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骨质疏松和骨关节炎股骨松质骨的微观结构差异:体外磁共振微观成像研究。

Microstructural differences between osteoporotic and osteoarthritic femoral cancellous bone: an in vitro magnetic resonance micro-imaging investigation.

机构信息

Physics Department, CNR-IPCF UOS Roma Sapienza, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy,

出版信息

Aging Clin Exp Res. 2013 Oct;25 Suppl 1:S51-4. doi: 10.1007/s40520-013-0095-9. Epub 2013 Sep 18.

Abstract

Recently has been highlighted that topological properties of trabecular microstructure and microarchitectural deterioration of bone tissue are important factors in determining bone strength and its resistance to fracture. Magnetic resonance (MR) techniques allow investigation of both trabecular networks and bone marrow providing precious information on the physiological and functional changes associated with osteoporosis. The aim of the present work was to show the ability of MR micro-imaging investigation to describe cancellous bone status as related to its trabecular bone density and quality. For this purpose we measured in vitro, at high magnetic field (9.4T), the MR parameter [Formula: see text] of cancellous bone samples extracted from femoral head of osteoporotic and osteoarthritic women as classified by dual energy X ray absorptiometry bone mineral density. We assessed T₂(APP) associations with T-scores, Harris Hip score and age. Results show that T₂(APP) is able to discriminate between osteoarthritic and osteoporotic bone samples. Moreover, the micro-imaging T₂(APP) investigation has highlighted a different trabecular bone density in cancellous bone specimens of osteoarthritic patients only, which is higher in subchondral compared to metaphysis section of each sample.

摘要

最近有研究强调,骨小梁微观结构的拓扑性质和骨组织的微观结构恶化是决定骨强度及其抗骨折能力的重要因素。磁共振(MR)技术可以同时研究骨小梁网络和骨髓,为与骨质疏松症相关的生理和功能变化提供宝贵信息。本工作旨在展示 MR 微观成像研究描述松质骨状态的能力,因为其与骨小梁密度和质量有关。为此,我们在高磁场(9.4T)下对从骨质疏松和骨关节炎女性的股骨头中提取的松质骨样本进行了体外测量,这些样本的骨矿物质密度是通过双能 X 射线吸收法分类的。我们评估了 T₂(APP)与 T 评分、Harris 髋关节评分和年龄的相关性。结果表明,T₂(APP)能够区分骨关节炎和骨质疏松症的骨样本。此外,微观成像 T₂(APP)研究突出了骨关节炎患者的松质骨标本中存在不同的骨小梁密度,在每个样本的软骨下部分比骺部分更高。

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