Evaluation and application of novel tools for musculoskeletal and body MRI

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Abstract/Contents

Abstract
Osteoarthritis is a degenerative joint disease for which there is currently no cure. Magnetic resonance imaging (MRI) is a promising non-invasive imaging method for early detection of osteoarthritis because it can assess joint physiology before irreversible damage occurs. Despite current advances in MRI technology, there remains a significant need for validation and application of novel techniques in order for quantitative MRI parameters to be used as a tool for evaluating the effectiveness of new therapies in early osteoarthritis. The purpose of this dissertation is to measure, evaluate and apply novel techniques for in vivo knee cartilage studies of osteoarthritis progression using quantitative MRI parameters. First, we validated three novel quantitative MRI techniques in the knee cartilage of healthy volunteers at 3T, and we found they were sufficiently reproducible to measure changes expected in osteoarthritic cartilage. Next, we applied these three new sequences to ACL-injured patients who are at risk for premature osteoarthritis, despite surgical reconstruction. We measured significant changes in quantitative MRI parameters over time, which support the potential of these MRI techniques to detect and quantify early molecular changes in cartilage degeneration leading to osteoarthritis. Finally, we measured the relaxation times of musculoskeletal knee tissues at ultra-high field strength, 7T, and compared them with those at standard clinical field strength, 3T. We used these measurements as design parameters for potential clinical pulse sequences at 7T that achieved both high spatial resolution and similar fluid-to-cartilage image contrast as that of standard 3T clinical protocols, providing tools for musculoskeletal research at ultra-high field strength.

Description

Type of resource text
Form electronic; electronic resource; remote
Extent 1 online resource.
Publication date 2013
Issuance monographic
Language English

Creators/Contributors

Associated with Jordan, Caroline Denison
Associated with Stanford University, Department of Bioengineering.
Primary advisor Hargreaves, Brian Andrew
Thesis advisor Hargreaves, Brian Andrew
Thesis advisor Gold, Garry E
Thesis advisor Pelc, Norbert J
Advisor Gold, Garry E
Advisor Pelc, Norbert J

Subjects

Genre Theses

Bibliographic information

Statement of responsibility Caroline Denison Jordan.
Note Submitted to the Department of Bioengineering.
Thesis Ph.D. Stanford University 2013
Location electronic resource

Access conditions

Copyright
© 2013 by Caroline Denison Jordan
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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