Novel micro-MRI approach for subchondral trabecular bone analysis in patients with hip osteoarthritis is comparable to micro-CT approach

Croat Med J. 2022 Dec 31;63(6):515-524. doi: 10.3325/cmj.2022.63.515.

Abstract

Aim: To test the agreement between a newly developed micro-magnetic resonance imaging (MRI) analysis of the subchondral bone and the micro-computed tomography (CT) approach.

Methods: Samples obtained from 10 patients with osteoarthritis undergoing total hip arthroplasty were scanned with a 7.0 T micro-MRI. Proton density-weighted images and proton density-weighted images with fat suppression were obtained. The results were validated with a micro-CT device. Micro-MRI and micro-CT scans of the same sample were aligned, and regions of interest were delineated on equal areas of the sample. Bone volume fraction was calculated by using in-house plugins. The agreement between the methods was tested with Bland-Altman analysis.

Results: The agreement between the methods was good, with average difference of 2.167%. The differences between the methods were not significant (P=0.272, t test).

Conclusion: The novel micro-MRI approach could be used for subchondral bone analysis. With further optimization for clinical MRI machines, the approach can be also used in the diagnostics of hip osteoarthritis.

MeSH terms

  • Cancellous Bone
  • Humans
  • Magnetic Resonance Imaging
  • Osteoarthritis, Hip* / diagnostic imaging
  • Osteoarthritis, Hip* / surgery
  • Protons
  • X-Ray Microtomography / methods

Substances

  • Protons