A Cationic Contrast Agent in X-ray Imaging of Articular Cartilage: Pre-Clinical Evaluation of Diffusion and Attenuation Properties

被引:3
作者
Fantoni, Simone [1 ]
Gabucci, Ilenia [1 ]
Cardarelli, Paolo [2 ]
Paterno, Gianfranco [2 ,3 ]
Taibi, Angelo [3 ]
Cristofori, Virginia [4 ]
Trapella, Claudio [4 ]
Bazzani, Armando [1 ]
Assenza, Marta [5 ]
Bonacorsi, Alice Zanna [5 ]
Conti, Daniele [5 ]
Baruffaldi, Fabio [5 ]
机构
[1] Univ Bologna, Dept Phys & Astron, Alma Mater Studiorum, I-40127 Bologna, Italy
[2] Ist Nazl Fis Nucl INFN, Div Ferrara, I-44122 Ferrara, Italy
[3] Univ Ferrara, Dept Phys & Earth Sci, I-44121 Ferrara, Italy
[4] Univ Ferrara, Dept Chem Pharmaceut & Agr Sci, I-44121 Ferrara, Italy
[5] IRCCS Ist Ortoped Rizzoli, Med Technol Lab, I-40136 Bologna, Italy
关键词
X-ray imaging; articular cartilage; contrast agent; contrast-enhanced computed tomography; proteoglycans; post-traumatic osteoarthritis; ENHANCED COMPUTED-TOMOGRAPHY; BIOMECHANICAL PROPERTIES; POSTTRAUMATIC OSTEOARTHRITIS; CT; GLYCOSAMINOGLYCANS; PROTEOGLYCANS; MORPHOLOGY; SECTIONS; DENSITY; CHARGE;
D O I
10.3390/diagnostics12092111
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was the preliminary assessment of a new cationic contrast agent, the CA4+, via the analysis of spatial distribution in cartilage of ex vivo bovine samples, at micrometer and millimeter scale. Osteochondral plugs (n = 18) extracted from bovine stifle joints (n = 2) were immersed in CA4+ solution up to 26 h. Planar images were acquired at different time points, using a microCT apparatus. The CA4+ distribution in cartilage and saturation time were evaluated. Tibial plates from bovine stifle joints (n = 3) were imaged with CT, before and after 24 h-CA4+ bath immersion, at different concentrations. Afterward, potential CA4+ washout from cartilage was investigated. From microCT acquisitions, the CA4+ distribution differentiated into three distinct layers inside the cartilage, reflecting the spatial distribution of proteoglycans. After 24 h of diffusion, the iodine concentration reached in cartilage was approximately seven times that of the CA4+ bath. The resulting saturation time was 1.9 +/- 0.9 h and 2.6 +/- 2.9 h for femoral and tibial samples, respectively. Analysis of clinical CT acquisitions confirmed overall contrast enhancement of cartilage after 24 h immersion, observed for each CA4+ concentration. Distinct contrast enhancement was reached in different cartilage regions, depending on tissue's local features. Incomplete but remarkable washout of cartilage was observed. CA4+ significantly improved cartilage visualization and its qualitative analysis.
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页数:17
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