Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players
Objective To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI). Design In this study, we included 57 male adolescents from the youth academy of a profe...
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Veröffentlicht in: | Cartilage 2019-07, Vol.10 (3), p.288-298 |
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creator | Waldenmeier, Leonie Evers, Christoph Uder, Michael Janka, Rolf Hennig, Frank Friedrich Pachowsky, Milena L. Welsch, Götz Hannes |
description | Objective
To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI).
Design
In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.”
Results
When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P < 0.001) and lateral (P < 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P < 0.001).
Conclusion
In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. To avoid chronic damage, special focus should be laid on this region. |
doi_str_mv | 10.1177/1947603518756986 |
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To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI).
Design
In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.”
Results
When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P < 0.001) and lateral (P < 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P < 0.001).
Conclusion
In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. To avoid chronic damage, special focus should be laid on this region.</description><identifier>ISSN: 1947-6035</identifier><identifier>EISSN: 1947-6043</identifier><identifier>DOI: 10.1177/1947603518756986</identifier><identifier>PMID: 29448816</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Athletic Injuries - diagnostic imaging ; Athletic Injuries - epidemiology ; Athletic Injuries - pathology ; Biomechanical Phenomena - physiology ; Cartilage Diseases - diagnostic imaging ; Cartilage Diseases - epidemiology ; Cartilage Diseases - pathology ; Cartilage, Articular - diagnostic imaging ; Cartilage, Articular - pathology ; Early Diagnosis ; Femur - pathology ; Humans ; Image Processing, Computer-Assisted - methods ; Imaging ; Knee Joint - diagnostic imaging ; Magnetic Resonance Imaging - instrumentation ; Magnetic Resonance Imaging - methods ; Male ; Prevalence ; Prospective Studies ; Soccer - statistics & numerical data ; Tibia - pathology ; Weight-Bearing ; Young Adult</subject><ispartof>Cartilage, 2019-07, Vol.10 (3), p.288-298</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018 2018 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-1a5283a60eb6b32f90b88138fcb0e84d7ed2c3074497753943788fa1f11353043</citedby><cites>FETCH-LOGICAL-c500t-1a5283a60eb6b32f90b88138fcb0e84d7ed2c3074497753943788fa1f11353043</cites><orcidid>0000-0002-7115-474X ; 0000-0003-3140-3980</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585295/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585295/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1947603518756986?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29448816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waldenmeier, Leonie</creatorcontrib><creatorcontrib>Evers, Christoph</creatorcontrib><creatorcontrib>Uder, Michael</creatorcontrib><creatorcontrib>Janka, Rolf</creatorcontrib><creatorcontrib>Hennig, Frank Friedrich</creatorcontrib><creatorcontrib>Pachowsky, Milena L.</creatorcontrib><creatorcontrib>Welsch, Götz Hannes</creatorcontrib><title>Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players</title><title>Cartilage</title><addtitle>Cartilage</addtitle><description>Objective
To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI).
Design
In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.”
Results
When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P < 0.001) and lateral (P < 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P < 0.001).
Conclusion
In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. To avoid chronic damage, special focus should be laid on this region.</description><subject>Adolescent</subject><subject>Athletic Injuries - diagnostic imaging</subject><subject>Athletic Injuries - epidemiology</subject><subject>Athletic Injuries - pathology</subject><subject>Biomechanical Phenomena - physiology</subject><subject>Cartilage Diseases - diagnostic imaging</subject><subject>Cartilage Diseases - epidemiology</subject><subject>Cartilage Diseases - pathology</subject><subject>Cartilage, Articular - diagnostic imaging</subject><subject>Cartilage, Articular - pathology</subject><subject>Early Diagnosis</subject><subject>Femur - pathology</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Imaging</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Magnetic Resonance Imaging - instrumentation</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Soccer - statistics & numerical data</subject><subject>Tibia - pathology</subject><subject>Weight-Bearing</subject><subject>Young Adult</subject><issn>1947-6035</issn><issn>1947-6043</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1v1DAQxS0EoqVw54R85JIyjuOPXJCqpS2FVlTQHjhZTnaydeW1FzuptEj873i1ZdVW4jTWzG-eR-8R8pbBIWNKfWBtoyRwwbQSstXyGdnftCoJDX--e3OxR17lfAsgCyRekr26bRqtmdwnf66zCws6s2l03i6QXnw_o1d1dWFXq81gjPQoWL_-jfTYJr9-QH7CBQZMdnQxUBfoeIP0a0CkX6ILI40D_RmnInGZ4oA5F8p6-iP2PSZ66e0aU35NXgzWZ3xzXw_I9cnx1exzdf7t9Gx2dF71AmCsmBW15lYCdrLj9dBCV67neug7QN3MFc7rnoNqmlYpwduGK60HywbGuODFiwPycau7mrolznsMY7LerJJb2rQ20TrzeBLcjVnEOyOFFnUrisD7e4EUf02YR7N0uUfvbcA4ZVMDcOBKgC4obNE-xZwTDrtvGJhNauZpamXl3cPzdgv_YipAtQVyMd7cxikVL_P_Bf8CD_efoQ</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Waldenmeier, Leonie</creator><creator>Evers, Christoph</creator><creator>Uder, Michael</creator><creator>Janka, Rolf</creator><creator>Hennig, Frank Friedrich</creator><creator>Pachowsky, Milena L.</creator><creator>Welsch, Götz Hannes</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7115-474X</orcidid><orcidid>https://orcid.org/0000-0003-3140-3980</orcidid></search><sort><creationdate>20190701</creationdate><title>Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players</title><author>Waldenmeier, Leonie ; Evers, Christoph ; Uder, Michael ; Janka, Rolf ; Hennig, Frank Friedrich ; Pachowsky, Milena L. ; Welsch, Götz Hannes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-1a5283a60eb6b32f90b88138fcb0e84d7ed2c3074497753943788fa1f11353043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Athletic Injuries - diagnostic imaging</topic><topic>Athletic Injuries - epidemiology</topic><topic>Athletic Injuries - pathology</topic><topic>Biomechanical Phenomena - physiology</topic><topic>Cartilage Diseases - diagnostic imaging</topic><topic>Cartilage Diseases - epidemiology</topic><topic>Cartilage Diseases - pathology</topic><topic>Cartilage, Articular - diagnostic imaging</topic><topic>Cartilage, Articular - pathology</topic><topic>Early Diagnosis</topic><topic>Femur - pathology</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted - methods</topic><topic>Imaging</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Magnetic Resonance Imaging - instrumentation</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Soccer - statistics & numerical data</topic><topic>Tibia - pathology</topic><topic>Weight-Bearing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waldenmeier, Leonie</creatorcontrib><creatorcontrib>Evers, Christoph</creatorcontrib><creatorcontrib>Uder, Michael</creatorcontrib><creatorcontrib>Janka, Rolf</creatorcontrib><creatorcontrib>Hennig, Frank Friedrich</creatorcontrib><creatorcontrib>Pachowsky, Milena L.</creatorcontrib><creatorcontrib>Welsch, Götz Hannes</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cartilage</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Waldenmeier, Leonie</au><au>Evers, Christoph</au><au>Uder, Michael</au><au>Janka, Rolf</au><au>Hennig, Frank Friedrich</au><au>Pachowsky, Milena L.</au><au>Welsch, Götz Hannes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players</atitle><jtitle>Cartilage</jtitle><addtitle>Cartilage</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>10</volume><issue>3</issue><spage>288</spage><epage>298</epage><pages>288-298</pages><issn>1947-6035</issn><eissn>1947-6043</eissn><abstract>Objective
To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI).
Design
In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.”
Results
When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P < 0.001) and lateral (P < 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P < 0.001).
Conclusion
In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. To avoid chronic damage, special focus should be laid on this region.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>29448816</pmid><doi>10.1177/1947603518756986</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-7115-474X</orcidid><orcidid>https://orcid.org/0000-0003-3140-3980</orcidid><oa>free_for_read</oa></addata></record> |
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source | Sage Journals GOLD Open Access 2024 |
subjects | Adolescent Athletic Injuries - diagnostic imaging Athletic Injuries - epidemiology Athletic Injuries - pathology Biomechanical Phenomena - physiology Cartilage Diseases - diagnostic imaging Cartilage Diseases - epidemiology Cartilage Diseases - pathology Cartilage, Articular - diagnostic imaging Cartilage, Articular - pathology Early Diagnosis Femur - pathology Humans Image Processing, Computer-Assisted - methods Imaging Knee Joint - diagnostic imaging Magnetic Resonance Imaging - instrumentation Magnetic Resonance Imaging - methods Male Prevalence Prospective Studies Soccer - statistics & numerical data Tibia - pathology Weight-Bearing Young Adult |
title | Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players |
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