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Erschienen in: Skeletal Radiology 8/2012

01.08.2012 | Scientific Article

Age-related changes in pre- and postmenopausal women investigated with 18F-fluoride PET—a preliminary study

verfasst von: Seiji Kurata, Kazuya Shizukuishi, Ukihide Tateishi, Tomohiro Yoneyama, Ayako Hino, Masatoshi Ishibashi, Tomio Inoue

Erschienen in: Skeletal Radiology | Ausgabe 8/2012

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Abstract

Objective

To evaluate the relationship between age and regional skeletal uptake at sites consisting of either predominantly trabecular or cortical bone using 18F-fluoride positron emission tomography (PET) in pre- and postmenopausal women.

Materials and methods

Thirty-two women (40.6 ± 12.3 years; age range 25–72 years) were assigned to one of two groups: group 1 comprised 22 premenopausal women (33 ± 6.5 years; age range 25–48 years) and group 2 comprised 10 postmenopausal women (56 ± 6.7 years; age range 49–72 years). The maximum standardized uptake value (SUVmax) was determined from the lumbar spine and the humeral shaft. Student’s t-test for each unpaired dataset was used to evaluate statistical differences between the two groups. The SUVmax values for the humeral shaft and the lumbar spine were compared with aging.

Results

The SUVmax (mean ± SD) was 1.2 ± 0.5 in the humeral shaft and 4.7 ± 1.0 in the lumbar spine. The SUVmax in the humeral shaft correlated significantly with advancing age (r = 0.67, P < 0.01). The SUVmax in the lumbar spine declined significantly with advancing age (r = −0.50, P < 0.01). The humeral shaft of women in group 1 exhibited a significantly lower SUVmax compared to that in group 2 (1.1 ± 0.4 versus 1.6 ± 0.6; P < 0.05). On the other hand, the lumbar spine of women in group 1 exhibited a significantly higher SUVmax compared to that in group 2 (5.1 ± 0.7 versus 4.0 ± 1.1; P < 0.05). The mean SUVmax in the lumbar spine was 2.5 times greater than that in the humeral shaft in group 2.

Conclusion

Semiquantitative analysis with 18F-fluoride PET might be a useful tool for analyzing age-related changes in pre- and postmenopausal women.
Literatur
1.
Zurück zum Zitat WHO. Technical report series 843. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Geneva: World Health Organization; 1994. WHO. Technical report series 843. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Geneva: World Health Organization; 1994.
2.
Zurück zum Zitat Custer RP. An atlas of the blood and bone marrow. Philadelphia: Saunders; 1949. Custer RP. An atlas of the blood and bone marrow. Philadelphia: Saunders; 1949.
3.
Zurück zum Zitat Rico H. The therapy of osteoporosis and the importance of cortical bone. Calcif Tissue Int. 1997;61:431–2.PubMedCrossRef Rico H. The therapy of osteoporosis and the importance of cortical bone. Calcif Tissue Int. 1997;61:431–2.PubMedCrossRef
4.
Zurück zum Zitat Recker RR. Bone biopsy and histomorphometry in clinical practice. In: Rosen CJ, editor. Primer on the metabolic bone diseases and disorders of mineral metabolism. 7th ed. Washington, D.C.: American Society for Bone and Mineral Research; 2008. p. 180–6.CrossRef Recker RR. Bone biopsy and histomorphometry in clinical practice. In: Rosen CJ, editor. Primer on the metabolic bone diseases and disorders of mineral metabolism. 7th ed. Washington, D.C.: American Society for Bone and Mineral Research; 2008. p. 180–6.CrossRef
5.
Zurück zum Zitat Szulc P, Delmas PD. Biochemical markers of turnover in osteoporosis. In: Rosen CJ, editor. Primer on the metabolic bone diseases and disorders of mineral metabolism. 7th ed. Washington, D.C.: American Society for Bone and Mineral Research; 2008. p. 174–9.CrossRef Szulc P, Delmas PD. Biochemical markers of turnover in osteoporosis. In: Rosen CJ, editor. Primer on the metabolic bone diseases and disorders of mineral metabolism. 7th ed. Washington, D.C.: American Society for Bone and Mineral Research; 2008. p. 174–9.CrossRef
6.
Zurück zum Zitat Looker AC, Bauer DC, Chesnut 3rd CH, et al. Clinical use of biochemical markers of bone remodeling: current status and future directions. Osteoporos Int. 2000;11:467–80.PubMedCrossRef Looker AC, Bauer DC, Chesnut 3rd CH, et al. Clinical use of biochemical markers of bone remodeling: current status and future directions. Osteoporos Int. 2000;11:467–80.PubMedCrossRef
7.
Zurück zum Zitat Blake GM, Fogelman I. Technical principles of dual energy X-ray absorptiometry. Semin Nucl Med. 1997;27:210–28.PubMedCrossRef Blake GM, Fogelman I. Technical principles of dual energy X-ray absorptiometry. Semin Nucl Med. 1997;27:210–28.PubMedCrossRef
8.
Zurück zum Zitat Boutroy S, Bouxsein ML, Munoz F, Delmas PD. In vivo assessment of trabecular bone microarchitecture by high-resolution peripheral quantitative computed tomography. J Clin Endocrinol Metab. 2005;90:6508–15.PubMedCrossRef Boutroy S, Bouxsein ML, Munoz F, Delmas PD. In vivo assessment of trabecular bone microarchitecture by high-resolution peripheral quantitative computed tomography. J Clin Endocrinol Metab. 2005;90:6508–15.PubMedCrossRef
9.
10.
Zurück zum Zitat Narita N, Kato K, Nakagaki H, Ohno N, Kameyama Y, Weatherell JA. Distribution of fluoride concentration in rat bone. Calcif Tissue Int. 1990;46:200–4.PubMedCrossRef Narita N, Kato K, Nakagaki H, Ohno N, Kameyama Y, Weatherell JA. Distribution of fluoride concentration in rat bone. Calcif Tissue Int. 1990;46:200–4.PubMedCrossRef
11.
Zurück zum Zitat Uchida K, Nakajima H, Miyazaki T, et al. Effects of alenderonate on bone metabolism in glucocorticoid-induced osteoporosis measured by 18F-fluoride PET: a prospective study. J Nucl Med. 2009;50:1808–14.PubMedCrossRef Uchida K, Nakajima H, Miyazaki T, et al. Effects of alenderonate on bone metabolism in glucocorticoid-induced osteoporosis measured by 18F-fluoride PET: a prospective study. J Nucl Med. 2009;50:1808–14.PubMedCrossRef
12.
Zurück zum Zitat Cook GJ, Lodge MA, Blake GM, Marsden PK, Fogelman I. Differences in skeletal kinetics between vertebral and humeral bone measured by 18F-fluoride positron emission tomography in postmenopausal women. J Bone Miner Res. 2000;15:763–9.PubMedCrossRef Cook GJ, Lodge MA, Blake GM, Marsden PK, Fogelman I. Differences in skeletal kinetics between vertebral and humeral bone measured by 18F-fluoride positron emission tomography in postmenopausal women. J Bone Miner Res. 2000;15:763–9.PubMedCrossRef
13.
Zurück zum Zitat Frost ML, Blake GM, Park-Holohan SJ, et al. Long-term precision of 18F-fluoride PET skeletal kinetic studies in the assessment of bone metabolism. J Nucl Med. 2008;49:700–7.PubMedCrossRef Frost ML, Blake GM, Park-Holohan SJ, et al. Long-term precision of 18F-fluoride PET skeletal kinetic studies in the assessment of bone metabolism. J Nucl Med. 2008;49:700–7.PubMedCrossRef
14.
Zurück zum Zitat Blake GM, Siddique M, Frost ML, Moore AE, Fogelman I. Radionuclide studies of bone metabolism: do bone uptake and bone plasma clearance provide equivalent measurements of bone turnover? Bone. 2011;49:537–42.PubMedCrossRef Blake GM, Siddique M, Frost ML, Moore AE, Fogelman I. Radionuclide studies of bone metabolism: do bone uptake and bone plasma clearance provide equivalent measurements of bone turnover? Bone. 2011;49:537–42.PubMedCrossRef
15.
Zurück zum Zitat Subramanin G. Radiopharmaceuticals for bone scanning. In: Collier BD, Fogelman I, Rosenthall L, editors. Skeletal nuclear medicine. St. Louis: Mosby; 1996. p. 9–29. Subramanin G. Radiopharmaceuticals for bone scanning. In: Collier BD, Fogelman I, Rosenthall L, editors. Skeletal nuclear medicine. St. Louis: Mosby; 1996. p. 9–29.
16.
Zurück zum Zitat Piert M, Zittel TT, Becker GA, et al. Assessment of porcine bone metabolism by dynamic 18F-fluoride ion PET: correlation with bone histomorphometry. J Nucl Med. 2001;42:1091–100.PubMed Piert M, Zittel TT, Becker GA, et al. Assessment of porcine bone metabolism by dynamic 18F-fluoride ion PET: correlation with bone histomorphometry. J Nucl Med. 2001;42:1091–100.PubMed
17.
Zurück zum Zitat Ishiguro K, Nakagaki H, Tsuboi S, et al. Distribution of fluoride in cortical bone of human rib. Calcif Tissue Int. 1993;52:278–82.PubMedCrossRef Ishiguro K, Nakagaki H, Tsuboi S, et al. Distribution of fluoride in cortical bone of human rib. Calcif Tissue Int. 1993;52:278–82.PubMedCrossRef
18.
Zurück zum Zitat Brenner W, Vernon C, Muzi M, et al. Comparison of different quantitative approaches to 18F-fluoride PET scans. J Nucl Med. 2004;45:1493–500.PubMed Brenner W, Vernon C, Muzi M, et al. Comparison of different quantitative approaches to 18F-fluoride PET scans. J Nucl Med. 2004;45:1493–500.PubMed
19.
Zurück zum Zitat Riggs BL, Melton 3rd LJ. Involutional osteoporosis. N Engl J Med. 1986;314:167–8.CrossRef Riggs BL, Melton 3rd LJ. Involutional osteoporosis. N Engl J Med. 1986;314:167–8.CrossRef
20.
Zurück zum Zitat Politics C, Karamerou A, Block M. Pathophysiologic aspects of the bone/marrow/fat relationship. Lab Manage. 1983;21:40–55. Politics C, Karamerou A, Block M. Pathophysiologic aspects of the bone/marrow/fat relationship. Lab Manage. 1983;21:40–55.
21.
Zurück zum Zitat Krempien B, Lemminger FM, Ritz E, Weber E. The reaction of different skeletal sites to metabolic bone disease—a micromorphometric study. Klin Wochenschr. 1978;56:755–9.PubMedCrossRef Krempien B, Lemminger FM, Ritz E, Weber E. The reaction of different skeletal sites to metabolic bone disease—a micromorphometric study. Klin Wochenschr. 1978;56:755–9.PubMedCrossRef
22.
Zurück zum Zitat Hawkins RA, Choi Y, Huang SC, et al. Evaluation of the skeletal kinetics of fluorine-18-fluoride ion with PET. J Nucl Med. 1992;233:633–42. Hawkins RA, Choi Y, Huang SC, et al. Evaluation of the skeletal kinetics of fluorine-18-fluoride ion with PET. J Nucl Med. 1992;233:633–42.
23.
Zurück zum Zitat Reeve J, Arlot M, Wootton R, et al. Skeletal blood flow, iliac histomorphometry, and strontium kinetics in osteoporosis: a relationship between blood flow and corrected apposition rate. J Clin Endocrinol Metab. 1988;66:1124–31.PubMedCrossRef Reeve J, Arlot M, Wootton R, et al. Skeletal blood flow, iliac histomorphometry, and strontium kinetics in osteoporosis: a relationship between blood flow and corrected apposition rate. J Clin Endocrinol Metab. 1988;66:1124–31.PubMedCrossRef
24.
Zurück zum Zitat Prisby RD, Ramsey MW, Behnke BJ, et al. Aging reduces skeletal blood flow, endothelium-dependent vasodilation, and NO bioavailablity in rats. J Bone Miner Res. 2007;22:1280–8.PubMedCrossRef Prisby RD, Ramsey MW, Behnke BJ, et al. Aging reduces skeletal blood flow, endothelium-dependent vasodilation, and NO bioavailablity in rats. J Bone Miner Res. 2007;22:1280–8.PubMedCrossRef
25.
Zurück zum Zitat Schiepers C, Nuyts J, Bormans G, et al. Fluoride kinetics of the axial skeleton measured in vivo with fluorine-18-fluoride PET. J Nucl Med. 1997;38:1970–6.PubMed Schiepers C, Nuyts J, Bormans G, et al. Fluoride kinetics of the axial skeleton measured in vivo with fluorine-18-fluoride PET. J Nucl Med. 1997;38:1970–6.PubMed
26.
Zurück zum Zitat Van Dyke D. Similarity in distribution of skeletal blood flow and erythropoietic marrow. Clin Orthop Relat Res. 1967;52:37–51.PubMedCrossRef Van Dyke D. Similarity in distribution of skeletal blood flow and erythropoietic marrow. Clin Orthop Relat Res. 1967;52:37–51.PubMedCrossRef
27.
Zurück zum Zitat Gross PM, Heistad DD, Marcus ML. Neurohumoral regulation of blood flow to bones and marrow. Am J Physiol. 1979;237:440–8. Gross PM, Heistad DD, Marcus ML. Neurohumoral regulation of blood flow to bones and marrow. Am J Physiol. 1979;237:440–8.
28.
Zurück zum Zitat Reid IR. Menopause. In: Rosen CJ, editor. Primer on the metabolic bone diseases and disorders of mineral metabolism. 7th ed. Washington, D.C.: American Society for Bone and Mineral Research; 2008. p. 95–7.CrossRef Reid IR. Menopause. In: Rosen CJ, editor. Primer on the metabolic bone diseases and disorders of mineral metabolism. 7th ed. Washington, D.C.: American Society for Bone and Mineral Research; 2008. p. 95–7.CrossRef
29.
Zurück zum Zitat Kricum ME. Red-yellow marrow conversion: its effect on the location of some solitary bone lesions. Skeletal Radiol. 1985;14:10–9.CrossRef Kricum ME. Red-yellow marrow conversion: its effect on the location of some solitary bone lesions. Skeletal Radiol. 1985;14:10–9.CrossRef
31.
Zurück zum Zitat Blake GM, Park-Holohan SJ, Cook GJ, Fogelman I. Quantitative studies of bone with the use of 18F-fluoride and 99mTc-methylene diphosphonate. Semin Nucl Med. 2001;31:28–49.PubMedCrossRef Blake GM, Park-Holohan SJ, Cook GJ, Fogelman I. Quantitative studies of bone with the use of 18F-fluoride and 99mTc-methylene diphosphonate. Semin Nucl Med. 2001;31:28–49.PubMedCrossRef
32.
Zurück zum Zitat Piert M, Zittel TT, Machulla HJ, et al. Blood flow measurements with [(15)O]H2O and [18F]fluoride ion PET in porcine vertebrae. J Bone Miner Res. 1998;13:1328–36.PubMedCrossRef Piert M, Zittel TT, Machulla HJ, et al. Blood flow measurements with [(15)O]H2O and [18F]fluoride ion PET in porcine vertebrae. J Bone Miner Res. 1998;13:1328–36.PubMedCrossRef
33.
Zurück zum Zitat Morris MA, Kelly PJ. Use of tracer microspheres to measure bone blood flow in conscious dogs. Calcif Tissue Int. 1980;32:69–76.PubMedCrossRef Morris MA, Kelly PJ. Use of tracer microspheres to measure bone blood flow in conscious dogs. Calcif Tissue Int. 1980;32:69–76.PubMedCrossRef
34.
Zurück zum Zitat Rahme R, Moussa R. The modic vertebral endplate and marrow changes: pathologic significance and relation to low back pain and segmental instability of the lumbar spine. AJNR Am J Neuroradiol. 2008;29:838–42.PubMedCrossRef Rahme R, Moussa R. The modic vertebral endplate and marrow changes: pathologic significance and relation to low back pain and segmental instability of the lumbar spine. AJNR Am J Neuroradiol. 2008;29:838–42.PubMedCrossRef
Metadaten
Titel
Age-related changes in pre- and postmenopausal women investigated with 18F-fluoride PET—a preliminary study
verfasst von
Seiji Kurata
Kazuya Shizukuishi
Ukihide Tateishi
Tomohiro Yoneyama
Ayako Hino
Masatoshi Ishibashi
Tomio Inoue
Publikationsdatum
01.08.2012
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 8/2012
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-011-1318-9

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