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ABSTRACT IntroductionThe intervertebral disc (IVD) of the bovine tail is a commonly used research analogue for the human disc at the organ, tissue, and cellular levels. While these tails are subjected to thousands of dynamic motion events daily, little is known about how these motions might induce tissue remodeling, particularly in the outer annulus fibrosus (AF) of IVDs connecting adjacent vertebrae. This study hypothesized that despite the similarities in geometry and biochemical composition of IVDs in the bovine tail, level‐wise variations in repetitive in‐vivo motion would be associated with tissue level adaptations. MethodsIn‐vivo active range of motion (RoM) was measured by placing inertial measurement unit sensors on the tails of adult cows and using a multi‐segment rigid body model to calculate level‐wise flexion‐extension and lateral bending angles. Level‐wise passive RoM was measured from cadaveric adult bovine tails in flexion, extension, and lateral bending with skin and muscles removed. IVDs were extracted for measurement of height, diameters, AF radial thicknesses, and AF fiber crimp periods. ResultsIn‐vivo joint RoM was found to vary drastically by level, largely due to a prominent second order mode with inflection point at the fourth joint. Joint levels near this inflection point were found to have the highest passive RoMs. In the proximal tail, decreased RoM was associated with an increased fiber crimp period in the outer AF, while in the distal tail it was associated with increased AF thickness. DiscussionTaken together, these findings suggest that IVDs in the bovine tail respond to repeated complex dynamic motions through a process of adaptation at the mesoscale (AF thickening during growth) and microscale (residual strain accumulation in the mature state). The bovine tail thus provides a powerful tool for modeling how the human lumbar intervertebral disc may remodel in response to changes in exposure to repetitive motions.
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Direct Quantification of Intervertebral Disc Water Content Using MRI
BackgroundWater content is a key parameter for simulating tissue swelling and nutrient diffusion. Accurately measuring water content throughout the intervertebral disc (NP = nucleus pulposus; AF = annulus fibrosus) is important for developing patient‐specific models. Water content is measured using destructive techniques, Quantitative MRI has been used to estimate water content and detect early degeneration, but it is dependent on scan parameters, concentration of free water molecules, and fiber architecture. PurposeTo directly measure disc‐tissue water content using quantitative MRI and compare MRI‐based measurements with biochemical assays, and to quantify changes in disc geometry due to compression. Study TypeBasic science, controlled. SpecimenTwenty bone‐disc‐bone motion segments from skeletally mature bovines. Field Strength/Sequence7T/3D fast low angle shot (FLASH) pulse sequence and a T2rapid imaging with refocused echoes (RARE) sequence. AssessmentDisc volumes, NP and AF volumetric water content, and T2relaxation times were measured through MRI; NP and AF tissue gravimetric water content, mass density, and glycosaminoglycan content were measured through a biochemical assay. Statistical TestsCorrelations between MRI‐based measurement and biochemical composition were evaluated using Pearson's linear regression. ResultsMechanical dehydration resulted in a decrease in disc volume by up to 20% and a decrease in disc height by up to 35%. Direct water content measurements for the NP was achieved by normalizing MRI‐based spin density by NP mass density (1.10 ± 0.03 g/cm3). However, the same approach underestimated water content in the AF by ~10%, which may be due to a higher concentration of collagen fibers and bound water molecules. Data ConclusionSpin density or spin density normalized by mass density to estimate NP and AF water content was more accurate than correlations between water content and relaxation times. Mechanical dehydration decreased disc volume and disc height, and increased maximum cross‐sectional area. Level of Evidence Technical Efficacy Stage J. Magn. Reson. Imaging 2020;52:1152–1162.
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- Award ID(s):
- 1751212
- PAR ID:
- 10456768
- Publisher / Repository:
- Wiley Blackwell (John Wiley & Sons)
- Date Published:
- Journal Name:
- Journal of Magnetic Resonance Imaging
- Volume:
- 52
- Issue:
- 4
- ISSN:
- 1053-1807
- Page Range / eLocation ID:
- p. 1152-1162
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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