“As one of the three major molecular components (water, collagen, and proteoglycan) in articular cartilage, proteoglycans play a critical role in maintaining the mechanical stiffness of the tissue because they have heavily sulfated side chains of glycosaminoglycan (GAG), which carry a high concentration of negative charges, contributing to the stiffness of the tissue. Several experimental methods in MRI have been proposed to detect the loss of GAG, which is regarded as one of the early signs of the tissue degradation leading to the clinical diseases such as osteoarthritis. Among these methods, a proton-based MRI method by Bashir et al. (1) could measure the GAG concentration in articular cartilage by the administration of paramagnetic contrast agent, gadoliniumdiethylene triamine pentaacetic acid (Gd(DTPA)2-). The central concept of this method is that since Gd(DTPA)2- is negatively charged, the contrast agent will distribute itself within articular cartilage in a spatially inverse relationship to the concentration of the negatively charged GAG molecules. Since gadolinium (Gd3+) is a paramagnetic ion and its presence in the tissue will reduce the T1 relaxation of proton, a map of GAG concentration in cartilage can be constructed based on two T1 maps, one before and one after the Gd administration. This method has been termed delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) in clinical MRI literature (2–7).”
Created by Brad Roth (roth@oakland.edu) on Saturday, February 13, 2010 Modified by Brad Roth (roth@oakland.edu) on Saturday, February 13, 2010 Article Start Date: Saturday, February 13, 2010