Abstract

PurposeWe present three-dimensional adiabatic inversion recovery prepared ultrashort echo time Cones (3D IR-UTE-Cones) imaging of cortical bone in the hip of healthy volunteers using a clinical 3T scanner. MethodsA 3D IR-UTE-Cones sequence, based on a short pulse excitation followed by a 3D Cones trajectory, with a nominal TE of 32μs, was employed for high contrast morphological imaging of cortical bone in the hip of heathy volunteers. Signals from soft tissues such as muscle and marrow fat were suppressed via adiabatic inversion and signal nulling. T2⁎ value of the cortical bone was also calculated based on 3D IR-UTE-Cones acquisitions with a series of TEs ranging from 0.032 to 0.8ms. A total of four healthy volunteers were recruited for this study. Average T2⁎ values and the standard deviation for four regions of interests (ROIs) at the greater trochanter, the femoral neck, the femoral head and the lesser trochanter were calculated. ResultsThe 3D IR-UTE-Cones sequence provided efficient suppression of soft tissues with excellent image contrast for cortical bone visualization in all volunteer hips. Exponential single component decay was observed for all ROIs, with averaged T2⁎ values ranging from 0.33 to 0.45ms, largely consistent with previously reported T2⁎ values of cortical bone in the tibial midshaft. ConclusionsThe 3D IR-UTE-Cones sequence allows in vivo volumetric imaging and quantitative T2⁎ measurement of cortical bone in the hip using a clinical 3T scanner.

Highlights

  • The femoroacetabular joint is a key skeletal element that provides a great deal of mobility and stability

  • We report the use of three-dimensional adiabatic inversion recovery prepared Ultrashort echo time (UTE) with Cones sampling (3D inversion recovery UTE (IR-UTE)-Cones) to directly image and quantify cortical bone in the hip in vivo at 3 T

  • Excellent contrast can be achieved by using the 3D IR-UTE-Cones sequence with rapid decay of signal

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Summary

Introduction

The femoroacetabular joint is a key skeletal element that provides a great deal of mobility and stability. The mortality rate within the first year after a hip fracture may reach up to 30%, which is considerably higher than the mortality rate of breast cancer [4,5,6,7,8,9,10]. Hip fractures occur where the applied load is higher than the bone strength [11]. Cortical bone is an important contributor to overall bone strength [12]. Cortical bone strength and toughness, or the fracture resistance, can be decreased dramatically by microstructural changes such as reductions in thickness and density, or increases in porosity [13,14]. In vivo evaluation of cortical bone microstructure has been of great interest in both the orthopedic and radiologic communities [12,15,16].

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