In vivo biochemical assessment of cartilage with gagCEST MRI: Correlation with cartilage properties

To assess articular cartilage in vivo, a noninvasive measurement is proposed to evaluate damage of the cartilage. It is hypothesized that glycosaminoglycan chemical exchange saturation transfer (gagCEST) can be applied as a noninvasive imaging technique as it would relate to electromechanical indent...

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Bibliographic Details
Published in:NMR in biomedicine 2021-03, Vol.34 (3), p.e4463-n/a
Main Authors: Brinkhof, Sander, Nizak, Razmara, Sim, Sotcheadt, Khlebnikov, Vitaliy, Quenneville, Eric, Garon, Martin, Klomp, Dennis W.J., Saris, Daniel
Format: Article
Language:English
Subjects:
7 T
Arthroplasty (knee)
Biochemistry
Biological products
Cartilage
Cartilage (articular)
Correlation analysis
Damage assessment
gagCEST
Glycosaminoglycans
Heterogeneity
Imaging techniques
Indentation
Magnetic resonance imaging
osteoarthritis
Regression analysis
Resurfacing
Surfacing
Surgical implants
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Summary:To assess articular cartilage in vivo, a noninvasive measurement is proposed to evaluate damage of the cartilage. It is hypothesized that glycosaminoglycan chemical exchange saturation transfer (gagCEST) can be applied as a noninvasive imaging technique as it would relate to electromechanical indentation and GAG content as measured with biochemical assays. This pilot study applies gagCEST MRI in total knee arthroplasty (TKA) patients to assess substantially damaged articular cartilage. The outcome was verified against electromechanical indentation and biochemical assays to assess the potential of gagCEST MRI. Five TKA patients were scanned on a 7.0 T MRI with a gagCEST sequence. Articular resurfacing cuts after TKA were obtained for electromechanical and biochemical analyses. The gagCEST MRI measurements on the medial condyle showed a moderate correlation with the GAG content, although sensitivity on the lateral condyle was lacking. Additionally, a strong negative correlation of gagCEST MRI with the electromechanical measurements was observed in the regression analysis. Correlation of gagCEST MRI with electromechanical measurements was shown, but the correlation of gagCEST MRI with GAG content was not convincing. In conclusion, gagCEST could be a useful tool to assess the GAG content in articular cartilage noninvasively, although the mismatch in heterogeneity requires further investigation. This pilot study applies gagCEST MRI in vivo in five total knee arthroplasty patients to assess substantially damaged articular cartilage. GagCEST MRI measurements show a moderate correlation with GAG content on the medial condyle and a strong correlation with electromechanical measurements. In conclusion, gagCEST could be a useful tool to assess the GAG content in articular cartilage noninvasively, although the mismatch in heterogeneity requires further investigation.
ISSN:0952-3480
1099-1492
DOI:10.1002/nbm.4463