Osteoporosis, bone & mineral

Ultrashort echo time MRI detects significantly lower collagen but higher pore water in the tibial cortex of female patients with osteopenia and osteoporosis

J Bone Miner ResPublished Cross-sectional study

Authors' conclusion

MMF, BWPD, and MMPD were significantly lower in OPo patients than in the young group, whereas T1, TWPD, and PWPD were significantly higher in OPo patients.

Study context

Population
Female patients with osteopenia or osteoporosis (postmenopausal, >55 yr) and young female participants; tibial shaft UTE-MRI
Participants
14 / 31 / 31
Exposure
Osteopenia (OPe) vs OPo vs Young
  • OPen = 14
  • OPon = 31
  • Youngn = 31reference
Outcome
Water and collagen contents (T1, MMF, TWPD, BWPD, PWPD, MMPD) in tibial cortical bone
Methodological detailsclinical 3T scanner, knee coil
  • Clinical 3T scanner
  • Knee coil

Main finding

As reported in the abstract

UTE-MRI biomarkers of tibial cortex
OPo vs Young · lower with OPo
average percentage difference in MMF 41.9 %
OPo vs Young
average percentage difference in PWPD 103.5 %
OPo vs Young · lower with OPo
average percentage difference in MMPD 64.0 %
OPe vs Young · significantly higher with OPe
average difference in PWPD 50.7 %
OPe vs Young · significantly lower with OPe
average difference in BWPD 16.4 %
OPo vs OPe · significantly lower with OPo
difference in MMF 27 %

Observational data: associations, not effects.

Further findings

Spearman correlation of TH DXA T-score with UTE-MRI results (OPe and OPo only)

Correlation of DXA T-score with PWPD
R = 0.55
Correlation of DXA T-score with MMF
R = 0.56
T1, MMF, TWPD, PWPD and MMPD significantly correlated with TH DXA T-scores
  • T-scores provided by the patients

Original publication

Ultrashort echo time MRI detects significantly lower collagen but higher pore water in the tibial cortex of female patients with osteopenia and osteoporosis. J Bone Miner Res. Published 9 April 2024. doi:10.1093/jbmr/zjae053

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