Table 2.
The quantitative MRI techniques of FAIS-related cartilage lesionsa
| DGEMRIC | T2 mapping | T2* mapping | T1 rho mapping | |
|---|---|---|---|---|
| Detection | GAG content | Water content and collagen fiber network | Water content and collagen fiber network | Slow-motion interactions between macromolecules (e.g. GAG) and bulk water |
| Normal cartilage |
T1Gd value is positively correlated with GAG content Higher T1Gd value |
T2 value would decrease from superficial zone to calcified zone Lower T2 value |
T2* value would decrease from superficial zone to calcified zone Lower T2* value |
T1ρ value is negatively correlated with GAG content Lower T1ρ value |
| Damaged cartilage | Lower T1Gd value | Higher T2 value | Highter T2* value | Highter T1ρ value |
| Pearls | Clinically validated in hip joint | Without contrast media |
Without contrast media Shorter scan time than T2 mapping Higher resolution than T2 mapping |
Without contrast media More sensitive to earlier changes |
| Pitfalls |
Injection of contrast agent Time consuming |
Magic angle effect Chemical shift artifacts Long scan time Lack of standardized protocol Lack of reference database and abnormal cut-off values |
Magic angle effect Chemical shift artifacts Lack of standardized protocol Lack of reference database and abnormal cut-off values |
Long scan time Poor availability and reproducibility Lack of standardized protocol Lack of reference database and abnormal cut-off values Tissue heating |
aDGEMRIC, delayed gadolinium-enhanced MRI of cartilage; GAG, glycosaminoglycan