We propose a technical feasibility study seeking to develop methods for quantitative kinematic pro?ling of moving joints using magnetic resonance imaging (MRI). In the context of this study, a kinematic pro?le is de?ned as a collection of joint characteristics computed and tracked during the course of movement. This project is motivated by the hypothesis that such pro?ling of moving joints can highlight dysfunction, treatment progress, and point towards favorable (or unfavorable) surgical interventions. At a high level, it is envisioned that the proposed kinematic pro?les could ?t into clinical management work?ows much in the same way as blood biomarker panels. While kinematic imaging of joints can be performed using plain-?lm (PF) X-ray, computed tomography (CT), and ultrasound (US) methods, MRI is the gold-standard for advanced orthopedic assessment and is an appealing option for accessory kinematic analysis. A set of relatively fast kinematic pro?ling acquisitions could feasibly be added to routine orthopedic MRI exams, thereby providing optimal diagnostic imaging in both static and kinematic contexts within a single visit. Though several preliminary studies have hinted at the potential diagnostic value of kinematic imaging data, such data is dif?cult to interpret and cannot easily be quanti?ed or captured in clinical records. In this study, we seek to establish fundamental methods that can provide simple and easily digestible kinematic imaging reports with data acquired in a short scan interval using conventional clinical MRI equipment. As a preliminary feasibility investigation of these methods, kinematic imaging of the wrist will be studied. Dysfunction of the scaphoid and lunate bones in the wrist is a well-studied kinematic problem of diagnostic signi?cance. Novel 4D zero-echo-time MRI of the wrist will be used to capture the kinematic imaging using for pro?ling of the scaphoid-lunate mechanics during two established wrist movement patterns. The goal of this project is to establish and demonstrate methodological components required for MRI kinematic pro?ling. Data collection on a modest-sized cohort of 100 healthy control subjects is proposed for this purpose. Novel MRI pulse-sequence and post-processing development components are introduced and tasked for analysis of this normative data. Using the acquired MRI data, kinematic parameters for each dynamic dataset will be extracted and curated into a multi-parametric pro?le for each subject.
Aim 2 of the study proposes the use of external sensor motion capture methods to validate the MRI-based kinematic parameter measurements on 50% of the study cohort. Finally, Aim 3 of the study seeks to use machine-learning clustering approaches to develop a kinematic pro?le normalization procedure using the acquired control dataset. Such normalization is a crucial milestone in the translation of kinematic pro?ling to the clinic and will establish a baseline for future translational studies of symptomatic cohorts.

Public Health Relevance

We seek to develop and demonstrate fundamental methods in quantitative kinematic pro?ling using clinical diagnostic imaging equipment. This technical development project is constructed under the hypothesis that such pro?ling of moving joints can highlight dysfunction, treatment progress, and point towards favorable (or unfavorable) surgical interventions. Using currently available advanced magnetic resonance imaging technology, data collected from a controlled subject cohort will be used to develop and test the proposed kinematic pro?ling technology on the moving wrist.

National Institute of Health (NIH)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Exploratory/Developmental Grants (R21)
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Imaging Technology Development Study Section (ITD)
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Zheng, Xincheng
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Medical College of Wisconsin
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