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3D histopathological grading of osteochondral tissue using contrast-enhanced micro-computed tomography.


ABSTRACT:

Objective

Histopathological grading of osteochondral (OC) tissue is widely used in osteoarthritis (OA) research, and it is relatively common in post-surgery in vitro diagnostics. However, relying on thin tissue section, this approach includes a number of limitations, such as: (1) destructiveness, (2) sample processing artefacts, (3) 2D section does not represent spatial 3D structure and composition of the tissue, and (4) the final outcome is subjective. To overcome these limitations, we recently developed a contrast-enhanced ?CT (CE?CT) imaging technique to visualize the collagenous extracellular matrix (ECM) of articular cartilage (AC). In the present study, we demonstrate that histopathological scoring of OC tissue from CE?CT is feasible. Moreover, we establish a new, semi-quantitative OA ?CT grading system for OC tissue.

Results

Pathological features were clearly visualized in AC and subchondral bone (SB) with ?CT and verified with histology, as demonstrated with image atlases. Comparison of histopathological grades (OARSI or severity (0-3)) across the characterization approaches, CE?CT and histology, excellent (0.92, 95% CI = [0.84, 0.96], n = 30) or fair (0.50, 95% CI = [0.16, 0.74], n = 27) intra-class correlations (ICC), respectively. A new ?CT grading system was successfully established which achieved an excellent cross-method (?CT vs histology) reader-to-reader intra-class correlation (0.78, 95% CI = [0.58, 0.89], n = 27).

Conclusions

We demonstrated that histopathological information relevant to OA can reliably be obtained from CE?CT images. This new grading system could be used as a reference for 3D imaging and analysis techniques intended for volumetric evaluation of OA pathology in research and clinical applications.

SUBMITTER: Nieminen HJ 

PROVIDER: S-EPMC5773475 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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3D histopathological grading of osteochondral tissue using contrast-enhanced micro-computed tomography.

Nieminen H J HJ   Gahunia H K HK   Pritzker K P H KPH   Ylitalo T T   Rieppo L L   Karhula S S SS   Lehenkari P P   Hæggström E E   Saarakkala S S  

Osteoarthritis and cartilage 20170609 10


<h4>Objective</h4>Histopathological grading of osteochondral (OC) tissue is widely used in osteoarthritis (OA) research, and it is relatively common in post-surgery in vitro diagnostics. However, relying on thin tissue section, this approach includes a number of limitations, such as: (1) destructiveness, (2) sample processing artefacts, (3) 2D section does not represent spatial 3D structure and composition of the tissue, and (4) the final outcome is subjective. To overcome these limitations, we  ...[more]

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