The aim of this project is the development of MRI-based methods and technologies for non-invasive in vivo assessment of mechanical loads in soft tissue structures in knee joints. Such an in vivo assessment of 3D soft tissue kinematics, together with their incident loads, would pave the way for a better understanding of deformations of tendons, ligaments and menisci in healthy subjects as well as their changes due to pathologies (e.g., after ruptures of the anterior cruciate ligament in young vs. elderly patients).

PROJECT GOALS

Given the short acquisition times available in the dynamic imaging setup only partial information (low-resolution images) can be acquired. Therefore, specialized reconstruction methods have to be developed in order to extract the motion of soft tissues from the incomplete data by correlating the information from high-resolution static images with low-resolution dynamic sequences.

Selected time frames of the dynamic MRI sequence show large changes of image intensity.

Selected time frames of the dynamic MRI sequence show large changes of image intensity.

DYNAMIC AND STATIC MRI DATA

Ultra-short echo-time (UTE) MRI sequences have been developed at Jena University Hospital, made specifically for dynamic imaging of human knee joints. Based on these sequences and a custom-made device for guided knee motion, developed at Charitè, high-resolution static and low-resolution dynamic MRI data was acquired.

Acquired MRI knee data and its reconstruction. The reconstructed image is overlaid with a grid which represents how the HR reference image was deformed to align with corresponding LR dynamic time frame.

Acquired MRI knee data and its reconstruction. The reconstructed image is overlaid with a grid which represents how the HR reference image was deformed to align with corresponding LR dynamic time frame.

LOG-EUCLIDEAN REGISTRATION OF DYNAMIC MR IMAGES

As an alternative to non-linear B-Spline-based registration, a log-euclidean polyaffine registration framework is investigated. In this framework, each bone is individually registered between adjacent time frames in a rigid manner. In the second step, the resulting transformations are combined using the exponential weighting function and the log-euclidean mapping to obtain the final reconstructed image and the deformation field.

Comparison between our B-spline-based registration approach and the log-euclidean polyaffine framework for a single time frame. Slices on the left show the normalized image difference between the HR reconstruction and the HR ground truth, while images on the right show the relative volume change for a 2D slice of Hoffa’s fat pad.

Comparison between our B-spline-based registration approach and the log-euclidean polyaffine framework for a single time frame. Slices on the left show the normalized image difference between the HR reconstruction and the HR ground truth, while images on the right show the relative volume change for a 2D slice of Hoffa’s fat pad.

High spatial resolution dynamic MRI

After applying the registration approach, a high spatial resolution dynamic image sequence is obtained. Further tissues deformations during movement can be assessed.

Reconstructed dynamic HR spatial resolution image (top) and dynamic displacement of tissues (bottom)

Reconstructed dynamic HR spatial resolution image (top) and dynamic displacement of tissues (bottom) 

Publications

2024
Altered knee kinematics after posterior cruciate single-bundle reconstruction - a comprehensive prospective biomechanical in vivo analysis Frontiers in Bioengineering and Biotechnology, Vol.12, 2024 Stephan Oehme, Philippe Moewis, Heide Boeth, Benjamin Bartek, Christoph von Tycowicz, Rainald Ehrig, Georg Duda, Tobias Jung PDF
BibTeX
DOI
Image-based Analysis of in vivo Knee Dynamics
Machine Learning-based Assessment of Multiple Anatomical Structures in Medical Image Data for Diagnosis and Prediction of Knee Osteoarthritis Doctoral thesis, Technische Universität Berlin, Stefan Zachow (Advisor), 2024 Alexander Tack BibTeX
DOI
Image-based Analysis of in vivo Knee Dynamics
2021
A deep multi-task learning method for detection of meniscal tears in MRI data from the Osteoarthritis Initiative database Frontiers in Bioengineering and Biotechnology, section Biomechanics, pp. 28-41, 2021 (preprint available as ZIB-Report 21-33) Alexander Tack, Alexey Shestakov, David Lüdke, Stefan Zachow PDF (ZIB-Report)
BibTeX
DOI
Image-based Analysis of in vivo Knee Dynamics
Towards novel osteoarthritis biomarkers: Multi-criteria evaluation of 46,996 segmented knee MRI data from the Osteoarthritis Initiative PLOS One, 16(10), 2021 Alexander Tack, Felix Ambellan, Stefan Zachow BibTeX
DOI
Image-based Analysis of in vivo Knee Dynamics
Towards novel osteoarthritis biomarkers: Multi-criteria evaluation of 46,996 segmented knee MRI data from the Osteoarthritis Initiative (Supplementary Material) PLOS One, 16(10), 2021 Alexander Tack, Felix Ambellan, Stefan Zachow BibTeX
DOI
Image-based Analysis of in vivo Knee Dynamics
2019
T1 and T2* mapping of the human quadriceps and patellar tendons using ultra-short echo-time (UTE) imaging and bivariate relaxation parameter-based volumetric visualization Magnetic Resonance Imaging, 63(11), pp. 29-36, 2019 Martin Krämer, Marta Maggioni, Nicholas Brisson, Stefan Zachow, Ulf Teichgräber, Georg Duda, Jürgen Reichenbach BibTeX
DOI
Image-based Analysis of in vivo Knee Dynamics
2018
Ultra-short echo-time (UTE) imaging of the knee with curved surface reconstruction-based extraction of the patellar tendon ISMRM (International Society for Magnetic Resonance in Medicine), 26th Annual Meeting 2018, Paris, France, 2018 Martin Krämer, Marta Maggioni, Christoph von Tycowicz, Nick Brisson, Stefan Zachow, Georg Duda, Jürgen Reichenbach BibTeX
Image-based Analysis of in vivo Knee Dynamics