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Osteoporosis: clinical assessment with quantitative MR imaging in diagnosis.

机译:骨质疏松:使用定量MR成像进行临床评估以进行诊断。

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PURPOSE: To determine if the magnetic resonance (MR) imaging effective transverse relaxation rate (R2*) of trabecular bone marrow is lowered in osteoporosis. MATERIALS AND METHODS: R2* was measured in 146 women. Control subjects (n = 77; mean age, 46.6 years) had high mean spinal bone mineral densities (BMDs) and no vertebral deformities. Patients with spinal osteoporosis (n = 59; mean age, 59.7 years) had at least one thoracic vertebral deformity and/or low BMDs. RESULTS: R2* was lower in patients for L-2 through L-5 (P < .001). Average R2* of L-3 through L-5 (R2*av) was the best discriminator (64.79 sec-1 +/- 1.18 [standard error] for control subjects vs 53.39 sec-1 +/- 1.24 for patients; P < .0001). R2*av decreased with age in control subjects. The difference in R2*av in a subset of 38 age-matched pairs of patients and control subjects was 8.25 sec-1 (P < .0001). Subjects with deformities had lower 52*av than did control subjects (52.3 sec-1 +/- 1.6 vs 62.5 sec-1 +/- 1.1, P < .0001). R2*av was correlated with mean BMD (r = .54, P < .0001). CONCLUSION: Patients with osteoporosis have lower R2*s in vertebral marrow.
机译:目的:确定在骨质疏松症中,骨小梁骨髓的磁共振(MR)成像有效横向松弛率(R2 *)是否降低。材料与方法:在146位女性中测量了R2 *。对照组(n = 77;平均年龄,46.6岁)的平均脊椎骨矿物质密度(BMD)高,无椎体畸形。脊柱骨质疏松症患者(n = 59;平均年龄,59.7岁)患有至少一种胸椎畸形和/或BMD低。结果:L-2至L-5患者的R2 *较低(P <.001)。 L-3至L-5的平均R2 *(R2 * av)是最好的区分因素(对照组为64.79 sec-1 +/- 1.18 [标准误],而患者为53.39 sec-1 +/- 1.24; P < .0001)。在对照组中,R2 * av随着年龄的增长而降低。在38位年龄匹配的患者和对照组中,R2 * av的差异为8.25 sec-1(P <.0001)。畸形受试者的52 * av低于对照受试者(52.3 sec-1 +/- 1.6与62.5 sec-1 +/- 1.1,P <.0001)。 R2 * av与平均BMD相关(r = .54,P <.0001)。结论:骨质疏松症患者的椎体R2 * s较低。

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