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Published on: January 29, 2018
The accurate relationship between spine bone density and bone marrow in humans
Xiaoguang Cheng1, Kai Li1, Yong Zhang1
1Department of Radiology, Beijing Jishuitan Hospital, Beijing 100035, China.
Bone marrow adipose tissue (BMAT) affects bone density measurements. Correcting for BMAT reveals its inverse relationship with volumetric bone mineral density (vBMD) in the lumbar spine.
Area of Science:
- Bone biology and imaging
- Osteoporosis research
- Medical physics
Background:
- Quantitative CT (QCT) measurements of lumbar spine trabecular volumetric bone mineral density (vBMD) are affected by bone marrow adipose tissue (BMAT).
- Differences in BMAT can decrease the accuracy of vBMD measurements.
Purpose of the Study:
- To correct vBMD measurements for variations in marrow composition.
- To investigate the true relationship between vBMD and BMAT.
Main Methods:
- A cross-sectional study involving 400 healthy Chinese adults (233 women, 167 men) aged 21-82 years.
- vBMD and BMAT were measured using QCT and MRI of the L2-L4 vertebrae.
- Linear regression analysis was used to assess BMAT, age, and corrected vBMD.
Main Results:
- BMAT increased with age in both sexes, with a faster rate in women.
- After BMAT correction, statistically significant changes in the age-related slope of vBMD were observed in both sexes.
- vBMD decreased linearly with increasing BMAT in both men and women.
Conclusions:
- The developed approach accurately corrects vBMD measurements for BMAT.
- This method provides a new tool for understanding the interaction between bone and marrow adipose tissue.
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