Wang Jianzhi, Wang Lei, Song Yueming
Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Mar 15;39(3):370-374. doi: 10.7507/1002-1892.202410072.
To summarize the advances in MRI-based bone quality scoring systems and their clinical applications.
A comprehensive literature review was conducted on recent studies related to the MRI-based bone quality scoring system, focusing on measurement methods, influencing factors, and clinical significance.
Osteoporosis has a high incidence in China, significantly impacting patients' quality of life and the postoperative outcomes of related orthopedic surgeries. Early identification of osteoporosis holds important clinical significance. In recent years, both domestic and international research has enriched the MRI-based bone quality scoring systems, which includes vertebral bone quality scoring, endplate bone quality scoring, and pedicle bone quality scoring. Compared to the "gold standard" of bone density measurement, dual-energy X-ray absorptiometry, the bone quality scoring systems demonstrate good efficacy in identifying abnormal bone mass and predicting postoperative complications, while being less influenced by degenerative changes in the lumbar spine, indicating its important clinical application value.
The MRI-based bone quality scoring systems have good value in clinical applications. However, current studies are mostly retrospective cohort and case-control studies, which carry a risk of bias. The clinical application value needs further clarification through meta-analysis and large-scale prospective studies.
总结基于磁共振成像（MRI）的骨质量评分系统及其临床应用进展。
对近期有关基于MRI的骨质量评分系统的研究进行全面文献综述，重点关注测量方法、影响因素及临床意义。
骨质疏松症在中国发病率较高，对患者生活质量及相关骨科手术术后结果有显著影响。早期识别骨质疏松症具有重要临床意义。近年来，国内外研究丰富了基于MRI的骨质量评分系统，包括椎体骨质量评分、终板骨质量评分和椎弓根骨质量评分。与骨密度测量的“金标准”双能X线吸收法相比，骨质量评分系统在识别骨量异常和预测术后并发症方面显示出良好效果，且受腰椎退变影响较小，表明其具有重要临床应用价值。
基于MRI的骨质量评分系统在临床应用中有良好价值。然而，目前研究多为回顾性队列研究和病例对照研究，存在偏倚风险。需通过荟萃分析和大规模前瞻性研究进一步明确其临床应用价值。
