Dynamic Contrast-Enhanced MRI Quantification of Synovium Microcirculation in Experimental Arthritis
Andrea S. Doria1,2,
Michael Noseworthy2,3,4,
Wendy Oakden3,
Rahim Moineddin5,
Tammy Rayner1,
Vivian Tassos1,
Doreen Engelberts1,
Kenneth Pritzker6,
Marianne Rogers6,
Roland Jong6 and
Paul Babyn1,2
1 Department of Diagnostic Imaging, Research Institute, The Hospital for Sick
Children, 555 University Ave., Toronto, ON M5G 1X8, Canada.
2 Department of Medical Imaging, University of Toronto, Toronto, ON,
Canada.
3 The Brain-Body Institute, St. Joseph's Healthcare, Hamilton, ON, Canada.
4 Departments of Radiology and Medical Physics and Applied Radiation Sciences,
McMaster University, Hamilton, ON, Canada.
5 Department of Public Health, Family and Community Medicine, The Hospital for
Sick Children, Toronto, ON, Canada.
6 Department of Pathology and Laboratory Medicine, Mount Sinai Hospital,
Toronto, ON, Canada.

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Fig. 1 Sagittal dynamic contrast-enhanced MR images of albumin-injected
knee showing unenhanced (A, F, K) and contrast-enhanced (B-D, G-I,
L-N) images obtained on days 0 (before induction, A-D), 1 (after
induction, F-I), and 28 (after induction, K-N) of arthritis. G,
(day 1 of arthritis), Evidence of synovial inflammation with joint effusion
and synovial enhancement (arrows) noted in suprapatellar (long
arrow) and posterior recess (short arrow) of knee. Although
level of synovial inflammation decreased in interval between days 1 and 28 of
arthritis, persistent synovial reaction is identified (arrowheads,
L) in chronic stage of arthritis. D, I, and N,
Regions-of-interest used to delineate the perisynovial region to derive
time-intensity curves for that joint on days 0 (E), 1 (J) and 28
(O) of arthritis. Note the increased signal slope seen in the acute
stage of arthritis (day 1, J) as compared with the slopes obtained on
days 0 (E) and 28 (O) of arthritis.
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Fig. 2A Linear regression scattergrams in albumin-injected knees.
Scattergram shows correlation between serum levels of amyloid A and dynamic
contrast-enhanced MRI-derived signal slope (dS/dt) (r = 0.62,
p = 0.003).
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Fig. 2B Linear regression scattergrams in albumin-injected knees.
Scattergram shows correlation between serum levels of amyloid A and dynamic
contrast-enhanced MRI-derived capillary permeability (KPS )
(r = 0.63, p = 0.002).
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Fig. 3A Areas under the curve of individual MRI parameters used for
discrimination of inflammatory status of joint on days 1 (A) and 14
(B) of arthritis. Line graphs show differences in areas under the curve
for five different MRI parameters in early arthritis (difference of areas
under the curve between time-to-peak (TTP) and other parameters on day 1,
p = 0.0002 (A) and between signal slope (dS/dt), capillary
permeability (KPS and other parameters on day 14, p =
0.001, B). The areas under the curve of time-to-peak, maximal signal
change ( S), signal slope, capillary permeability and leakage space
volume (VE) were 0.875, 0.727, 0.656, 0.625, 0.586 on day 1
(A) and 0.667, 0.694, 0.944, 0.944 and 0.889 on day 14 (B),
respectively. Dashed line = time-to-peak, crossed line = signal slope, thick
solid line = capillary permeability, dotted line = maximal signal change, thin
solid line = leakage space volume.
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Fig. 3B Areas under the curve of individual MRI parameters used for
discrimination of inflammatory status of joint on days 1 (A) and 14
(B) of arthritis. Line graphs show differences in areas under the curve
for five different MRI parameters in early arthritis (difference of areas
under the curve between time-to-peak (TTP) and other parameters on day 1,
p = 0.0002 (A) and between signal slope (dS/dt), capillary
permeability (KPS and other parameters on day 14, p =
0.001, B). The areas under the curve of time-to-peak, maximal signal
change ( S), signal slope, capillary permeability and leakage space
volume (VE) were 0.875, 0.727, 0.656, 0.625, 0.586 on day 1
(A) and 0.667, 0.694, 0.944, 0.944 and 0.889 on day 14 (B),
respectively. Dashed line = time-to-peak, crossed line = signal slope, thick
solid line = capillary permeability, dotted line = maximal signal change, thin
solid line = leakage space volume.
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Copyright © 2006 by the American Roentgen Ray Society.