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Abstract #0155

Delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) is superior to T1rho-mapping in measuring cartilage sulphated glycosaminoglycan content: preliminary results of an in-vivo validation study using an ex-vivo reference standard for cartilage sulphated glycosaminoglycan content

Jasper van Tiel 1,2 , Gyula Kotek 1 , Max Reijman 2 , Pieter K. Bos 2 , Esther E. Bron 1,3 , Stefan Klein 1,3 , Jan A. Verhaar 2 , Gabriel P. Krestin 1 , Harrie Weinans 2,4 , and Edwin H. Oei 1

1 Radiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Zuid-Holland, Netherlands, 2 Orthopedic Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Zuid-Holland, Netherlands, 3 Medical Informatics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Zuid-Holland, Netherlands, 4 Orthopedic Surgery, University Medical Center Utrecht, Utrecht, Utrecht, Netherlands

Delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) has become a standard to quantitatively measure cartilage sulphated glycosaminoglycan (sGAG) content. T1rho-mapping has been proposed as non-contrast-enhanced alternative to dGEMRIC to also quantitatively measure cartilage sGAG content. However, no thorough validation studies comparing both techniques acquired in-vivo against a tissue reference standard for sGAG have been performed. Our preliminary results suggest that dGEMRIC can accurately measure articular cartilage sGAG content, whereas T1rho-mapping is not suitable for this purpose. Therefore, despite the need to use a contrast agent, we consider dGEMRIC to be superior to T1rho-mapping for quantitatively measuring cartilage sGAG content.

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