Adding marrow R2* to proton density fat fraction improves the discrimination of osteopenia and osteoporosis in postmenopausal women assessed with 3D FACT sequence. Issue 7 (July 2021)

• Record Type: Journal Article
• Authors: Li, Guanwu; Xu, Zheng; Li, Xuefeng; Zuo, Xiaoyong; Chang, Shixin; Wu, Dongmei; Dai, Yongming
• Is Part Of: Menopause. Volume 28:Issue 7(2021)
• Publication Date: 2021-07
• Subjects: Bone mineral density -- Chemical shift encoding -- Fat fraction -- Magnetic resonance imaging -- R2*; Menopause -- Periodicals; 618.175005
• DOI: 10.1097/GME.0000000000001799
• Languages: English
• ISSNs: 1072-3714

Abstract

Abstract: Objective: To evaluate the role of three-dimensional Fat Analysis & Calculation Technique sequence in improving the diagnostic accuracy for the detection of osteopenia and osteoporosis by simultaneous quantification of proton density fat fraction (PDFF) and fat-corrected R2 * . Methods: Fat Analysis & Calculation Technique imaging of lumbar spine was obtained in 99 postmenopausal women including 52 normal bone mass, 29 osteopenia, and 18 osteoporosis. The diagnostic performance of PDFF and R2 * in the differentiation of different bone-density groups was evaluated with the receiver operating characteristic curve. Results: The reproducibility of PDFF and R2 * measures was satisfactory with the root mean square coefficient of variation, 2.16% and 2.70%, respectively. The intra- and interobserver agreements for the PDFF and R2 * were excellent with the intraclass correlation coefficient > 0.9 for all. There were significant differences in PDFF and R2 * among the three groups ( P < 0.05). Bone density had a moderate inverse correlation with PDFF ( r = −0.659) but a positive association with R2 * ( r = 0.508, P < 0.001). Adjusted for age, years since menopause and body mass index, odds ratios (95% confidence interval) for osteopenia and osteoporosis per standard deviation higher marrow PDFF and R2 * were 2.9 (1.4-5.8) and 0.4 (0.2-0.8), respectively. The areas under the curve were 0.821 for PDFF, 0.784 for R2 *, and 0.922 for both combined for the detection of osteoporosis ( P < 0.05). Similar results were obtained in distinguishing osteopenia from healthy controls. Conclusions: Simultaneous estimation of marrow R2 * and PDFF improves the discrimination of osteopenia and osteoporosis in comparison with the PDFF or R2 * alone.