Chronic axial compression of the mouse tail segment induces MRI bone marrow edema changes that correlate with

M Owen Papuga1, Steven T Proulx, Edmund Kwok

  • 1The Center for Musculoskeletal Research, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, New York 14642, USA.

Insights

Chronic loading causes bone marrow edema (BME) signals in vertebrae, mimicking spondyloarthropathy (SA). This BME, seen in degenerative disk disease (DDD), involves marrow conversion and increased vascularity, impacting back pain diagnosis.

Area of Science:

  • Orthopedics
  • Radiology
  • Pathology

Background:

  • Bone marrow edema (BME) on MRI aids in diagnosing back pain from degenerative disk disease (DDD) and spondyloarthropathy (SA).
  • The precise nature and natural history of BME remain incompletely understood, limiting diagnostic interpretation.

Purpose of the Study:

  • To investigate the effects of compressive forces on bone marrow in mouse models of DDD and SA.
  • To correlate MRI findings with histological changes and assess bone microarchitecture.

Main Methods:

  • Contrast-enhanced MRI and histology were used to assess mouse tail segments under compressive loading.
  • Wild-type (WT) and TNF-transgenic (TNF-Tg) mice with SA were studied.
  • Micro-computed tomography (micro-CT) analyzed bone microarchitecture.

Main Results:

  • Compressive loading significantly increased normalized marrow contrast enhancement (NMCE) in WT mice, indicating BME.
  • Load-induced BME in WT mice correlated with increased vascular sinus tissue and cellularity, suggesting marrow conversion.
  • While MRI showed BME, micro-CT detected no significant load-induced changes in bone structure, but revealed reduced bone volume in uninstrumented TNF-Tg mice.
  • Histology showed inflammatory changes in TNF-Tg mice, distinct from the degenerative changes in loaded WT mice.

Conclusions:

  • Chronic loading-induced DDD can generate BME signals in vertebrae similar to those seen in SA.
  • Both DDD and SA are associated with a conversion of yellow to red bone marrow, characterized by increased vascularity.
  • MRI detection of BME in DDD and SA reflects underlying marrow changes rather than significant structural bone alterations.

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