Comparative study on different sequence MRI imaging of the sacroiliac joint cartilage

doi:10.3969/j.issn.2095-4344.2015.51.005

Abstract

Abstract:

BACKGROUND: Plain films and CT cannot show the variation of the articular cartilages. Although MRI can show the cartilage, the conventional sequence imaging of the cartilage is ineffective. To optimize MRI sequence is very important to detect cartilage lesions.
OBJECTIVE: To find the most suitable sequences for MRI imaging of sacroiliac joint cartilage.
METHODS: Forty-five healthy voluntary subjects were subjected to MRI scans of the sacroiliac joint at T1WI, T2WI, T1-flash-3d-water-cor, T2-me3d-cor, T2-me2d-cor and T1-se-cor-water-fil. Clarity of the sacroiliac joint cartilage, internal signal changes and cartilage surface defects shown on MRI images were compared.
RESULTS AND CONCLUSION: MRI images with T1WI and T2WI sequences displayed the sacroiliac articular cartilage as a higher signal band with vague joint space. MRI images with T1-se-cor-water-fil displayed five
parallel lines between bilateral cortical bone on the joint surface and iliac cartilage, sacral cartilage and cartilage gap. MRI images with T2-me3d-cor and T1-flash-3D-water-cor-fil displayed the sacroiliac articular cartilage as a bright, clear high signal band that had clear boundaries with the surrounding cortical bone and bone marrow, but the sacral and iliac cartilage could not be distinguished. MRI images with T2-me2d-cor sequence showed iliac cartilage, sacral cartilage and joint space in 37 of 45 cases. Diffusion tensor imaging could display the articular cartilage partially with vague structure and the signal strength had no contrast. These findings indicate that T1-se-cor-water-fil is superior to other sequences to display the cartilage, internal signal and cartilage surface defects. T1-flash-3d-water-cor, T2-me3d-cor and T2-me2d-cor are better than conventional MRI sequences rather than T1-se-cor-water-fil.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

CLC Number:

R318

Liu Bo, Shi Da-peng, Zheng Fu-zeng, Sun Yong-qiang, Yang Zhong-jie, Wang Tong-ming. Comparative study on different sequence MRI imaging of the sacroiliac joint cartilage[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(51): 8223-8227.

Figures/Tables 2

References

[1] 王继荣,刘成环,孙晓芹.强直性脊柱炎骶髂关节的CT诊断价值[J].青海医药杂志,2013,43(2):73-75.

[2] 俞永梅,徐亮,张锡龙,等,X线,CT和MRI在强直性脊柱炎骶髂关节病变中的诊断价值[J].皖南医学院学报,2013,5(1):404-407.
[3] 朱利君,王利伟,钱少圭,等,磁共振诊断强直性脊柱炎骶髂关节病变的价值[J].中国CT和MRI杂志,2012,10(5):86-88.
[4] Mager AK, Althoff CE, Sieper J, et al. Role of whole body magnetic resonance imaging in diagnosing early spondyloarthritis.Eur J Radio.2009; 71:182-188.
[5] Wittram C,Whitchouse GH. Nomal variation in the magnetic resonance imaging appearances of the sacroiliac joints pitfalls in the diagnosis of sacroliitis.Clin Radiol.1995; 50(6):371-376.
[6] Modl JM, Sether LA, Haughton VM, et al.Articular cartilage: correlation of histologic zones with signal intensity at MR imaging, Radiology.1991; 181:853-855.
[7] loeuille D,Olivier P,Watrin A,et al.The biochemical content of articular cartilage:an original MRI approach.Biorheology. 2002; 39(1-2):269-276.
[8] 黄振国,张雪哲,洪闻,等.早期强直性脊柱炎骶髂关节病变的X线、CT和MRI对比研究[J].中华放射学杂志,2011,45(11):1040-1044.
[9] Ganz R,Leunig M,Leunig-Ganz K,et al.Theetiology of osteoar th r itis of the hip:integ rated mechanical concept. Clinorthop. 2008; 466(2):264-272.
[10] 刘丙木,王淑梅,崔建岭,等,10-20岁健康志愿者骶髂关节软骨MRI序列对照研究[J].临床放射学杂志,2008,2(12):1786-1789.
[11] Marzo-Ortega H, McGonagle D, Bennett AN. Magnetic resonance imaging in spondyloarthritis.Curr Opin Rheumatol. 2010;22(4):381-387.
[12] Malaviya AP, Ostor AJ.Early diagnosis crucial in ankylosing spondylitis. Practitioner.2011;255(1746):21-24.
[13] Vander Cruyssen B, Munoz-Gomariz E, Foni P, et al .Hip involve menin ankylosing spondylifs:epide miology and risk　factors associated with hip replace ment surgery. Rheumatology(Oxtord).2010;49(1):73-81.
[14] Ai F,Ai T,Li X,et al. value of diffusion-weighted magnetic resonance imaging in early diagnosis of ankylosing spondylitis. Rheumatol Int.2012;32(12):4005-4013.
[15] Sanal HT, Yilmaz S, Kalyoncu U, et al. alvalue of DWI in visual assessment of activity of sacroiliitis in longstanding ankylosing spondylitis patients.Skeletal Radiol.2013;42(2):289-293.
[16] 艾飞,田丹,张炜,等.磁共振弥散加权成像诊断早期强直性脊柱炎的价值[J].中华医学杂志,2013,93(11):811-815.
[17] 俎金燕,王晨光,贾宁阳,等.腰椎间盘退行性变的磁共振弥散加权成像研究[J].实用放射学杂志,2013,29(4):611-614.
[18] Pan C,Hu DY,Zhang W,et al. Role of diffusion-weighted imaging in early ankylosing spondylitis.Chin Med J(Engl). 2013;126(4):668-673．
[19] Dallaudiere B,Dautry R,Preux PM,et al.comparison of apparent diffusion coefficient in spondylarthritis axial active inflammatory Lesions and type 1 Modic changes.Eur J Radiol. 2014;83(2):366-370.
[20] 丁庆国,贾传海,陆永明,等.振对强直性MRI联合DWI在强直性脊柱炎诊断中的价值,[J].临床放射学杂志,2012,31(5):693-696.
[21] 冯勋树,张俊湖,杨君.急性期脑梗死患者弥散加权成像皮质层状坏死表现的临床意义[J].中华行为医学与脑科学杂志, 2012, 21(3):255-257.
[22] 王健,姚秀忠,饶圣祥,等.3.0T磁共振弥散加权成像在胰腺癌中的应用价值[J].医学影像学杂志,2012,22(1):91-93.
[23] Baraliakos X, Braun J.Hip involve ment in　ankylosing spondylitis:what is the verdict Rheumatology(Oxtord). 2010; 49(1):3-4.