Osteoporosis, bone & mineral

MRI-based vertebral bone quality score: relationship with age and reproducibility

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

Extrinsic factors, including MRI technical factors and age, can impact the VBQ(L1-4) score and must be considered when using this tool to estimate bone mineral density (BMD). VBQ(L1-4) score was positively correlated with age. Reproducibility of the VBQ(L1-4) score across serial MRI is excellent especially when controlling for technical factors, supporting use of the VBQ score in estimating BMD. The VBQ(L1) score was a reliable alternative to the VBQ(L1-4) score.

Study context

Population
Patients aged 20–69 with two T1-weighted lumbar MRI within 3 months of each other, January 2011–December 202153.7% female
Participants
136 patients
Outcome
Correlation of VBQ(L1-4) score with age and reproducibility across serial MRI
Follow-up
Within 3 months

Main finding

As reported in the abstract

VBQ(L1-4) score: correlation with age and reproducibility

Reproducibility in serial MRI (coefficient of variation (CV))

0.169

Observational data: associations, not effects.

Further findings

Agreement of vertebral bone quality (VBQ)(L1) and VBQ(L1-4)

Excellent agreement (ICC)
> 0.9

Extrinsic factors affecting VBQ score

Patient age, MRI relaxation time and specific MRI machine affected the VBQ score

Original publication

MRI-based vertebral bone quality score: relationship with age and reproducibility. Osteoporos Int. Published 29 August 2023. doi:10.1007/s00198-023-06893-6

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