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The Application of Advanced Bone Imaging Technologies in Sports Medicine.

作者信息

Tadros Samuel S, Epsley Scott, Mehta Sameer, Jones Brandon C, Rajapakse Hiran I, Madi Rashad, Alecxih Austin, Kargilis Daniel, Rajapakse Chamith S

机构信息

University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Sports Medicine Athlete Rehabilitation & Training, LLC, Washington, DC, USA.

出版信息

Radiol Res Pract. 2023 Dec 4;2023:7412540. doi: 10.1155/2023/7412540. eCollection 2023.


DOI:10.1155/2023/7412540
PMID:38090470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10713252/
Abstract

Until recently, the evaluation of bone health and fracture risk through imaging has been limited to dual-energy X-ray absorptiometry (DXA) and plain radiographs, with a limited application in the athletic population. Several novel imaging technologies are now available for the clinical assessment of bone health, including bone injury risk and healing progression, with a potential for use in sports medicine. Among these imaging modalities is high-resolution peripheral quantitative computed tomography (HR-pQCT) which is a promising technology that has been developed to examine the bone microarchitecture in both cortical and trabecular bone at peripheral anatomical sites. Technologies that do not expose patients to ionizing radiation are optimal, particularly for athletes who may require frequent imaging. One such alternative is diagnostic ultrasound, which is preferable due to its low cost and lack of radiation exposure. Furthermore, ultrasound, which has not been a common imaging modality for monitoring fracture healing, has been shown to potentially demonstrate earlier signs of union compared to conventional radiographs, including callus mineralization and density at the healing site. Through the use of conventional magnetic resonance imaging (MRI), finite element analysis (FEA) can be used to simulate the structural and mechanical properties of bone. On the other hand, the ultrashort echo time (UTE) MRI can evaluate cortical bone quality by detecting water bound to the organic bone matrix and free water, providing important information about bone porosity. Several novel bone imaging techniques originally developed for osteoporosis assessment have great potential to be utilized to improve the standard of care in bone fracture risk assessment and healing in sports medicine with much greater precision and less adverse radiation exposure.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/0c5233f966b5/RRP2023-7412540.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/a8e74d7b0b7d/RRP2023-7412540.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/290910529bb1/RRP2023-7412540.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/d8a8b9d8be60/RRP2023-7412540.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/f6a1b55ee1c4/RRP2023-7412540.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/acdf318c8e89/RRP2023-7412540.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/9e43b412fcac/RRP2023-7412540.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/c0030aa85bd9/RRP2023-7412540.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/0c5233f966b5/RRP2023-7412540.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/a8e74d7b0b7d/RRP2023-7412540.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/290910529bb1/RRP2023-7412540.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/d8a8b9d8be60/RRP2023-7412540.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/f6a1b55ee1c4/RRP2023-7412540.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/acdf318c8e89/RRP2023-7412540.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/9e43b412fcac/RRP2023-7412540.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/c0030aa85bd9/RRP2023-7412540.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec04/10713252/0c5233f966b5/RRP2023-7412540.008.jpg

相似文献

[1]
The Application of Advanced Bone Imaging Technologies in Sports Medicine.

Radiol Res Pract. 2023-12-4

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
Impaired Bone Microarchitecture at Distal Radial and Tibial Reference Locations Is Not Related to Injury Site in Athletes With Bone Stress Injury.

Am J Sports Med. 2022-10

[10]
Association of High-resolution Peripheral Quantitative Computed Tomography (HR-pQCT) bone microarchitectural parameters with previous clinical fracture in older men: The Osteoporotic Fractures in Men (MrOS) study.

Bone. 2018-5-8

本文引用的文献

[1]
Essential notes on the physics of Doppler ultrasound.

BJA Educ. 2020-4

[2]
Soft tissue variations influence HR-pQCT density measurements in a spatially dependent manner.

Bone. 2020-9

[3]
Tissue-Specific T * Biomarkers in Patellar Tendinopathy by Subregional Quantification Using 3D Ultrashort Echo Time MRI.

J Magn Reson Imaging. 2020-8

[4]
MDCT arthrography assessment of the severity of cartilage damage and scapholunate dissociation in regard to specific-component tears of the scapholunate interosseous ligament.

Eur J Radiol. 2020-2-13

[5]
MRI-based assessment of proximal femur strength compared to mechanical testing.

Bone. 2020-4

[6]
Three-dimensional finite-element analysis of aggravating medial meniscus tears on knee osteoarthritis.

J Orthop Translat. 2019-8-7

[7]
Autologous bone marrow expanded mesenchymal stem cells in patellar tendinopathy: protocol for a phase I/II, single-centre, randomized with active control PRP, double-blinded clinical trial.

J Orthop Surg Res. 2019-12-16

[8]
High-Impact Exercise Increased Femoral Neck Bone Density With No Adverse Effects on Imaging Markers of Knee Osteoarthritis in Postmenopausal Women.

J Bone Miner Res. 2020-1

[9]
Quantitative MRI UTE-T2* and T2* Show Progressive and Continued Graft Maturation Over 2 Years in Human Patients After Anterior Cruciate Ligament Reconstruction.

Orthop J Sports Med. 2019-8-13

[10]
MRI-derived bone porosity index correlates to bone composition and mechanical stiffness.

Bone Rep. 2019-6-26

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