Hong Abigail L, Ispiryan Mikayel, Padalkar Mugdha V, Jones Brandon C, Batzdorf Alexandra S, Shetye Snehal S, Pleshko Nancy, Rajapakse Chamith S
Department of Radiology, University of Pennsylvania, United States of America.
Department of Bioengineering, Temple University, United States of America.
Bone Rep. 2019 Jun 26;11:100213. doi: 10.1016/j.bonr.2019.100213. eCollection 2019 Dec.
The MRI-derived porosity index (PI) is a non-invasively obtained biomarker based on an ultrashort echo time sequence that images both bound and pore water protons in bone, corresponding to water bound to organic collagenous matrix and freely moving water, respectively. This measure is known to strongly correlate with the actual volumetric cortical bone porosity. However, it is unknown whether PI may also be able to directly quantify bone organic composition and/or mechanical properties. We investigated this in human cadaveric tibiae by comparing PI values to near infrared spectral imaging (NIRSI) compositional data and mechanical compression data. Data were obtained from a cohort of eighteen tibiae from male and female donors with a mean ± SD age of 70 ± 21 years. Biomechanical stiffness in compression and NIRSI-derived collagen and bound water content all had significant inverse correlations with PI ( = -0.79, -0.73, and -0.95 and = 0.002, 0.007, and <0.001, respectively). The MRI-derived bone PI alone was a moderate predictor of bone stiffness ( = 0.63, = 0.002), and multivariate analyses showed that neither cortical bone cross-sectional area nor NIRSI values improved bone stiffness prediction compared to PI alone. However, NIRSI-obtained collagen and water data together were a moderate predictor of bone stiffness (R = 0.52, = 0.04). Our data validates the MRI-derived porosity index as a strong predictor of organic composition of bone and a moderate predictor of bone stiffness, and also provides preliminary evidence that NIRSI measures may be useful in future pre-clinical studies on bone pathology.
磁共振成像衍生的孔隙率指数(PI)是一种基于超短回波时间序列无创获得的生物标志物,该序列可对骨骼中的结合水和孔隙水质子进行成像,分别对应与有机胶原基质结合的水和自由移动的水。已知该指标与实际的皮质骨体积孔隙率密切相关。然而,尚不清楚PI是否也能够直接量化骨有机成分和/或力学性能。我们通过将PI值与近红外光谱成像(NIRSI)成分数据和机械压缩数据进行比较,在人类尸体胫骨中对此进行了研究。数据来自一组18根胫骨,捐赠者包括男性和女性,平均年龄±标准差为70±21岁。压缩时的生物力学刚度以及NIRSI衍生的胶原蛋白和结合水含量均与PI呈显著负相关(分别为r = -0.79、-0.73和-0.95,P = 0.002、0.007和<0.001)。仅磁共振成像衍生的骨PI是骨刚度的中度预测指标(r = 0.63,P = 0.002),多变量分析表明,与单独使用PI相比,皮质骨横截面积和NIRSI值均未改善骨刚度预测。然而,NIRSI获得的胶原蛋白和水数据共同是骨刚度的中度预测指标(R = 0.52,P = 0.04)。我们的数据验证了磁共振成像衍生的孔隙率指数是骨有机成分的强预测指标和骨刚度的中度预测指标,并且还提供了初步证据表明NIRSI测量可能在未来的骨病理学临床前研究中有用。
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