Journal of Magnetic Resonance Imaging · 2013 · 114 citations · 19 references
MedicineOrthopaedic SurgeryRadiologyDiagnostic RadiologyMovement AnalysisOrthopedicsCartilage ImagingImaging AssessmentCartilage QuantificationCartilage T1 RelaxationCartilage Volume MeasurementDiurnal Variation CorrectionRepeatabilityRepeatability AssessmentRepeatability EstimationScan Statistics
PURPOSE: To develop a robust sequence that combines T1ρ and T2 quantifications and to examine the in vivo repeatability and diurnal variation of T1ρ and T2 quantifications in knee cartilage. MATERIALS AND METHODS: Six healthy volunteers were scanned in the morning and afternoon on 2 days using a combined T1ρ and T2 quantification sequence developed in this study. Repeatability of T1ρ and T2 quantification was estimated using root-mean-square coefficients-of-variation (RMS-CV). T1ρ and T2 values from morning scans were compared to those from afternoon scans using paired t-tests. RESULTS: The overall RMS-CV of in vivo T1ρ and T2 quantification was 5.3% and 5.2%, respectively. The RMS-CV of am scans was 4.2% and 5.0% while the RMS-CV of pm scans was 6.0% and 6.3% for T1ρ and T2 , respectively. No significant difference was found between T1ρ or T2 values in the morning and in the afternoon. CONCLUSION: A sequence that combines T1ρ and T2 quantification with scan time less than 10 minutes and is robust to B0 and B1 inhomogeneity was developed with excellent repeatability. For a cohort with low-level daily activity, although no significant diurnal variation of cartilage MR relaxation times was observed, the afternoon scans had inferior repeatability compared to morning scans.
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