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Abstract #0507

Linkage of vertebral bone marrow fat content with biomechanical strength and trabecular bone structure parameters

Thomas Baum 1 , Stefan Ruschke 1 , Olga Gordijenko 1 , Eduardo Grande Garcia 1 , Hendrik Kooijman 2 , Rainer Burgkart 3 , Ernst J Rummeny 1 , Jan S Bauer 4 , and Dimitrios C Karampinos 1

1 Department of Radiology, Klinikum rechts der Isar, Technische Universitt Mnchen, Munich, Bavaria, Germany, 2 Philips Healthcare, Hamburg, Hamburg, Germany, 3 Department of Orthopedics and Orthopedic Sports Medicine, Technische Universitt Mnchen, Munich, Bavaria, Germany, 4 Department of Neuroradiology, Klinikum rechts der Isar, Technische Universitt Mnchen, Munich, Bavaria, Germany

There is a growing interest in understanding the linkage between bone marrow adiposity and bone weakening. The present pilot ex vivo study investigates, using human spine specimens, the relationship between MRS-based vertebral bone marrow proton density fat fraction, MDCT-based measures of BMD and trabecular microstructure, and biomechanical strength. The reported results confirm the previously reported negative association between bone marrow fat content and bone mineral density and provide the first direct validation of a negative association between bone marrow fat content and bone biomechanical strength.

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