Osteoporosis, bone & mineral

Association of proton-density fat fraction with osteoporosis: a systematic review and meta-analysis

Osteoporos IntPublished Systematic review and meta-analysis

Pooled result · Bone marrow PDFFResult — go to the resultMD 11.04 95% CI 9.17–12.92

Authors' conclusion

PDFF measurement via MRI shows potential as an osteoporosis biomarker and may serve as a risk factor for osteoporosis.

Study context

Population
Patients with bone marrow proton-density fat fraction (PDFF) measured by multi-echo chemical shift-encoded MRI; Cochrane, PubMed, EMBASE and Web of Science up to December 2023
Participants
1,495 patients14 studies
Comparison
Bone marrow PDFF in osteoporosis/osteopenia vs normal controls
Outcome
PDFF values (osteoporosis/osteopenia vs normal control)
Methodological detailstwo independent researchers, Cochrane risk of bias tool and Agency for Healthcare Research and Quality (AHRQ) checklist, subgroup analyses
  • Two independent researchers
  • Cochrane risk of bias tool and AHRQ checklist
  • Subgroup analyses

Pooled result

Bone marrow PDFF

MD

11.04

95% CI 9.17–12.92

P < 0.00001

Osteoporosis/osteopeniavs Normal control
MD 11.04 (95% CI 9.17–12.92); P < 0.00001

As reported in the abstract

Further pooled results

Subgroup analyses (diagnostic methods, gender, echo length)

Diagnostic methods, gender and echo length did not significantly impact the PDFF-osteoporosis association

Original publication

Association of proton-density fat fraction with osteoporosis: a systematic review and meta-analysis. Osteoporos Int. Published 12 August 2024. doi:10.1007/s00198-024-07220-3

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