Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective Study
BackgroundThe differential effects of various exercises on knee joint injury have not been well documented. Improper physical training can cause irreversible damage to the knee joint. MRI is generally used to precisely analyze morphological and biochemical changes in the knee cartilage. We compared...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-05-01
|
| Series: | Frontiers in Endocrinology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2022.839112/full |
| _version_ | 1818200554023682048 |
|---|---|
| author | Lingling Liu Henan Liu Zhiming Zhen Yalan Zheng Xiaoyue Zhou Esther Raithel Jiang Du Yan Hu Wei Chen Xiaofei Hu |
| author_facet | Lingling Liu Henan Liu Zhiming Zhen Yalan Zheng Xiaoyue Zhou Esther Raithel Jiang Du Yan Hu Wei Chen Xiaofei Hu |
| author_sort | Lingling Liu |
| collection | DOAJ |
| description | BackgroundThe differential effects of various exercises on knee joint injury have not been well documented. Improper physical training can cause irreversible damage to the knee joint. MRI is generally used to precisely analyze morphological and biochemical changes in the knee cartilage. We compared the effects of long-walking and regular daily physical training on acute and chronic knee joint injuries as well as cartilage structure in freshmen students.MethodsA total of 23 young male college freshmen were recruited to participate in an 8-day 240 km long distance walk and a one-year daily training. 3D-DESSwe, 2D T2 mapping, DIXON, and T1WI of the right knee joint were performed using the MAGNETOM Spectra 3T MR scanner. The injury of meniscus, bone marrow edema, ligaments and joint effusion is graded. Cartilage volume, thickness and T2 values of 21 sub-regions of the knee cartilage were estimated using automatic cartilage segmentation prototype software. Friedman’s test and Wilcoxon paired rank-sum test were used to compare quantitative indices of knee cartilage in three groups.ResultsThe injury to the medial meniscus and anterior cruciate ligament of the knee joint, joint effusion, and bone marrow edema was significantly higher in the long-walking group compared to the baseline and daily groups. Furthermore, injury to the lateral meniscus was significantly worse in the long-walking group compared to the baseline group but was significantly better in the daily group compared to the baseline group. No significant changes to the posterior cruciate ligament were observed among the three groups. Knee cartilage volume was significantly increased, mainly in the stress surface of the femur, patella, and the lateral area of the tibial plateau. Regular daily training did not significantly change the thickness of the knee cartilage. Conversely, knee cartilage thickness decreased in the long-walking group, especially in the medial and lateral areas of the femur and tibial plateau. Moreover, no significant changes were observed in the knee cartilage volume of the long-walking group. Both long-walking and daily groups showed reduced T2 values of the knee joint compared to the baseline.ConclusionAmong freshmen students and the training of this experimental intensity, our results show that regular daily training does not cause high-level injury to the knee joint, but improve the knee joint function adaptability by increasing cartilage volume. Moreover, knee injury caused by short-term long walking can be reversible. |
| first_indexed | 2024-12-12T02:39:30Z |
| format | Article |
| id | doaj.art-01730f5375aa49879e42124cf53b3723 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-12T02:39:30Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-01730f5375aa49879e42124cf53b37232022-12-22T00:41:12ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-05-011310.3389/fendo.2022.839112839112Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective StudyLingling Liu0Henan Liu1Zhiming Zhen2Yalan Zheng3Xiaoyue Zhou4Esther Raithel5Jiang Du6Yan Hu7Wei Chen8Xiaofei Hu9Department of Radiology, First Affiliated Hospital of Army Medical University, Chongqing, ChinaDepartment of Nuclear Medicine, First Affiliated Hospital of Army Medical University, Chongqing, ChinaDepartment of Radiology, First Affiliated Hospital of Army Medical University, Chongqing, ChinaDepartment of Radiology, First Affiliated Hospital of Army Medical University, Chongqing, ChinaMR Collaboration, Siemens Healthineers Ltd., Shanghai, ChinaMR Application Predevelopment, Siemens Healthcare GmbH, Erlangen, GermanyHealth Service Training Base, Army Medical University, Chongqing, ChinaHealth Service Training Base, Army Medical University, Chongqing, ChinaDepartment of Radiology, First Affiliated Hospital of Army Medical University, Chongqing, ChinaDepartment of Radiology, First Affiliated Hospital of Army Medical University, Chongqing, ChinaBackgroundThe differential effects of various exercises on knee joint injury have not been well documented. Improper physical training can cause irreversible damage to the knee joint. MRI is generally used to precisely analyze morphological and biochemical changes in the knee cartilage. We compared the effects of long-walking and regular daily physical training on acute and chronic knee joint injuries as well as cartilage structure in freshmen students.MethodsA total of 23 young male college freshmen were recruited to participate in an 8-day 240 km long distance walk and a one-year daily training. 3D-DESSwe, 2D T2 mapping, DIXON, and T1WI of the right knee joint were performed using the MAGNETOM Spectra 3T MR scanner. The injury of meniscus, bone marrow edema, ligaments and joint effusion is graded. Cartilage volume, thickness and T2 values of 21 sub-regions of the knee cartilage were estimated using automatic cartilage segmentation prototype software. Friedman’s test and Wilcoxon paired rank-sum test were used to compare quantitative indices of knee cartilage in three groups.ResultsThe injury to the medial meniscus and anterior cruciate ligament of the knee joint, joint effusion, and bone marrow edema was significantly higher in the long-walking group compared to the baseline and daily groups. Furthermore, injury to the lateral meniscus was significantly worse in the long-walking group compared to the baseline group but was significantly better in the daily group compared to the baseline group. No significant changes to the posterior cruciate ligament were observed among the three groups. Knee cartilage volume was significantly increased, mainly in the stress surface of the femur, patella, and the lateral area of the tibial plateau. Regular daily training did not significantly change the thickness of the knee cartilage. Conversely, knee cartilage thickness decreased in the long-walking group, especially in the medial and lateral areas of the femur and tibial plateau. Moreover, no significant changes were observed in the knee cartilage volume of the long-walking group. Both long-walking and daily groups showed reduced T2 values of the knee joint compared to the baseline.ConclusionAmong freshmen students and the training of this experimental intensity, our results show that regular daily training does not cause high-level injury to the knee joint, but improve the knee joint function adaptability by increasing cartilage volume. Moreover, knee injury caused by short-term long walking can be reversible.https://www.frontiersin.org/articles/10.3389/fendo.2022.839112/fullknee joint injuryautomatic cartilage segmentation technologythree-dimensional quantitative MRIcartilageathletic injury |
| spellingShingle | Lingling Liu Henan Liu Zhiming Zhen Yalan Zheng Xiaoyue Zhou Esther Raithel Jiang Du Yan Hu Wei Chen Xiaofei Hu Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective Study Frontiers in Endocrinology knee joint injury automatic cartilage segmentation technology three-dimensional quantitative MRI cartilage athletic injury |
| title | Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective Study |
| title_full | Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective Study |
| title_fullStr | Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective Study |
| title_full_unstemmed | Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective Study |
| title_short | Analysis of Knee Joint Injury Caused by Physical Training of Freshmen Students Based on 3T MRI and Automatic Cartilage Segmentation Technology: A Prospective Study |
| title_sort | analysis of knee joint injury caused by physical training of freshmen students based on 3t mri and automatic cartilage segmentation technology a prospective study |
| topic | knee joint injury automatic cartilage segmentation technology three-dimensional quantitative MRI cartilage athletic injury |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2022.839112/full |
| work_keys_str_mv | AT linglingliu analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT henanliu analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT zhimingzhen analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT yalanzheng analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT xiaoyuezhou analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT estherraithel analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT jiangdu analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT yanhu analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT weichen analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy AT xiaofeihu analysisofkneejointinjurycausedbyphysicaltrainingoffreshmenstudentsbasedon3tmriandautomaticcartilagesegmentationtechnologyaprospectivestudy |