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Abstract: 〗[Abstract] Objective〖HTSS〗〓To explore the clinical value of MRI T2* values for quantitative evaluation of the lumbar vertebrae osteoporosis. 〖HTH〗〖WTHZ〗Methods〖HTSS〗〓The patients who underwent the routine lumbar MRI scan, T2* mapping scan and quantitative computer tomography(QCT) were collected. Bone mineral density(BMD) of the QCT were obtained, and T2* values of L2-L4 were measured by two independent observers. According to the BMD values, the vertebral bodies were divided into the normal group, the osteopenia group and the osteoporosis group. The correlations of T2* values and BMD were analyzed with Spearman correlation tests. The diagnostic efficiency of T2* values was evaluated by receiver operating characteristic curve(ROC curve). 〖HTH〗〖WTHZ〗Results〖HTSS〗〓The correlations of the T2* values and BMD values in all three groups were negative(rs=-0.47, -0.52, -0.57, P<0.05 respectively). The areas under ROC curve of T2* value for diagnosis of the lumber vertebral osteopenia and osteoporosis were 0.76 and 0.79, respectively. The diagnosis sensitivity was 82.2% and the specificity was 59.3% for diagnosis of osteopenia at the threshold of 12.48, 87.1% and 56.2% for the diagnosis of osteoporosis at the threshold of 17.13. 〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The MRI T2* mapping sequence could be a reliable diagnostic indicator for quantitative evaluation of the lumbar vertebrae osteoporosis.
Key words: osteoporosis, postmenopausal, bone density, diagnostic imaging
ZHANG Xiaofei, WU Huizhao, HAN Shuman, CAO Lei, WEN Jinxu, WU Wenjuan*. Quantitative evaluation of lumber vertebra osteoporosis with MRI T2* mapping#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2019.05.019.
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URL: https://xuebao.hebmu.edu.cn/EN/10.3969/j.issn.10073205.2019.05.019
https://xuebao.hebmu.edu.cn/EN/Y2019/V40/I5/575