4.4 Article

Three-dimensional ultrashort echo time cones (3D UTE-Cones) magnetic resonance imaging of entheses and tendons

Journal

MAGNETIC RESONANCE IMAGING
Volume 49, Issue -, Pages 4-9

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.mri.2017.12.034

Keywords

UTE; Cones; T2*; MTR; Enthesis; Tendon

Funding

  1. NIH [1R01 AR062581-01A1, 1 R01 AR068987-01]
  2. VA Clinical Science Research and Development Service [11K2CX000749]
  3. GE Healthcare
  4. NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES [R01AR062581, R01AR068987] Funding Source: NIH RePORTER
  5. Veterans Affairs [IK2CX000749] Funding Source: NIH RePORTER

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We present three-dimensional ultrashort echo time Cones (3D-UTE-Cones) imaging as well as quantification of T2* and magnetization transfer ratio (MTR) of Achilles tendon and its enthesis of healthy volunteers and patients with psoriatic arthritis (PsA) using a 3 T scanner. Quantitative T2*, T2 and magnetization transfer ratio (MTR) measurements of Achilles tendon and its enthesis were performed on healthy volunteers (n = 7) and PsA patients (n = 9) with 3D-UTE-Cones and clinical sequences at 3 T. T2* was measured via single-component fitting of UTE images from two interleaved dual echo 3D-UTE-Cones acquisitions. MTR was measured with a dual echo 3D-UTE-Cones-MT sequence. Clinical morphological imaging and quantification of T2 with a Carr-PurcellMeiboom-Gill (CPMG) sequence and MTR with a gradient recalled echo (GRE) sequence were also performed on each subject. T2* and MTR were analyzed for the two groups and the significance was evaluated. The 3D-UTE-Cones sequence provided high resolution imaging of entheses and tendons. Cones-T2* and Cones-MTR values were significantly higher for the PsA patients. GRE-MTR values showed no significant differences between the groups. No reliable T2 measurement could be achieved with the CPMG sequence due to insufficient signal from entheses and tendons. The 3D-UTE-Cones sequences can be used for morphological and quantitative evaluation of entheses and tendons in PsA patients.

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