Magnetic resonance imaging at 3.0-T in postmenopausal osteoporosis: a prospective study and review of the literature

Bibliographic Details
Title: Magnetic resonance imaging at 3.0-T in postmenopausal osteoporosis: a prospective study and review of the literature
Authors: Trentadue, Mirko, Sozzi, Carlo, Idolazzi, Luca, Lazzarini, Gianluigi, Murano, Riccardo Sante, Gatti, Davide, Rossini, Maurizio, Piovan, Enrico
Source: Radiologia Brasileira. January 2022
Publisher Information: Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, 2022.
Publication Year: 2022
Subject Terms: Osteoporosis, Postmenopause, Vertebral body/pathology, Multiparametric magnetic resonance imaging/methods, Bone marrow/pathology
More Details: Objective: To promote advanced research using magnetic resonance imaging (MRI) in the diagnosis of and screening for osteoporosis by looking for correlations among the T-scores measured by dual-energy X-ray absorptiometry (DEXA), the apparent diffusion coefficient (ADC) values on diffusion-weighted imaging (DWI), and the T1-weighted signal intensity values. Materials and Methods: This was a prospective study of postmenopausal women with no contraindications to MRI and no history of cancer who underwent DEXA within 30 days before or after the MRI examination. A 3.0-T scanner was used in order to acquire sagittal sequences targeting the lumbar spine. Results: Thirteen women underwent DEXA and MRI. In two cases, the MRI was discontinued early. Therefore, the final sample comprised 11 patients. The ADC values and T1-weighted signal intensity were found to be higher in patients with osteoporosis. However, among the patients > 60 years of age with osteoporosis, ADC values were lower and T1-weighted signal intensity was even higher. Conclusion: It is unlikely that MRI will soon replace DEXA for the diagnostic workup of osteoporosis. Although DWI and ADC mapping are useful for understanding the pathophysiology of osteoporosis, we believe that T1-weighted sequences are more sensitive than is DWI as a means of performing a qualitative analysis of vertebral alterations.
Document Type: article
File Description: text/html
Language: English
ISSN: 0100-3984
DOI: 10.1590/0100-3984.2021.0124
Access URL: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842022005001216
Rights: info:eu-repo/semantics/openAccess
Accession Number: edssci.S0100.39842022005001216
Database: SciELO
More Details
ISSN:01003984
DOI:10.1590/0100-3984.2021.0124
Published in:Radiologia Brasileira
Language:English