MRI assessment of bone structure and microarchitecture
Open accessAbstract
Osteoporosis is a disease of weak bone and increased fracture risk caused by low bone mass and microarchitectural deterioration of bone tissue. The standard‐of‐care test used to diagnose osteoporosis, dual‐energy x‐ray absorptiometry (DXA) estimation of areal bone mineral density (BMD), has limitations as a tool to identify patients at risk for fracture and as a tool to monitor therapy response. Magnetic resonance imaging (MRI) assessment of bone structure and microarchitecture has been proposed as another method to assess bone quality and fracture risk in vivo. MRI is advantageous because it is noninvasive, does not require ionizing radiation, and can evaluate both cortical and trabecular bone. In this review article, we summarize and discuss research progress on MRI of bone structure and microarchitecture over the last decade, focusing on in vivo translational studies. Single‐center, in vivo studies have provided some evidence for the added value of MRI as a biomarker of fracture risk or treatment response. Larger, prospective, multicenter studies are needed in the future to validate the results of these initial translational studies. Level of Evidence: 5 Technical Efficacy: Stage 5 J. MAGN. RESON. IMAGING 2017;46:323–337
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MRI is a medical imaging modality that allows for the evaluation of soft-tissue diseases and the assessment of bone quality.
“Magnetic Resonance Imaging (MRI) is a medical imaging modality that allows for the evaluation of soft-tissue diseases and the assessment of bone quality.”
From Towards 2D/3D Registration of the Preoperative MRI to Intraoperative Fluoroscopic Images for Visualisation of Bone Defects (2023) · cites this paper as Chang et al. 2017
The paper’s Abstract (page not provided) describes MRI as a proposed method for assessing bone quality in vivo. The passages address bone structure and physiology, but do not substantiate the separate claim that MRI evaluates soft-tissue diseases (searched: soft-tissue disease and musculoskeletal disease imaging). (LLM, conf=0.85)
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Incidence and Economic Burden of Osteoporosis-Related Fractures in the United States, 2005–2025
Burge, R., Dawson-Hughes, B., Solomon, D. H., Wong, J. B., King, A., & Tosteson, A. (2007) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.061113 · Cited by 4,026 · see citing works
Zhang, X. H., Liu, X. S., Vasilic, B., Wehrli, F. W., Benito, M., Rajapakse, C. S., Snyder, P. J., & Guo, X. E. (2008) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.080405 · Cited by 79 · see citing works
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“This property has made MRI a good candidate for the evaluation of soft-tissue diseases, the assessment of bone quality, and the detection of bone tumours and tumour-like lesions (Chung et al. 2012; Nascimento et al. 2014; Chang et al. 2017).”
Background
- Authors
- Chang, G., Boone, S., Martel, D., Rajapakse, C. S., Hallyburton, R. S., Valko, M., Honig, S., & Regatte, R. R.
- Affiliations
- NYU Langone Health (US)
- Hospital of the University of Pennsylvania (US)
- Corresponding author
- Chang, Gregory
- ORCID
- Venue
- Journal of Magnetic Resonance Imaging
- Publisher
- Wiley
- Published
- 2017-02-06
- Volume
- 46
- Issue
- 2
- Pages
- 323-337
- ISSN
- 1053-1807 (ISSN-L)
- 1522-2586
- PMC
- PMC5690546
- OpenAlex
- W2586570460
- Cited by
- 151
- References
- 2
- Citations by year
- 2026: 9 · 2025: 26 · 2024: 16 · 2023: 17 · 2022: 21 · 2021: 21 · 2020: 16 · 2019: 13 · 2018: 9 · 2017: 3
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Magnetic Resonance Imaging (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01‐AR070131 (G.C.), R01‐AR066008 (G.C.), R01‐AR06)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone and Joint Diseases
- Keywords
- osteoporosis, bone microarchitecture, bone structure, fracture risk, bone quality, trabecular bone, cortical bone, bone mineral density, treatment response monitoring
- MeSH terms
- Adult, Aged, Aged, 80 and over, Bone and Bones, Female, Humans, Hypogonadism, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Osteoporosis, Risk, Absorptiometry, Photon, Bone Density, Osteoporosis, Postmenopausal, Finite Element Analysis, Diabetes Complications, Fractures, Bone, Translational Research, Biomedical
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