第42回日本磁気共鳴医学会大会

Presentation information

一般演題

骨関節-T1ρとCEST

骨関節-T1ρとCEST

Fri. Sep 19, 2014 3:50 PM - 4:40 PM 第2会場 (3F 源氏の間東)

座長:濱田英敏(大阪大学大学院医学系研究科 器官制御外科学(整形外科))

[O-2-166] Comparison of pre and post-operative Biochemical MRI cartilage imaging in FAI patients

後藤一1, 前田降樹1, 橋本慎吾2, 青山信和1, 杉村和朗1 (1.神戸大学医学部附属病院 放射線科, 2.神戸大学医学部附属病院 整形外科)

【目的】To assess the usefulness of T1rho values and T2 values for evaluating cartilage repair after surgery for femoroacetabular impingment (FAI) throught the comparison of pre-operative and post-operative T1rho values and T2 values of cartilage and their correlation with MHHS scores.【方法】Twenteen FAI patients (4 male 8 female; median age, 22 years) were examined at a 3.0T MRI.Mean pre-operative and post-operative(6 monthes after operation) T1rho values and T2 values of the anterior-superior zone and the superior-posterior zone of the injured cartilage area and of control cartilage area were compared. The differences between the T1rho values and T2 values were determined using a paired t-Test.In addition, the MHHS scores of all patients were determined and compared with the T1rho values and T2 values of the anterior-superior zone and the superior-posterior zone of the injured cartilage area and the control cartilage area. 【成績】The MHHS score was significantly correlation with T1rho values in both the anterior-superior zone (R2=0.712 and p=0.008) and superior-posterior zone (R2=0.667 and p=0.013) of the injured cartilage area.There was also a significant correlation between the MHHS score and the T2 values of the anterior-superior zone of the injured cartilage(R2=0.585 and p=0.016).Comparing the pre-operative and post-operative MRI imaging parameters, except for the T2 values in the anterior-superior zone in the control cartilage, post-operative T1rho values and T2 values were significantly lower than those of pre-operative values in other zones of the injured and control cartilage.【結論】T1rho values and T2 values can detect post-operative cartilage change in FAI. T1rho values and T2 values are correrated with the clinical condition of FAI