Skip to main content
Erschienen in: Osteoporosis International 1/2011

01.01.2011 | Original Article

Structural parameters of normal and osteoporotic human trabecular bone are affected differently by microCT image resolution

verfasst von: H. Isaksson, J. Töyräs, M. Hakulinen, A. S. Aula, I. Tamminen, P. Julkunen, H. Kröger, J. S. Jurvelin

Erschienen in: Osteoporosis International | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

Summary

This study employed microCT to investigate whether image resolution affects bone structural parameters differently in healthy normal and osteoporotic trabecular bone. With increasing image voxel size, the originally detected differences between sample groups diminished. The results suggest that structural differences may not be reliably detected with clinical scanners.

Introduction

Structural parameters of bone reflect its health status, but are highly dependent on the image resolution. We hypothesized that image resolution affects bone structural parameters differently in normal and osteoporotic trabecular bone.

Methods

Human trabecular bone samples from the iliac crest and the knee were analyzed (normal n = 11, osteoporotic n = 15) using a high-resolution microCT (14 or 18 µm voxel sizes). Images were re-sampled to voxel sizes 1–16 times larger than the original image and thresholded with global or local adaptive algorithms. Absolute and normalized values of each structural parameter were calculated, and the effect of decreasing image resolution was compared between the normal and osteoporotic samples.

Results

Normal and osteoporotic samples had different (p < 0.05) absolute bone volume fractions. However, the normalized values showed that the osteoporotic samples were more prone to errors (p < 0.05) with increased voxel size. The absolute values of trabecular number, trabecular separation, degree of anisotropy, and structure model index were different between the groups at the original voxel size (p < 0.05), but at voxel sizes between 60 and 110 µm, those differences were no longer significant.

Conclusions

The results suggest that structural differences between osteoporotic and normal trabecular bone may not be reliably detected with clinical CT scanners providing image voxel sizes above 100 µm.
Literatur
2.
Zurück zum Zitat Compston JE, Papapoulos SE, Blanchard F (1998) Report on osteoporosis in the European Community: current status and recommendations for the future. Working Party from European Union Member States. Osteoporos Int 8:531–534CrossRefPubMed Compston JE, Papapoulos SE, Blanchard F (1998) Report on osteoporosis in the European Community: current status and recommendations for the future. Working Party from European Union Member States. Osteoporos Int 8:531–534CrossRefPubMed
3.
Zurück zum Zitat Melton LJ 3rd, Atkinson EJ, O'Fallon WM, Wahner HW, Riggs BL (1993) Long-term fracture prediction by bone mineral assessed at different skeletal sites. J Bone Miner Res 8:1227–1233CrossRefPubMed Melton LJ 3rd, Atkinson EJ, O'Fallon WM, Wahner HW, Riggs BL (1993) Long-term fracture prediction by bone mineral assessed at different skeletal sites. J Bone Miner Res 8:1227–1233CrossRefPubMed
4.
Zurück zum Zitat Burr DB (2002) Bone material properties and mineral matrix contributions to fracture risk or age in women and men. J Musculoskelet Neuronal Interact 2:201–204PubMed Burr DB (2002) Bone material properties and mineral matrix contributions to fracture risk or age in women and men. J Musculoskelet Neuronal Interact 2:201–204PubMed
5.
Zurück zum Zitat Delmas PD, Seeman E (2004) Changes in bone mineral density explain little of the reduction in vertebral or nonvertebral fracture risk with anti-resorptive therapy. Bone 34:599–604CrossRefPubMed Delmas PD, Seeman E (2004) Changes in bone mineral density explain little of the reduction in vertebral or nonvertebral fracture risk with anti-resorptive therapy. Bone 34:599–604CrossRefPubMed
6.
Zurück zum Zitat Astrand J, Thorngren KG, Tagil M (2006) One fracture is enough! Experience with a prospective and consecutive osteoporosis screening program with 239 fracture patients. Acta Orthop 77:3–8CrossRefPubMed Astrand J, Thorngren KG, Tagil M (2006) One fracture is enough! Experience with a prospective and consecutive osteoporosis screening program with 239 fracture patients. Acta Orthop 77:3–8CrossRefPubMed
7.
Zurück zum Zitat World Health Organization Group (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. World Health Organization, Geneva World Health Organization Group (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. World Health Organization, Geneva
8.
Zurück zum Zitat Pasco JA, Seeman E, Henry MJ, Merriman EN, Nicholson GC, Kotowicz MA (2006) The population burden of fractures originates in women with osteopenia, not osteoporosis. Osteoporos Int 17:1404–1409CrossRefPubMed Pasco JA, Seeman E, Henry MJ, Merriman EN, Nicholson GC, Kotowicz MA (2006) The population burden of fractures originates in women with osteopenia, not osteoporosis. Osteoporos Int 17:1404–1409CrossRefPubMed
9.
Zurück zum Zitat Greenspan S (2004) Osteoporosis. In: Andreoli TE (ed) Cecil essentials of medicine. W.B. Saunders, Philadelphia, pp 715–722 Greenspan S (2004) Osteoporosis. In: Andreoli TE (ed) Cecil essentials of medicine. W.B. Saunders, Philadelphia, pp 715–722
10.
Zurück zum Zitat Fields AJ, Eswaran SK, Jekir MG, Keaveny TM (2009) Role of trabecular microarchitecture in whole-vertebral body biomechanical behavior. J Bone Miner Res 24:1523–1530CrossRefPubMed Fields AJ, Eswaran SK, Jekir MG, Keaveny TM (2009) Role of trabecular microarchitecture in whole-vertebral body biomechanical behavior. J Bone Miner Res 24:1523–1530CrossRefPubMed
11.
Zurück zum Zitat Dalle Carbonare L, Giannini S (2004) Bone microarchitecture as an important determinant of bone strength. J Endocrinol Invest 27:99–105PubMed Dalle Carbonare L, Giannini S (2004) Bone microarchitecture as an important determinant of bone strength. J Endocrinol Invest 27:99–105PubMed
12.
Zurück zum Zitat Newitt DC, Majumdar S, van Rietbergen B, von Ingersleben G, Harris ST, Genant HK, Chesnut C, Garnero P, MacDonald B (2002) In vivo assessment of architecture and micro-finite element analysis derived indices of mechanical properties of trabecular bone in the radius. Osteoporos Int 13:6–17CrossRefPubMed Newitt DC, Majumdar S, van Rietbergen B, von Ingersleben G, Harris ST, Genant HK, Chesnut C, Garnero P, MacDonald B (2002) In vivo assessment of architecture and micro-finite element analysis derived indices of mechanical properties of trabecular bone in the radius. Osteoporos Int 13:6–17CrossRefPubMed
13.
Zurück zum Zitat Boyd SK, Davison P, Muller R, Gasser JA (2006) Monitoring individual morphological changes over time in ovariectomized rats by in vivo micro-computed tomography. Bone 39:854–862CrossRefPubMed Boyd SK, Davison P, Muller R, Gasser JA (2006) Monitoring individual morphological changes over time in ovariectomized rats by in vivo micro-computed tomography. Bone 39:854–862CrossRefPubMed
14.
Zurück zum Zitat Carballido-Gamio J, Majumdar S (2006) Clinical utility of microarchitecture measurements of trabecular bone. Curr Osteoporos Rep 4:64–70CrossRefPubMed Carballido-Gamio J, Majumdar S (2006) Clinical utility of microarchitecture measurements of trabecular bone. Curr Osteoporos Rep 4:64–70CrossRefPubMed
15.
Zurück zum Zitat Ruegsegger P, Koller B, Muller R (1996) A microtomographic system for the nondestructive evaluation of bone architecture. Calcif Tissue Int 58:24–29CrossRefPubMed Ruegsegger P, Koller B, Muller R (1996) A microtomographic system for the nondestructive evaluation of bone architecture. Calcif Tissue Int 58:24–29CrossRefPubMed
16.
Zurück zum Zitat Campbell GM, Buie HR, Boyd SK (2008) Signs of irreversible architectural changes occur early in the development of experimental osteoporosis as assessed by in vivo micro-CT. Osteoporos Int 19:1409–1419CrossRefPubMed Campbell GM, Buie HR, Boyd SK (2008) Signs of irreversible architectural changes occur early in the development of experimental osteoporosis as assessed by in vivo micro-CT. Osteoporos Int 19:1409–1419CrossRefPubMed
17.
Zurück zum Zitat Gasser JA, Ingold P, Grosios K, Laib A, Hammerle S, Koller B (2005) Noninvasive monitoring of changes in structural cancellous bone parameters with a novel prototype micro-CT. J Bone Miner Metab 23:90–96, SupplCrossRefPubMed Gasser JA, Ingold P, Grosios K, Laib A, Hammerle S, Koller B (2005) Noninvasive monitoring of changes in structural cancellous bone parameters with a novel prototype micro-CT. J Bone Miner Metab 23:90–96, SupplCrossRefPubMed
18.
Zurück zum Zitat Thomsen JS, Laib A, Koller B, Prohaska S, Mosekilde L, Gowin W (2005) Stereological measures of trabecular bone structure: comparison of 3D micro computed tomography with 2D histological sections in human proximal tibial bone biopsies. J Microsc 218:171–179CrossRefPubMed Thomsen JS, Laib A, Koller B, Prohaska S, Mosekilde L, Gowin W (2005) Stereological measures of trabecular bone structure: comparison of 3D micro computed tomography with 2D histological sections in human proximal tibial bone biopsies. J Microsc 218:171–179CrossRefPubMed
19.
Zurück zum Zitat Chappard D, Retailleau-Gaborit N, Legrand E, Basle MF, Audran M (2005) Comparison insight bone measurements by histomorphometry and microCT. J Bone Miner Res 20:1177–1184CrossRefPubMed Chappard D, Retailleau-Gaborit N, Legrand E, Basle MF, Audran M (2005) Comparison insight bone measurements by histomorphometry and microCT. J Bone Miner Res 20:1177–1184CrossRefPubMed
20.
Zurück zum Zitat Akhter MP, Lappe JM, Davies KM, Recker RR (2007) Transmenopausal changes in the trabecular bone structure. Bone 41:111–116CrossRefPubMed Akhter MP, Lappe JM, Davies KM, Recker RR (2007) Transmenopausal changes in the trabecular bone structure. Bone 41:111–116CrossRefPubMed
21.
Zurück zum Zitat Brouwers JE, Lambers FM, Gasser JA, van Rietbergen B, Huiskes R (2008) Bone degeneration and recovery after early and late bisphosphonate treatment of ovariectomized wistar rats assessed by in vivo micro-computed tomography. Calcif Tissue Int 82:202–211CrossRefPubMed Brouwers JE, Lambers FM, Gasser JA, van Rietbergen B, Huiskes R (2008) Bone degeneration and recovery after early and late bisphosphonate treatment of ovariectomized wistar rats assessed by in vivo micro-computed tomography. Calcif Tissue Int 82:202–211CrossRefPubMed
22.
Zurück zum Zitat Kothari M, Keaveny TM, Lin JC, Newitt DC, Genant HK, Majumdar S (1998) Impact of spatial resolution on the prediction of trabecular architecture parameters. Bone 22:437–443CrossRefPubMed Kothari M, Keaveny TM, Lin JC, Newitt DC, Genant HK, Majumdar S (1998) Impact of spatial resolution on the prediction of trabecular architecture parameters. Bone 22:437–443CrossRefPubMed
23.
Zurück zum Zitat Muller R, Koller B, Hildebrand T, Laib A, Gianolini S, Ruegsegger P (1996) Resolution dependency of microstructural properties of cancellous bone based on three-dimensional mu-tomography. Technol Health Care 4:113–119PubMed Muller R, Koller B, Hildebrand T, Laib A, Gianolini S, Ruegsegger P (1996) Resolution dependency of microstructural properties of cancellous bone based on three-dimensional mu-tomography. Technol Health Care 4:113–119PubMed
24.
Zurück zum Zitat Sode M, Burghardt AJ, Nissenson RA, Majumdar S (2008) Resolution dependence of the non-metric trabecular structure indices. Bone 42:728–736CrossRefPubMed Sode M, Burghardt AJ, Nissenson RA, Majumdar S (2008) Resolution dependence of the non-metric trabecular structure indices. Bone 42:728–736CrossRefPubMed
25.
Zurück zum Zitat Kim DG, Christopherson GT, Dong XN, Fyhrie DP, Yeni YN (2004) The effect of microcomputed tomography scanning and reconstruction voxel size on the accuracy of stereological measurements in human cancellous bone. Bone 35:1375–1382CrossRefPubMed Kim DG, Christopherson GT, Dong XN, Fyhrie DP, Yeni YN (2004) The effect of microcomputed tomography scanning and reconstruction voxel size on the accuracy of stereological measurements in human cancellous bone. Bone 35:1375–1382CrossRefPubMed
26.
Zurück zum Zitat Waarsing JH, Day JS, Weinans H (2004) An improved segmentation method for in vivo microCT imaging. J Bone Miner Res 19:1640–1650CrossRefPubMed Waarsing JH, Day JS, Weinans H (2004) An improved segmentation method for in vivo microCT imaging. J Bone Miner Res 19:1640–1650CrossRefPubMed
27.
Zurück zum Zitat Kazakia GJ, Hyun B, Burghardt AJ, Krug R, Newitt DC, de Papp AE, Link TM, Majumdar S (2008) In vivo determination of bone structure in postmenopausal women: a comparison of HR-pQCT and high-field MR imaging. J Bone Miner Res 23:463–474CrossRefPubMed Kazakia GJ, Hyun B, Burghardt AJ, Krug R, Newitt DC, de Papp AE, Link TM, Majumdar S (2008) In vivo determination of bone structure in postmenopausal women: a comparison of HR-pQCT and high-field MR imaging. J Bone Miner Res 23:463–474CrossRefPubMed
28.
Zurück zum Zitat Boutroy S, Bouxsein ML, Munoz F, Delmas PD (2005) In vivo assessment of trabecular bone microarchitecture by high-resolution peripheral quantitative computed tomography. J Clin Endocrinol Metab 90:6508–6515CrossRefPubMed Boutroy S, Bouxsein ML, Munoz F, Delmas PD (2005) In vivo assessment of trabecular bone microarchitecture by high-resolution peripheral quantitative computed tomography. J Clin Endocrinol Metab 90:6508–6515CrossRefPubMed
29.
Zurück zum Zitat Mueller TL, Stauber M, Kohler T, Eckstein F, Muller R, van Lenthe GH (2009) Non-invasive bone competence analysis by high-resolution pQCT: an in vitro reproducibility study on structural and mechanical properties at the human radius. Bone 44:364–371CrossRefPubMed Mueller TL, Stauber M, Kohler T, Eckstein F, Muller R, van Lenthe GH (2009) Non-invasive bone competence analysis by high-resolution pQCT: an in vitro reproducibility study on structural and mechanical properties at the human radius. Bone 44:364–371CrossRefPubMed
30.
Zurück zum Zitat Boutroy S, Van Rietbergen B, Sornay-Rendu E, Munoz F, Bouxsein ML, Delmas PD (2008) Finite element analysis based on in vivo HR-pQCT images of the distal radius is associated with wrist fracture in postmenopausal women. J Bone Miner Res 23:392–399CrossRefPubMed Boutroy S, Van Rietbergen B, Sornay-Rendu E, Munoz F, Bouxsein ML, Delmas PD (2008) Finite element analysis based on in vivo HR-pQCT images of the distal radius is associated with wrist fracture in postmenopausal women. J Bone Miner Res 23:392–399CrossRefPubMed
31.
Zurück zum Zitat Diederichs G, Link T, Marie K, Huber M, Rogalla P, Burghardt A, Majumdar S, Issever A (2008) Feasibility of measuring trabecular bone structure of the proximal femur using 64-slice multidetector computed tomography in a clinical setting. Calcif Tissue Int 83:332–341CrossRefPubMed Diederichs G, Link T, Marie K, Huber M, Rogalla P, Burghardt A, Majumdar S, Issever A (2008) Feasibility of measuring trabecular bone structure of the proximal femur using 64-slice multidetector computed tomography in a clinical setting. Calcif Tissue Int 83:332–341CrossRefPubMed
32.
Zurück zum Zitat Tamminen I, Aula A, Isaksson H, Jurvelin JS, Kröger H (2009) Reproducibility and agreement of microCT and histomorphometry depends on the metabolic status of human trabecular bone. Transactions of 55th annual meeting of the Orthopaedic Research Society, Las Vegas, Nevada, USA Tamminen I, Aula A, Isaksson H, Jurvelin JS, Kröger H (2009) Reproducibility and agreement of microCT and histomorphometry depends on the metabolic status of human trabecular bone. Transactions of 55th annual meeting of the Orthopaedic Research Society, Las Vegas, Nevada, USA
33.
Zurück zum Zitat Hakulinen MA, Day JS, Toyras J, Weinans H, Jurvelin JS (2006) Ultrasonic characterization of human trabecular bone microstructure. Phys Med Biol 51:1633–1648CrossRefPubMed Hakulinen MA, Day JS, Toyras J, Weinans H, Jurvelin JS (2006) Ultrasonic characterization of human trabecular bone microstructure. Phys Med Biol 51:1633–1648CrossRefPubMed
34.
Zurück zum Zitat Hildebrand T, Ruegsegger P (1997) Quantification of bone microarchitecture with the structure model index. Comput Methods Biomech Biomed Engin 1:15–23CrossRefPubMed Hildebrand T, Ruegsegger P (1997) Quantification of bone microarchitecture with the structure model index. Comput Methods Biomech Biomed Engin 1:15–23CrossRefPubMed
35.
Zurück zum Zitat Odgaard A, Kabel J, van Rietbergen B, Dalstra M, Huiskes R (1997) Fabric and elastic principal directions of cancellous bone are closely related. J Biomech 30:487–495CrossRefPubMed Odgaard A, Kabel J, van Rietbergen B, Dalstra M, Huiskes R (1997) Fabric and elastic principal directions of cancellous bone are closely related. J Biomech 30:487–495CrossRefPubMed
36.
Zurück zum Zitat Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310PubMed Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310PubMed
37.
Zurück zum Zitat Chappard C, Marchadier A, Benhamou L (2008) Interindividual and intraspecimen variability of 3-D bone microarchitectural parameters in iliac crest biopsies imaged by conventional micro-computed tomography. J Bone Miner Metab 26:506–513PubMed Chappard C, Marchadier A, Benhamou L (2008) Interindividual and intraspecimen variability of 3-D bone microarchitectural parameters in iliac crest biopsies imaged by conventional micro-computed tomography. J Bone Miner Metab 26:506–513PubMed
38.
Zurück zum Zitat Eckstein F, Matsuura M, Kuhn V, Priemel M, Muller R, Link TM, Lochmuller EM (2007) Sex differences of human trabecular bone microstructure in aging are site-dependent. J Bone Miner Res 22:817–824CrossRefPubMed Eckstein F, Matsuura M, Kuhn V, Priemel M, Muller R, Link TM, Lochmuller EM (2007) Sex differences of human trabecular bone microstructure in aging are site-dependent. J Bone Miner Res 22:817–824CrossRefPubMed
Metadaten
Titel
Structural parameters of normal and osteoporotic human trabecular bone are affected differently by microCT image resolution
verfasst von
H. Isaksson
J. Töyräs
M. Hakulinen
A. S. Aula
I. Tamminen
P. Julkunen
H. Kröger
J. S. Jurvelin
Publikationsdatum
01.01.2011
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 1/2011
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-010-1219-0

Weitere Artikel der Ausgabe 1/2011

Osteoporosis International 1/2011 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

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