Longitudinal 3T MRI T 2 mapping of Juvenile osteochondritis dissecans (JOCD) lesions differentiates operative from non-operative patients-Pilot study

Juvenile osteochondritis dissecans (JOCD) is an orthopedic joint disorder of children and adolescents that can lead to premature osteoarthritis. Thirteen patients (mean age: 12.3 years, 4 females), 15 JOCD-affected and five contralateral healthy knees, that had a baseline and a follow-up magnetic re...

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Veröffentlicht in:Journal of orthopaedic research 2023-01, Vol.41 (1), p.150-160
Hauptverfasser: Kajabi, Abdul Wahed, Zbýň, Štefan, Johnson, Casey P, Tompkins, Marc A, Nelson, Bradley J, Takahashi, Takashi, Shea, Kevin G, Marette, Shelly, Carlson, Cathy S, Ellermann, Jutta M
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container_issue 1
container_start_page 150
container_title Journal of orthopaedic research
container_volume 41
creator Kajabi, Abdul Wahed
Zbýň, Štefan
Johnson, Casey P
Tompkins, Marc A
Nelson, Bradley J
Takahashi, Takashi
Shea, Kevin G
Marette, Shelly
Carlson, Cathy S
Ellermann, Jutta M
description Juvenile osteochondritis dissecans (JOCD) is an orthopedic joint disorder of children and adolescents that can lead to premature osteoarthritis. Thirteen patients (mean age: 12.3 years, 4 females), 15 JOCD-affected and five contralateral healthy knees, that had a baseline and a follow-up magnetic resonance imaging (MRI) (mean interval of 8.9 months) and were treated nonoperatively during this interval were included. Retrospectively, patients were assigned to operative or nonoperative groups based on their electronic medical records. Volumetric mean T * values were calculated within regions of interest (progeny lesion, interface, parent bone) and region matched control bone in healthy contralateral knees and condyles. The normalized percentage difference of T * between baseline and follow up MRI in nonoperative patients significantly increased in progeny lesion (-47.8%, p 
doi_str_mv 10.1002/jor.25343
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Thirteen patients (mean age: 12.3 years, 4 females), 15 JOCD-affected and five contralateral healthy knees, that had a baseline and a follow-up magnetic resonance imaging (MRI) (mean interval of 8.9 months) and were treated nonoperatively during this interval were included. Retrospectively, patients were assigned to operative or nonoperative groups based on their electronic medical records. Volumetric mean T * values were calculated within regions of interest (progeny lesion, interface, parent bone) and region matched control bone in healthy contralateral knees and condyles. The normalized percentage difference of T * between baseline and follow up MRI in nonoperative patients significantly increased in progeny lesion (-47.8%, p < 0.001), parent bone (-13.9%, p < 0.001), and interface (-32.3%, p = 0.011), whereas the differences in operative patients were nonsignificant and below 11%. In nonoperative patients, the progeny lesion (p < 0.001) and interface T * values (p = 0.012) were significantly higher than control bone T * at baseline, but not at follow-up (p = 0.219, p = 1.000, respectively). In operative patients, the progeny lesion and interface T * values remained significantly elevated compared to the control bone both at baseline (p < 0.001, p < 0.001) and follow-up (p < 0.001, p < 0.001), respectively. Clinical Significance: Longitudinal T * mapping differentiated nonhealing from healing JOCD lesions following initial nonoperative treatment, which may assist in prognosis and improve the ability of surgeons to make recommendations regarding operative versus nonoperative treatment.]]></description><identifier>ISSN: 0736-0266</identifier><identifier>EISSN: 1554-527X</identifier><identifier>DOI: 10.1002/jor.25343</identifier><identifier>PMID: 35430743</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Child ; Humans ; Magnetic Resonance Imaging ; Pilot Projects ; Retrospective Studies</subject><ispartof>Journal of orthopaedic research, 2023-01, Vol.41 (1), p.150-160</ispartof><rights>2022 Orthopaedic Research Society. 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Thirteen patients (mean age: 12.3 years, 4 females), 15 JOCD-affected and five contralateral healthy knees, that had a baseline and a follow-up magnetic resonance imaging (MRI) (mean interval of 8.9 months) and were treated nonoperatively during this interval were included. Retrospectively, patients were assigned to operative or nonoperative groups based on their electronic medical records. Volumetric mean T * values were calculated within regions of interest (progeny lesion, interface, parent bone) and region matched control bone in healthy contralateral knees and condyles. The normalized percentage difference of T * between baseline and follow up MRI in nonoperative patients significantly increased in progeny lesion (-47.8%, p < 0.001), parent bone (-13.9%, p < 0.001), and interface (-32.3%, p = 0.011), whereas the differences in operative patients were nonsignificant and below 11%. In nonoperative patients, the progeny lesion (p < 0.001) and interface T * values (p = 0.012) were significantly higher than control bone T * at baseline, but not at follow-up (p = 0.219, p = 1.000, respectively). In operative patients, the progeny lesion and interface T * values remained significantly elevated compared to the control bone both at baseline (p < 0.001, p < 0.001) and follow-up (p < 0.001, p < 0.001), respectively. Clinical Significance: Longitudinal T * mapping differentiated nonhealing from healing JOCD lesions following initial nonoperative treatment, which may assist in prognosis and improve the ability of surgeons to make recommendations regarding operative versus nonoperative treatment.]]></description><subject>Adolescent</subject><subject>Child</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Pilot Projects</subject><subject>Retrospective Studies</subject><issn>0736-0266</issn><issn>1554-527X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMlOwzAURS0EoqWw4AeQl3SR4inTEpWxKipCWbCL3Pi5uErsyE4r9UP4X1LKsLrSu0dPVwehS0omlBB2s3Z-wmIu-BEa0jgWUczS92M0JClPIsKSZIDOQlgTQlLKslM04LHgJBV8iD7nzq5Mt1HGyhrzAr-8PeMCM9zItjV2hZ3Gs80WrKkBu9CBqz6cVd50JmBlQoBK2oCvZ4vp3RjXEIyz-0Jr8GA7IzsI2LXgZWe2gLV3DbbORv-nto-eDNGrqV2HQ79ld45OtKwDXPzkCBUP98X0KZovHp-nt_OoylMe5VDlMREqFwoooWlOJM0oEymlS80Z8FiqPFeZllJyKXSVqR5LNOgKtNSaj9D48LbyLgQPumy9aaTflZSUe7Nlb7b8NtuzVwe23SwbUH_kr0r-BUNzd5s</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Kajabi, Abdul Wahed</creator><creator>Zbýň, Štefan</creator><creator>Johnson, Casey P</creator><creator>Tompkins, Marc A</creator><creator>Nelson, Bradley J</creator><creator>Takahashi, Takashi</creator><creator>Shea, Kevin G</creator><creator>Marette, Shelly</creator><creator>Carlson, Cathy S</creator><creator>Ellermann, Jutta M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-8211-2828</orcidid><orcidid>https://orcid.org/0000-0001-7670-8134</orcidid><orcidid>https://orcid.org/0000-0002-0355-5525</orcidid><orcidid>https://orcid.org/0000-0001-9826-7296</orcidid></search><sort><creationdate>202301</creationdate><title>Longitudinal 3T MRI T 2 mapping of Juvenile osteochondritis dissecans (JOCD) lesions differentiates operative from non-operative patients-Pilot study</title><author>Kajabi, Abdul Wahed ; Zbýň, Štefan ; Johnson, Casey P ; Tompkins, Marc A ; Nelson, Bradley J ; Takahashi, Takashi ; Shea, Kevin G ; Marette, Shelly ; Carlson, Cathy S ; Ellermann, Jutta M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c973-9ec9504d94de101790a18124711bf32e35ad99d8faaa3a4fc8d1016fefcefaff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Pilot Projects</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kajabi, Abdul Wahed</creatorcontrib><creatorcontrib>Zbýň, Štefan</creatorcontrib><creatorcontrib>Johnson, Casey P</creatorcontrib><creatorcontrib>Tompkins, Marc A</creatorcontrib><creatorcontrib>Nelson, Bradley J</creatorcontrib><creatorcontrib>Takahashi, Takashi</creatorcontrib><creatorcontrib>Shea, Kevin G</creatorcontrib><creatorcontrib>Marette, Shelly</creatorcontrib><creatorcontrib>Carlson, Cathy S</creatorcontrib><creatorcontrib>Ellermann, Jutta M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of orthopaedic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kajabi, Abdul Wahed</au><au>Zbýň, Štefan</au><au>Johnson, Casey P</au><au>Tompkins, Marc A</au><au>Nelson, Bradley J</au><au>Takahashi, Takashi</au><au>Shea, Kevin G</au><au>Marette, Shelly</au><au>Carlson, Cathy S</au><au>Ellermann, Jutta M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal 3T MRI T 2 mapping of Juvenile osteochondritis dissecans (JOCD) lesions differentiates operative from non-operative patients-Pilot study</atitle><jtitle>Journal of orthopaedic research</jtitle><addtitle>J Orthop Res</addtitle><date>2023-01</date><risdate>2023</risdate><volume>41</volume><issue>1</issue><spage>150</spage><epage>160</epage><pages>150-160</pages><issn>0736-0266</issn><eissn>1554-527X</eissn><abstract><![CDATA[Juvenile osteochondritis dissecans (JOCD) is an orthopedic joint disorder of children and adolescents that can lead to premature osteoarthritis. 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subjects Adolescent
Child
Humans
Magnetic Resonance Imaging
Pilot Projects
Retrospective Studies
title Longitudinal 3T MRI T 2 mapping of Juvenile osteochondritis dissecans (JOCD) lesions differentiates operative from non-operative patients-Pilot study
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