Skip to main content
Erschienen in: European Radiology 9/2008

01.09.2008 | Musculoskeletal

Differences in perfusion parameters between upper and lower lumbar vertebral segments with dynamic contrast-enhanced MRI (DCE MRI)

verfasst von: Vasiliki Savvopoulou, Thomas G. Maris, Lampros Vlahos, Lia Angela Moulopoulos

Erschienen in: European Radiology | Ausgabe 9/2008

Einloggen, um Zugang zu erhalten

Abstract

To investigate the influence of age, sex and spinal level on perfusion parameters of normal lumbar bone marrow with dynamic contrast-enhanced MRI (DCE MRI). Sixty-seven subjects referred for evaluation of low back pain or sciatica underwent DCE MRI of the lumbar spine. After subtraction of dynamic images, a region of interest (ROI) was placed on each lumbar vertebral body of all subjects, and time intensity curves were generated. Consequently, perfusion parameters were calculated. Statistical analysis was performed to search for perfusion differences among lumbar vertebrae and in relation to age and sex. Upper (L1, L2) and lower (L3, L4, L5) vertebrae showed significant differences in perfusion parameters (p<0.05). Vertebrae of subjects younger than 50 years showed significantly higher perfusion compared to vertebrae of older ones (p<0.05). Vertebrae of females demonstrated significantly increased perfusion compared to those of males of corresponding age (p<0.05). All perfusion parameters, except for washout (WOUT), showed a mild linear correlation with age. Time to maximum slope (TMSP) and time to peak (TTPK) showed the same correlation with sex (0.22<r<0.32, p<0.05). Our results indicate increased perfusion of the upper compared to the lower lumbar spine, of younger compared to older subjects and of females compared to males.
Literatur
1.
Zurück zum Zitat Weinreb JC (1990) MR imaging of bone marrow: a map could help. Radiology 177:23–24PubMed Weinreb JC (1990) MR imaging of bone marrow: a map could help. Radiology 177:23–24PubMed
2.
Zurück zum Zitat Vande Berg BC, Malghem J, Lecouvet FE, Maldague B (1998) Magnetic resonance imaging of normal bone marrow. Eur Radiol 8:1327–1334PubMedCrossRef Vande Berg BC, Malghem J, Lecouvet FE, Maldague B (1998) Magnetic resonance imaging of normal bone marrow. Eur Radiol 8:1327–1334PubMedCrossRef
3.
Zurück zum Zitat Ricci C, Cova M, Kang YS et al (1990) Normal age-related patterns of cellular and fatty bone marrow distribution in the axial skeleton: MR imaging study. Radiology 177:83–88PubMed Ricci C, Cova M, Kang YS et al (1990) Normal age-related patterns of cellular and fatty bone marrow distribution in the axial skeleton: MR imaging study. Radiology 177:83–88PubMed
4.
Zurück zum Zitat Duda SH, Laniado M, Schick F et al (1995) Normal bone marrow in the sacrum of young adults: differences between the sexes seen on chemical shift imaging. AJR Am J Roentgenol 164:935–940PubMed Duda SH, Laniado M, Schick F et al (1995) Normal bone marrow in the sacrum of young adults: differences between the sexes seen on chemical shift imaging. AJR Am J Roentgenol 164:935–940PubMed
5.
Zurück zum Zitat Dooms GC, Fisher MR, Hricak H, Richardson M, Crooks LE, Genant HK (1985) Bone marrow imaging: magnetic resonance studies related to age and sex. Radiology 155:429–432PubMed Dooms GC, Fisher MR, Hricak H, Richardson M, Crooks LE, Genant HK (1985) Bone marrow imaging: magnetic resonance studies related to age and sex. Radiology 155:429–432PubMed
6.
Zurück zum Zitat Vogler JB, Murphy WA (1988) Bone marrow imaging. Radiology 168:679–693PubMed Vogler JB, Murphy WA (1988) Bone marrow imaging. Radiology 168:679–693PubMed
7.
Zurück zum Zitat Vande Berg BC, Lecouvet FE, Michaux L, Ferrant A, Maldague B, Malghem J (1998) Magnetic resonance imaging of the bone marrow in hematologic malignancies. Eur Radiol 8:1335–1344PubMedCrossRef Vande Berg BC, Lecouvet FE, Michaux L, Ferrant A, Maldague B, Malghem J (1998) Magnetic resonance imaging of the bone marrow in hematologic malignancies. Eur Radiol 8:1335–1344PubMedCrossRef
8.
Zurück zum Zitat Moulopoulos LA, Varma DGK, Dimopoulos MA et al (1992) Multiple myeloma: spinal MR imaging in patients with untreated newly diagnosed disease. Radiology 185:833–840PubMed Moulopoulos LA, Varma DGK, Dimopoulos MA et al (1992) Multiple myeloma: spinal MR imaging in patients with untreated newly diagnosed disease. Radiology 185:833–840PubMed
9.
Zurück zum Zitat Rahmouni A, Divine M, Mathieu D et al (1993) Detection of multiple myeloma involving the spine: efficacy of fat-suppression and contrast enhanced MR imaging. AJR Am J Roentgenol 160:1049–1052PubMed Rahmouni A, Divine M, Mathieu D et al (1993) Detection of multiple myeloma involving the spine: efficacy of fat-suppression and contrast enhanced MR imaging. AJR Am J Roentgenol 160:1049–1052PubMed
10.
Zurück zum Zitat Baur A, Stäbler A, Bartl R, Lamerz R, Scheidler J, Reiser M (1997) MRI gadolinium enhancement of bone marrow: age related changes in normals and in diffuse neoplastic infiltration. Skeletal Radiology 26:414–418PubMedCrossRef Baur A, Stäbler A, Bartl R, Lamerz R, Scheidler J, Reiser M (1997) MRI gadolinium enhancement of bone marrow: age related changes in normals and in diffuse neoplastic infiltration. Skeletal Radiology 26:414–418PubMedCrossRef
11.
Zurück zum Zitat Ishijima H, Ishizaka H, Horikoshi H, Sakurai M (1996) Water fraction of lumbar vertebral bone marrow estimated from chemical shift misregistration on MR imaging: normal variations with age and sex. AJR 167:355–358PubMed Ishijima H, Ishizaka H, Horikoshi H, Sakurai M (1996) Water fraction of lumbar vertebral bone marrow estimated from chemical shift misregistration on MR imaging: normal variations with age and sex. AJR 167:355–358PubMed
12.
Zurück zum Zitat Chen WT, Shih TTF, Chen RC et al (2001) Vertebral bone marrow perfusion evaluated with dynamic contrast-enhanced MR imaging; significance of aging and sex. Radiology 220:213–218PubMed Chen WT, Shih TTF, Chen RC et al (2001) Vertebral bone marrow perfusion evaluated with dynamic contrast-enhanced MR imaging; significance of aging and sex. Radiology 220:213–218PubMed
13.
Zurück zum Zitat Montazel JL, Divine M, Lepage E, Kobeiter H, Breil S, Rahmouni A (2003) Normal spinal bone marrow in adults: dynamic gadolinium-enhanced MR imaging. Radiology 229:703–709PubMedCrossRef Montazel JL, Divine M, Lepage E, Kobeiter H, Breil S, Rahmouni A (2003) Normal spinal bone marrow in adults: dynamic gadolinium-enhanced MR imaging. Radiology 229:703–709PubMedCrossRef
14.
Zurück zum Zitat Marquardt DW (1963) An algorithm for least squares estimation of non-linear parameters. J Soc Indust Appl Math 11:431–441CrossRef Marquardt DW (1963) An algorithm for least squares estimation of non-linear parameters. J Soc Indust Appl Math 11:431–441CrossRef
15.
Zurück zum Zitat Moulopoulos LA, Maris TG, Papanikolaou N, Panagi G, Vlahos L, Dimopoulos MA (2003) Detection of malignant bone marrow involvement with dynamic contrast magnetic resonance imaging. Annals of Oncology 14:152–158PubMedCrossRef Moulopoulos LA, Maris TG, Papanikolaou N, Panagi G, Vlahos L, Dimopoulos MA (2003) Detection of malignant bone marrow involvement with dynamic contrast magnetic resonance imaging. Annals of Oncology 14:152–158PubMedCrossRef
16.
17.
Zurück zum Zitat Rahmouni AL, Montazel JL, Divine M et al (2003) Bone marrow with diffuse tumor infiltration in patients with lymphoproliferative diseases: dynamic gadolinium-enhanced MR imaging. Radiology 229:710–717PubMedCrossRef Rahmouni AL, Montazel JL, Divine M et al (2003) Bone marrow with diffuse tumor infiltration in patients with lymphoproliferative diseases: dynamic gadolinium-enhanced MR imaging. Radiology 229:710–717PubMedCrossRef
18.
Zurück zum Zitat Bollow M, Knauf W, Korfel A et al (1996) Initial experience with dynamic MR imaging in evaluation of normal bone marrow versus malignant bone marrow infiltrations in humans. J Magn Reson Imaging 7:241–250CrossRef Bollow M, Knauf W, Korfel A et al (1996) Initial experience with dynamic MR imaging in evaluation of normal bone marrow versus malignant bone marrow infiltrations in humans. J Magn Reson Imaging 7:241–250CrossRef
19.
Zurück zum Zitat Hawighorst H, Libicher M, Knopp MV et al (1999) Evaluation of angiogenesis and perfusion of bone marrow lesions: role of semiquantitative and quantitative dynamic MRI. J Magn Reson Imaging 10:286–294PubMedCrossRef Hawighorst H, Libicher M, Knopp MV et al (1999) Evaluation of angiogenesis and perfusion of bone marrow lesions: role of semiquantitative and quantitative dynamic MRI. J Magn Reson Imaging 10:286–294PubMedCrossRef
20.
Zurück zum Zitat Taylor JS, Tofts PS, Phil D et al (1999) MR imaging of tumor microcirculation: promise for the new millenium. J Magn Reson Imaging 10:903–904PubMedCrossRef Taylor JS, Tofts PS, Phil D et al (1999) MR imaging of tumor microcirculation: promise for the new millenium. J Magn Reson Imaging 10:903–904PubMedCrossRef
21.
Zurück zum Zitat van der Woude HJ, Verstraete KL, Hogendoorn P, Taminiau A, Hermans J, Bloem J (1998) Musculoskeletal tumors: does fast dynamic contrast-enhanced subtraction MR imaging contribute to the characterization. Radiology 208:821–828PubMed van der Woude HJ, Verstraete KL, Hogendoorn P, Taminiau A, Hermans J, Bloem J (1998) Musculoskeletal tumors: does fast dynamic contrast-enhanced subtraction MR imaging contribute to the characterization. Radiology 208:821–828PubMed
22.
Zurück zum Zitat Verstraete KL, De Deene Y, Roels H, Dierick A, Uyttendale D, Kunnen M (1994) Benign and malignant musculoskeletal lesions: Dynamic contrast-enhancedMR imaging-Parametric “first pass” images depict tissue vascularization and perfusion. Radiology 192:835–843PubMed Verstraete KL, De Deene Y, Roels H, Dierick A, Uyttendale D, Kunnen M (1994) Benign and malignant musculoskeletal lesions: Dynamic contrast-enhancedMR imaging-Parametric “first pass” images depict tissue vascularization and perfusion. Radiology 192:835–843PubMed
23.
Zurück zum Zitat Wiekes CH, Visicher MB (1975) Some physiological aspects of bone marrow pressure. J Bone Joint Surg Am 7:49–57 Wiekes CH, Visicher MB (1975) Some physiological aspects of bone marrow pressure. J Bone Joint Surg Am 7:49–57
24.
Zurück zum Zitat Zamboni L, Pease DC (1961) The vascular bed of red bone marrow. Ultrastr Res 5:65–73CrossRef Zamboni L, Pease DC (1961) The vascular bed of red bone marrow. Ultrastr Res 5:65–73CrossRef
25.
Zurück zum Zitat Laroche M (1996) Arteriosclerosis and osteoporosis (editorial). Presse Med 25:52–54PubMed Laroche M (1996) Arteriosclerosis and osteoporosis (editorial). Presse Med 25:52–54PubMed
26.
Zurück zum Zitat Justesen J, Stenderup K, Ebbesen EN, Mosekilde L, Steniche T, Kassem M (2001) Adipocyte tissue volume in bone marrow is increased with aging and in patients with osteoporosis. Biogerontology 2(3):165–171PubMedCrossRef Justesen J, Stenderup K, Ebbesen EN, Mosekilde L, Steniche T, Kassem M (2001) Adipocyte tissue volume in bone marrow is increased with aging and in patients with osteoporosis. Biogerontology 2(3):165–171PubMedCrossRef
27.
Zurück zum Zitat Griffith JF, Yeung DKW, Antonio GE et al (2005) Vertebral bone mineral density, marrow perfusion, and fat content in healthy men and men with osteoporosis: dynamic contrast-enhanced MR imaging and MR spectroscopy. Radiology 236:945–951PubMedCrossRef Griffith JF, Yeung DKW, Antonio GE et al (2005) Vertebral bone mineral density, marrow perfusion, and fat content in healthy men and men with osteoporosis: dynamic contrast-enhanced MR imaging and MR spectroscopy. Radiology 236:945–951PubMedCrossRef
28.
Zurück zum Zitat Griffith JF, Yeung DKW, Antonio GE et al (2006) Vertebral marrow fat content and diffusion and perfusion indexes in women with varying bone density: MR evaluation. Radiology 241:831–838PubMedCrossRef Griffith JF, Yeung DKW, Antonio GE et al (2006) Vertebral marrow fat content and diffusion and perfusion indexes in women with varying bone density: MR evaluation. Radiology 241:831–838PubMedCrossRef
29.
Zurück zum Zitat Gardner-Morse MG, Stokes IA (2004) Structural behavior of human lumbar spinal motion segments. J Biomech 37(2):205–212PubMedCrossRef Gardner-Morse MG, Stokes IA (2004) Structural behavior of human lumbar spinal motion segments. J Biomech 37(2):205–212PubMedCrossRef
30.
Zurück zum Zitat Shih TTF, Liu HC, Chang CJ, Wei SY, Shen LC, Yang PC (2004) Correlation of MR lumbar spine bone marrow perfusion with bone mineral density in female subjects. Radiology 233:121–128PubMedCrossRef Shih TTF, Liu HC, Chang CJ, Wei SY, Shen LC, Yang PC (2004) Correlation of MR lumbar spine bone marrow perfusion with bone mineral density in female subjects. Radiology 233:121–128PubMedCrossRef
31.
Zurück zum Zitat Demler K, Otte P, Bartl R et al (1983) Osteopenia, marrow atrophy and capillary circulation. Comparative studies of the human iliac crest and 1st lumbar vertebra. Z Orthop 121:223–227CrossRef Demler K, Otte P, Bartl R et al (1983) Osteopenia, marrow atrophy and capillary circulation. Comparative studies of the human iliac crest and 1st lumbar vertebra. Z Orthop 121:223–227CrossRef
32.
Zurück zum Zitat Burkhardt R, Kettner G, Bohm W et al (1987) Changes in trabecular bone, hematoppoiesis and bone marrow vessels in aplastic anemia, primary osteoporosis, and old age: a comparative histomorphometric study. Bone 8:157–164PubMedCrossRef Burkhardt R, Kettner G, Bohm W et al (1987) Changes in trabecular bone, hematoppoiesis and bone marrow vessels in aplastic anemia, primary osteoporosis, and old age: a comparative histomorphometric study. Bone 8:157–164PubMedCrossRef
33.
Zurück zum Zitat Kannel WB, Hjortland MC, McNamara PM, Gordon T (1976) Menopause and the risk of cardiovascular disease: the Framingham study. Ann Intern Med 85:447–452PubMed Kannel WB, Hjortland MC, McNamara PM, Gordon T (1976) Menopause and the risk of cardiovascular disease: the Framingham study. Ann Intern Med 85:447–452PubMed
34.
Zurück zum Zitat Colditz GA, Willert WC, Stampfer MJ, Rosner B, Speizer FE, Hennekens CH (1987) Menopause and the risk of coronary heart disease in women. N Engl J Med 316:1105–1110PubMed Colditz GA, Willert WC, Stampfer MJ, Rosner B, Speizer FE, Hennekens CH (1987) Menopause and the risk of coronary heart disease in women. N Engl J Med 316:1105–1110PubMed
35.
Zurück zum Zitat Riggs BL, Melton LJ 3rd (1986) Involutional osteoporosis. N Engl J Med 314:1676–1686PubMed Riggs BL, Melton LJ 3rd (1986) Involutional osteoporosis. N Engl J Med 314:1676–1686PubMed
36.
Zurück zum Zitat Mazess RB, Barden HS, Ettinger M et al (1987) Spine and femur density using dual photon absorptiometry in US white women. Bone Miner 2:211–219PubMedCrossRef Mazess RB, Barden HS, Ettinger M et al (1987) Spine and femur density using dual photon absorptiometry in US white women. Bone Miner 2:211–219PubMedCrossRef
37.
Zurück zum Zitat Jensen GF, Boesen J, Transbal I (1986) Spinal osteoporosis: a local vascular disease? (abstr). Calcif Tissue Int 39:A62 Jensen GF, Boesen J, Transbal I (1986) Spinal osteoporosis: a local vascular disease? (abstr). Calcif Tissue Int 39:A62
38.
Zurück zum Zitat Frye MA, Melton JL 3rd, Bryant SC et al (1992) Osteoporosis and calcification of the aorta. Bone Miner 19:185–194PubMedCrossRef Frye MA, Melton JL 3rd, Bryant SC et al (1992) Osteoporosis and calcification of the aorta. Bone Miner 19:185–194PubMedCrossRef
39.
Zurück zum Zitat Banks LM, Lees B, Mac Sweeney JE, Stevenson JC (1994) Effect of degenerative spinal and aortic calcification on bone density measurements in post- menopausal women: links between osteoporosis and cardiovascular disease. Eur J Clin Invest 24:813–817PubMedCrossRef Banks LM, Lees B, Mac Sweeney JE, Stevenson JC (1994) Effect of degenerative spinal and aortic calcification on bone density measurements in post- menopausal women: links between osteoporosis and cardiovascular disease. Eur J Clin Invest 24:813–817PubMedCrossRef
40.
Zurück zum Zitat Kiel DP, Kaupilla LI, Cupples LA, Hannan MT, O’Donnel CJ, Wilson PW (2001) Bone loss and the progression of abdominal aortic calcification over a 25-year period; The Framingham Heart Study. Calcif Tissue Int 68:271–276PubMedCrossRef Kiel DP, Kaupilla LI, Cupples LA, Hannan MT, O’Donnel CJ, Wilson PW (2001) Bone loss and the progression of abdominal aortic calcification over a 25-year period; The Framingham Heart Study. Calcif Tissue Int 68:271–276PubMedCrossRef
41.
Zurück zum Zitat Tsai KS, Pan WH, Hsu SHJ et al (1996) Sexual differences in bone markers and bone mineral density of normal Chinese. Calcif Tissue Int 59:454–460PubMed Tsai KS, Pan WH, Hsu SHJ et al (1996) Sexual differences in bone markers and bone mineral density of normal Chinese. Calcif Tissue Int 59:454–460PubMed
42.
Zurück zum Zitat Dunnil MS, Anderson JA, Whitehead R (1967) Quantitative histological studies on age changes in bone. J Pathol Bacteriol 94:275–291CrossRef Dunnil MS, Anderson JA, Whitehead R (1967) Quantitative histological studies on age changes in bone. J Pathol Bacteriol 94:275–291CrossRef
43.
Zurück zum Zitat Modic MT, Masaryk TJ, Ross JS, Carter JR (1988) Imaging of degenerative disk disease. Radiology 168:177–186PubMed Modic MT, Masaryk TJ, Ross JS, Carter JR (1988) Imaging of degenerative disk disease. Radiology 168:177–186PubMed
44.
Zurück zum Zitat Kuisma M, Karppinen J, Niinimäki J et al (2006) A three-year follow-up of lumbar spine endplate (Modic) changes. Spine 31(15):1714–1718PubMedCrossRef Kuisma M, Karppinen J, Niinimäki J et al (2006) A three-year follow-up of lumbar spine endplate (Modic) changes. Spine 31(15):1714–1718PubMedCrossRef
45.
Zurück zum Zitat Kuisma M, Karppinen J, Niinimäki J et al (2007) Modic changes in endplates of lumbar vertebral bodies: prevalence and association with low back and sciatic pain among middle-aged male workers. Spine 32(10):1116–1122PubMedCrossRef Kuisma M, Karppinen J, Niinimäki J et al (2007) Modic changes in endplates of lumbar vertebral bodies: prevalence and association with low back and sciatic pain among middle-aged male workers. Spine 32(10):1116–1122PubMedCrossRef
Metadaten
Titel
Differences in perfusion parameters between upper and lower lumbar vertebral segments with dynamic contrast-enhanced MRI (DCE MRI)
verfasst von
Vasiliki Savvopoulou
Thomas G. Maris
Lampros Vlahos
Lia Angela Moulopoulos
Publikationsdatum
01.09.2008
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 9/2008
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-008-0943-8

Weitere Artikel der Ausgabe 9/2008

European Radiology 9/2008 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.