Morphological and compositional monitoring of a new cell-free cartilage repair hydrogel technology – GelrinC by MR using semi-quantitative MOCART scoring.

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Morphological and compositional monitoring of a new cell-free cartilage repair hydrogel technology – GelrinC by MR using semi-quantitative MOCART scoring and quantitative T2 index and new zonal T2 index calculation  S. Trattnig, K. Ohel, V. Mlynarik, V. Juras, S. Zbyn, A. Korner  Osteoarthritis and Cartilage  Volume 23, Issue 12, Pages 2224-2232 (December 2015) DOI: 10.1016/j.joca.2015.07.007 Copyright © 2015 The Authors Terms and Conditions

Fig. 1 Series of proton density fat suppressed images in coronal plane show development of cartilage transplant in follow-up examinations. Arrows and circle delineate RT area. Osteoarthritis and Cartilage 2015 23, 2224-2232DOI: (10.1016/j.joca.2015.07.007) Copyright © 2015 The Authors Terms and Conditions

Fig. 2 T2 index development at 12, 18 and 24 months after surgery using an early post-surgery (1 week) measurement as a reference. A 95% CI as a measure of uncertainty is indicated. Osteoarthritis and Cartilage 2015 23, 2224-2232DOI: (10.1016/j.joca.2015.07.007) Copyright © 2015 The Authors Terms and Conditions

Fig. 3 An example of T2 zonal evaluation. Superficial and deep ROIs for cartilage transplant tissue (posterior aspect on the image) and normal healthy cartilage (anterior aspect of the image) are shown. Osteoarthritis and Cartilage 2015 23, 2224-2232DOI: (10.1016/j.joca.2015.07.007) Copyright © 2015 The Authors Terms and Conditions

Fig. 4 Change of T2-standard deviations among the pixels of the ROIs drawn on the RT in post-surgery period. The numbers in brackets indicate number of ROIs included. As a reference a standard deviation of healthy tissue was used. Osteoarthritis and Cartilage 2015 23, 2224-2232DOI: (10.1016/j.joca.2015.07.007) Copyright © 2015 The Authors Terms and Conditions

Fig. 5 Image examples of morphological (left column) and T2 mapping (right column) of the post-surgery period are shown. Cartilage in T2 maps is pseudo-colored for better visualization. Color-bar is added for T2 map quantification. Osteoarthritis and Cartilage 2015 23, 2224-2232DOI: (10.1016/j.joca.2015.07.007) Copyright © 2015 The Authors Terms and Conditions