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Published in: European Radiology 1/2013

Open Access 01-01-2013 | Musculoskeletal

Image registration improves human knee cartilage T1 mapping with delayed gadolinium-enhanced MRI of cartilage (dGEMRIC)

Authors: Esther E. Bron, Jasper van Tiel, Henk Smit, Dirk H. J. Poot, Wiro J. Niessen, Gabriel P. Krestin, Harrie Weinans, Edwin H. G. Oei, Gyula Kotek, Stefan Klein

Published in: European Radiology | Issue 1/2013

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Abstract

Objectives

To evaluate the effect of automated registration in delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) of the knee on the occurrence of movement artefacts on the T1 map and the reproducibility of region-of-interest (ROI)-based measurements.

Methods

Eleven patients with early-stage knee osteoarthritis and ten healthy controls underwent dGEMRIC twice at 3 T. Controls underwent unenhanced imaging. ROIs were manually drawn on the femoral and tibial cartilage. T1 calculation was performed with and without registration of the T1-weighted images. Automated three-dimensional rigid registration was performed on the femur and tibia cartilage separately. Registration quality was evaluated using the square root Cramér–Rao lower bound (CRLBσ). Additionally, the reproducibility of dGEMRIC was assessed by comparing automated registration with manual slice-matching.

Results

Automated registration of the T1-weighted images improved the T1 maps as the 90% percentile of the CRLBσ was significantly (P < 0.05) reduced with a median reduction of 55.8 ms (patients) and 112.9 ms (controls). Manual matching and automated registration of the re-imaged T1 map gave comparable intraclass correlation coefficients of respectively 0.89/0.90 (patients) and 0.85/0.85 (controls).

Conclusions

Registration in dGEMRIC reduces movement artefacts on T1 maps and provides a good alternative to manual slice-matching in longitudinal studies.

Key Points

Quantitative MRI is increasingly used for biomedical assessment of knee articular cartilage
Image registration leads to more accurate quantification of cartilage quality and damage
Movement artefacts in delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) are reduced
Automated image registration successfully aligns baseline and follow-up dGEMRIC examinations
Reproducibility of dGEMRIC with registration is similar to that using manual slice-matching
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Metadata
Title
Image registration improves human knee cartilage T1 mapping with delayed gadolinium-enhanced MRI of cartilage (dGEMRIC)
Authors
Esther E. Bron
Jasper van Tiel
Henk Smit
Dirk H. J. Poot
Wiro J. Niessen
Gabriel P. Krestin
Harrie Weinans
Edwin H. G. Oei
Gyula Kotek
Stefan Klein
Publication date
01-01-2013
Publisher
Springer-Verlag
Published in
European Radiology / Issue 1/2013
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-012-2590-3

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