Association of changes in delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) with changes in cartilage thickness in the medial tibiofemoral compartment of the knee: a 2 year follow-up study using 3.0 T MRI

Crema MD, Hunter DJ, Burstein D, Roemer F, Li L, Eckstein F, Krishnan N, Le-Graverand MPH, Guermazi A (2014)


Publication Type: Journal article

Publication year: 2014

Journal

Publisher: BMJ Publishing Group

Book Volume: 73

Pages Range: 1935-41

Journal Issue: 11

DOI: 10.1136/annrheumdis-2012-203083

Abstract

To determine the association between changes in the delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) index over 2 years as a measure of cartilage proteoglycan concentration, with changes in cartilage thickness in the medial tibiofemoral compartment of knees in middle-aged women.One hundred and forty-eight women (one knee for each subject) aged >=40 years were included. 3.0 T MR images of the knee were acquired at baseline, 1 year and 2 years. Three-dimensional (3D) spoiled gradient recalled echo (SPGR) sequences (for cartilage thickness) and 3D inversion recovery-prepared SPGR sequences after dGEMRIC were acquired. Segmentation was performed in the medial central (weight-bearing) femur and tibia to determine cartilage proteoglycan concentration and thickness. The association of change in the dGEMRIC indices between baseline and 1-year follow-up with (a) concomitant changes in cartilage thickness and (b) change in cartilage thickness between 1 and 2 years was assessed using linear regression.In the whole-sample model, a decrease in dGEMRIC indices over time at the central medial femur significantly predicted an increase in cartilage thickness at both the central medial femur (p=0.008) and the medial tibia (p=0.04).A decrease in dGEMRIC indices was associated with an increase in cartilage thickness in the medial compartment. Our results suggest that an increase in cartilage thickness may also be related to a decrease in proteoglycan concentration, which may represent swelling of cartilage in early stages of degeneration.

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APA:

Crema, M.D., Hunter, D.J., Burstein, D., Roemer, F., Li, L., Eckstein, F.,... Guermazi, A. (2014). Association of changes in delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) with changes in cartilage thickness in the medial tibiofemoral compartment of the knee: a 2 year follow-up study using 3.0 T MRI. Annals of the Rheumatic Diseases, 73(11), 1935-41. https://doi.org/10.1136/annrheumdis-2012-203083

MLA:

Crema, Michel D., et al. "Association of changes in delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) with changes in cartilage thickness in the medial tibiofemoral compartment of the knee: a 2 year follow-up study using 3.0 T MRI." Annals of the Rheumatic Diseases 73.11 (2014): 1935-41.

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