Osteoarthritis year 2013 in review: imaging

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Osteoarthritis year 2013 in review: imaging T.J. Mosher, E.A. Walker, J. Petscavage-Thomas, A. Guermazi  Osteoarthritis and Cartilage  Volume 21, Issue 10, Pages 1425-1435 (October 2013) DOI: 10.1016/j.joca.2013.07.010 Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Cartilage T2 Texture Map: (Image courtesy of Gabrielle Joseph, University of California, San Francisco) Representative cartilage T2 maps from the OAI overlaid on the image obtained from the first echo of the multi-slice multi-echo sequence. While both subjects have a K–L grade of 0, the mean and spatial distribution of the cartilage T2 values differs. Subject B (right) has elevated mean T2 values as well as greater T2 heterogeneity as indicated by elevated gray level co-occurrence matrix (GLCM) texture parameters. Both subjects have a WORMS score of 0 (normal) in the medial femur, however, subject B developed a focal cartilage defect (WORMS = 2) at 4-year follow-up. Osteoarthritis and Cartilage 2013 21, 1425-1435DOI: (10.1016/j.joca.2013.07.010) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 2 Improved evaluation of articular cartilage signal with 23Na MRI (Image courtesy of Guillaume Madelin, Ravinder Regatte and Gregory Chang, New York University) Representative sodium maps from a control subject and patient with OA. Maps were reconstructed from data acquired with fluid suppression (inversion recovery [IR] wideband uniform rate and smooth truncation [WURST] [IRW] sequence) and without fluid suppression (radial 3D [R3D] sequence). Suppression of signal from synovial fluid with IR-WURST (IRW images) differentiates sodium signal in cartilage between OA subject and control not apparent without fluid suppression (R3D image). Reproduced from reference56. Osteoarthritis and Cartilage 2013 21, 1425-1435DOI: (10.1016/j.joca.2013.07.010) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 3 Imaging the zone of calcified cartilage (ZCC) (Image Courtesy of Jiang Du and Christine Chung, University of California, San Diego). Images of an osteochondral patella specimen were obtained using (A) proton density-fast spin echo (PD-FSE), (B) T1-FSE, (C) Conventional UTE, and (D) Dual Inversion Recovery (DIR)-UTE sequences. Suppression of signal from marrow fat and the long T2 component of cartilage water provides high contrast of the short TE signal from the ZCC region of cartilage on the DIR-UTE image (arrow). An area of morphologic cartilage degradation in the lateral patellar facet (arrowhead) demonstrates reduced signal and an increase in thickness of signal from the ZCC layer. Reproduced from reference65. Osteoarthritis and Cartilage 2013 21, 1425-1435DOI: (10.1016/j.joca.2013.07.010) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions