Osteoarthritis

Comprehensive zonal assessment of meniscal degeneration using quantitative UTE MRI

Osteoarthritis CartilagePublished Cross-sectional study

Authors' conclusion

The study highlights the potential of UTE measurements to differentiate normal meniscal zonal composition and detect early changes due to degeneration, offering a promising tool for comprehensive knee-OA assessment and treatment monitoring.

Study context

Population
Volunteers (mean age 55±17 years; 30 females; 46 with radiographic osteoarthritis (OA))
Participants
178 meniscal regions
Exposure
Meniscal zones and meniscal degeneration grades 1–3
  • Grade-1n = 65reference
  • Grade-2n = 80
  • Grade-3n = 33
Outcome
UTE-T1, MMF (UTE-magnetization-transfer (UTE-MT)), UTE-T1ρ and UTE-T2* in meniscal RR, RW and WW zones across degeneration grades
Methodological detailsquantitative UTE MRI, zonal analysis (RR, red-white (RW), white-white (WW))
  • Quantitative UTE MRI
  • Zonal analysis (RR, RW, WW)

Main finding

As reported in the abstract

  • Significant differences in all UTE measurements between the three zones in normal menisci
  • Zonal differences less distinct with increasing degeneration
  • Within each zone, T1, T1ρ and T2* significantly increased with increasing degeneration
  • Within each zone, MMF decreased significantly with increasing degeneration

Observational data: associations, not effects.

Original publication

Comprehensive zonal assessment of meniscal degeneration using quantitative UTE MRI. Osteoarthritis Cartilage. Published 18 December 2025. doi:10.1016/j.joca.2025.12.017

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