In vivo 3.0‐tesla magnetic resonance T1ρ and T2 relaxation mapping in subjects with intervertebral disc degeneration and clinical symptoms

Abstract

The purpose of this study is (1) to determine the correlation between T_1ρ and T₂ and degenerative grade in intervertebral discs using in vivo 3.0‐T MRI, and (2) to determine the association between T_1ρ and T₂ and clinical findings as quantified by the SF‐36 Questionnaire and Oswestry Disability Index. Sixteen subjects participated in this study, and each completed SF‐36 and Oswestry Disability Index questionnaires. MRI T_1ρ and T₂ mapping was performed to determine T_1ρ (77 discs) and T₂ (44 discs) in the nucleus of the intervertebral disc, and T₂‐weighted images were acquired for Pfirrmann grading of disc degeneration. Pfirrmann grade was correlated with both T_1ρ (r = −0.84; P < 0.01) and T₂ (r = −0.61; P < 0.01). Mixed‐effects models demonstrate that only T_1ρ was associated with clinical questionnaires (R²_SF‐36 = 0.55, R²_O.D.I. = 0.56; P < 0.05). Although the averaged values of T_1ρ and T₂ were significantly correlated, they presented differences in spatial distribution and dynamic range, thus suggesting different sensitivities to tissue composition. This study suggests that T_1ρ may be sensitive to early degenerative changes (corroborating previous studies) and clinical symptoms in intervertebral disc degeneration. Magn Reson Med 63:1193–1200, 2010.