Purpose
The purpose of this study was to demonstrate the potential of near infrared (NIR)
spectroscopy for characterizing the health and degenerative state of articular cartilage
based on the components of the Mankin score.
Methods
Three models of osteoarthritic degeneration induced in laboratory rats by anterior
cruciate ligament (ACL) transection, meniscectomy (MSX), and intra-articular injection
of monoiodoacetate (1 mg) (MIA) were used in this study. Degeneration was induced
in the right knee joint; each model group consisted of 12 rats (N = 36). After 8 weeks,
the animals were euthanized and knee joints were collected. A custom-made diffuse
reflectance NIR probe of 5-mm diameter was placed on the tibial and femoral surfaces,
and spectral data were acquired from each specimen in the wave number range of 4,000
to 12,500 cm−1. After spectral data acquisition, the specimens were fixed and safranin O staining
(SOS) was performed to assess disease severity based on the Mankin scoring system.
Using multivariate statistical analysis, with spectral preprocessing and wavelength
selection technique, the spectral data were then correlated to the structural integrity
(SI), cellularity (CEL), and matrix staining (SOS) components of the Mankin score
for all the samples tested.
Results
ACL models showed mild cartilage degeneration, MSX models had moderate degeneration,
and MIA models showed severe cartilage degenerative changes both morphologically and
histologically. Our results reveal significant linear correlations between the NIR
absorption spectra and SI (R2 = 94.78%), CEL (R2 = 88.03%), and SOS (R2 = 96.39%) parameters of all samples in the models. In addition, clustering of the
samples according to their level of degeneration, with respect to the Mankin components,
was also observed.
Conclusions
NIR spectroscopic probing of articular cartilage can potentially provide critical
information about the health of articular cartilage matrix in early and advanced stages
of osteoarthritis (OA).
Clinical Relevance
This rapid nondestructive method can facilitate clinical appraisal of articular cartilage
integrity during arthroscopic surgery.
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Article info
Publication history
Published online: June 17, 2014
Accepted:
April 22,
2014
Received:
August 19,
2013
Footnotes
Supported by the National Health and Medical Research Council Australia (APP1032738), Queensland University of Technology, and the Prince Charles Hospital Foundation (MS2010-02). The authors report that they have no conflicts of interest in the authorship and publication of this article.
Identification
Copyright
© 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.