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Mapping T2 Relaxation Time in the Pediatric Knee: Feasibility with a Clinical 1.5-T MR Imaging System¹

¹ From the Department of Pediatrics (B.J.D., T.L., V.J.S., L.K.), Department of Radiology (B.J.D., T.L., V.J.S., L.K., T.B.G.), Imaging Research Center (B.J.D., V.J.S.), and Division of Rheumatology (T.B.G.), Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229. Received August 30, 2001; revision requested October 26; final revision received March 11, 2002; accepted March 25. Supported by an Arthritis Foundation clinical science grant. Address correspondence to B.J.D. (e-mail: bjd@athena.chmcc.org).

PURPOSE: To determine the feasibility of mapping the spatial variation of cartilage T2 relaxation time in vivo in the pediatric knee with a 1.5-T clinical magnetic resonance (MR) imaging system and the manufacturer’s body gradient coil.

MATERIALS AND METHODS: Twenty-five children and adolescents (age range, 5–17 years; mean age, 11.8 years) underwent a multisection-multiecho MR sequence for T2 relaxation time mapping. Quantitative transverse T2 maps of the patellar cartilage were calculated for 15 of the subjects. Sagittal T2 maps were calculated for the remaining 10 subjects. T2 profiles were generated for the patellar and distal femoral weight- and non–weight-bearing unossified epiphyseal and articular hyaline cartilage and for the distal femoral and proximal tibial physes. The Mann-Whitney U test was used to test for differences between paired profiles.

RESULTS: Femoral non–weight-bearing unossified epiphyseal and articular cartilage showed spatial variation similar to that of weight-bearing unossified epiphyseal and articular cartilage, but with increased T2 values (P < .001). T2 spatial variations of the distal femoral and proximal tibial physes were similar to those of epiphyseal and articular cartilage but had a different pattern and increased magnitude (P < .001). The highest T2 values were measured in the distal femoral physis.

CONCLUSION: T2 spatial variation of patellar hyaline cartilage in children is similar to that of patellar articular cartilage in adults. Mapping of spatial variation of T2 relaxation time of cartilage in the pediatric knee in vivo is feasible with a clinical 1.5-T MR imaging system and a body gradient coil.

© RSNA, 2002

Index terms: Arthritis, 45.771 • Arthritis, in infants and children, 45.771 • Children, skeletal system, 45.12146 • Knee, ligaments, menisci, and cartilage, 45.12146 • Knee, MR, 45.12141, 45.12146

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