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Jerban S, Barrere V, Namiranian B, Wu Y, Alenezi S, Dorthe E, Dlima D, Shah SB, Chung CB, Du J, Andre MP, Chang EY. Ultrasound attenuation of cortical bone correlates with biomechanical, microstructural, and compositional properties. Eur Radiol Exp 2024; 8:21. [PMID: 38316687 PMCID: PMC10844174 DOI: 10.1186/s41747-023-00418-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 12/09/2023] [Indexed: 02/07/2024] Open
Abstract
BACKGROUND We investigated the relationship of two commonly used quantitative ultrasound (QUS) parameters, speed of sound (SoS) and attenuation coefficient (α), with water and macromolecular contents of bovine cortical bone strips as measured with ultrashort echo time (UTE) magnetic resonance imaging (MRI). METHODS SoS and α were measured in 36 bovine cortical bone strips utilizing a single-element transducer with nominal 5 MHz center frequency based on the time of flight principles after accommodating for reflection losses. Specimens were then scanned using UTE MRI to measure total, bound, and pore water proton density (TWPD, BWPD, and PWPD) as well as macromolecular proton fraction and macromolecular transverse relaxation time (T2-MM). Specimens were also scanned using microcomputed tomography (μCT) at 9-μm isometric voxel size to measure bone mineral density (BMD), porosity, and pore size. The elastic modulus (E) of each specimen was measured using a 4-point bending test. RESULTS α demonstrated significant positive Spearman correlations with E (R = 0.69) and BMD (R = 0.44) while showing significant negative correlations with porosity (R = -0.41), T2-MM (R = -0.47), TWPD (R = -0.68), BWPD (R = -0.67), and PWPD (R = -0.45). CONCLUSIONS The negative correlation between α and T2-MM is likely indicating the relationship between QUS and collagen matrix organization. The higher correlations of α with BWPD than with PWPD may indicate that water organized in finer structure (bound to matrix) provides lower acoustic impedance than water in larger pores, which is yet to be investigated thoroughly. RELEVANCE STATEMENT This study highlights the importance of future investigations exploring the relationship between QUS measures and all major components of the bone, including the collagenous matrix and water. Investigating the full potential of QUS and its validation facilitates a more affordable and accessible tool for bone health monitoring in clinics. KEY POINTS • Ultrasound attenuation demonstrated significant positive correlations with bone mechanics and mineral density. • Ultrasound attenuation demonstrated significant negative correlations with porosity and bone water contents. • This study highlights the importance of future investigations exploring the relationship between QUS measures and all major components of the bone.
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Affiliation(s)
- Saeed Jerban
- Department of Radiology, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA.
| | - Victor Barrere
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA
- Department of Orthopaedic Surgery, University of California, San Diego, La Jolla, CA, USA
| | - Behnam Namiranian
- Department of Radiology, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA
| | - Yuanshan Wu
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA
- Department of Orthopaedic Surgery, University of California, San Diego, La Jolla, CA, USA
| | - Salem Alenezi
- Research and Laboratories Sector, Saudi Food and Drug Authority, Riyadh, Kingdom of Saudi Arabia
| | - Erik Dorthe
- Shiley Center for Orthopedic Research and Education at Scripps Clinic, La Jolla, CA, USA
| | - Darryl Dlima
- Shiley Center for Orthopedic Research and Education at Scripps Clinic, La Jolla, CA, USA
| | - Sameer B Shah
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA
- Department of Orthopaedic Surgery, University of California, San Diego, La Jolla, CA, USA
| | - Christine B Chung
- Department of Radiology, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA
| | - Jiang Du
- Department of Radiology, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA
| | - Michael P Andre
- Department of Radiology, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA
| | - Eric Y Chang
- Department of Radiology, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.
- Research Service, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA.
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International Society for Therapeutic Ultrasound Conference 2016. J Ther Ultrasound 2017. [PMCID: PMC5374646 DOI: 10.1186/s40349-016-0079-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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