom
    MRI improves prediction of knee replacement surgery. A radiomic signature derived from MRI features had a cox hazard ratio of 7.5 (p = 2e-28, 95% CI 7.1 – 7.9) which was higher than established clinico-demographic multivariate prediction model with cox hazard ratio 5.9 (p = 2e-28, 95%CI 5.6 – 6.2). 
    Left | DESS knee MRI with a 140mm field of view; 0.7mm slice thickness and matrix of 384×384 with 160 slices and an acquisition time of 10.6 mins. Right | Cartilage components segmented using our fully automated segmentation method based on U-convolutional neural networks.
    ROC curves for prediction of total knee replacement within 5-years. Blue | Radiomic signature with a C-index of 0.81 (95% CI, 0.76 – 0.84). Purple | Cox risk model including clinico-demographic covariates and the radiomic signature with a C-index of 0.85 (95% CI, 0.82 – 0.87). Red | cox risk model with clinico-demographic features alone had a C-index of 0.79 (95% CI, 0.75 – 0.83).
  • T1ρ relaxation times for voxel-wise characterization of longitudinal changes in hip cartilage biochemistry
    Koren Roach1, Richard Souza1, Sharmila Majumdar1, and Valentina Pedoia1
    1UCSF, San Francisco, CA, United States
    Deeper layers of acetabular cartilage saw the greatest variation in two-year T relaxation time changes across healthy subjects and those with early-to-moderate osteoarthritis.
    Figure 1: Visualization of principal component (PC) 1 mode of variation along with representative subjects with low and high PC1 scores. PC 1 was primarily characterized by greater two-year changes in T relaxation times in the deep layers of acetabular cartilage. Top: Mean differences in hip cartilage T relaxation times over two years across subjects plus or minus 3 standard deviations (stdev) of PC 1 variation. Bottom: Representative subjects with low and high PC 1 scores demonstrate notable changes in the deep layer of acetabular cartilage T relaxation times over two years.
    Figure 2: Visualization of principal component (PC) 2 mode of variation along with representative subjects with low and high PC 2 scores. PC 2 was primarily characterized by changes to more superficial layers of the acetabular cartilage in the superior region. Mean differences in hip cartilage T relaxation times over two years across subjects plus or minus 3 standard deviations (stdev) of PC 2 variation. Representative subjects with low and high PC2 scores demonstrate two-year changes in the superior acetabular cartilage T relaxation times.
  • The value of T2 mapping to characterize early knee joint cartilage damage in hemophilia arthropathy
    Shufang Wei1, Jiajia Li1, Xianchang Zhang2, Jing An3, and Yinghui Ge1
    1Fuwai Central China Cardiovascular Hospital, Zhengzhou, China, 2MR Collaboration, Siemens Healthcare Ltd, Beijing, China, 3Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China
    T2 mapping detected early cartilage changes in patients with hemophilia and could be used as a sensitive biomarker to detect these early changes and develop preventative treatment plans.
    T2 mapping (T2M) of the knee. (a) Control group, male, 10 yo; T2M pseudo-color imaging (PCI) shows a uniform cartilage color distribution and complete articular surface. (b) Group A, male, 9 yo; T2M PCI shows uneven cartilage color distribution, few red-yellow stage changes, and an increased cartilage T2 value. (c) Group B, male, 11 yo; T2M PCI shows greater uneven cartilage color distribution, a significantly diminished weight-bearing area, and a significantly increased cartilage T2 value.
    A bar graph showing T2 values for the different regions of interest (ROIs) in the knee. Groups HC (control), A (International Cartilage Repair Society [ICRS] level 0), and B (ICRS levels I and II) were compared for each ROI. * represents a significant difference.
  • Optimization of Relaxation along Fictitious Field (RAFF) Contrast to Detect Osteoarthritis
    Seyed Amir Mirmojarabian1, Victor Casula1, Olli-Pekka Aro1, Henning Henschel2, Miika T Nieminen1,3,4, and Timo Liimatainen1,3
    1Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 2Department of Medicinal Chemistry, Uppsala University, uppsala, Sweden, 3Medical Research Center, Oulu University Hospital, Oulu, Finland, 4Department of Diagnostic Radiology,, Oulu University Hospital, Oulu, Finland
    Relaxation along fictitious field with pulse duration close to 2.8 ms efficiently capture lack of -OH group in degraded compared to intact cartilage.
    Figure 2: T2 map and TRAFF relaxation time maps with implemented pulse durations (PD) from two cartilage specimen; red rectangle shows areas of degraded cartilage and yellow rectangle points out to intact cartilage in T2 map.
    Figure 1: a) TRAFF of collagen phantom measurements. b) T2 image of collagen phantoms. c) Partial eta square percentage, representing TRAFF relaxation time contrast/variation accounted by collagen concentration. d) Bloch-McConnell simulated TRAFF.
  • The value of magnetic resonance T2*mapping for early detection of knee cartilage damage in hemophilia arthropathy
    Jiajia Li1, Shufang Wei1, Xianchang Zhang2, Jing An3, and Yinghui Ge1
    1Fuwai Central China Cardiovascular Hospital, Zhengzhou, China, 2MR Collaboration, Siemens Healthcare Ltd., Beijing, China, Beijing, China, 3Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China
    T2* mapping can detect early iron deposition caused by repeated bleeding in patients with hemophilia and could be used as a sensitive biomarker to detect early cartilage changes and develop preventative treatment plans.
    Images from one representative participant (male, 17 years old) with hemophilic arthropathy. Conventional (A) T1WI. (B) PDWI. (C) T2*-anatomical image show relatively complete articular surface (yellow arrow) without damage. (D) T2* mapping shows uneven distribution in the cartilage and the decreases (red arrow) of cartilage T2* value indicate damage.

    T2* values of articular cartilage in different regions (mean ± SD)

    Note: * P<0.05 indicates statistical significance

  • Decreased collagen content in tendons of patients with osteoporosis and osteopenia detected with ultrashort echo time cones MRI
    Saeed Jerban1, Yajun Ma1, Amir Masoud Afsahi1, Douglas G Chang2, Zhao Wei1, Meghan Shen1, Mei Wu1, Alecio Lombardi1,3, Nicole Le4, Jiang Du1, and Eric Y Chang1,3
    1Radiology, University of California, San Digeo, La Jolla, CA, United States, 2Orthopaedic Surgery, University of California, San Digeo, La Jolla, CA, United States, 3Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States, 4Radiology, VA San Diego Healthcare System, La Jolla, CA, United States
    MMF as a measure of collagen content in lower leg tendons was significantly lower in OPo and OPe patients compared with healthy control subjects. Significantly lower MMF in OPo versus OPe patients implied OPo-related changes in collagen turnover in addition to age-related changes.
    Figure 1: A representative Cones UTE-MRI image from a 76-year-old female subject (TR=50 ms, for the selection the region of interests TE=2 ms was used because its provided higher contrast). Anterior and posterior tibialis (ATT and PTT) and proximal Achilles (PAT) tendons were obvious in the MRI images, as indicated in red.
    Figure 3: Boxplots of (A, C, E) T1 and (B, D, F) MMF of (A,B) ATT, (C,D) PTT, and (E,F) PAT tendons in Ctrl subjects versus OPe and OPo patients. Averages, median, SD, first, and third quartiles are indicated in the boxplots.
  • Highly Efficient Single-Point Dixon-Based Fat Suppression for Ultrashort Echo Time Double Echo Steady State (UTE-DESS) Imaging of the Knee Joint
    Hyungseok Jang1, Yajun Ma1, Michael Carl2, Saeed Jerban1, Eric Y Chang1,3, and Jiang Du1
    1University of California, San Diego, San Diego, CA, United States, 2GE Healthcare, San Diego, CA, United States, 3Veterans Affairs San Diego Healthcare System, San Diego, CA, United States
    The proposed single-point Dixon (spDixon)-based fat suppression achieved high contrast Ultrashort Echo Time Double Echo Steady State (UTE-DESS) imaging of short T2 tissues. We demonstrated that fat suppression with spDixon technique improved lesion detection in human knee joints. 
    Figure 4. UTE-DESS imaging with spDixon of knee joint of a healthy volunteer (37-year-old male). Both weighted echo subtractions with and without spDixon-based fat suppression achieve high contrast specific to short T2 tissues including the osteochondral junction (yellow arrows), tendons (red arrows), menisci (blue arrows), and ligaments (green arrows).
    Figure 5. UTE-DESS imaging with spDixon in two representative OA patients (A-H: 52-year-old male, I-P: 56-year-old male). (A, I) Magnitude images of S+, (B, J) magnitude images of S-, (C, K) T2-FSE images, (D, L) T1-FSE images, (E, N) spDixon water images from S+, (F, M) spDixon water images from S-, (G, O) weighted echo subtraction of water images from spDixon, and (H, P) weighted echo subtraction of S+ and S- without spDixon.
  • Examining short-term longitudinal and activity-based variability of femoral cartilage T2 relaxation times in healthy subjects
    Lauren Watkins1,2, Andrew Schmidt1, Elka Rubin1, Marco Barbieri1, Arjun Desai1,3, Valentina Mazzoli1, Marianne Black1, Garry Gold1,2, Brian Hargreaves1,2,3, Akshay Chaudhari1,4, and Feliks Kogan1
    1Radiology, Stanford University, Stanford, CA, United States, 2Bioengineering, Stanford University, Stanford, CA, United States, 3Electrical Engineering, Stanford University, Stanford, CA, United States, 4Biomedical Data Science, Stanford University, Stanford, CA, United States
    There was considerable short-term stability in T2 relaxation times of active, healthy subjects over 5 days and 5 weeks, with lower variability compared to previously reported 5-month and 1-year measures.
    Representative 2D projections of femoral articular cartilage T2 relaxation time maps for the right knee (left not shown) of a subject scanned daily for 5 days [A] and weekly for 5 weeks [D]. Differences in T2 values at each timepoint were calculated with reference to the day 1 scan [C, E]. Variability between timepoints was calculated across the femoral surface, as well as within the anterior (A), central (C), and posterior (P) regions of the medial (M) and lateral (L) portions of the femur [B].
    Both knees of 3 healthy female subjects were scanned using a bilateral quantitative double-echo in steady-state (qDESS) sequence on a 3T MRI system. Subjects were scanned daily for 5 consecutive days and weekly for 5 consecutive weeks. At each timepoint, the subjects recorded their hours of physical activity, step count, and Rate Perceived Exertion (RPE) for the 24 hours and week prior to the scan date.
  • Morphologic Structure of Rabbit Suprapatella Cartilage by µMRI and PLM
    Hannah Mantebea1, Syeda Batool1, Mouhamad Hammami1, and Yang Xia1
    1Physics, Oakland University, Rochester, MI, United States
    The suprapatella cartilage has a 10 µm surface layer that covers the much thicker main tissue of about 390 µm in average thickness. Both layers in the suprapatella show little variation when the tissue blocks changed their orientations in the magnetic field.
    Fig 3 Quantitative µMRI profiles and PLM images/profiles
    Fig 2 µMRI images
  • Deep Cartilage UTE-T2* Shows Compositional Heterogeneity in Patients with Degenerative Meniscus Tears
    Ashley A. Williams1,2, Karyn E. Chappell1,2, and Constance R. Chu1,2
    1Orthopaedic Surgery, Stanford University, Stanford, CA, United States, 2Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States
    Meniscus and cartilage UTE-T2* was compared to arthroscopy in degenerative meniscus tear patients.  Elevated UTE-T2* was observed in degenerate menisci. However, increasing intra-operative cartilage grade was not associated with strictly increasing cartilage UTE-T2*.
    Figure 2. Sample UTE-T2* maps. Top row: a 39-yr male DMT patient with a complex tear to the posterior horn of his medial meniscus (a) and arthroscopically detected intact-but-softened medial and lateral femoral condylar cartilage but partial to full-thickness disruptions of his tibial cartilages (a,b). Bottom row: an uninjured, healthy 24-yr male with homogeneously low UTE-T2* in both medial and lateral menisci and smoothly laminar UTE-T2* distributions in his articular cartilage (c,d).
    Figure 1. Softened but intact cartilage regions (scope grade 1) tend to have elevated deep cartilage UTE-T2* values compared to uninjured controls (yellow bars, a,b,c), while cartilage regions with disrupted articular surfaces tend to show UTE-T2* values consistent with or lower than uninjured controls (red bars, a-d). ANOVA (or Kruskal-Wallis) found no significant differences between groups suggesting a high degree of variability in deep cartilage UTE-T2* values of DMT patients with both intact and disrupted articular surfaces. Error bars represent ± standard error of the mean.
  • Evaluation of Lesion Tissue Composition in Patients with Juvenile Osteochondritis Dissecans (JOCD) of the Knee Using T2* Mapping at 3T
    Stefan Zbyn1,2, Cassiano Santiago1, Casey P. Johnson1,3, Kai D. Ludwig1,2, Lin Zhang4, Shelly Marette2, Marc A. Tompkins5, Bradley J. Nelson5, Takashi Takahashi2, Gregory J. Metzger1, Cathy S. Carlson3, and Jutta M. Ellermann1,2
    1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 3Department of Veterinary Clinical Sciences, University of Minnesota, St. Paul, MN, United States, 4Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, United States, 5Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, United States
    T2* mapping is a reproducible, clinically applicable method that allows assessment of all lesion tissues, quantitative measurement of lesion ossification, and evaluation of bone density, which are potential predictive markers of JOCD lesion healing.
    Figure 2. A 16-year-old boy with the stage III, unstable JOCD lesion. (a) The first echo of the T2*-weighted images with 4 evaluated regions: progeny (red), interface (yellow), parent bone (green), and control bone (blue). (b) The corresponding color-coded T2*map. (c) A T2-weighted turbo spin echo image with fat suppression depicting a break in articular cartilage and subchondral bone plate (arrow), a cyst (arrowhead), and a hyper-intense edema (asterisks). (d) A zoom of the JOCD lesion area.
    Figure 3. Spearman rank correlation (ρ) plots. From left a significant negative correlation between the JOCD stage and the lesion T2* (ρ=-0.871; p<0.001), a significant negative correlation between the JOCD stage and the interface T2* (ρ=-0.649; p<0.001), and no significant correlation between the JOCD stage and the patient’s age (ρ=0.081; p=0.65).
  • Disruption of collagen fiber architecture after DMM surgery using high-resolution DTI
    Nian Wang1, Anthony J. Mirando2, Yi Qi3, Matthew J. Hilton2, and Charles E. Spritzer3
    1Radiology and Imaging Sciences, Indiana University, Indianapolis, IN, United States, 2Department of Orthopaedic Surgery, Duke University, Durham, NC, United States, 3Department of Radiology, Duke University, Durham, NC, United States

    FA decreased and MD increased after 8 weeks destabilization of the medial meniscus surgery.

    Diffusion tractography affords a unique way to visualize the 3D collagen fiber architecture.

    Diffusion MRI can be used as imaging biomarker for detecting the degradation of OA.

    Figure 4. The fiber tracts of articular cartilage for both DMM (b) and SHAM (a) rats.
    Figure 2. The quantitative fractional anisotropy (FA) and mean diffusivity (MD) maps of articular cartilage for DMM and SHAM rats.
  • Learned knee cartilage and meniscus shape features are associated with osteoarthritis incidence
    Claudia Iriondo1, Jinhee Lee1, Sharmila Majumdar1, and Valentina Pedoia1
    1University of California, San Francisco, San Francisco, CA, United States
    Cartilage and meniscus point clouds from 40,796 knee MR images are used to train point cloud networks to extract shape features. Features are used as variables in a Cox Proportional Hazard model with existing clinical risk factors. Learned shape features predict incident osteoarthritis.
    Figure3. Four example subjects, their processed point clouds and subject description. PAT-FEM-TIB, PAT-FEM, FEM-TIB, and MEN compartment combinations were used to train point cloud networks for OA diagnosis. Each compartment is represented by 8192 randomly sampled points. The first three examples are labelled as having osteoarthritis (Kellgren Lawrence grade >=2), while the last example does not. Output p(OA) is used as the shape biomarker feature for Cox PH models. FEM= femur, TIB=tibia, PAT=patella, MEN= menisci
    Figure4. Per compartment test results on pretext OA diagnosis task. (L to R) ROC curve, PR curve, and calibration curve with respective performance metrics. Differences between ROC curves are tested using Delong's method, cartilage models were not significantly different from each other, while menisci was significantly different from all cartilage models (p=1e-14, 1e-10, 1e-15).
  • Assessment of knee cartilage volume, thickness and T2 relaxation times in patients with osteoarthritis
    Hui Tan1, Bin Wang2, Wulin Kang1, Qiuju Fan1, Nan Yu1, Shaoyu Wang3, Esther Raithel4, Yue Li2, and Tuona Di2
    1The affiliated hospital of Shaanxi University of Chinese Medicine, Xianyang, China, 2Shaanxi University of Chinese Medicine, Xianyang, China, 3Siemens Healthineers, Shanghai, China, 4Siemens Healthcare, Erlangen, Germany
    In this study, the cartilage volume, thickness and T2 value of mild to moderate knee osteoarthritis were quantitatively measured by using automatic cartilage segmentation software.

    Figure 1. Comparison of the differences of the cartilage volume (a), thickness (b) and T2 relaxation times (c) between mild and moderate OA group.

    * Statistically significant (P < 0.05).

    Figure 2. An example of automated cartilage segmentation: (a) Sagittal view of a knee with the automated cartilage segmentation. According to the anatomical position, the cartilage of knee joint was automatically divided into several small regions; (b and c) automated segmentation view, and the software automatically extracted the cartilage and display 3D images.
  • Imaging hyaluronan-mediated inflammation in articular cartilage
    Jose M Raya1, Alejandra M Duarte1, Dalibel M Bravo1, Elisa M Ramos1, Chongda M Zahng1, Mary M Cowman2, Thorsten M Kirsch1, Mark Wilne3, Len Lyut3, and Amparo M Ruiz1
    1New York University Langone Health, New York, NY, United States, 2New York University Tandon School of Engineering, New York, NY, United States, 3University of Western Ontario, Ontario, ON, Canada
    This study is the first direct in vivo indication for the involvement of inflammation in cartilage after injury. Our results provide insights into the pathogenesis and role of inflammation in OA, showing that hyaluronan-related inflammation is a common finding.  
    Figure 3. Example of T1 maps on control and ACL-injured limb before IA injection of Cy5.5-P15-1 (top row), and 24 h (middle row) and 48 h (bottom row) after injection. Control showed constant T1 values over time, while ACLT-injured limbs have a trend of decreased T1 values.
    Figure 4. Boxplot showing the change of T1 values after injection of Cy5.5-P1-1 in controls (blue) and ACL-injured limbs (red) for femoral, tibial and patellar cartilage. Both femoral and patellar cartilage showed a significant difference in ΔT1 (p<0.05, one-way ANOVA).
  • Improving Fast 3D-T1rho Mapping of Human Knee Cartilage with Data-Driven Learned Sampling Pattern
    Marcelo Victor Wust Zibetti1, Azadeh Sharafi1, and Ravinder Regatte1
    1Radiology, NYU Langone Health, New York, NY, United States
    • The learned sampling pattern (SP) improved the median of the normalized absolute deviation (MNAD) in accelerated T1rho mapping by 7% on average, with a maximum improvement of 21.5% in the testing data. The largest improvement was achieved for 16-fold acceleration.
    Figure 5: Representative T1rho maps of the medial knee joint at acceleration factor (AF) 12. The visual difference in the medial cartilage is more noticeable at this AF. The optimized SP is more important at high AFs.
    Figure 2: a. Poisson disk sampling pattern (SP), used as an initial SP and b-d. SP obtained from optimization with bias-accelerated subset selection for CS with b. LR, c. L+S SFD, and d. STFD.
  • Application value of 3D-MRI based on compressed SENSE technology in meniscal injuries
    Peiqi Ma1, Yushan Yuan1, Zongxi Zhang1, Bin Peng1, Jian Xu1, and Xiuzheng Yue2
    1Fuyang People's Hospital,Anhui Province,China, Fuyang, China, 2Philips Healthcare, Beijing, China, Beijing, China
    In this study, CS-SENSE in 3D acquisition for knee joint can not only improve the scanning speed, but also more accurately diagnosis the type of meniscus injury.
    Figures 1A-1D show conventional 2D-MRI sagittal fsPDWI, CS-DSweak, CS-DSmediumand CS-DSstrongspectively.Figures 2A and 2B showlongitudinal cracks of the lateral meniscus(thin arrow). 2A is the reformatted transverse axis of CS-SENSE 3D scanning image (slicethickness of 1mm), and 2B is the reformatted sagittal images. Figures 3A and 3B show the horizontal crack in the posterior angle of the medial meniscus. 3A is the reformatted transverse axis of CS-SENSE 3D scanning image (slicethickness of1mm), and 3B is the reformatted sagittal images.
  • Regional Variations in T2 Relaxations Times in the Hip Cartilage of Female Water Polo Players and Synchronized Swimmers
    Elka B Rubin1, Joanna L Langner2, Marianne S Black2, Arjun D Desai2, James W MacKay3, Carly Jones4, Kimberly E Hall2, Marc R Safran2, Feliks Kogan2, and Garry E Gold2
    1Radiology, Stanford University, Stanford, CA, United States, 2Stanford University, Stanford, CA, United States, 3Radiology, Cambridge University, Cambridge, United Kingdom, 4Centre for Hip Health and Mobility, University of British Columbia, Vancouver, BC, Canada
    This work demonstrates that quantitative MRI can detect regional differences in the hip cartilage of female water polo players and synchronized swimmers; this suggests possible regional differences in cartilage matrix composition between these two groups.
    Figure 3: The average T2 Relaxation Times for synchronized swimmers (synchro) and water polo players (water polo) across the total hip cartilage and four subregions: superior-posterior (sup-pos), superior-anterior (sup-ant), inferior-posterior (inf-pos), and inferior-anterior (inf-ant). The average T2 relaxation time means are more stable in water polo players and have more variability in the synchronized swimmers.
    Figure 1: Schematic overview of the study methodology.
  • Deep, intermediate and superficial layers of patella cartilage assessment using T2 mapping in patients with chondromalacia.
    Elena Voronkova1,2, Petr Menshchikov3,4, Ilya Melnikov1, Andrei Manzhurtsev1,4, Maxim Ublinskii1,4, Denis Vorobyev1, Dmitriy Kupriyanov3, and Tolib Akhadov1
    1Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow, Russian Federation, 2National Research Nuclear University MEPhI, Moscow, Russian Federation, 3Philips Healthcare, Moscow, Russian Federation, 4Emanuel Institute of Biochemical Physics of RAS, Moscow, Russian Federation
    In the intermediate cartilage layer, the transverse relaxation times are statistically distinguishable for the normal, mild injury, and severe injury groups – the more severe a damage, the higher T2 values.
    Fig. 1. An example of patella cartilage T2 map acquired. T2 values were quantified in deep, intermediate, and superficial layers using Cartilage Assessment utility (Philips Portal)
    Fig. 3. Comparison of the T2 values in patients of the normal group, the mild injury group, and the severe injury group. A – deep layer, B- intermediate layer, C – superficial layer.
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Digital Poster Session - Cartilage II
Musculoskeletal
Wednesday, 19 May 2021 15:00 - 16:00
  • T2 mapping of normal and abnormal cartilage in the equine distal interphalangeal joint using low field MRI
    Melissa E Baker1, Lucy E Kershaw2, Steve Roberts3, Richard Reardon1, Sionagh Smith1, and Sarah E Taylor1
    1Royal (Dick) School of Veterinary Studies and The Roslin Institute, The University of Edinburgh, Edinburgh, United Kingdom, 2Centre for Cardiovascular sciences and Edinburgh Imaging, The University of Edinburgh, Edinburgh, United Kingdom, 3Hallmark Veterinary Imaging Ltd, Guildford, United Kingdom
    T2 mapping was shown to detect significantly increased T2 in the DIPJ lateral cartilage (higher OARSI grades) compared to the medial cartilage (lower OARSI grades) using a 0.27 T open MR system
    Figure 3. Box plots of observer one’s first and second lateral (blue) and medial (orange) T2 measurements and observer two’s first measurements. Boxes show minimum T2, median with interquartile range and maximum T2, along with individual data points.
    Figure 4. Example T2 map depicting increased T2 in the lateral condylar articular cartilage of P2 and articulating P3. Colour bar in ms.
  • Automated Pipeline for Quantitative MRI Evaluation of Knee Articular Cartilage in Longitudinal Osteoarthritis Trials
    Vladimir Juras1, Veronika Janáčová1, Pavol Szomolanyi1, Markus Schreiner2, Didier Laurent3, Celeste Scotti3, and Siegfried Trattnig1
    1Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 2Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria, 3Novartis Institutes for Biomedical Research, Basel, Switzerland
    Fully automated analysis of knee articular cartilage combines quantitative morphological and compositional information from 21 anatomically well-defined subfields of the knee joint and provides reproducible and robust evaluation of the cartilage volume, thickness and composition. 
    A diagram of fully automated proton MRI evaluation
    A diagram of fully automated sodium MRI evaluation
  • Automated Knee Cartilage Thickness Measurement from Magnetic Resonance Images
    Yongcheng YAO1, Sheheryar KHAN1, Junru ZHONG1, Siyue LI1, and Weitian CHEN1
    1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China
    An automated data processing pipeline is proposed to generate knee cartilage thickness map from MR image. The proposed method benefits from accurate estimation of surface normal. It is advantageous compared with 3D nearest neighbor approach.
    Figure 3. Surface normal estimation. (a-c) the estimated surface normal. (d) the smoothed surface normal after 8-neighbors average-smoothing. (Green dot: voxel from the bone-cartilage interface; Red dot: voxel from outer boundary; Blue arrow: estimated surface normal; Black arrow: smoothed surface normal) (Image ID in the OAI-ZIB dataset: 9389580)
    Figure 4. Comparison of 3dNN and SN method in cartilage thickness measurement. From the proposed SN method, both minimal and maximal thickness maps can be generated. The one shown here is the minimal thickness map. (3dNN: 3d nearest neighbor; SN: surface normal) (Image ID in the OAI-ZIB dataset: 9389580)
  • Wrist cartilage segmentation using U-Net convolutional neural networks
    Nikita Vladimirov1 and Ekaterina A. Brui1
    1Department of Physics and Engineering, ITMO University, Saint Petersburg, Russian Federation
    U-Net convolutional neural networks were used for automatic wrist cartilage segmentation.  Utilisation of a truncated U-Net archutecture and data augmentation allowed to increase the segmentation accuracy especially in lateral slices in comparison to previously published results. 
    Illustrations of performance (with medium accuracy) of the U-Net and truncated U-Net on several slices from one 3D image (green: correctly segmented pixels [true positives]; blue: pixels incorrectly assigned to the background [false negatives]; and red: pixels incorrectly assigned to the cartilage [false positives]).

    Results for layer-to-layer analysis: average DSC values for the zones with different percentage of cartilage within the 3D images; average 3D DSC; average DSC for medial slices; the time needed for the segmentation of one slice. *The network was tested on a PC with common characteristics (an Intel Core i5-7640X processor with 32 Gb of RAM).

  • 3D Texture Analysis of 3D DESS Cartilage Images for Prediction of Knee Osteoarthritis
    Daniel Uher1, Ari Väärälä1, Antti Isosalo1, Victor Casula1,2, and Miika T. Nieminen1,2,3
    1Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 2Medical Research Center, University of Oulu and Oulu University Hospital, Oulu, Finland, 3Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland
    3D Texture Analysis of DESS images showed promising predictive capability for the onset of Osteoarthritis occurring within three years. High accuracy (86%) was achieved using Naïve Bayes classifier on selected textural features from tibial cartilage.
    Figure 2. Example of the cartilage layers implemented in the 3D Texture Analysis. Blue dashed line represents the thickness of the cartilage. L10, L50, L90 show the layer heights, in which the cartilage was analyzed. SUM represents the full cartilage thickness.
    Table 1. Five best performing 3D Texture Analysis outputs (sorted by accuracy) per each layer using Naïve Bayes and selected tibial features.
  • GagCEST Imaging of Healthy and OA Patients at 7 Tesla
    Blake Alexander Benyard1, Ryan Armbruster1, Abigail Cember1, Neil Wilson2, Ravinder Reddy1, and Joshua Baker3
    1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Siemens Medical Solutions USA Inc, Malvern, PA, United States, 3Penn Medicine, Rheumatology, Philadelphia Veterans’ Affairs Medical Center, Philadelphia, PA, United States
    GagCEST MRI revealed an increase in GagCEST (%) values for control patients in comparison to OA patients and can serve as a sensitive molecular biomarker for quantifying early metabolic changes in cartilage.
    Figure 3: GagCEST vs. Cartilage Volume/Height (mm3/m) in Femoral Cartilage of Control and OA patients. The y-axis of Volume/Height (mm3/m) shows the relationship of larger height and greater cartilage volume. This shows a positive linear relationship in both control and OA patients. On average, OA subjects have a lesser Volume/Height as well as a lesser slope.
    Image 1: Manually Segmented Articular Knee Cartilage – on the left is a pyKNEEr generated segmentation and on the right is a manually corrected segmentation.
  • OPTIMIZATION OF KNEE CARTILAGE TEXTURE ANALYSIS FROM QUANTITATIVE MRI T2 MAPS
    Veronika Janáčová1, Pavol Szomolanyi1, Siegfried Trattnig1, and Vladimir Juras1
    1High Field MR Centre, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria
    We showed differences in T2 and GLCM features between lesion and reference cartilage, which can be used as indicators of cartilage damage. We demonstrated effect of GLCM calculation offset and number of T2 mapping parameters on GLCM features values.
    Figure 2: GLCM parameters visualization for flattened lesion and reference cartilage ROIs computed from 2-parametric T2 maps with offset 0°.
    Figure 1: Preprocessing of ROIs for texture analysis.
  • Ultra high resolution UTE imaging of the knee at 7T: Simultaneous view of cartilage, meniscus, ligament, tendon, and the chondro-osseous junction
    Yongxian Qian1, Gregory Chang1, Eric J. Strauss2, and Fernando E. Boada1
    1Radiology, New York University, New York, NY, United States, 2Orthopaedic Surgery, New York University, New York, NY, United States
    This human study at 7T presents the great potential of ultra-high resolution UTE imaging to simultaneously visualize cartilage, meniscus, ligament, tendon, and even the chondro-osseous junction in the knee joint, critical to understanding the onset and progression of osteoarthritis.
    Fig. 5. Anterior and posterior cruciate ligaments (ACL and PCL) in the ultra-high resolution UTE image at 7T for the same subject as in Fig. 1: a) full FOV and b) local view for ACL, and c) full FOV and d) local view for PCL.
    Fig. 2. Patellar cartilage (long white arrow) and the chondro-osseous junction (red arrow, black region) in the ultra high resolution UTE image at 7T for the same subject as in Fig. 1: a) full FOV, and b) local view. A suspicious defect is clearly visible on the chondro-osseous junction above the red arrow in b).
  • An efficient $$$R_{1\rho}$$$ dispersion imaging method for the human knee cartilage using constant magnetization prepared turbo-FLASH
    Yuxi Pang1, Riann Palmieri-Smith2,3, and Tristan Maerz3
    1Dept. of Radiology, University of Michigan, Ann Arbor, MI, United States, 2School of Kinesiology, University of Michigan, Ann Arbor, MI, United States, 3Dept. of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, United States
    An efficient quantitative $$$R_{1\rho}$$$ dispersion MR imaging protocol has been developed for clinical studies of human knee cartilage at 3T, by simultaneously tailoring spin-lock duration and strength. 

    FIGURE 1. The proposed $$$R_{1\rho}$$$ dispersion imaging method including a new SL scheme (a) for turbo-FLASH (b), and a prepared constant $$$M_{prep}$$$ (red dots), with respect to the varying ones (white dots) in the standard acquisition approach (c). The $$$M_{prep}$$$ dynamic range differs significantly between from the proposed (red) and from the standard (green and blue) methods (d), whereas a cluster (blue lines) of $$$M_{prep}$$$ evolve similarly toward steady-state $$$M_{SS}$$$ (red line) during FLASH imaging readout (e).

    FIGURE 2. The measured (symbols) and modeled (lines) $$$R_{1\rho}$$$ dispersion profiles with three protocols (a-b), i.e. $$$M_{prep}$$$=50% (red), 60% (green), 70% (blue). The presented $$$R_{1\rho}$$$-weighted signals and REF datasets were taken from the segmented ROIs in the deep tibial (white arrow) and femoral cartilage (yellow arrow) (c). The differences between success fitting (or hit) rates (%) for modeling $$$R_{1\rho}$$$ dispersion in the deep cartilage using the current ($$$M_{prep}$$$=50-70%) and the previous ($$$MpVars$$$) protocols (d).
  • Effects of Angular Resolution and b Value on Diffusion Tensor Imaging in Knee Joint
    Qi Zhao1, Rees P. Ridout1, Jikai Shen1, and Nian Wang2
    1Duke University, Durham, NC, United States, 2Radiology and Imaging Sciences, Indiana University, Indianapolis, IN, United States
    The tract length and volume are sensitive to both the b value and angular resolution. In order to obtain consistent DTI outputs and tractography, the scan may require a proper b value (ranging from 500 to 1500 s/mm2) and sufficient angular resolution (14 or higher) with SNR>10.
    Figure 5. Diffusion tractography of ligament at different b value. The tracts (a, b) and collagen fiber directions (d, e) were visually comparable between b value of 500 s/mm2 and 1500 s/mm2. Both fiber direction estimation and tractography failed at b value of 2500 s/mm2 (c, f).
    Figure 1. The FA maps of ligament, growth plate, and articular cartilage at different angular resolution. The FA values were largely overestimated with the angular resolution of 6. The values showed visually little differences when the angular resolution is higher than 14. Higher FA values were found in the center part of the ligament (purple arrows). Lower values were found in the center part of growth plate (white arrows).
  • Simultaneous Bilateral T1, T2, and T1ρ Relaxation Mapping of the Hip Joint with Magnetic Resonance Fingerprinting
    Azadeh Sharafi1, Marcelo V. W. Zibetti1, Gregory Chang1, Martijn Cloos2, and Ravinder Regatte1
    1Radiology, NYU Langone Health, New York, NY, United States, 2University of Queensland, Brisbane, Australia
    Bilateral T1, T2, and T1ρ relaxation times, and B1+ maps can be acquired simultaneously from hip joints using the proposed MRF sequence.
    Figure 2. Representative bilateral PD, T1, T2, T1ρ, and B1+ maps of the hip articular cartilages.
    Figure 3. Boxplot comparison between subregions for (a) T1, (b) T2, and (c) T1ρ relaxation times.
  • 3D sub-millimeter isotropic knee cartilage T1ρ mapping using multi-interleaved fluid-attenuated TSE acquisition (MIXTURE)
    Shinji Saruya1, Masashi Suzuki1, Masami Yoneyama2, Kaiji Inoue1, Eito Kozawa1, and Mamoru Niitsu1
    1Department of Radiology, Saitama Medical University, Saitama, Japan, 2Philips Japan, Tokyo, Japan
    MIXTURE based on 3D multi-interleaved TSE offers rapid high-resolution isotropic T1rho mapping in the knee joint. Initial results in human subjects show promise for s improving the quality and efficiency of 3D T1ρ-mapping in the clinical practice.
    Figure 1. Scheme of the MIXTURE T1FLAIR T1ρ-mapping.T1ρ mapping was performed using an inversion-recovery and double-refocusing spin-lock prepared segmented TSE sequence with spectral fat suppression. Inversion-recovery was used for suppression of synovial fluid. Three images with different SL preparation times (SL = 0, 25, and 50ms) were acquired with interleaved acquisition. Amplitude of the SL pulse was set to 500 Hz.
    Figure 4. Representative sagittal, coronal, and axial MPR images of 3D isotropic T1ρ-mapping with 0.8mm3 acquisition using MIXTURE. The optimized sequence provided motion-insensitive high-quality isotropic images less than 9 minutes.
  • Quantitative Magnetization Transfer in the Knee Meniscus: Minimizing Data Collection Protocols
    Fatemeh Mostafavi1, Lumeng Cui1, Brennan Berryman2, Ives R. Levesque3, and Emily J. McWalter1,2
    1Division of Biomedical Engineering, University of Saskatchewan, Saskatoon, SK, Canada, 2Department of Mechanical Engineering, University of Saskatchewan, Saskatoon, SK, Canada, 3McGill University, Montreal, QC, Canada
    A set of eight MT-weighted images fit to a two-pool model using a Gaussian lineshape was found to have an acceptable level of agreement (a priori of 10%) with the reference dataset, saving approximately 8 minutes of scan time.  
    Figure 1: Representative maps of QMT parameters in sagittal slice of specimen 1 using a Gaussian lineshape fit.
    Figure 2: Mean absolute percentage difference from the reference dataset for each design (1 through 8) for all qMT parameters (Top: Gaussian, bottom: Super Lorentzian)
  • A generalized magic angle effect model for better characterizing anisotropic T2W signals of human knee femoral cartilage
    Yuxi Pang1
    1Dept. of Radiology, University of Michigan, Ann Arbor, MI, United States
    A generalized magic angle effect function can better characterize orientation-dependent T2W signals in clinical MR imaging of the human knee articular cartilage.
    FIGURE 2. A volume-rendered high-resolution 3D right knee image (A) and a coronal image (B) showing the locations of three sagittal slices (white lines) from lateral femoral condyle and of three sagittal slices (yellow lines) from medial femoral condyle .
    FIGURE 3. Three imaging Slices 05 (A), 09 (B) and 13 (C) from medial knee cartilage (the 1st column), superimposed with segmented ROIs, from which the measured (black circles) average T2W signal intensities were modeled using Fit A (solid red lines) and Fit B (dashed green lines) in the deep zone (the 2nd column), and using Fit A and Fit C (dashed blue lines) in the superficial zone (the 3rd column).
  • The morphology and T2* value changes of 21 knee joint cartilage sub-regions before and after marathon assessed by prototype software
    Ranxu Zhang1, Xiaoshuai Chen1, Jian Zhao1, Ping Zhang1, Xiaoyue Zhou2, Baohai Yu1, and Jianping Ding3
    1Department of Radiology, The third Hospital of Hebei Medical University, Hebei Province Biomechanical Key Laboratory of Orthopedics, Shijiazhuang, Hebei 050051, China, Shijiazhuang City, China, 2Siemens Healthineers Ltd., Shanghai, 201318, China., Shanghai, China, 3Department of Radiology, Affiliated Hospital of Hangzhou Normal University,Hangzhou 310015,China, Hangzhou, China
    MR biochemical imaging combined with morphological changes can be used to assess the internal structure and general changes of cartilage. The anterior part of medial tibial plateau may be a high risk area for cartilage degeneration under the long-distance marathon.
    The T2* value change of cartilage
    The volume change of cartilage
  • T1 and T1rho Relaxation in Equine Groove Model of Cartilage Damage
    Olli Nykänen1, Nina E Hänninen1,2, Swetha Pala1, Ali Mohammadi1, Mohammadhossein Ebrahimi1,2, Nikae CR te Moller3, Harold Brommer3, Rene van Weeren3, Janne TA Mäkelä1, Rami K Korhonen1, Juha Töyräs1,4,5, and Mikko J Nissi1,2
    1Department of Applied Physics, University of Eastern Finland, Kuopio, Finland, 2Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 3Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands, 4Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland, 5School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia
    Adiabatic T1rho relaxation is significantly elevated in bluntly damaged cartilage tissue in ROIs spanning the full thickness of cartilage. Furthermore, moderate correlation between qMRI parameters and equilibrium modulus of articular cartilage was found applying multiple regression.
    Figure 1: Example T1rho and T1 maps from healthy (contralateral) and grooved osteochondral samples. The blunt grooves can be seen in both maps as increases in the relaxation time values (indicated with the green arrows). The sharp grooves (black arrows) are not seen in the qMRI maps. On the right, anatomical image with large ROI indicated.
    Figure 2: Relaxation time distributions for the different groups. 1: Contralateral controls, 2: sharp groove, and 3: blunt groove. Red plusses indicate outliers. Even though the values of different groups overlap, the difference between the T1rho of contralateral controls and bluntly grooved groups was statistically significant by ANCOVA (p<0.05). Black asterisk indicates statistically significant differences.
  • Clinical MSK Imaging and Challenges at 7T
    Garret M. Powell1, Robert J. Spinner2,3, Benjamin M. Howe1, Matthew A. Frick1, Andrew J. Fagan1, Venkata V. Chebrolu4, Peter D. Kollasch4, Eric G. Stinson4, Joel P. Felmlee1, and Kimberly K. Amrami1,2
    1Radiology, Mayo Clinic, Rochester, MN, United States, 2Neurologic Surgery, Mayo Clinic, Rochester, MN, United States, 3Orthopedic Surgery, Mayo Clinic, Rochester, MN, United States, 4Siemens Medical Solutions USA, Inc., Rochester, MN, United States
    Illustrated clinical examples of MSK imaging at 7T demonstrate the clinical utility, diagnostic advantages, and challenges of performing these examinations compared to lower field strengths
    Figure 1: Axial proton density fat suppressed images performed at 3T (row A) and T2 weighted fat suppressed images performed at 7T (row B) demonstrating an intraneural ganglion cyst coursing along the anterior aspect of the tibial nerve (arrows). Notice the clearly distinct fascicles of the tibial nerve, as well as the increased signal to noise ratio, resolution, and tissue contrast seen at 7T.
    Figure 3: Sagittal proton density and T2 weighted fat suppressed images performed at 3T (A and C, respectively) and 7T (B and D, respectively). Tissue contrast is suboptimal in the non-fat suppressed proton density image performed at 7T (B) compared to 3T (A). There is also an identifiable superior to inferior and anterior to posterior signal gradient related to the coil which is worse at 7T (B). Reasonable T2 weighted fat suppression is achieved at 7T (D); however, there is poor image uniformity seen superior to inferior and anterior to posterior compared to 3T (C).
  • Quantitative correlation of BMD and T2 using high-resolution CT and MRI imaging of rabbit knee joints.
    Yang Xia1, Farid Badar1, and Sarah Salem1
    1Oakland University, Rochester, MI, United States
     
    Correlated study of intact rabbit knee joints with the aid of high-resolution MRI and µCT. The combined multi-model study will aid in the understanding of the relationship between underlying bone-density changes and osteoarthritic cartilage in joint degeneration.
     
    Two-dimensional high-resolution (isotropic) coronal view of (a) µMRI and (b) µCT image of the same slice of intact rabbit joint. The red ROIs signify the multiple locations to compare T2 with the corresponding BMD.
    The µMRI T2 (ms) versus µCT BMD (g.cm3) linear curve of the Medial Tibia (MT) and Medial Femur (MF).
  • HR-MAS 1H-NMR investigations of ovine Achilles tendon and rat rotator cuff tendon
    Anshuman Swain1, Johannes Leisen2, Muhammad A. R. Anjum1, Joe Pearson3, Johnna S. Temenoff3, Felix M. Gonzalez1, and David A. Reiter1
    1Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States, 2Department of Chemistry, Georgia Institute of Technology, Atlanta, GA, United States, 3Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA, United States
    HR-MAS 1H NMR data of ovine Achilles tendon and murine rotator cuff tendon reveals peaks attributed to non-collagenous matrix components such lactate, the SLRP family of proteoglycans, and lipids, and collagenous matrix components, such as proteins comprising the collagen fibrils.
    Figure 2. HR-MAS 1H-NMR spectrum of ovine Achilles tendon recorded at 298K. Abbreviations used: Lac, Lactate; CS, Chondroitin sulfate; Lip, Lipids; Ile, Isolecuine; Leu, Leucine; Val, Valine; Glu, Glutamate; Pro, Proline; Asn, Asparagine; Hyp, Hydroxyproline; Gln, Glutamine.
    Table 1. Chemical shift assignments of HR-MAS 1H-NMR spectra of ovine Achilles tendon and rat rotator cuff tendon. Abbreviations used: Lac, Lactate; CS, Chondroitin sulfate. All amino acids are labeled according to the three letter code.
  • ATP Resynthesis after Exercise in Human Skeletal Muscle: Assessment by Phosphocreatine vs.  Inorganic Phosphate Recovery in Elderly Subjects
    Jimin Ren1,2, Craig R Malloy1,2, Wanpen Vongpatanasin3, and Jarett Berry3
    1Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States, 2Department of Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 3Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, United States
    Pi accumulation and PCr depletion were linearly correlated during exercise. Post-exercise ATP synthesis rate constant indexed by τ(Pi) and τ(PCr) were also linearly correlated in our elderly subjects (correlation coefficient 0.86, p-value =0.006, N = 8 subjects).
    Fig.1 Dynamic 31P MR spectra acquired from calf muscle at 7T. (A) Cross-sectional T2W image showing coil sensitive region located in calf muscle. (B) Dynamic 31P spectra at temporal resolution of 2 s collected at rest, during exercise and recovery. (C) Representative spectra at selected time points, with the highlighted Pi signals expanded in (D).
    Fig.2 Plots of time course of PCr depletion-recovery (A), Pi rise-decay (B), and pH (C). PCr and Pi signals at resting steady-state are used as references. Note that the pH plot clearly indicates the metabolic changes with alkalization in early exercise and acidification in early recovery.