Jasper van Tiel1,
2, Esther Bron1, 3, Koen Bos2, Stefan
Klein1, 3, Max Reijman2, Jan Verhaar2,
Gabriel Krestin1, Harrie Weinans2, 4, Gyula
Kotek1, Edwin Oei1
1Radiology,
Erasmus MC, Rotterdam, Zuid-Holland, Netherlands; 2Orthopedic
Surgery, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands; 3Medical
Informatics, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands; 4Biomechanical
Engineering, Delft University of Technology, Delft, Zuid-Holland, Netherlands
We investigated the relation between delayed contrast-enhancement of an ionic contrast agent in the meniscus and adjacent cartilage in early stage knee osteoarthritis patients. We observed a moderate to strong relation between contrast uptake into both structures after a 1.5 hour delay. This finding is in agreement with the outcomes of previous research in which semi-quantitative whole joint assessment on MR images showed a relation between meniscal damage and cartilage loss. However, our results also raise a question about the specificity of delayed gadolinium-enhanced MRI of cartilage for sGAG content in (osteoarthritic) cartilage.
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