A METHOD FOR COMPARISON OF RADIOCARPAL CARTILAGE T2 RELAXATION TIME MAPS AND CONTACT PRESSURE DISTRIBUTIONS IN NORMAL AND INJURED WRISTS

Author:

Chappell Isaac1,Lee Phil23,McIff Terence E.4,Bruce Toby E.4,Fischer Kenneth J.14

Affiliation:

1. Department of Mechanical Engineering, University of Kansas, Lawrence, KS 66045, USA

2. Hoglund Brain Imaging Center, University of Kansas Medical Center, Kansas City, KS 66160, USA

3. Department of Molecular & Integrative Physiology, University of Kansas Medical Center, Kansas City, KS 66160, USA

4. Department of Orthopedic Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA

Abstract

Objective: The goal of this study was to demonstrate a methodology to observe the relationship between joint contact pressure and cartilage T2 relaxation times in three-dimensional space. Methods: One subject diagnosed with unilateral scapholunate dissociation had both injured and uninjured wrists scanned using a Siemens 3T Skyra magnetic resonance imaging (MRI) scanner. Four time echo scans were performed with TE ranging 15–61[Formula: see text]ms with the hand relaxed. T2 maps were constructed using a custom Matlab code, and these maps were registered to anatomical images for the same subject. The anatomical images were used to construct surface contact models and calculate contact pressures for a simple grasp activity in a prior study. Contact pressures and T2 relaxation times were analyzed using regression analysis. Results and Conclusion: This study demonstrates the feasibility of comparing T2 relaxation times and contact pressure data. For this single demonstration subject, it is not surprising that no relationship was found between T2 relaxation times for the articular cartilage and contact pressures in the normal wrist, contact pressures in the wrist with injury, nor contact pressure changes due to injury. However, the method has been demonstrated and may be useful to evaluate the influence of joint injuries or other pathologies on T2 relaxation times in the context of changes in joint contact pressures with larger cohorts of subjects.

Publisher

World Scientific Pub Co Pte Lt

Subject

Orthopedics and Sports Medicine

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