Use of dual-energy computed tomography to measure skeletal-wide marrow composition and cancellous bone mineral density

Temporal and spatial variations in bone marrow adipose tissue (MAT) can be indicative of several pathologies and confound current methods of assessing immediate changes in bone mineral remodeling. We present a novel dual-energy computed tomography (DECT) method to monitor MAT and marrow-corrected vo...

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Veröffentlicht in:Journal of bone and mineral metabolism 2017-07, Vol.35 (4), p.428-436
Hauptverfasser: Arentsen, Luke, Hansen, Karen E., Yagi, Masashi, Takahashi, Yutaka, Shanley, Ryan, McArthur, Angela, Bolan, Patrick, Magome, Taiki, Yee, Douglas, Froelich, Jerry, Hui, Susanta K.
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container_end_page 436
container_issue 4
container_start_page 428
container_title Journal of bone and mineral metabolism
container_volume 35
creator Arentsen, Luke
Hansen, Karen E.
Yagi, Masashi
Takahashi, Yutaka
Shanley, Ryan
McArthur, Angela
Bolan, Patrick
Magome, Taiki
Yee, Douglas
Froelich, Jerry
Hui, Susanta K.
description Temporal and spatial variations in bone marrow adipose tissue (MAT) can be indicative of several pathologies and confound current methods of assessing immediate changes in bone mineral remodeling. We present a novel dual-energy computed tomography (DECT) method to monitor MAT and marrow-corrected volumetric BMD (mcvBMD) throughout the body. Twenty-three cancellous skeletal sites in 20 adult female cadavers aged 40–80 years old were measured using DECT (80 and 140 kVp). vBMD was simultaneous recorded using QCT. MAT was further sampled using MRI. Thirteen lumbar vertebrae were then excised from the MRI-imaged donors and examined by microCT. After MAT correction throughout the skeleton, significant differences ( p  
doi_str_mv 10.1007/s00774-016-0796-1
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We present a novel dual-energy computed tomography (DECT) method to monitor MAT and marrow-corrected volumetric BMD (mcvBMD) throughout the body. Twenty-three cancellous skeletal sites in 20 adult female cadavers aged 40–80 years old were measured using DECT (80 and 140 kVp). vBMD was simultaneous recorded using QCT. MAT was further sampled using MRI. Thirteen lumbar vertebrae were then excised from the MRI-imaged donors and examined by microCT. After MAT correction throughout the skeleton, significant differences ( p  &lt; 0.05) were found between QCT-derived vBMD and DECT-derived mcvBMD results. McvBMD was highly heterogeneous with a maximum at the posterior skull and minimum in the proximal humerus (574 and 0.7 mg/cc, respectively). BV/TV and BMC have a nearly significant correlation with mcvBMD ( r  = 0.545, p  = 0.057 and r  = 0.539, p  = 0.061, respectively). MAT assessed by DECT showed a significant correlation with MRI MAT results ( r  = 0.881, p  &lt; 0.0001). Both DECT- and MRI-derived MAT had a significant influence on uncorrected vBMD ( r  = −0.86 and r  = −0.818, p  ≤ 0.0001, respectively). Conversely, mcvBMD had no correlation with DECT- or MRI-derived MAT ( r  = 0.261 and r  = 0.067). DECT can be used to assess MAT while simultaneously collecting mcvBMD values at each skeletal site. MAT is heterogeneous throughout the skeleton, highly variable, and should be accounted for in longitudinal mcvBMD studies. McvBMD accurately reflects the calcified tissue in cancellous bone.</description><identifier>ISSN: 0914-8779</identifier><identifier>EISSN: 1435-5604</identifier><identifier>DOI: 10.1007/s00774-016-0796-1</identifier><identifier>PMID: 27942979</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adipose tissue ; Adipose Tissue - diagnostic imaging ; Adiposity ; Adult ; Aged ; Aged, 80 and over ; Bone composition ; Bone Density - physiology ; Bone marrow ; Bone Marrow - diagnostic imaging ; Bone mineral density ; Bone remodeling ; Cadaver ; Cadavers ; Cancellous bone ; Cancellous Bone - diagnostic imaging ; Cancellous Bone - physiology ; Computed tomography ; Female ; Humans ; Humerus ; Imaging, Three-Dimensional ; Magnetic Resonance Imaging ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Middle Aged ; Original Article ; Orthopedics ; Skeleton ; Skull ; Spatial variations ; Spine ; Tomography ; Tomography, X-Ray Computed - methods ; Vertebrae ; X-Ray Microtomography</subject><ispartof>Journal of bone and mineral metabolism, 2017-07, Vol.35 (4), p.428-436</ispartof><rights>The Japanese Society for Bone and Mineral Research and Springer Japan 2016</rights><rights>Journal of Bone and Mineral Metabolism is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-67fa98d98f2bf10d7f5822e563702e61b43b93abd3b2689809d068cac0edeeec3</citedby><cites>FETCH-LOGICAL-c494t-67fa98d98f2bf10d7f5822e563702e61b43b93abd3b2689809d068cac0edeeec3</cites><orcidid>0000-0002-1394-3724</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00774-016-0796-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00774-016-0796-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27942979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arentsen, Luke</creatorcontrib><creatorcontrib>Hansen, Karen E.</creatorcontrib><creatorcontrib>Yagi, Masashi</creatorcontrib><creatorcontrib>Takahashi, Yutaka</creatorcontrib><creatorcontrib>Shanley, Ryan</creatorcontrib><creatorcontrib>McArthur, Angela</creatorcontrib><creatorcontrib>Bolan, Patrick</creatorcontrib><creatorcontrib>Magome, Taiki</creatorcontrib><creatorcontrib>Yee, Douglas</creatorcontrib><creatorcontrib>Froelich, Jerry</creatorcontrib><creatorcontrib>Hui, Susanta K.</creatorcontrib><title>Use of dual-energy computed tomography to measure skeletal-wide marrow composition and cancellous bone mineral density</title><title>Journal of bone and mineral metabolism</title><addtitle>J Bone Miner Metab</addtitle><addtitle>J Bone Miner Metab</addtitle><description>Temporal and spatial variations in bone marrow adipose tissue (MAT) can be indicative of several pathologies and confound current methods of assessing immediate changes in bone mineral remodeling. We present a novel dual-energy computed tomography (DECT) method to monitor MAT and marrow-corrected volumetric BMD (mcvBMD) throughout the body. Twenty-three cancellous skeletal sites in 20 adult female cadavers aged 40–80 years old were measured using DECT (80 and 140 kVp). vBMD was simultaneous recorded using QCT. MAT was further sampled using MRI. Thirteen lumbar vertebrae were then excised from the MRI-imaged donors and examined by microCT. After MAT correction throughout the skeleton, significant differences ( p  &lt; 0.05) were found between QCT-derived vBMD and DECT-derived mcvBMD results. McvBMD was highly heterogeneous with a maximum at the posterior skull and minimum in the proximal humerus (574 and 0.7 mg/cc, respectively). BV/TV and BMC have a nearly significant correlation with mcvBMD ( r  = 0.545, p  = 0.057 and r  = 0.539, p  = 0.061, respectively). MAT assessed by DECT showed a significant correlation with MRI MAT results ( r  = 0.881, p  &lt; 0.0001). Both DECT- and MRI-derived MAT had a significant influence on uncorrected vBMD ( r  = −0.86 and r  = −0.818, p  ≤ 0.0001, respectively). Conversely, mcvBMD had no correlation with DECT- or MRI-derived MAT ( r  = 0.261 and r  = 0.067). DECT can be used to assess MAT while simultaneously collecting mcvBMD values at each skeletal site. MAT is heterogeneous throughout the skeleton, highly variable, and should be accounted for in longitudinal mcvBMD studies. 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We present a novel dual-energy computed tomography (DECT) method to monitor MAT and marrow-corrected volumetric BMD (mcvBMD) throughout the body. Twenty-three cancellous skeletal sites in 20 adult female cadavers aged 40–80 years old were measured using DECT (80 and 140 kVp). vBMD was simultaneous recorded using QCT. MAT was further sampled using MRI. Thirteen lumbar vertebrae were then excised from the MRI-imaged donors and examined by microCT. After MAT correction throughout the skeleton, significant differences ( p  &lt; 0.05) were found between QCT-derived vBMD and DECT-derived mcvBMD results. McvBMD was highly heterogeneous with a maximum at the posterior skull and minimum in the proximal humerus (574 and 0.7 mg/cc, respectively). BV/TV and BMC have a nearly significant correlation with mcvBMD ( r  = 0.545, p  = 0.057 and r  = 0.539, p  = 0.061, respectively). MAT assessed by DECT showed a significant correlation with MRI MAT results ( r  = 0.881, p  &lt; 0.0001). Both DECT- and MRI-derived MAT had a significant influence on uncorrected vBMD ( r  = −0.86 and r  = −0.818, p  ≤ 0.0001, respectively). Conversely, mcvBMD had no correlation with DECT- or MRI-derived MAT ( r  = 0.261 and r  = 0.067). DECT can be used to assess MAT while simultaneously collecting mcvBMD values at each skeletal site. MAT is heterogeneous throughout the skeleton, highly variable, and should be accounted for in longitudinal mcvBMD studies. McvBMD accurately reflects the calcified tissue in cancellous bone.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27942979</pmid><doi>10.1007/s00774-016-0796-1</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1394-3724</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adipose tissue
Adipose Tissue - diagnostic imaging
Adiposity
Adult
Aged
Aged, 80 and over
Bone composition
Bone Density - physiology
Bone marrow
Bone Marrow - diagnostic imaging
Bone mineral density
Bone remodeling
Cadaver
Cadavers
Cancellous bone
Cancellous Bone - diagnostic imaging
Cancellous Bone - physiology
Computed tomography
Female
Humans
Humerus
Imaging, Three-Dimensional
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Metabolic Diseases
Middle Aged
Original Article
Orthopedics
Skeleton
Skull
Spatial variations
Spine
Tomography
Tomography, X-Ray Computed - methods
Vertebrae
X-Ray Microtomography
title Use of dual-energy computed tomography to measure skeletal-wide marrow composition and cancellous bone mineral density
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