Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents

Detection of early osteoarthritis to stabilize or reverse the damage to articular cartilage would improve patient function, reduce disability, and limit the need for joint replacement. In this study, we investigated nondestructive photon-processing spectral computed tomography (CT) for the quantitat...

Full description

Bibliographic Details
Main Authors: Kenzie Baer, Sandra Kieser, Ben Schon, Kishore Rajendran, Timen ten Harkel, Mohsen Ramyar, Caroline Löbker, Christopher Bateman, Anthony Butler, Aamir Raja, Gary Hooper, Nigel Anderson, Tim Woodfield
Format: Article
Language:English
Published: AIP Publishing LLC 2021-06-01
Series:APL Bioengineering
Online Access:http://dx.doi.org/10.1063/5.0035312
_version_ 1818424599042326528
author Kenzie Baer
Sandra Kieser
Ben Schon
Kishore Rajendran
Timen ten Harkel
Mohsen Ramyar
Caroline Löbker
Christopher Bateman
Anthony Butler
Aamir Raja
Gary Hooper
Nigel Anderson
Tim Woodfield
author_facet Kenzie Baer
Sandra Kieser
Ben Schon
Kishore Rajendran
Timen ten Harkel
Mohsen Ramyar
Caroline Löbker
Christopher Bateman
Anthony Butler
Aamir Raja
Gary Hooper
Nigel Anderson
Tim Woodfield
author_sort Kenzie Baer
collection DOAJ
description Detection of early osteoarthritis to stabilize or reverse the damage to articular cartilage would improve patient function, reduce disability, and limit the need for joint replacement. In this study, we investigated nondestructive photon-processing spectral computed tomography (CT) for the quantitative measurement of the glycosaminoglycan (GAG) content compared to destructive histological and biochemical assay techniques in normal and osteoarthritic tissues. Cartilage-bone cores from healthy bovine stifles were incubated in 50% ioxaglate (Hexabrix®) or 100% gadobenate dimeglumine (MultiHance®). A photon-processing spectral CT (MARS) scanner with a CdTe-Medipix3RX detector imaged samples. Calibration phantoms of ioxaglate and gadobenate dimeglumine were used to determine iodine and gadolinium concentrations from photon-processing spectral CT images to correlate with the GAG content measured using a dimethylmethylene blue assay. The zonal distribution of GAG was compared between photon-processing spectral CT images and histological sections. Furthermore, discrimination and quantification of GAG in osteoarthritic human tibial plateau tissue using the same contrast agents were demonstrated. Contrast agent concentrations were inversely related to the GAG content. The GAG concentration increased from 25 μg/ml (85 mg/ml iodine or 43 mg/ml gadolinium) in the superficial layer to 75 μg/ml (65 mg/ml iodine or 37 mg/ml gadolinium) in the deep layer of healthy bovine cartilage. Deep zone articular cartilage could be distinguished from subchondral bone by utilizing the material decomposition technique. Photon-processing spectral CT images correlated with histological sections in healthy and osteoarthritic tissues. Post-imaging material decomposition was able to quantify the GAG content and distribution throughout healthy and osteoarthritic cartilage using Hexabrix® and MultiHance® while differentiating the underlying subchondral bone.
first_indexed 2024-12-14T14:00:36Z
format Article
id doaj.art-2b70fbd9a55b4e2ea0d188d021e5cfd9
institution Directory Open Access Journal
issn 2473-2877
language English
last_indexed 2024-12-14T14:00:36Z
publishDate 2021-06-01
publisher AIP Publishing LLC
record_format Article
series APL Bioengineering
spelling doaj.art-2b70fbd9a55b4e2ea0d188d021e5cfd92022-12-21T22:58:44ZengAIP Publishing LLCAPL Bioengineering2473-28772021-06-0152026101026101-1010.1063/5.0035312Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agentsKenzie Baer0Sandra Kieser1Ben Schon2Kishore Rajendran3Timen ten Harkel4Mohsen Ramyar5Caroline Löbker6Christopher Bateman7Anthony Butler8Aamir Raja9Gary Hooper10Nigel Anderson11Tim Woodfield12 Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand Department of Radiology, University of Otago Christchurch, Christchurch 8011, New Zealand Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand Department of Radiology, University of Otago Christchurch, Christchurch 8011, New Zealand Medical Technologies Centre of Research Excellence (MedTech CoRE), Auckland 1010, New Zealand Department of Radiology, University of Otago Christchurch, Christchurch 8011, New Zealand Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand Department of Radiology, University of Otago Christchurch, Christchurch 8011, New Zealand Christchurch Regenerative Medicine and Tissue Engineering (CReaTE), Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New ZealandDetection of early osteoarthritis to stabilize or reverse the damage to articular cartilage would improve patient function, reduce disability, and limit the need for joint replacement. In this study, we investigated nondestructive photon-processing spectral computed tomography (CT) for the quantitative measurement of the glycosaminoglycan (GAG) content compared to destructive histological and biochemical assay techniques in normal and osteoarthritic tissues. Cartilage-bone cores from healthy bovine stifles were incubated in 50% ioxaglate (Hexabrix®) or 100% gadobenate dimeglumine (MultiHance®). A photon-processing spectral CT (MARS) scanner with a CdTe-Medipix3RX detector imaged samples. Calibration phantoms of ioxaglate and gadobenate dimeglumine were used to determine iodine and gadolinium concentrations from photon-processing spectral CT images to correlate with the GAG content measured using a dimethylmethylene blue assay. The zonal distribution of GAG was compared between photon-processing spectral CT images and histological sections. Furthermore, discrimination and quantification of GAG in osteoarthritic human tibial plateau tissue using the same contrast agents were demonstrated. Contrast agent concentrations were inversely related to the GAG content. The GAG concentration increased from 25 μg/ml (85 mg/ml iodine or 43 mg/ml gadolinium) in the superficial layer to 75 μg/ml (65 mg/ml iodine or 37 mg/ml gadolinium) in the deep layer of healthy bovine cartilage. Deep zone articular cartilage could be distinguished from subchondral bone by utilizing the material decomposition technique. Photon-processing spectral CT images correlated with histological sections in healthy and osteoarthritic tissues. Post-imaging material decomposition was able to quantify the GAG content and distribution throughout healthy and osteoarthritic cartilage using Hexabrix® and MultiHance® while differentiating the underlying subchondral bone.http://dx.doi.org/10.1063/5.0035312
spellingShingle Kenzie Baer
Sandra Kieser
Ben Schon
Kishore Rajendran
Timen ten Harkel
Mohsen Ramyar
Caroline Löbker
Christopher Bateman
Anthony Butler
Aamir Raja
Gary Hooper
Nigel Anderson
Tim Woodfield
Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents
APL Bioengineering
title Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents
title_full Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents
title_fullStr Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents
title_full_unstemmed Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents
title_short Spectral CT imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents
title_sort spectral ct imaging of human osteoarthritic cartilage via quantitative assessment of glycosaminoglycan content using multiple contrast agents
url http://dx.doi.org/10.1063/5.0035312
work_keys_str_mv AT kenziebaer spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT sandrakieser spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT benschon spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT kishorerajendran spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT timentenharkel spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT mohsenramyar spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT carolinelobker spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT christopherbateman spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT anthonybutler spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT aamirraja spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT garyhooper spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT nigelanderson spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents
AT timwoodfield spectralctimagingofhumanosteoarthriticcartilageviaquantitativeassessmentofglycosaminoglycancontentusingmultiplecontrastagents