Characterization of trabecular bone density with ultra‐short echo‐time MRI at 1.5, 3.0 and 7.0 T – comparison with micro‐computed tomography

The goal of this study was to test the potential of ultra‐short echo‐time (UTE) MRI at 1.5, 3.0 and 7.0 T for depiction of trabecular bone structure (of the wrist bones), to evaluate whether T2* relaxation times of bone water and parametric maps of T2* of trabecular bone could be obtained at all three field strengths, and to compare the T2* relaxation times with structural parameters obtained from micro‐computed tomography (micro‐CT) as a reference standard. Ex vivo carpal bones of six wrists were excised en bloc and underwent MRI at 1.5, 3.0 and 7.0 T in a whole‐body MR imager using the head coil. A three‐dimensional radial fat‐suppressed UTE sequence was applied with subsequent acquisitions, with six different echo times TE of 150, 300, 600, 1200, 3500 and 7000 µs. The T2* relaxation time and pixel‐wise computed T2* parametric maps were compared with a micro‐computed‐tomography reference standard providing trabecular bone structural parameters including porosity (defined as the bone‐free fraction within a region of interest), trabecular thickness, trabecular separation, trabecular number and fractal dimension (Dk). T2* relaxation curves and parametric maps could be computed from datasets acquired at all field strengths. Mean T2* relaxation times of trabecular bone were 4580 ± 1040 µs at 1.5 T, 2420 ± 560 µs at 3.0 T and 1220 ± 300 µs at 7.0 T, when averaged over all carpal bones. A positive correlation of T2* with trabecular bone porosity and trabecular separation, and a negative correlation of T2* relaxation time with trabecular thickness, trabecular number and fractal dimension, was detected (p < 0.01 for all field strengths and micro‐CT parameters). We conclude that UTE MRI may be useful to characterize the structure of trabecular bone, comparable to micro‐CT. Copyright © 2014 John Wiley & Sons, Ltd.

[1]  J. Love,et al.  Quantifying cortical bone water in vivo by three‐dimensional ultra‐short echo‐time MRI , 2011, NMR in biomedicine.

[2]  H. Forsblad-d’Elia,et al.  Bone mineral density by digital X-ray radiogrammetry is strongly decreased and associated with joint destruction in long-standing Rheumatoid Arthritis: a cross-sectional study , 2011, BMC musculoskeletal disorders.

[3]  L. Kuller,et al.  Bone Mineral Density and Blood Flow to the Lower Extremities: The Study of Osteoporotic Fractures , 1997, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[4]  W. Thiel [Supplement to the conservation of an entire cadaver according to W. Thiel]. , 2002, Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft.

[5]  Koichi Masuda,et al.  Quantitative ultrashort echo time (UTE) MRI of human cortical bone: Correlation with porosity and biomechanical properties , 2012, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[6]  H. Kikkawa,et al.  Analysis of Change Patterns of Microcomputed Tomography 3-Dimensional Bone Parameters as a High-Throughput Tool to Evaluate Antiosteoporotic Effects of Agents at an Early Stage of Ovariectomy-Induced Osteoporosis in Mice , 2006, Investigative radiology.

[7]  I. Hvid,et al.  Changes in the three-dimensional microstructure of human tibial cancellous bone in early osteoarthritis. , 2003, The Journal of bone and joint surgery. British volume.

[8]  F. Wehrli,et al.  Trabecular structure: preliminary application of MR interferometry. , 1991, Radiology.

[9]  F. Schick,et al.  Three-Dimensional Ultrashort Echo Time Imaging of Solid Polymers on a 3-Tesla Whole-Body MRI Scanner , 2008, Investigative radiology.

[10]  J. Barrio,et al.  Evaluation of the skeletal kinetics of fluorine-18-fluoride ion with PET. , 1992, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[11]  W. Heindel,et al.  Does the Trabecular Bone Structure Depicted by High-Resolution MRI of the Calcaneus Reflect the True Bone Structure? , 2001, Investigative radiology.

[12]  Werner Schmoelz,et al.  Effects of three different preservation methods on the mechanical properties of human and bovine cortical bone. , 2010, Bone.

[13]  W. Thiel,et al.  Die Konservierung ganzer Leichen in natürlichen Farben , 1992 .

[14]  J. Kirwan,et al.  Reduced loss of hand bone density with prednisolone in early rheumatoid arthritis: results from a randomized placebo-controlled trial. , 2005, Archives of internal medicine.

[15]  A. Wright,et al.  Quantitative MRI for the assessment of bone structure and function , 2006, NMR in biomedicine.

[16]  Sharmila Majumdar,et al.  Trabecular bone structure of the calcaneus: comparison of MR imaging at 3.0 and 1.5 T with micro-CT as the standard of reference. , 2006, Radiology.

[17]  Umberto Sabatini,et al.  Potential diagnostic role of the MRI-derived internal magnetic field gradient in calcaneus cancellous bone for evaluating postmenopausal osteoporosis at 3T. , 2013, Bone.

[18]  S. Majumdar,et al.  Ultrashort echo time MRI of cortical bone at 7 tesla field strength: A feasibility study , 2011, Journal of magnetic resonance imaging : JMRI.

[19]  W Thiel,et al.  [The preservation of the whole corpse with natural color]. , 1992, Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft.

[20]  S. Khosla,et al.  Remodeling and Vascular Spaces in Bone , 2006, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[21]  Laurence Vico,et al.  High-Resolution Three-Dimensional Micro-Computed Tomography Detects Bone Loss and Changes in Trabecular Architecture Early: Comparison with DEXA and Bone Histomorphometry in a Rat Model of Disuse Osteoporosis , 2002, Investigative radiology.

[22]  Mark Bydder,et al.  Magnetic Resonance: An Introduction to Ultrashort TE (UTE) Imaging , 2003, Journal of computer assisted tomography.

[23]  F. Schick,et al.  Rapid Assessment of Longitudinal Relaxation Time in Materials and Tissues With Extremely Fast Signal Decay Using UTE Sequences and the Variable Flip Angle Method , 2011, Investigative radiology.

[24]  Carlos Arregui-Dalmases,et al.  Fractal dimension and mechanical properties of human cortical bone. , 2013, Medical engineering & physics.

[25]  G. Bydder,et al.  Ultrashort echo time spectroscopic imaging (UTESI): an efficient method for quantifying bound and free water , 2012, NMR in biomedicine.

[26]  Hans-Joachim Wilke,et al.  THIEL-FIXATION PRESERVES THE NON-LINEAR LOAD-DEFORMATION CHARACTERISTIC OF SPINAL MOTION SEGMENTS, BUT INCREASES THEIR FLEXIBILITY , 2012 .

[27]  P. Delmas,et al.  Alterations of Cortical and Trabecular Architecture Are Associated With Fractures in Postmenopausal Women, Partially Independent of Decreased BMD Measured by DXA: The OFELY Study , 2007, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[28]  S. Majumdar,et al.  Assessment of trabecular bone structure comparing magnetic resonance imaging at 3 Tesla with high-resolution peripheral quantitative computed tomography ex vivo and in vivo , 2008, Osteoporosis International.

[29]  S. Capuani Water diffusion in cancellous bone , 2013 .

[30]  S. Majumdar,et al.  Magnetic resonance imaging of trabecular bone structure in the distal radius: Relationship with X-ray tomographic microscopy and biomechanics , 2005, Osteoporosis International.

[31]  Unger Stefan,et al.  Effects of three different preservation methods on the mechanical properties of human and bovine cortical bone. , 2010 .

[32]  M. Corbett,et al.  Incidence of joint involvement in early rheumatoid arthritis. , 1976, Rheumatology and rehabilitation.

[33]  W. Thiel,et al.  Ergänzung für die Konservierung ganzer Leichen nach W. Thiel , 2002 .

[34]  M. Liang,et al.  The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. , 1988, Arthritis and rheumatism.

[35]  M. Corbett,et al.  Early rheumatoid disease. II. Patterns of joint involvement. , 1976, Annals of the rheumatic diseases.

[36]  R. Recker,et al.  Trabecular bone histomorphometry in humans with Type 1 Diabetes Mellitus. , 2012, Bone.

[37]  D. Yeung,et al.  Reduced bone perfusion in proximal femur of subjects with decreased bone mineral density preferentially affects the femoral neck. , 2009, Bone.

[38]  P. V. van Riel,et al.  Low-Dose Prednisone Induces Rapid Reversible Axial Bone Loss in Patients with Rheumatoid Arthritis , 1993, Annals of Internal Medicine.

[39]  Mary B Leonard,et al.  Cortical bone water: in vivo quantification with ultrashort echo-time MR imaging. , 2008, Radiology.

[40]  Mary Corbett,et al.  Early rheumatoid disease , 1976 .

[41]  Koichi Masuda,et al.  Ultrashort echo time (UTE) imaging with bi-component analysis: bound and free water evaluation of bovine cortical bone subject to sequential drying. , 2012, Bone.

[42]  S. Majumdar,et al.  Fractal geometry and vertebral compression fractures , 1994, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[43]  Ian McCarthy,et al.  The physiology of bone blood flow: a review. , 2006, The Journal of bone and joint surgery. American volume.

[44]  B. Auvinet,et al.  Fractal dimension of trabecular bone: comparison of three histomorphometric computed techniques for measuring the architectural two‐dimensional complexity , 2001, The Journal of pathology.

[45]  D Matthaei,et al.  1H NMR chemical shift selective (CHESS) imaging. , 1985, Physics in medicine and biology.

[46]  A. Ladd,et al.  Trapezium trabecular morphology in carpometacarpal arthritis. , 2013, The Journal of hand surgery.

[47]  Felix W Wehrli,et al.  In vivo MRI of submillisecond T2 species with two‐dimensional and three‐dimensional radial sequences and applications to the measurement of cortical bone water , 2008, NMR in biomedicine.

[48]  Nicolas Vilayphiou,et al.  Assessment of hand bone loss in rheumatoid arthritis by high-resolution peripheral quantitative CT , 2010, Annals of the rheumatic diseases.

[49]  R. Wootton,et al.  Skeletal blood flow, iliac histomorphometry, and strontium kinetics in osteoporosis: a relationship between blood flow and corrected apposition rate. , 1988, The Journal of clinical endocrinology and metabolism.

[50]  S. Majumdar,et al.  Proximal femur: assessment for osteoporosis with T2* decay characteristics at MR imaging. , 1998, Radiology.

[51]  P. S. Ganney,et al.  A comparison of porosity, fabric and fractal dimension as predictors of the Young's modulus of equine cancellous bone. , 1998, Medical engineering & physics.

[52]  S. Majumdar,et al.  In Vivo Determination of Bone Structure in Postmenopausal Women: A Comparison of HR‐pQCT and High‐Field MR Imaging , 2007, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[53]  J Brabyn,et al.  Longitudinal study of hand bone densitometry in rheumatoid arthritis. , 1995, Arthritis and rheumatism.

[54]  F Fasano,et al.  In vitro and in vivo MR evaluation of internal gradient to assess trabecular bone density , 2010, Physics in medicine and biology.

[55]  M. Drezner,et al.  Bone histomorphometry: Standardization of nomenclature, symbols, and units: Report of the asbmr histomorphometry nomenclature committee , 1987, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[56]  F. Wehrli,et al.  Quantitative Magnetic Resonance Imaging in the Calcaneus and Femur of Women With Varying Degrees of Osteopenia and Vertebral Deformity Status , 2002, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.