Growth Plate Flow and Metabolism Screening Using MR: A New Application for Specialized MR Sequences.

Juan Manuel Shiguetomi Medina, Hans Stødkilde-Jørgensen, Ole Rahbek, Bjarne Møller-Madsen

Research output: Contribution to conference without publisher/journalConference abstract for conferenceResearch

Abstract

Summary
MR Apparent Diffusion Constant and Surface Tension Images can provide an overview of the cell metabolism and flow of the bone growth plate. This is a new application for specialized MR sequences.

Introduction
Magnetic Resonance imaging (MRI) can be used for studies of joint cartilage as well as bone growth plates. A number of MR derived parameters presents aspects of viability and growth patterns: the apparent diffusion constant (ADC) is dependent on intracellular as well as extracellular water movements and as such related to cell viability and cell apoptosis. The ADC provides early signs of ischemic lesions; diffusion tensor images provide information on structure of the tissue and finally measurements of water concentration identifies the areas with highest osteoblast activity.


Methods
Four normal pig frozen tibiae were studied. Tomography, MR T1 and T2 sequences were performed and compared. Apparent Diffusion Coefficient and Surface Tension Images were also performed and analyzed.

Finally, methylmethacrylate embedding histology was performed using hematoxylin-eosin, toluidine blue and safranin stains.


Results
MR ADC and Surface Tension Images are able to provide an overview of the cell metabolism measuring the movement and freedom of the water in the different tissues. These measurements can be interpretated as flow and metabolism respectively. Bony structures seen in high resolution MR images resemble those seen in histological sections.


Conclusion
A number of MR derived sequences can be applied to cartilage-like tissue such as growth plate. These sequences provide images that correspond to flow and cell-metabolism.

MR imaging provides enough evidence and information about the structure and behavior of the growth plate to propose a standardized protocol for MRI ADC and Tension Surface Images. This should provide more information about growth disturbances causes and characteristics.
Original languageEnglish
Publication date17 Feb 2011
Publication statusPublished - 17 Feb 2011
Externally publishedYes
EventAmerican Academy of Orthopedic Surgeons Annual Meeting, 2011 - California, San Diego, United States
Duration: 15 Feb 201119 Feb 2011

Conference

ConferenceAmerican Academy of Orthopedic Surgeons Annual Meeting, 2011
LocationCalifornia
Country/TerritoryUnited States
CitySan Diego
Period15/02/201119/02/2011

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