Confocal arthroscopic assessment of osteoarthritis in situ.

PURPOSE: This study aimed to assess the ability of the laser scanning confocal arthroscope (LSCA) to evaluate cartilage microstructure, particularly in differentiating stages of human osteoarthritis (OA) as classified by the International Cartilage Repair Society (ICRS) OA grade definitions. METHODS: Ten tibial plateaus from total knee arthroplasty patients were obtained at the time of surgery. Cartilage areas were visually graded based on the ICRS classification, imaged by use of a 7-mm-diameter LSCA (488-nm excitation with 0.5% [wt/vol] fluorescein, 20-minute staining period), and then removed with underlying bone for histologic examination with H&E staining. The 2 imaging techniques were then compared for each ICRS grade to ascertain similarity between the methods and thus gauge the techniques' diagnostic resolution. Cartilage surface degeneration was readily imaged and OA severity accurately gauged by the LSCA and confirmed by histology. RESULTS: LSCA and histologic images of specimens in the late stages of OA were seen to be mutually related even though they were imaged in planes that were orthogonal to each other. Useful and comparable diagnostic resolution was obtained in all imaged specimens from subjects with various stages of OA. CONCLUSIONS: This study showed the LSCA's ability to image detailed cartilage surface morphologic features that identify grade 1 through 4 of the ICRS OA grading system. The LSCA's imaging potential was best shown by its ability to resolve the fine collagen network present under the lamina splendens. The incorporation of high-magnification confocal technology within the confines of an arthroscopic probe has proved to provide the imaging requirements necessary to perform detailed cartilage condition assessment. CLINICAL RELEVANCE: In comparison to video arthroscopy, LSCA provides increased magnification along with improved contrast and resolution.

Effects of silage additives and varieties on fermentation quality, aerobic stability, and nutritive value of oat silage.

Oat is a main feed crop in high- altitude areas of western China, but few studies have been done on its silage making. The aim of this study was to evaluate the effect of silage additives on fermentation, aerobic stability, and nutritive value of different oat varieties (OV) grown in the Qinghai-Tibet Plateau of China. Two OV (Avena sativa L. cv. Longyan No.1 (OVL1) and Avena sativa L. cv. Longyan No.3 (OVL3)) were planted in a randomized complete block design, harvested at early dough stage with 32.6% and 34.1% DM, respectively. The fresh material was chopped to 2-cm length and treated with additives (0, Sila-Mix (MIX), Sila-Max (MAX) in a 2 × 3 factorial arrangement of treatments with three replicates. Both additives contained a mixture of lactic acid bacteria and supplied a final application rate of 2.5 × 108 of lactic acid bacteria per kg of fresh forage weight. After 60 d of ensiling, the number of lactic acid bacteria in treated silages was about 10-fold greater than the control and generally resulted in a lower pH and ammonia-nitrogen (P < 0.001), greater total acids and ratios of lactic acid/acetic acid (P < 0.001), and DM recovery (P = 0.028). Treatment with additives also decreased (P < 0.001) the number of yeasts, which resulted in marked (P < 0.001) improvements in aerobic stability with the effect being greatest with MAX. Both additives improved (P ≤ 0.036) the 48-h in situ DM digestion in OVL1, but not in OVL3 (P ≥ 0.052). Treatment with both additives also increased (P ≤ 0.003) NDF digestion in OVL1 while it was improved (P < 0.001) only by MAX in OVL3. In contrast, the additives did not affect (P ≥ 0.088) in situ hemicellulose digestion in OVL1, but it was improved (P = 0.048) by MIX and further improved (P = 0.002) by MAX in OVL3. Treatment with MAX improved yields of digestible DM and digestible NDF in both varieties. Dry matter recovery was not affected (P = 0.121) by variety. Compared to CTRL, silage treated with MAX had a greater (P = 0.015) DM recovery (96.7% vs. 93.9%). Inoculation improved (P < 0.001) aerobic stability. The MAX was the most effective for both varieties, while MIX was intermediate and was more effective in OVL3 than OVL1 silage. The results also showed that in Qinghai-Tibet Plateau, compared to OVL1, OVL3 resulted in greater (P ≤ 0.002) yields of digestible nutrients; specifically, treated with MAX improved silage fermentation efficiency, DM recovery, and provided excellent aerobic stability for feeding to ruminants.

Study of the collagen structure in the superficial zone and physiological state of articular cartilage using a 3D confocal imaging technique.

INTRODUCTION: The collagen structure in the superficial zone of articular cartilage is critical to the tissue's durability. Early osteoarthritis is often characterized with fissures on the articular surface. This is closely related to the disruption of the collagen network. However, the traditional histology can not offer visualization of the collagen structure in articular cartilage because it uses conventional optical microscopy that does not have insufficient imaging resolution to resolve collagen from proteoglycans in hyaline articular cartilage. This study examines the 3D collagen network of articular cartilage scored from 0 to 2 in the scoring system of International Cartilage Repair Society, and aims to develop a 3D histology for assessing early osteoarthritis. METHODS: Articular cartilage was visually classified into five physiological groups: normal cartilage, aged cartilage, cartilage with artificial and natural surface disruption, and fibrillated. The 3D collagen matrix of the cartilage was acquired using a 3D imaging technique developed previously. Traditional histology was followed to grade the physiological status of the cartilage in the scoring system of International Cartilage Repair Society. RESULTS: Normal articular cartilage contains interwoven collagen bundles near the articular surface, approximately within the lamina splendens. However, its collagen fibres in the superficial zone orient predominantly in a direction spatially oblique to the articular surface. With age and disruption of the articular surface, the interwoven collagen bundles are gradually disappeared, and obliquely oriented collagen fibres change to align predominantly in a direction spatially perpendicular to the articular surface. Disruption of the articular surface is well related to the disappearance of the interwoven collagen bundles. CONCLUSION: A 3D histology has been developed to supplement the traditional histology and study the subtle changes in the collagen network in the superficial zone during early physiological alteration of articular cartilage. The fibre confocal imaging technology used in this study has allowed developing confocal arthroscopy for in vivo studying the chondrocytes in different depth of articular cartilage. Therefore, the current study has potential to develop an in vivo 3D histology for diagnosis of early osteoarthritis.