Micro- and Macroscale Assessment of Posterior Cruciate Ligament Functionality Based on Advanced MRI Techniques
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Human Cadaveric Knee Joint Specimens
2.2.1. Sample Size Estimation
2.2.2. Pre-Measurement Specimen Preparations
2.3. Loading Device
2.4. Image Acquisition and Analysis
2.4.1. MR Image Acquisition
2.4.2. Manual Segmentations and Image Post-Processing
2.4.3. Texture Feature Analysis
2.5. Macroscopic and Microscopic Reference Analysis
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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PDw fs | T2 Mapping | |
---|---|---|
Acronym | SPACE | n/a |
Sequence type | 3D TSE | 2D MSE |
Orientation | sag | parasag (*) |
Repetition time [ms] | 1200 | 1530 |
Echo time [ms] | 28 | 13.8/27.6/41.4/55.2/69.0 |
Turbo spin-echo factor | 53 | n/a |
Field of view [mm] | 160 × 160 | 160 × 160 |
Acquisition matrix [pixels] | 256 × 256 | 384 × 384 |
Pixel size [mm/pixel] | 0.6 × 0.6 | 0.4 × 0.4 |
Number of signal averages [n] | 1 | 1 |
Slices [n] | 192 | 20 |
Slice thickness/gap [mm] | 0.5/0 | 3.0/0.2 |
Duration [min:sec] | 20:16 | 09:28 |
T2 | PCL | p-Values (‡) | |||||||
---|---|---|---|---|---|---|---|---|---|
Entire | PR | CR | DR | Overall | PR vs. CR | PR vs. DR | CR vs. DR | ||
Mean | δ0 | 35.5 ± 2.0 (35.5) | 41.1 ± 1.7 (40.6) | 34.7 ± 0.7 (34.2) | 32.7 ± 1.5 (31.5) | 0.135 | ns | ns | ns |
δ1 | 37.9 ± 1.3 (38.2) | 45.7 ± 1.3 (44.5) | 36.5 ± 0.7 (36.2) | 33.4 ± 1.5 (33.0) | <0.001 | ns | ** | ns | |
p-values (†) | 0.012 | 0.027 | 0.193 | 0.695 | |||||
SD | δ0 | 20.4 ± 0.4 (20.2) | 25.7 ± 3.5 (22.4) | 22.8 ± 6.5 (19.8) | 20.8 ± 3.3 (19.4) | 0.006 | ns | ns | ns |
δ1 | 21.7 ± 1.4 (21.9) | 26.5 ± 7.5 (22.5) | 21.4 ± 1.5 (21.4) | 21.6 ± 3.3 (21.4) | 0.067 | ns | ns | ns | |
p-values (†) | 0.049 | 0.922 | 0.846 | 0.492 | |||||
Entropy | δ0 | 5.9 ± 0.1 (5.9) | 5.6 ± 0.4 (5.9) | 5.8 ± 0.1 (5.7) | 5.5 ± 0.2 (5.6) | <0.001 | ns | ns | ** |
δ1 | 6.0 ± 0.1 | 5.8 ± 0.1 (5.9) | 5.8 ± 0.2 (5.7) | 5.4 ± 0.2 (5.6) | 0.001 | ns | ns | ** | |
p-values (†) | 0.020 | 0.106 | 0.683 | 0.322 | |||||
Contrast | δ0 | 4.0 ± 0.6 (4.1) | 2.4 ± 1.2 (2.9) | 2.8 ± 1.4 (3.4) | 3.3 ± 1.0 (2.7) | 0.187 | ns | ns | ns |
δ1 | 4.9 ± 0.9 (4.8) | 4.7 ± 1.7 (3.6) | 4.3 ± 1.2 (4.1) | 4.5 ± 1.5 (3.4) | 0.316 | ns | ns | ns | |
p-values (†) | 0.010 | 0.004 | 0.010 | 0.027 | |||||
Homogeneity | δ0 | 0.6 ± 0.0 (0.6) | 0.7 ± 0.2 (0.6) | 0.7 ± 0.1 (0.6) | 0.6 ± 0.1 (0.6) | 0.316 | ns | ns | ns |
δ1 | 0.5 ± 0.0 (0.6) | 0.6 ± 0.1 (0.6) | 0.6 ± 0.1 (0.6) | 0.6 ± 0.1 (0.6) | 0.710 | ns | ns | ns | |
p-values (†) | 0.037 | 0.322 | 0.020 | 0.065 | |||||
Variance | δ0 | 390.8 ± 39.0 (398.5) | 614.4 ± 207.3 (470.9) | 717.9 ± 943.8 (368.6) | 409.8 ± 129.2 (362.3) | 0.046 | ns | ns | ns |
δ1 | 455.4 ± 56.9 (471.3) | 790.0 ± 633.7 (446.0) | 433.8 ± 65.19 (399.7) | 446.4 ± 154.2 (413.7) | 0.187 | ns | ns | ns | |
p-values (†) | 0.020 | 0.922 | 1.000 | 0.700 |
Anatomical Structures | T2 Relaxation Times (ms) | |||
---|---|---|---|---|
δ0 | δ1 | p-Values | ||
PCL Insertion Sites | Femoral | 55.4 ± 8.8 | 55.7 ± 10.5 | 0.85 |
Tibial | 52.9 ± 8.1 | 57.8 ± 8.5 | 0.13 | |
ACL | 46.2 ± 8.6 | 45.8 ± 10.7 | 0.77 | |
Menisci | Anterior medial | 34.4 ± 4.4 | 33.5 ± 5.3 | 0.85 |
Posterior medial | 29.7 ± 6.5 | 32.7 ± 7.5 | 0.04 | |
Anterior lateral | 33.1 ± 3.3 | 32.3 ± 3.4 | 0.32 | |
Posterior lateral | 32.4 ± 3.4 | 33.3 ± 4.3 | 0.49 |
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Wilms, L.M.; Radke, K.L.; Abrar, D.B.; Latz, D.; Schock, J.; Frenken, M.; Windolf, J.; Antoch, G.; Filler, T.J.; Nebelung, S. Micro- and Macroscale Assessment of Posterior Cruciate Ligament Functionality Based on Advanced MRI Techniques. Diagnostics 2021, 11, 1790. https://doi.org/10.3390/diagnostics11101790
Wilms LM, Radke KL, Abrar DB, Latz D, Schock J, Frenken M, Windolf J, Antoch G, Filler TJ, Nebelung S. Micro- and Macroscale Assessment of Posterior Cruciate Ligament Functionality Based on Advanced MRI Techniques. Diagnostics. 2021; 11(10):1790. https://doi.org/10.3390/diagnostics11101790
Chicago/Turabian StyleWilms, Lena Marie, Karl Ludger Radke, Daniel Benjamin Abrar, David Latz, Justus Schock, Miriam Frenken, Joachim Windolf, Gerald Antoch, Timm Joachim Filler, and Sven Nebelung. 2021. "Micro- and Macroscale Assessment of Posterior Cruciate Ligament Functionality Based on Advanced MRI Techniques" Diagnostics 11, no. 10: 1790. https://doi.org/10.3390/diagnostics11101790