超短回波时间(UTE)MRI 孔隙率指数(PI)和抑制比(SR)与皮质骨微观结构和力学性能相关:离体研究。

Ultrashort Echo Time (UTE) MRI porosity index (PI) and suppression ratio (SR) correlate with the cortical bone microstructural and mechanical properties: Ex vivo study.

机构信息

Department of Radiology, University of California, San Diego, La Jolla, CA, USA; Radiology Service, Veterans Affairs San Diego Healthcare System, San Diego, La Jolla, CA, USA; Department of Orthopedic Surgery, University of California, San Diego, La Jolla, CA, USA.

Department of Radiology, University of California, San Diego, La Jolla, CA, USA; Radiology Service, Veterans Affairs San Diego Healthcare System, San Diego, La Jolla, CA, USA.

出版信息

Bone. 2023 Apr;169:116676. doi: 10.1016/j.bone.2023.116676. Epub 2023 Jan 16.

Abstract

Ultrashort echo time (UTE) MRI can image and consequently enable quantitative assessment of cortical bone. UTE-MRI-based evaluation of bone is largely underutilized due to the high cost and time demands of MRI in general. The signal ratio in dual-echo UTE imaging, known as porosity index (PI), as well as the signal ratio between UTE and inversion recovery UTE (IR-UTE) imaging, known as the suppression ratio (SR), are two rapid UTE-based bone evaluation techniques (∼ 5 mins scan time each), which can potentially reduce the time demand and cost in future clinical studies. This study aimed to investigate the correlations of PI and SR measures with cortical bone microstructural and mechanical properties. Cortical bone strips (n = 135) from tibial and femoral midshafts of 37 donors (61 ± 24 years old) were scanned using a dual-echo 3D Cones UTE sequence and a 3D Cones IR-UTE sequence for PI and SR calculations, respectively. Average bone mineral density, porosity, and pore size were measured using microcomputed tomography (μCT). Bone mechanical properties were measured using 4-point bending tests. The μCT measures showed significant correlations with PI (moderate to strong, R = 0.68-0.71) and SR (moderate, R = 0.58-0.68). Young's modulus, yield stress, and ultimate stress demonstrated significant moderate correlations with PI and SR (R = 0.52-0.62) while significant strong correlations with μCT measures (R > 0.7). PI and SR can potentially serve as fast and noninvasive (non-ionizing radiation) biomarkers for evaluating cortical bone in various bone diseases.

摘要

超短回波时间 (UTE) MRI 可用于成像,并可对皮质骨进行定量评估。由于 MRI 的成本和时间要求较高,因此基于 UTE-MRI 的骨评估在很大程度上未得到充分利用。双回波 UTE 成像中的信号比,即孔隙率指数 (PI),以及 UTE 与反转恢复 UTE (IR-UTE) 成像之间的信号比,即抑制比 (SR),是两种快速的基于 UTE 的骨评估技术(每个扫描时间约 5 分钟),这两种技术有可能减少未来临床研究中的时间和成本需求。本研究旨在探讨 PI 和 SR 测量值与皮质骨微观结构和力学性能的相关性。使用双回波 3D 圆锥 UTE 序列和 3D 圆锥 IR-UTE 序列分别对 37 名供体(61±24 岁)胫骨和股骨中段的皮质骨条进行扫描,以计算 PI 和 SR。使用微计算机断层扫描 (μCT) 测量平均骨矿物质密度、孔隙率和孔径。使用四点弯曲试验测量骨力学性能。μCT 测量值与 PI(中等至强,R=0.68-0.71)和 SR(中等,R=0.58-0.68)呈显著相关。杨氏模量、屈服应力和极限应力与 PI 和 SR 呈显著中度相关(R=0.52-0.62),与 μCT 测量值呈显著强相关(R>0.7)。PI 和 SR 可能是评估各种骨病皮质骨的快速、非侵入性(非电离辐射)生物标志物。

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