Measurement reproducibility of magnetic resonance imaging-based finite element analysis of proximal femur microarchitecture for in vivo assessment of bone strength

Gregory Chang1, Alexandra Hotca-Cho1, Henry Rusinek1, Stephen Honig2, Artem Mikheev1, Kenneth Egol3, Ravinder R. Regatte1, Chamith S. Rajapakse4
1Department of Radiology, Center for Biomedical Imaging, NYU Langone Medical Center, New York, USA
2Osteoporosis Center, Hospital for Joint Diseases, NYU Langone Medical Center, New York, USA
3Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, USA
4Department of Radiology, University of Pennsylvania, Philadelphia, USA

Tóm tắt

Osteoporosis is a disease of weak bone. Our goal was to determine the measurement reproducibility of magnetic resonance assessment of proximal femur strength. This study had institutional review board approval, and written informed consent was obtained from all subjects. We obtained images of proximal femur microarchitecture by scanning 12 subjects three times within 1 week at 3T using a high-resolution 3-D FLASH sequence. We applied finite element analysis to compute proximal femur stiffness and femoral neck elastic modulus. Within-day and between-day root-mean-square coefficients of variation and intraclass correlation coefficients ranged from 3.5 to 6.6 % and 0.96 to 0.98, respectively. The measurement reproducibility of magnetic resonance assessment of proximal femur strength is suitable for clinical studies of disease progression or treatment response related to osteoporosis bone-strengthening interventions.

Tài liệu tham khảo

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