Reproducibility of 3D delayed gadolinium enhanced MRI of cartilage (dGEMRIC) of the knee at 3.0 T in patients with early stage osteoarthritis.

Objectives: To assess the reproducibility of 3D delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) at 3 T in early stage knee osteoarthritis (OA) patients.Methods: In 20 patients, 3D dGEMRIC at 3 T was acquired twice within 7 days. To correct for patient motion during acquisition, all images wer...

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Publicado en:European Radiology Vol. 23; no. 2; pp. 496 - 505
Autores principales: van Tiel J, Bron EE, Tiderius CJ, Bos PK, Reijman M, Klein S, Verhaar JA, Krestin GP, Weinans H, Kotek G, Oei EH, van Tiel, J, Bron, E E, Tiderius, C J, Bos, P K, Reijman, M, Klein, S, Verhaar, J A N, Krestin, G P, Weinans, H
Formato: research Journal Article
Publicado: Springer Nature Feb2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2013
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      pub: Springer Nature
      place: New York, New York
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        atl: Reproducibility of 3D delayed gadolinium enhanced MRI of cartilage (dGEMRIC) of the knee at 3.0 T in patients with early stage osteoarthritis.
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        au:
          van Tiel J
          Bron EE
          Tiderius CJ
          Bos PK
          Reijman M
          Klein S
          Verhaar JA
          Krestin GP
          Weinans H
          Kotek G
          Oei EH
          van Tiel, J
          Bron, E E
          Tiderius, C J
          Bos, P K
          Reijman, M
          Klein, S
          Verhaar, J A N
          Krestin, G P
          Weinans, H
        affil: Department of Radiology, Erasmus Medical Center, Rotterdam, The Netherlands
      sug:
        subj:
          Cartilage, Articular Pathology
          Contrast Media Diagnostic Use
          Diagnostic Imaging
          Magnetic Resonance Imaging Methods
          Osteoarthritis, Knee Diagnosis
          Adult
          Prospective Studies
          Female
          Human
          Image Enhancement Methods
          Male
          Middle Age
          Prognosis
          Reproducibility of Results
          Sensitivity and Specificity
          Severity of Illness Indices
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: To assess the reproducibility of 3D delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) at 3 T in early stage knee osteoarthritis (OA) patients.Methods: In 20 patients, 3D dGEMRIC at 3 T was acquired twice within 7 days. To correct for patient motion during acquisition, all images were rigidly registered in 3D. Eight anatomical cartilage ROIs were analysed on both images of each patient. Capability of dGEMRIC to yield T1 maps that reproducibly distinguish spatial differences in cartilage quality was assessed in two ROIs within a single slice in each patient. Reproducibility was assessed using ICCs and Bland-Altman plots.Results: ICCs ranged from 0.87 to 0.95, indicating good reproducibility. T1 maps revealed reproducible spatial differences in cartilage quality (ICC 0.79). Based on the Bland-Altman plots, we defined a threshold of 95 ms to determine if a change in dGEMRIC outcome in longitudinal research was statistically significant.Conclusions: 3D knee dGEMRIC at 3 T combined with 3D image registration is a highly reproducible measure of cartilage quality in early stage OA. Therefore, dGEMRIC may be a valuable tool in the non-invasive evaluation of cartilage quality changes in longitudinal research in patients with early stage OA and focal cartilage defects.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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