Histological Analysis of Cartilage Defects Repaired with an Autologous Human Stem Cell Construct 48 Weeks Postimplantation Reveals Structural Details Not Detected by T2-Mapping MRI

植入后 48 周用自体人类干细胞结构修复的软骨缺损的组织学分析揭示了 T2 映射 MRI 无法检测到的结构细节

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作者:Kazunori Shimomura, Hidetoshi Hamada, David A Hart, Wataru Ando, Takashi Nishii, Siegfried Trattnig, Stefan Nehrer, Norimasa Nakamura

Conclusion

Discrepancies in the findings between T2 mapping and histology suggest that T2 mapping was limited in ability to detect details in the architecture and composition of the repair cartilage.

Objective

The aim of this study was to elucidate the efficacy of T2-mapping MRI and correlation with histology for the evaluation of tissue repair quality following the first-in-human implantation of an autologous tissue engineered construct. Design: We directly compared the

Results

Histology showed that the repair tissue in the upper zone was dominated by fibrous tissue and the ratio of hyaline-like matrix increased with the depth of the repair tissue. There were significant differences between upper and lower zones in histological scores. Conversely, there were no detectable statistically significant differences in T2 value detected among zones of the repair tissue, but zonal differences were detected in corresponding healthy cartilage. Accordingly, there were no correlations detected between histological scores and T2 values for each repair cartilage zone.

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