The Added Value of T2 Mapping in Assessment of Chondromalacia Patellae and Patellofemoral Osteoarthritis in Patients with Anterior Knee Pain

Abstract

Abstract Background Cartilage mapping using Magnetic Resonance Imaging T2 is a functional non- invasive scanning procedure delivering cartography of the cartilage T2 relaxation time without using any contrast. It is tissue anisotropy sensitive, and compositional data on the collagen network of cartilage, content of water and concentration of proteoglycans are provided by it. Aim of the Work there is limited studies for evaluation the T2 mapping role in detection of chondromalacia and osteoarthritis in knee pain patients, therefore the aim of this work is to evaluate the additional value of T2 mapping overusing a baseline standard knee MRI to detect patellofemoral cartilage lesions including chondromalacia patella and knee osteoarthritis in patients presented with anterior knee pain. Patients and Methods This Cross-Sectional Study was conducted at Ain Shams University Hospital, Radio diagnosis department on 35 patients with anterior knee pain for at least 6 months. Results Among the study population 27 (77.1 %) of patients were diagnosed with OA by conventional MRI & T2 mapping with accuracy 85.7%, while only 13 (37.1%) of patients were diagnosed with chondromalacia by MRI & T2 mapping with accuracy 74.3%. In the comparison between conventional MRI & MRI T2 mapping to detect OA & chondromalacia lesions the sensitivity and specificity for OA 84.4% & 100%, while it was 59.1% & 100% for chondromalacia respectively. Conclusion T2 mapping may offer added value in the assessment of knee joint conditions such as OA and chondromalacia, with higher sensitivity and accuracy rates compared to conventional MRI. T2 mapping may be particularly useful in detecting early degenerative changes in the knee joint, which may allow for earlier intervention and management of these conditions.