Cationic agent contrast-enhanced computed tomography imaging of cartilage correlates with the compressive modulus and coefficient of friction

SummaryObjectiveThe aim of this study is to evaluate whether contrast-enhanced computed tomography (CECT) attenuation, using a cationic contrast agent (CA4+), correlates with the equilibrium compressive modulus (E) and coefficient of friction (μ) of ex vivo bovine articular cartilage.MethodsCorrelations between CECT attenuation and E (Group 1, n = 12) and μ (Group 2, n = 10) were determined using 7 mm diameter bovine osteochondral plugs from the stifle joints of six freshly slaughtered, skeletally mature cows. The equilibrium compressive modulus was measured using a four-step, unconfined, compressive stress-relaxation test, and the coefficients of friction were determined from a torsional friction test. Following mechanical testing, samples were immersed in CA4+, imaged using μCT, rinsed, and analyzed for glycosaminoglycan (GAG) content using the 1,9-dimethylmethylene blue (DMMB) assay.ResultsThe CECT attenuation was positively correlated with the GAG content of bovine cartilage (R2 = 0.87, P < 0.0001 for Group 1 and R2 = 0.74, P = 0.001 for Group 2). Strong and significant positive correlations were observed between E and GAG content (R2 = 0.90, P < 0.0001) as well as CECT attenuation and E (R2 = 0.90, P < 0.0001). The CECT attenuation was negatively correlated with the three coefficients of friction: CECT vs μstatic (R2 = 0.71, P = 0.002), CECT vs μstatic_equilibrium (R2 = 0.79, P < 0.001), and CECT vs μkinetic (R2 = 0.69, P = 0.003).ConclusionsCECT with CA4+ is a useful tool for determining the mechanical properties of ex vivo cartilage tissue as the attenuation significantly correlates with the compressive modulus and coefficient of friction