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Erschienen in: Current Osteoporosis Reports 6/2016

28.10.2016 | Muscle and Bone (L Bonewald and M Hamrick, Section Editors)

A Comparison of Peripheral Imaging Technologies for Bone and Muscle Quantification: a Mixed Methods Clinical Review

verfasst von: Andy Kin On Wong

Erschienen in: Current Osteoporosis Reports | Ausgabe 6/2016

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Abstract

Purpose of Review

Bone and muscle peripheral imaging technologies are reviewed for their association with fractures and frailty. A narrative systematized review was conducted for bone and muscle parameters from each imaging technique. In addition, meta-analyses were performed across all bone quality parameters.

Recent Findings

The current body of evidence for bone quality’s association with fractures is strong for (high-resolution) peripheral quantitative computed tomography (pQCT), with trabecular separation (Tb.Sp) and integral volumetric bone mineral density (vBMD) reporting consistently large associations with various fracture types across studies. Muscle has recently been linked to fractures and frailty, but the quality of evidence remains weaker from studies of small sample sizes.

Summary

It is increasingly apparent that musculoskeletal tissues have a complex relationship with interrelated clinical endpoints such as fractures and frailty. Future studies must concurrently address these relationships in order to decipher the relative importance of one causal pathway from another.
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Zurück zum Zitat Stein EM, Kepley A, Walker M, Nickolas TL, Nishiyama K, Zhou B, et al. Skeletal structure in postmenopausal women with osteopenia and fractures is characterized by abnormal trabecular plates and cortical thinning. J Bone Miner Res. 2014;29(5):1101–9. Epub 2014/05/31.CrossRefPubMedPubMedCentral Stein EM, Kepley A, Walker M, Nickolas TL, Nishiyama K, Zhou B, et al. Skeletal structure in postmenopausal women with osteopenia and fractures is characterized by abnormal trabecular plates and cortical thinning. J Bone Miner Res. 2014;29(5):1101–9. Epub 2014/05/31.CrossRefPubMedPubMedCentral
50.•
Zurück zum Zitat West SL, Lok CE, Langsetmo L, Cheung AM, Szabo E, Pearce D, et al. Bone mineral density predicts fractures in chronic kidney disease. J Bone Miner Res. 2015;30(5):913–9. Epub 2014/11/18. One of few cohort studies showing link between bone quality and incident fractures, albeit in a smaller sample. West SL, Lok CE, Langsetmo L, Cheung AM, Szabo E, Pearce D, et al. Bone mineral density predicts fractures in chronic kidney disease. J Bone Miner Res. 2015;30(5):913–9. Epub 2014/11/18. One of few cohort studies showing link between bone quality and incident fractures, albeit in a smaller sample.
51.
Zurück zum Zitat Biver E, Durosier C, Chevalley T, Van Rietbergen B, Rizzoli R, Ferrari S. Distal radius cortical microstructure and calculated strength predict incident fractures independently of FRAX in postmenopausal women. Osteoporos Int. 2016;27 Suppl 1:OC30. Biver E, Durosier C, Chevalley T, Van Rietbergen B, Rizzoli R, Ferrari S. Distal radius cortical microstructure and calculated strength predict incident fractures independently of FRAX in postmenopausal women. Osteoporos Int. 2016;27 Suppl 1:OC30.
52.••
Zurück zum Zitat Rajapakse CS, Phillips EA, Sun W, Wald MJ, Magland JF, Snyder PJ, et al. Vertebral deformities and fractures are associated with MRI and pQCT measures obtained at the distal tibia and radius of postmenopausal women. Osteoporos Int. 2014;25(3):973–82. Epub 2013/11/14. Provides evidence that peripheral measures of bone quality correlate with severity of vertebral fractures and not just peripheral fractures. Rajapakse CS, Phillips EA, Sun W, Wald MJ, Magland JF, Snyder PJ, et al. Vertebral deformities and fractures are associated with MRI and pQCT measures obtained at the distal tibia and radius of postmenopausal women. Osteoporos Int. 2014;25(3):973–82. Epub 2013/11/14. Provides evidence that peripheral measures of bone quality correlate with severity of vertebral fractures and not just peripheral fractures.
53.
Zurück zum Zitat Wong AKO, Berger C, Ioannidis G, Beattie KA, Gordon CL, Pickard L, et al. The Canadian Multicentre Osteoporosis Bone Quality Study (CaMos BQS): baseline comparison of HR-pQCT and pQCT and fracture associations. J Bone Miner Res. 2015;30 Suppl 1:#P251. Wong AKO, Berger C, Ioannidis G, Beattie KA, Gordon CL, Pickard L, et al. The Canadian Multicentre Osteoporosis Bone Quality Study (CaMos BQS): baseline comparison of HR-pQCT and pQCT and fracture associations. J Bone Miner Res. 2015;30 Suppl 1:#P251.
54.
Zurück zum Zitat Sheu Y, Zmuda JM, Boudreau RM, Petit MA, Ensrud KE, Bauer DC, et al. Bone strength measured by peripheral quantitative computed tomography and the risk of nonvertebral fractures: the osteoporotic fractures in men (MrOS) study. J Bone Miner Res. 2011;26(1):63–71. Epub 2010/07/02.CrossRefPubMed Sheu Y, Zmuda JM, Boudreau RM, Petit MA, Ensrud KE, Bauer DC, et al. Bone strength measured by peripheral quantitative computed tomography and the risk of nonvertebral fractures: the osteoporotic fractures in men (MrOS) study. J Bone Miner Res. 2011;26(1):63–71. Epub 2010/07/02.CrossRefPubMed
55.••
Zurück zum Zitat Dennison EM, Jameson KA, Edwards MH, Denison HJ, Aihie Sayer A, Cooper C. Peripheral quantitative computed tomography measures are associated with adult fracture risk: the Hertfordshire Cohort Study. Bone. 2014;64:13–7. Epub 2014/04/01. Evidence of a link between pQCT-derived bone quality measures and incident fractures, independent of aBMD, in a large cohort study. Dennison EM, Jameson KA, Edwards MH, Denison HJ, Aihie Sayer A, Cooper C. Peripheral quantitative computed tomography measures are associated with adult fracture risk: the Hertfordshire Cohort Study. Bone. 2014;64:13–7. Epub 2014/04/01. Evidence of a link between pQCT-derived bone quality measures and incident fractures, independent of aBMD, in a large cohort study.
56.
Zurück zum Zitat Laib A, Newitt DC, Lu Y, Majumdar S. New model-independent measures of trabecular bone structure applied to in vivo high-resolution MR images. Osteoporos Int. 2002;13(2):130–6.CrossRefPubMed Laib A, Newitt DC, Lu Y, Majumdar S. New model-independent measures of trabecular bone structure applied to in vivo high-resolution MR images. Osteoporos Int. 2002;13(2):130–6.CrossRefPubMed
57.
Zurück zum Zitat Cortet B, Boutry N, Dubois P, Bourel P, Cotten A, Marchandise X. In vivo comparison between computed tomography and magnetic resonance image analysis of the distal radius in the assessment of osteoporosis. J Clin Densitom. 2000;3(1):15–26. Epub 2000/08/05.CrossRefPubMed Cortet B, Boutry N, Dubois P, Bourel P, Cotten A, Marchandise X. In vivo comparison between computed tomography and magnetic resonance image analysis of the distal radius in the assessment of osteoporosis. J Clin Densitom. 2000;3(1):15–26. Epub 2000/08/05.CrossRefPubMed
58.
Zurück zum Zitat Wurnig MC, Calcagni M, Kenkel D, Vich M, Weiger M, Andreisek G, et al. Characterization of trabecular bone density with ultra-short echo-time MRI at 1.5, 3.0 and 7.0 T—comparison with micro-computed tomography. NMR Biomed. 2014;27(10):1159–66. Epub 2014/08/05.CrossRefPubMed Wurnig MC, Calcagni M, Kenkel D, Vich M, Weiger M, Andreisek G, et al. Characterization of trabecular bone density with ultra-short echo-time MRI at 1.5, 3.0 and 7.0 T—comparison with micro-computed tomography. NMR Biomed. 2014;27(10):1159–66. Epub 2014/08/05.CrossRefPubMed
59.
Zurück zum Zitat Damilakis J, Maris T, Papadokostakis G, Sideri L, Gourtsoyiannis N. Discriminatory ability of magnetic resonance T2* measurements in a sample of postmenopausal women with low-energy fractures: a comparison with phalangeal speed of sound and dual x-ray absorptiometry. Investig Radiol. 2004;39(11):706–12. Epub 2004/10/16.CrossRef Damilakis J, Maris T, Papadokostakis G, Sideri L, Gourtsoyiannis N. Discriminatory ability of magnetic resonance T2* measurements in a sample of postmenopausal women with low-energy fractures: a comparison with phalangeal speed of sound and dual x-ray absorptiometry. Investig Radiol. 2004;39(11):706–12. Epub 2004/10/16.CrossRef
60.
Zurück zum Zitat Wehrli FW, Gomberg BR, Saha PK, Song HK, Hwang SN, Snyder PJ. Digital topological analysis of in vivo magnetic resonance microimages of trabecular bone reveals structural implications of osteoporosis. J Bone Miner Res. 2001;16(8):1520–31. Epub 2001/08/14.CrossRefPubMed Wehrli FW, Gomberg BR, Saha PK, Song HK, Hwang SN, Snyder PJ. Digital topological analysis of in vivo magnetic resonance microimages of trabecular bone reveals structural implications of osteoporosis. J Bone Miner Res. 2001;16(8):1520–31. Epub 2001/08/14.CrossRefPubMed
61.
Zurück zum Zitat Folkesson J, Carballido-Gamio J, Eckstein F, Link TM, Majumdar S. Local bone enhancement fuzzy clustering for segmentation of MR trabecular bone images. Med Phys. 2010;37(1):295–302. Epub 2010/02/24.CrossRefPubMed Folkesson J, Carballido-Gamio J, Eckstein F, Link TM, Majumdar S. Local bone enhancement fuzzy clustering for segmentation of MR trabecular bone images. Med Phys. 2010;37(1):295–302. Epub 2010/02/24.CrossRefPubMed
62.
Zurück zum Zitat Ioannidis G, Papaioannou A, Hopman WM, Akhtar-Danesh N, Anastassiades T, Pickard L, et al. Relation between fractures and mortality: results from the Canadian Multicentre Osteoporosis Study. CMAJ. 2009;181(5):1–7.CrossRef Ioannidis G, Papaioannou A, Hopman WM, Akhtar-Danesh N, Anastassiades T, Pickard L, et al. Relation between fractures and mortality: results from the Canadian Multicentre Osteoporosis Study. CMAJ. 2009;181(5):1–7.CrossRef
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Zurück zum Zitat Liu XS, Cohen A, Shane E, Yin PT, Stein EM, Rogers H, et al. Bone density, geometry, microstructure, and stiffness: relationships between peripheral and central skeletal sites assessed by DXA, HR-pQCT, and cQCT in premenopausal women. J Bone Miner Res. 2010;25(10):2229–38. Epub 2010/05/26.CrossRefPubMedPubMedCentral Liu XS, Cohen A, Shane E, Yin PT, Stein EM, Rogers H, et al. Bone density, geometry, microstructure, and stiffness: relationships between peripheral and central skeletal sites assessed by DXA, HR-pQCT, and cQCT in premenopausal women. J Bone Miner Res. 2010;25(10):2229–38. Epub 2010/05/26.CrossRefPubMedPubMedCentral
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Zurück zum Zitat Horikoshi T, Endo N, Uchiyama T, Tanizawa T, Takahashi HE. Peripheral quantitative computed tomography of the femoral neck in 60 Japanese women. Calcif Tissue Int. 1999;65(6):447–53.CrossRefPubMed Horikoshi T, Endo N, Uchiyama T, Tanizawa T, Takahashi HE. Peripheral quantitative computed tomography of the femoral neck in 60 Japanese women. Calcif Tissue Int. 1999;65(6):447–53.CrossRefPubMed
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Zurück zum Zitat Davison MJ, Maly MR, Adachi JD, Noseworthy MD, Beattie KA. Relationships between fatty infiltration in the thigh and calf in women with knee osteoarthritis. Aging Clin Exp Res. 2016. Epub 2016/03/12 Davison MJ, Maly MR, Adachi JD, Noseworthy MD, Beattie KA. Relationships between fatty infiltration in the thigh and calf in women with knee osteoarthritis. Aging Clin Exp Res. 2016. Epub 2016/03/12
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Zurück zum Zitat Sjoblom S, Suuronen J, Rikkonen T, Honkanen R, Kroger H, Sirola J. Relationship between postmenopausal osteoporosis and the components of clinical sarcopenia. Maturitas. 2013;75(2):175–80. Epub 2013/05/01.CrossRefPubMed Sjoblom S, Suuronen J, Rikkonen T, Honkanen R, Kroger H, Sirola J. Relationship between postmenopausal osteoporosis and the components of clinical sarcopenia. Maturitas. 2013;75(2):175–80. Epub 2013/05/01.CrossRefPubMed
67.
Zurück zum Zitat Leslie WD, Orwoll ES, Nielson CM, Morin SN, Majumdar SR, Johansson H, et al. Estimated lean mass and fat mass differentially affect femoral bone density and strength index but are not FRAX independent risk factors for fracture. J Bone Miner Res. 2014;29(11):2511–9. Epub 2014/05/16.CrossRefPubMed Leslie WD, Orwoll ES, Nielson CM, Morin SN, Majumdar SR, Johansson H, et al. Estimated lean mass and fat mass differentially affect femoral bone density and strength index but are not FRAX independent risk factors for fracture. J Bone Miner Res. 2014;29(11):2511–9. Epub 2014/05/16.CrossRefPubMed
68.•
Zurück zum Zitat Crockett K, Arnold CM, Farthing JP, Chilibeck PD, Johnston JD, Bath B, et al. Bone strength and muscle properties in postmenopausal women with and without a recent distal radius fracture. Osteoporos Int. 2015;26(10):2461–9. Epub 2015/05/24. Demonstrated both poorer bone and muscle quality in those who had fractured within the last 6-24 months compared to controls. Crockett K, Arnold CM, Farthing JP, Chilibeck PD, Johnston JD, Bath B, et al. Bone strength and muscle properties in postmenopausal women with and without a recent distal radius fracture. Osteoporos Int. 2015;26(10):2461–9. Epub 2015/05/24. Demonstrated both poorer bone and muscle quality in those who had fractured within the last 6-24 months compared to controls.
69.
Zurück zum Zitat Blew RM, Lee VR, Farr JN, Schiferl DJ, Going SB. Standardizing evaluation of pQCT image quality in the presence of subject movement: qualitative versus quantitative assessment. Calcif Tissue Int. 2014;94(2):202–11. Epub 2013/10/01.CrossRefPubMedPubMedCentral Blew RM, Lee VR, Farr JN, Schiferl DJ, Going SB. Standardizing evaluation of pQCT image quality in the presence of subject movement: qualitative versus quantitative assessment. Calcif Tissue Int. 2014;94(2):202–11. Epub 2013/10/01.CrossRefPubMedPubMedCentral
71.••
Zurück zum Zitat Wong AK, Cawthon PM, Peters KW, Cummings SR, Gordon CL, Sheu Y, et al. Bone-muscle indices as risk factors for fractures in men: the Osteoporotic Fractures in Men (MrOS) Study. J Musculoskelet Neuronal Interact. 2014;14(3):246–54. Epub 2014/09/10. Large population-based cohort study of men showing significant associations between bone and muscle properties and incident fractures, independent of spine but not hip aBMD. Wong AK, Cawthon PM, Peters KW, Cummings SR, Gordon CL, Sheu Y, et al. Bone-muscle indices as risk factors for fractures in men: the Osteoporotic Fractures in Men (MrOS) Study. J Musculoskelet Neuronal Interact. 2014;14(3):246–54. Epub 2014/09/10. Large population-based cohort study of men showing significant associations between bone and muscle properties and incident fractures, independent of spine but not hip aBMD.
72.
Zurück zum Zitat Cesari M, Leeuwenburgh C, Lauretani F, Onder G, Bandinelli S, Maraldi C, et al. Frailty syndrome and skeletal muscle: results from the Invecchiare in Chianti study. Am J Clin Nutr. 2006;83(5):1142–8. Epub 2006/05/11.PubMedPubMedCentral Cesari M, Leeuwenburgh C, Lauretani F, Onder G, Bandinelli S, Maraldi C, et al. Frailty syndrome and skeletal muscle: results from the Invecchiare in Chianti study. Am J Clin Nutr. 2006;83(5):1142–8. Epub 2006/05/11.PubMedPubMedCentral
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Zurück zum Zitat Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol. 2001;56(3):M146–56. Epub 2001/03/17.CrossRef Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol. 2001;56(3):M146–56. Epub 2001/03/17.CrossRef
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Zurück zum Zitat Kennedy CC, Ioannidis G, Rockwood K, Thabane L, Adachi JD, Kirkland S, et al. A Frailty Index predicts 10-year fracture risk in adults age 25 years and older: results from the Canadian Multicentre Osteoporosis Study (CaMos). Osteoporos Int. 2014. Epub 2014/08/12 Kennedy CC, Ioannidis G, Rockwood K, Thabane L, Adachi JD, Kirkland S, et al. A Frailty Index predicts 10-year fracture risk in adults age 25 years and older: results from the Canadian Multicentre Osteoporosis Study (CaMos). Osteoporos Int. 2014. Epub 2014/08/12
75.
Zurück zum Zitat Wong AKO, Kennedy C, Ioannidis G, Beattie KA, Gordon CL, Pickard L, et al. Direct and indirect effects of frailty on fractures: potential roles of muscle and bone. J Bone Miner Res. 2014;29 Suppl 1:334. Wong AKO, Kennedy C, Ioannidis G, Beattie KA, Gordon CL, Pickard L, et al. Direct and indirect effects of frailty on fractures: potential roles of muscle and bone. J Bone Miner Res. 2014;29 Suppl 1:334.
76.
Zurück zum Zitat Li G, Ioannidis G, Pickard L, Kennedy C, Papaioannou A, Thabane L, et al. Frailty index of deficit accumulation and falls: data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) Hamilton cohort. BMC Musculoskelet Disord. 2014;15:185. Epub 2014/06/03.CrossRefPubMedPubMedCentral Li G, Ioannidis G, Pickard L, Kennedy C, Papaioannou A, Thabane L, et al. Frailty index of deficit accumulation and falls: data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) Hamilton cohort. BMC Musculoskelet Disord. 2014;15:185. Epub 2014/06/03.CrossRefPubMedPubMedCentral
77.•
Zurück zum Zitat Addison O, Drummond MJ, LaStayo PC, Dibble LE, Wende AR, McClain DA, et al. Intramuscular fat and inflammation differ in older adults: the impact of frailty and inactivity. J Nutr Health Aging. 2014;18(5):532–8. Epub 2014/06/03. One of few studies showing differences in intramuscular fat between those with frailty and controls without. Addison O, Drummond MJ, LaStayo PC, Dibble LE, Wende AR, McClain DA, et al. Intramuscular fat and inflammation differ in older adults: the impact of frailty and inactivity. J Nutr Health Aging. 2014;18(5):532–8. Epub 2014/06/03. One of few studies showing differences in intramuscular fat between those with frailty and controls without.
78.
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Zurück zum Zitat Melville DM, Mohler J, Fain M, Muchna AE, Krupinski E, Sharma P, et al. Multi-parametric MR imaging of quadriceps musculature in the setting of clinical frailty syndrome. Skelet Radiol. 2016;45(5):583–9. Epub 2016/01/09. Although a small study, illustrated differences in muscle fibre tractography and intramyocellular lipids between frail and non-frail women based on Fried criteria. Melville DM, Mohler J, Fain M, Muchna AE, Krupinski E, Sharma P, et al. Multi-parametric MR imaging of quadriceps musculature in the setting of clinical frailty syndrome. Skelet Radiol. 2016;45(5):583–9. Epub 2016/01/09. Although a small study, illustrated differences in muscle fibre tractography and intramyocellular lipids between frail and non-frail women based on Fried criteria.
80.
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Metadaten
Titel
A Comparison of Peripheral Imaging Technologies for Bone and Muscle Quantification: a Mixed Methods Clinical Review
verfasst von
Andy Kin On Wong
Publikationsdatum
28.10.2016
Verlag
Springer US
Erschienen in
Current Osteoporosis Reports / Ausgabe 6/2016
Print ISSN: 1544-1873
Elektronische ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-016-0334-z

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