T1ρ and T2 relaxation times predict progression of knee osteoarthritis

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T1ρ and T2 relaxation times predict progression of knee osteoarthritis A.P. Prasad, L. Nardo, J. Schooler, G.B. Joseph, T.M. Link  Osteoarthritis and Cartilage  Volume 21, Issue 1, Pages 69-76 (January 2013) DOI: 10.1016/j.joca.2012.09.011 Copyright © 2012 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Sagittal, intermediate-weighted MR images demonstrate progression of a cartilage lesion at the PAT: at baseline (a) a small amount of partial-thickness cartilage loss at the inferior pole of the patella (short arrow) associated with bone marrow edema is seen and at the 12 month-follow-up (b) extensive full-thickness cartilage loss is shown at the same site (long arrow). Osteoarthritis and Cartilage 2013 21, 69-76DOI: (10.1016/j.joca.2012.09.011) Copyright © 2012 Osteoarthritis Research Society International Terms and Conditions

Fig. 2 Dot plot showing T2 relaxation time values, stratified by progression vs non-progression. SDs are also depicted, asterisks (*) indicate statistical significance between the two groups (P < 0.05). Osteoarthritis and Cartilage 2013 21, 69-76DOI: (10.1016/j.joca.2012.09.011) Copyright © 2012 Osteoarthritis Research Society International Terms and Conditions

Fig. 3 Sagittal T2 color maps (a, d) with baseline (b, e) and follow-up (c, f) sagittal intermediate-weighted MR images. Low T2 values (a) are associated with intact patella cartilage both at the baseline (b) and at the follow-up (c) (non-progressor). High T2 values (d) are associated with extensive progression of femoral and tibial cartilage degeneration: (e) partial femoral and tibial cartilage defects at baseline (arrow) progress in the follow-up (f) with full-thickness loss and partial-thickness cartilage loss at the tibia (long arrow). In addition new bone marrow edema pattern is shown at the femur and tibia (short arrow). Osteoarthritis and Cartilage 2013 21, 69-76DOI: (10.1016/j.joca.2012.09.011) Copyright © 2012 Osteoarthritis Research Society International Terms and Conditions

Fig. 4 Dot plot showing T1ρ relaxation time values, stratified by progression vs non-progression. SDs are also depicted, asterisks (*) indicate statistical significance between the two groups (P < 0.05). Osteoarthritis and Cartilage 2013 21, 69-76DOI: (10.1016/j.joca.2012.09.011) Copyright © 2012 Osteoarthritis Research Society International Terms and Conditions

Fig. 5 Sagittal T1ρ color maps (a,d) with baseline (b,e) and follow-up (c,f) sagittal morphological MR images. In (a) the T1ρ color map demonstrates low patellar T1ρ values at baseline (average value 30). Baseline (b) and follow-up (c) depict intact patellar cartilage with no degeneration (c). In (d) the T1ρ color map shows high patellar values at baseline (average value about 40). Baseline (e) and follow-up (f) demonstrate progression of a cartilage lesion at the patella: at baseline mild fissuring of the cartilage at the patella is shown (short arrow) associated with bone marrow edema pattern (long arrow) and at the follow-up (f) progression to extensive full-thickness cartilage loss is noted at this site (arrow). Osteoarthritis and Cartilage 2013 21, 69-76DOI: (10.1016/j.joca.2012.09.011) Copyright © 2012 Osteoarthritis Research Society International Terms and Conditions