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Gd‐DTPA2–‐enhanced MRI of femoral knee cartilage: A dose‐response study in healthy volunteers

Tiderius, C J LU ; Olsson, L E LU orcid ; de Verdier, H ; Leander, P LU ; Ekberg, O LU and Dahlberg, L LU (2001) In Magnetic Resonance in Medicine 46(6). p.71-1067
Abstract

The negatively charged contrast agent Gd-DTPA2- distributes inversely to the cartilage fixed charged density. This enables structural cartilage examinations by contrast-enhanced MRI. In line with the development of a clinically applicable protocol for such examinations, this study describes the temporal pattern of Gd-DTPA2- distribution in femoral knee cartilage at three different doses in healthy volunteers. Nineteen volunteers (ages 21-28 years) were examined with a 1.5T MRI system. Quantitative relaxation rate measurements were made in weight-bearing central parts of femoral cartilage using sets of five turbo inversion recovery images with different inversion times. The cartilage was analyzed before and four times (1-4 h) after an... (More)

The negatively charged contrast agent Gd-DTPA2- distributes inversely to the cartilage fixed charged density. This enables structural cartilage examinations by contrast-enhanced MRI. In line with the development of a clinically applicable protocol for such examinations, this study describes the temporal pattern of Gd-DTPA2- distribution in femoral knee cartilage at three different doses in healthy volunteers. Nineteen volunteers (ages 21-28 years) were examined with a 1.5T MRI system. Quantitative relaxation rate measurements were made in weight-bearing central parts of femoral cartilage using sets of five turbo inversion recovery images with different inversion times. The cartilage was analyzed before and four times (1-4 h) after an intravenous injection of Gd-DTPA2- at single, double, and triple doses: 0.1, 0.2, and 0.3 mmol/kg body weight, respectively. The increase in R1 postcontrast was linearly dose-related at all times. The highest R1 values were registered at 2 and 3 h postcontrast, suggesting 2 h to be optimal in the clinical situation. The triple dose indicated a subtle compartmental difference in men, with higher contrast distribution medially than laterally. Results suggest that the triple dose is needed to detect minor cartilage matrix differences.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Cartilage, Articular, Contrast Media, Dose-Response Relationship, Drug, Female, Gadolinium DTPA, Humans, Knee Joint, Magnetic Resonance Imaging, Male
in
Magnetic Resonance in Medicine
volume
46
issue
6
pages
5 pages
publisher
John Wiley & Sons Inc.
external identifiers
  • pmid:11746570
  • scopus:0034747168
ISSN
0740-3194
DOI
10.1002/mrm.1300
language
English
LU publication?
yes
id
8b2b4cc3-b27b-474b-9c7e-d8433232ddc3
date added to LUP
2016-08-16 12:13:35
date last changed
2024-05-31 11:23:56
@article{8b2b4cc3-b27b-474b-9c7e-d8433232ddc3,
  abstract     = {{<p>The negatively charged contrast agent Gd-DTPA2- distributes inversely to the cartilage fixed charged density. This enables structural cartilage examinations by contrast-enhanced MRI. In line with the development of a clinically applicable protocol for such examinations, this study describes the temporal pattern of Gd-DTPA2- distribution in femoral knee cartilage at three different doses in healthy volunteers. Nineteen volunteers (ages 21-28 years) were examined with a 1.5T MRI system. Quantitative relaxation rate measurements were made in weight-bearing central parts of femoral cartilage using sets of five turbo inversion recovery images with different inversion times. The cartilage was analyzed before and four times (1-4 h) after an intravenous injection of Gd-DTPA2- at single, double, and triple doses: 0.1, 0.2, and 0.3 mmol/kg body weight, respectively. The increase in R1 postcontrast was linearly dose-related at all times. The highest R1 values were registered at 2 and 3 h postcontrast, suggesting 2 h to be optimal in the clinical situation. The triple dose indicated a subtle compartmental difference in men, with higher contrast distribution medially than laterally. Results suggest that the triple dose is needed to detect minor cartilage matrix differences.</p>}},
  author       = {{Tiderius, C J and Olsson, L E and de Verdier, H and Leander, P and Ekberg, O and Dahlberg, L}},
  issn         = {{0740-3194}},
  keywords     = {{Adult; Cartilage, Articular; Contrast Media; Dose-Response Relationship, Drug; Female; Gadolinium DTPA; Humans; Knee Joint; Magnetic Resonance Imaging; Male}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{71--1067}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Magnetic Resonance in Medicine}},
  title        = {{Gd‐DTPA2–‐enhanced MRI of femoral knee cartilage: A dose‐response study in healthy volunteers}},
  url          = {{http://dx.doi.org/10.1002/mrm.1300}},
  doi          = {{10.1002/mrm.1300}},
  volume       = {{46}},
  year         = {{2001}},
}