Magnetic resonance evaluation of the interrelationship between articular cartilage and trabecular bone of the osteoarthritic knee

Objective: To use high-resolution magnetic resonance imaging (MRI) to determine the relationship between articular cartilage degeneration and trabecular bone changes of the femur, condyles and tibia in human knees with osteoarthritis (OA). Methods: Subjects were divided into three groups: without OA...

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Veröffentlicht in:Osteoarthritis and cartilage 2004-02, Vol.12 (2), p.86-96
Hauptverfasser: Lindsey, C.T, Narasimhan, A, Adolfo, J.M, Jin, Hua, Steinbach, L.S, Link, T, Ries, M, Majumdar, S
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container_end_page 96
container_issue 2
container_start_page 86
container_title Osteoarthritis and cartilage
container_volume 12
creator Lindsey, C.T
Narasimhan, A
Adolfo, J.M
Jin, Hua
Steinbach, L.S
Link, T
Ries, M
Majumdar, S
description Objective: To use high-resolution magnetic resonance imaging (MRI) to determine the relationship between articular cartilage degeneration and trabecular bone changes of the femur, condyles and tibia in human knees with osteoarthritis (OA). Methods: Subjects were divided into three groups: without OA (OA0), mild OA (OA1) and severe OA (OA2). Sagittal images of the knee (0.234×0.234 mm 2, 2-mm slice thickness) were obtained at 1.5T and used for calculating the volume and thickness of the femoral and tibial cartilage. Axial images (0.195×0.195 mm 2, 1-mm slice thickness) were used for calculating the trabecular bone structure parameters: apparent bone volume fraction, trabecular number, trabecular separation and trabecular thickness. Results: Cartilage volume and thickness were less in patients with OA compared to normal controls ( P
doi_str_mv 10.1016/j.joca.2003.10.009
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Methods: Subjects were divided into three groups: without OA (OA0), mild OA (OA1) and severe OA (OA2). Sagittal images of the knee (0.234×0.234 mm 2, 2-mm slice thickness) were obtained at 1.5T and used for calculating the volume and thickness of the femoral and tibial cartilage. Axial images (0.195×0.195 mm 2, 1-mm slice thickness) were used for calculating the trabecular bone structure parameters: apparent bone volume fraction, trabecular number, trabecular separation and trabecular thickness. Results: Cartilage volume and thickness were less in patients with OA compared to normal controls ( P&lt;0.1). Articular cartilage thinning is associated with bone structure loss in the opposite femoral condyle ( P&lt;0.05). In varus OA, there were extensive correlations between medial tibia and medial femoral cartilage degeneration, and loss of bone structure in the lateral tibia and lateral condyle. Additional correlations existed between the compartmental differences (lateral minus medial) of cartilage thickness and bone structure. Conclusion: Degradation of articular cartilage within a compartment correlates with a loss of bone structure in the opposite compartment. The correlation between the (L-M) differences corroborates this relationship. Malalignment of the knee due to cartilage degeneration is associated with bone formation in the diseased condyle and bone resorption in the opposite compartment.</description><identifier>ISSN: 1063-4584</identifier><identifier>EISSN: 1522-9653</identifier><identifier>DOI: 10.1016/j.joca.2003.10.009</identifier><identifier>PMID: 14723868</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Age Factors ; Aged ; Cartilage Diseases - diagnosis ; Cartilage, Articular - pathology ; Female ; Femur - pathology ; Humans ; Image Processing, Computer-Assisted ; Knee ; Magnetic Resonance Imaging ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; Musculoskeletal ; Osteoarthritis ; Osteoarthritis, Knee - diagnosis ; Pain Measurement - methods ; Tibia - pathology</subject><ispartof>Osteoarthritis and cartilage, 2004-02, Vol.12 (2), p.86-96</ispartof><rights>2003 OsteoArthritis Research Society International</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joca.2003.10.009$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14723868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lindsey, C.T</creatorcontrib><creatorcontrib>Narasimhan, A</creatorcontrib><creatorcontrib>Adolfo, J.M</creatorcontrib><creatorcontrib>Jin, Hua</creatorcontrib><creatorcontrib>Steinbach, L.S</creatorcontrib><creatorcontrib>Link, T</creatorcontrib><creatorcontrib>Ries, M</creatorcontrib><creatorcontrib>Majumdar, S</creatorcontrib><title>Magnetic resonance evaluation of the interrelationship between articular cartilage and trabecular bone of the osteoarthritic knee</title><title>Osteoarthritis and cartilage</title><addtitle>Osteoarthritis Cartilage</addtitle><description>Objective: To use high-resolution magnetic resonance imaging (MRI) to determine the relationship between articular cartilage degeneration and trabecular bone changes of the femur, condyles and tibia in human knees with osteoarthritis (OA). 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Additional correlations existed between the compartmental differences (lateral minus medial) of cartilage thickness and bone structure. Conclusion: Degradation of articular cartilage within a compartment correlates with a loss of bone structure in the opposite compartment. The correlation between the (L-M) differences corroborates this relationship. 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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals
subjects Age Factors
Aged
Cartilage Diseases - diagnosis
Cartilage, Articular - pathology
Female
Femur - pathology
Humans
Image Processing, Computer-Assisted
Knee
Magnetic Resonance Imaging
Magnetic Resonance Imaging - methods
Male
Middle Aged
Musculoskeletal
Osteoarthritis
Osteoarthritis, Knee - diagnosis
Pain Measurement - methods
Tibia - pathology
title Magnetic resonance evaluation of the interrelationship between articular cartilage and trabecular bone of the osteoarthritic knee
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