Age-dependency of glycosaminoglycan content in lumbar discs: A 3t gagcEST study

Purpose To analyze age‐dependency of glycosaminoglycan content using gagCEST (glycosaminoglycan chemical exchange saturation transfer) imaging in lumbar intervertebral discs of healthy volunteers. Materials and Methods In all, 70 volunteers without low back pain (mean age 44 ± 14 years, range: 21–69...

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Veröffentlicht in:Journal of magnetic resonance imaging 2015-12, Vol.42 (6), p.1517-1523
Hauptverfasser: Müller-Lutz, Anja, Schleich, Christoph, Pentang, Gael, Schmitt, Benjamin, Lanzman, Rotem S., Matuschke, Felix, Wittsack, Hans-Jörg, Miese, Falk
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container_issue 6
container_start_page 1517
container_title Journal of magnetic resonance imaging
container_volume 42
creator Müller-Lutz, Anja
Schleich, Christoph
Pentang, Gael
Schmitt, Benjamin
Lanzman, Rotem S.
Matuschke, Felix
Wittsack, Hans-Jörg
Miese, Falk
description Purpose To analyze age‐dependency of glycosaminoglycan content using gagCEST (glycosaminoglycan chemical exchange saturation transfer) imaging in lumbar intervertebral discs of healthy volunteers. Materials and Methods In all, 70 volunteers without low back pain (mean age 44 ± 14 years, range: 21–69 years) were examined with T2‐weighted and gagCEST imaging with a 3T MR scanner, with approval of the local Ethics Committee after written informed consent was obtained. Pfirrmann grading and classification into discs without bulging and herniation, discs with bulging, and discs with herniation were performed. Only intervertebral discs without bulging and herniation were analyzed. A region‐of‐interest‐based gagCEST analysis of nucleus pulposus (NP) and annulus fibrosus (AF) was performed. Correlation between age and gagCEST was tested within groups of equal Pfirrmann score. Results GagCEST effects decreased significantly from 3.09 ± 1.12% in 20–29 years old volunteers to −0.24 ± 1.36% in 50–59 years old volunteers (P 
doi_str_mv 10.1002/jmri.24945
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Materials and Methods In all, 70 volunteers without low back pain (mean age 44 ± 14 years, range: 21–69 years) were examined with T2‐weighted and gagCEST imaging with a 3T MR scanner, with approval of the local Ethics Committee after written informed consent was obtained. Pfirrmann grading and classification into discs without bulging and herniation, discs with bulging, and discs with herniation were performed. Only intervertebral discs without bulging and herniation were analyzed. A region‐of‐interest‐based gagCEST analysis of nucleus pulposus (NP) and annulus fibrosus (AF) was performed. Correlation between age and gagCEST was tested within groups of equal Pfirrmann score. Results GagCEST effects decreased significantly from 3.09 ± 1.12% in 20–29 years old volunteers to −0.24 ± 1.36% in 50–59 years old volunteers (P &lt; 0.001). In the case of Pfirrmann scores 2 and 3, a significant correlation was observed between gagCEST effect and age (Pfirrmann score 2, NP: ρ = –0.558, P &lt; 0.001; Pfirrmann score 3, NP: ρ = –0.337, P = 0.048). For Pfirrmann scores 1 and 4, no significant correlation was obtained (Pfirrmann score 1, NP: ρ = –0.046, P = 0.824; Pfirrmann score 4, NP: ρ = –0.316, P = 0.188). Conclusion We show a decreased gagCEST effect likely corresponding to decreasing glycosaminoglycans with aging. Hence, age‐matched analysis of gagCEST imaging may be necessary in future studies. J. MAGN. RESON. IMAGING 2015;42:1517–1523.</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.24945</identifier><identifier>PMID: 25970563</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Age ; Aged ; Aging - metabolism ; Aging - pathology ; chemical exchange saturation transfer (CEST) ; Female ; glycosaminoglycans ; Glycosaminoglycans - metabolism ; Humans ; Image Interpretation, Computer-Assisted - methods ; intervertebral disc ; Intervertebral Disc - anatomy &amp; histology ; Intervertebral Disc - metabolism ; Lumbar Vertebrae - anatomy &amp; histology ; Lumbar Vertebrae - metabolism ; Magnetic resonance imaging ; magnetic resonance imaging (MRI) ; Magnetic Resonance Imaging - methods ; Magnetic Resonance Spectroscopy - methods ; Male ; Middle Aged ; Molecular Imaging - methods ; Reproducibility of Results ; Sensitivity and Specificity ; Tissue Distribution ; Young Adult</subject><ispartof>Journal of magnetic resonance imaging, 2015-12, Vol.42 (6), p.1517-1523</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5185-8ef39357b6813f23a928f97d326ee05dd43c5bc910ea9fd2bccf8a7a9052dae53</citedby><cites>FETCH-LOGICAL-c5185-8ef39357b6813f23a928f97d326ee05dd43c5bc910ea9fd2bccf8a7a9052dae53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.24945$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.24945$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25970563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Müller-Lutz, Anja</creatorcontrib><creatorcontrib>Schleich, Christoph</creatorcontrib><creatorcontrib>Pentang, Gael</creatorcontrib><creatorcontrib>Schmitt, Benjamin</creatorcontrib><creatorcontrib>Lanzman, Rotem S.</creatorcontrib><creatorcontrib>Matuschke, Felix</creatorcontrib><creatorcontrib>Wittsack, Hans-Jörg</creatorcontrib><creatorcontrib>Miese, Falk</creatorcontrib><title>Age-dependency of glycosaminoglycan content in lumbar discs: A 3t gagcEST study</title><title>Journal of magnetic resonance imaging</title><addtitle>J. Magn. Reson. Imaging</addtitle><description>Purpose To analyze age‐dependency of glycosaminoglycan content using gagCEST (glycosaminoglycan chemical exchange saturation transfer) imaging in lumbar intervertebral discs of healthy volunteers. Materials and Methods In all, 70 volunteers without low back pain (mean age 44 ± 14 years, range: 21–69 years) were examined with T2‐weighted and gagCEST imaging with a 3T MR scanner, with approval of the local Ethics Committee after written informed consent was obtained. Pfirrmann grading and classification into discs without bulging and herniation, discs with bulging, and discs with herniation were performed. Only intervertebral discs without bulging and herniation were analyzed. A region‐of‐interest‐based gagCEST analysis of nucleus pulposus (NP) and annulus fibrosus (AF) was performed. Correlation between age and gagCEST was tested within groups of equal Pfirrmann score. Results GagCEST effects decreased significantly from 3.09 ± 1.12% in 20–29 years old volunteers to −0.24 ± 1.36% in 50–59 years old volunteers (P &lt; 0.001). In the case of Pfirrmann scores 2 and 3, a significant correlation was observed between gagCEST effect and age (Pfirrmann score 2, NP: ρ = –0.558, P &lt; 0.001; Pfirrmann score 3, NP: ρ = –0.337, P = 0.048). For Pfirrmann scores 1 and 4, no significant correlation was obtained (Pfirrmann score 1, NP: ρ = –0.046, P = 0.824; Pfirrmann score 4, NP: ρ = –0.316, P = 0.188). Conclusion We show a decreased gagCEST effect likely corresponding to decreasing glycosaminoglycans with aging. Hence, age‐matched analysis of gagCEST imaging may be necessary in future studies. J. MAGN. RESON. 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Magn. Reson. Imaging</addtitle><date>2015-12</date><risdate>2015</risdate><volume>42</volume><issue>6</issue><spage>1517</spage><epage>1523</epage><pages>1517-1523</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>Purpose To analyze age‐dependency of glycosaminoglycan content using gagCEST (glycosaminoglycan chemical exchange saturation transfer) imaging in lumbar intervertebral discs of healthy volunteers. Materials and Methods In all, 70 volunteers without low back pain (mean age 44 ± 14 years, range: 21–69 years) were examined with T2‐weighted and gagCEST imaging with a 3T MR scanner, with approval of the local Ethics Committee after written informed consent was obtained. Pfirrmann grading and classification into discs without bulging and herniation, discs with bulging, and discs with herniation were performed. Only intervertebral discs without bulging and herniation were analyzed. A region‐of‐interest‐based gagCEST analysis of nucleus pulposus (NP) and annulus fibrosus (AF) was performed. Correlation between age and gagCEST was tested within groups of equal Pfirrmann score. Results GagCEST effects decreased significantly from 3.09 ± 1.12% in 20–29 years old volunteers to −0.24 ± 1.36% in 50–59 years old volunteers (P &lt; 0.001). In the case of Pfirrmann scores 2 and 3, a significant correlation was observed between gagCEST effect and age (Pfirrmann score 2, NP: ρ = –0.558, P &lt; 0.001; Pfirrmann score 3, NP: ρ = –0.337, P = 0.048). For Pfirrmann scores 1 and 4, no significant correlation was obtained (Pfirrmann score 1, NP: ρ = –0.046, P = 0.824; Pfirrmann score 4, NP: ρ = –0.316, P = 0.188). Conclusion We show a decreased gagCEST effect likely corresponding to decreasing glycosaminoglycans with aging. Hence, age‐matched analysis of gagCEST imaging may be necessary in future studies. J. MAGN. RESON. IMAGING 2015;42:1517–1523.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25970563</pmid><doi>10.1002/jmri.24945</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Aged
Aging - metabolism
Aging - pathology
chemical exchange saturation transfer (CEST)
Female
glycosaminoglycans
Glycosaminoglycans - metabolism
Humans
Image Interpretation, Computer-Assisted - methods
intervertebral disc
Intervertebral Disc - anatomy & histology
Intervertebral Disc - metabolism
Lumbar Vertebrae - anatomy & histology
Lumbar Vertebrae - metabolism
Magnetic resonance imaging
magnetic resonance imaging (MRI)
Magnetic Resonance Imaging - methods
Magnetic Resonance Spectroscopy - methods
Male
Middle Aged
Molecular Imaging - methods
Reproducibility of Results
Sensitivity and Specificity
Tissue Distribution
Young Adult
title Age-dependency of glycosaminoglycan content in lumbar discs: A 3t gagcEST study
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