Cortical bone porosity contributes to bone quality but is under the limit of the current clinical imaging modalities’ resolution. T1 value of water molecules residing in cortical bone pores is linked with their mobility. Since the changes in surface-to-volume ratio of the pores affect cortical bone mechanical properties, we assumed that free water T1 (T1,free) would model the mechanical properties of cortical bone. Variable flip angle, variable TR, and inversion recovery methods were used to quantify T1,free and their correlation with bone toughness was assessed. The results showed VFA T1,free could predict the cortical bone toughness (r = -0.63, p<0.01).
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