Document Detail


Contrast-enhanced CT of Articular Cartilage: Experimental Study for Quantification of Glycosaminoglycan Content in Articular Cartilage.
MedLine Citation:
PMID:  21940505     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose:To investigate the diagnostic potential of delayed contrast material-enhanced computed tomography (CT) of articular cartilage in quantification of glycosaminoglycan (GAG) concentration in normal and degenerated articular cartilage ex vivo by using a clinical CT scanner.Materials and Methods:This study was exempted by the institutional and animal review boards, and informed consent was not required. Forty intact porcine patellae were extracted and assigned to either a control (n = 20) or a trypsin-treated group (ie, GAG-depleted group) (n = 20). Ten patellae in each group were immersed in anionic contrast agent (ioxaglate, 40%) and the other ten in neutral contrast agent (iopromide, 35%) for 2 hours. To determine the contrast agent concentration within cartilage, samples were scanned with a clinical CT scanner immediately after the immersion time, and the x-ray attenuation of cartilage was measured. CT images were compared with safranin O-stained histologic sections, and actual GAG contents were determined with a dimethylmethylene blue assay.Results:Ioxaglate was taken up by GAG-depleted cartilage to a greater extent than by normal cartilage (P = .01). In contrast, the penetration of iopromide was not significantly different between GAG-depleted and normal cartilage (P = .1). The loss of GAGs in trypsin-treated cartilage was confirmed microscopically by using safranin O-stained sections, and a dimethylmethylene blue assay also confirmed that GAG content was markedly decreased in trypsin-treated cartilage (P = .003).Conclusion:This study showed that contrast-enhanced CT images of articular cartilage could reflect the GAG content within the cartilage by allowing measurement of the concentration of anionic iodine-based contrast agent accumulated in the cartilage.© RSNA, 2011.
Authors:
Hye Jin Yoo; Sung Hwan Hong; Ja-Young Choi; In Joon Lee; Su Jin Kim; Jung-Ah Choi; Heung Sik Kang
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-21
Journal Detail:
Title:  Radiology     Volume:  -     ISSN:  1527-1315     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Radiology and Institute of Radiation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehang-Ro, Jongno-Gu, Seoul 110-744, Korea.
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