Assessment of Glycosaminoglycan Content of Lumbar Intervertebral Discs in Patients with Radiculopathy

• 作者: Anja Müller-Lutz Christoph Schleich Florian Fichter Hans-Jö Markus Eichner Markus Konieczny rg Wittsack Sophie Heüveldop
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: GLYCOSAMINOGLYCAN Chemical Exchange Saturation Transfer RADICULOPATHY INTERVERTEBRAL Disc LUMBAR SPINE Early DEGENERATION
• 年，卷（期）: 2019,（4）
• 页码范围: 259-269
• 页数: 11页
• 分类号: R73

摘要

Objective: To assess glycosaminoglycan (GAG) content of lumbar intervertebral discs (IVDs) in patients with radiculopathy compared with healthy volunteers with glycosaminoglycan chemical exchange saturation transfer (gagCEST). Methods: The lumbar spines of 15 patients with radiculopathy (9 women, 6 men;mean age 45 years;range: 19 - 80 years) and 13 healthy controls (10 women, 3 men;mean age 29 years;range: 19 - 38 years) without lumbar back pain or previous spine surgery were examined at a 3 Tesla (T) magnetic resonance imaging (MRI) scanner in this prospective study. The MRI protocol included standard morphological, sagittal, and transverse T2-weighted (T2w) images of the five lumbar IVDs (L1-S1) to assess Pfirrmann score and to detect disc disorders according to the Combined Task Force classification. To analyze biochemically the lumbar IVDs, a gagCEST sequence was applied to measure the GAG content of the nucleus pulposus (NP) and annulus fibrosus (AF). Results: Patients with radiculopathy indicated significantly lower gagCEST values in NP than healthy volunteers (2.82% ±3.12% vs. 4.09% ±2.25%, P = 0.017). The GAG content of AF showed no significant difference between volunteers and patients (2.66% ±2.01% vs. 1.92% ±2.56%;P = 0.175). Conclusions. Patients with radiculopathy presented with lower GAG values than healthy volunteers in NP, indicating an association between pain and IVD degeneration. gagCEST of lumbar IVDs is a powerful, non-invasive tool to investigate early disc degeneration, which we could demonstrate in the NP in our study collective.