دورية أكاديمية

Marrow Fat-Cortical Bone Relationship in β-Thalassemia: A Study Using MRI.

التفاصيل البيبلوغرافية
العنوان: Marrow Fat-Cortical Bone Relationship in β-Thalassemia: A Study Using MRI.
المؤلفون: Ismail UN; Makmal Pemprosesan Imej Kefungsian (Functional Image Processing Laboratory), Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bangi, Malaysia., Azlan CA; Department of Biomedical Imaging, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia., Khairullah S; Haematology Unit, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia., Azman RR; Department of Biomedical Imaging, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia., Omar NF; Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia., Md Shah MN; Department of Biomedical Imaging, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia., Jackson N; Red Cell Unit, Department of Haematology, University College London Hospital, London, UK., Ng KH; Department of Biomedical Imaging, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
المصدر: Journal of magnetic resonance imaging : JMRI [J Magn Reson Imaging] 2024 Mar 31. Date of Electronic Publication: 2024 Mar 31.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 9105850 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-2586 (Electronic) Linking ISSN: 10531807 NLM ISO Abbreviation: J Magn Reson Imaging Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken , N.J. : Wiley-Liss
Original Publication: Chicago, IL : Society for Magnetic Resonance Imaging, c1991-
مستخلص: Background: Growing evidence suggests that marrow adipocytes play an active role in the regulation of bone metabolism and hematopoiesis. However, research on the relationship between bone and fat in the context of hematological diseases, particularly β-thalassemia, remains limited.
Purpose: To investigate the relationship between marrow fat and cortical bone thickness in β-thalassemia and to identify key determinants influencing these variables.
Study Type: Prospective.
Subjects: Thirty-five subjects in four subject groups of increasing disease severity: 6 healthy control (25.0 ± 5.3 years, 2 male), 4 β-thalassemia minor, 13 intermedia, and 12 major (29.1 ± 6.4 years, 15 male).
Field Strength/sequence: 3.0 T, 3D fast low angle shot sequence and T 1 -weighted turbo spin echo.
Assessment: Analyses on proton density fat fraction (PDFF) and R 2 * values in femur subregions (femoral head, greater trochanter, intertrochanteric, diaphysis, distal) and cortical thickness (CBI) of the subjects' left femur. Clinical data such as age, sex, body mass index (BMI), and disease severity were also included.
Statistical Tests: One-way analysis of variance (ANOVA), mixed ANOVA, Pearson correlation and multiple regression. P-values <0.05 were considered significant.
Results: Bone marrow PDFF significantly varied between the femur subregions, F(2.89,89.63) = 44.185 and disease severity, F(1,3) = 12.357. A significant interaction between subject groups and femur subregions on bone marrow PDFF was observed, F(8.67,89.63) = 3.723. Notably, a moderate positive correlation was observed between PDFF and CBI (r = 0.33-0.45). Multiple regression models for both PDFF (R 2  = 0.476, F(13,151) = 10.547) and CBI (R 2  = 0.477, F(13,151) = 10.580) were significant. Significant predictors for PDFF were disease severity (β TMi  = 0.36, β TMa  = 0.17), CBI (β = 0.24), R 2 * (β = -0.32), and height (β = -0.29) while for CBI, the significant determinants were sex (β = -0.27), BMI (β = 0.55), disease severity (β TMi  = 2.15), and PDFF (β = 0.25).
Data Conclusion: This study revealed a positive correlation between bone marrow fat fraction and cortical bone thickness in β-thalassemia with varying disease severity, potentially indicating a complex interplay between bone health and marrow composition.
Evidence Level: 2 TECHNICAL EFFICACY: Stage 3.
(© 2024 International Society for Magnetic Resonance in Medicine.)
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معلومات مُعتمدة: FP053-2020 Ministry of Higher Education; DOMRSF-2022-04 Universiti Malaya; DIP-2022-023 Centre for Research & Instrumentation, Universiti Kebangsaan Malaysia
فهرسة مساهمة: Keywords: bone; magnetic resonance imaging; marrow adipose tissue; β‐thalassemia
تواريخ الأحداث: Date Created: 20240401 Latest Revision: 20240401
رمز التحديث: 20240401
DOI: 10.1002/jmri.29366
PMID: 38556790
قاعدة البيانات: MEDLINE
الوصف
تدمد:1522-2586
DOI:10.1002/jmri.29366