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Cartilage material properties provide important insights into joint health, and cartilage material models are used in whole-joint finite element models. Although the biphasic model representing experimental creep indentation tests is commonly used to characterize cartilage, cartilage short-term response to loading is generally not characterized using the biphasic model. The purpose of this study was to determine the short-term and equilibrium material properties of human patella cartilage using a viscoelastic model representation of creep indentation tests. We performed 24 experimental creep indentation tests from 14 human patellar specimens ranging in age from 20 to 90 years (median age 61 years). We used a finite element model to reproduce the experimental tests and determined cartilage material properties from viscoelastic and biphasic representations of cartilage. The viscoelastic model consistently provided excellent representation of the short-term and equilibrium creep displacements. We determined initial elastic modulus, equilibrium elastic modulus, and equilibrium Poisson’s ratio using the viscoelastic model. The viscoelastic model can represent the short-term and equilibrium response of cartilage and may easily be implemented in whole-joint finite element models.
Quantitative Susceptibility Mapping (QSM) is an MRI tool with the potential to reveal pathological changes from magnetic susceptibility measurements. Before phase data can be used to recover susceptibility ( ), the QSM process begins with two steps: data acquisition and phase estimation. We assess the performance of these steps, when applied without user intervention, on several variations of a phantom imaging task. We used a rotating-tube phantom with five tubes ranging from ppm to ppm. MRI data was acquired at nine angles of rotation for four different pulse sequences. The images were processed by 10 phase estimation algorithms including Laplacian, region-growing, branch-cut, temporal unwrapping, and maximum-likelihood methods, resulting in approximately 90 different combinations of data acquisition and phase estimation methods. We analyzed errors between measured and expected phases using the probability mass function and Cumulative Distribution Function. Repeatable acquisition and estimation methods were identified based on the probability of relative phase errors. For single-echo GRE and segmented EPI sequences, a region-growing method was most reliable with Pr (relative error <0.1) = 0.95 and 0.90, respectively. For multiecho sequences, a maximum-likelihood method was most reliable with Pr (relative error <0.1) = 0.97. The most repeatable multiecho methods outperformed the most repeatable single-echo methods. We found a wide range of repeatability and reproducibility for off-the-shelf MRI acquisition and phase estimation approaches, and this variability may prevent the techniques from being widely integrated in clinical workflows. The error was dominated in many cases by spatially discontinuous phase unwrapping errors. Any postprocessing applied on erroneous phase estimates, such as QSM’s background field removal and dipole inversion, would suffer from error propagation. Our paradigm identifies methods that yield consistent and accurate phase estimates that would ultimately yield consistent and accurate estimates.
Motivation: There is not a commercially available musculoskeletal (MSK) relaxometry phantom. Goal(s): Develop a dedicated MSK relaxometry phantom for T1, T2, and T1rho measurement quality assurance. Approach: A cylindrical phantom with 12 vials containing modulated T1 and T2 samples was created, with an MR-visible thermometer for temperature tracking. Phantom stands were used for consistent positioning. MRI/NMR measurements were collected for longitudinal stability and temperature dependence. Results: MRI measurements were in good agreement between two vendors with CVs<3% and demonstrated longitudinal stability with CVs<3% over a 3-month period. NMR measurements showed clear changes in T1, T2, and T1rho with changing temperature. Impact: A stable MSK relaxometry phantom prototype was successfully developed and characterized, including changes with temperature. With harmonized measurement protocols, this phantom will facilitate the use of quantitative relaxometry MRI in large-scale multi-site multi-vendor trials.
Quantitative breast MRI data was acquired at seven clinical sites using the CaliberMRI phantom. T1 and DWI data were acquired, and the qCal software was used for analysis. Protocol adherence was assessed, quantitative measures were automatically derived, and variability between measurements was evaluated. Going forward, the phantom will be used for calibration as part of a program to assess quantitative accuracy in a large multi-site clinical trial. The phantom program will be expanded to other sites in the trial, with standardized reporting used to understand variability across sites.
Purpose: To harmonize the use of color for MR relaxometry maps and therefore recommend the use of specific color-maps for representing T1 and T2 maps. Methods: Perceptually linearized color-maps were chosen to have similar color settings as those proposed by Griswold et al. in 2018. A Delphi process, polling the opinion of a panel of 81 experts, was used to generate consensus on the suitability of these maps. Results: Consensus was reached on the suitability of the logarithm-processed Lipari color-map for T1 and the logarithm-processed Navia color-map for T2. There was consensus on color bars being mandatory and on the use of a specific value indicating invalidity. There was no consensus on whether the ranges should be fixed per anatomy. Conclusion: The authors recommend the use of the logarithm-processed Lipari color map for displaying quantitative T1 maps and R1 maps; likewise, the authors recommend the logarithm-processed Navia color-map for displaying T2, T2*, R2 and R2* maps.