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Abstract #0086

Automated, reference-free quantification of cortical bone parameters detects impairments in postmenopausal osteoporosis

Brandon Clinton Jones1,2, Felix Werner Wehrli1, Nada Kamona1,2, Brian-Tinh Duc Vu1,2, Hyunyeol Lee1,3, Hee Kwon Song1, Mona al Mukaddam4, Peter J Snyder4, Trevor Chan1, Walter RT Witschey1, Matthew MacLean1, Nicholas J Josselyn1,5, Srikant Kamesh Iyer1, and Chamith Sudesh Rajapakse1
1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3School of Electronics, Kyungpook National University, Daegu, Korea, Republic of, 4Endocrinology, University of Pennsylvania, Philadelphia, PA, United States, 5Data Science, Worcester Polytechnic Institute, Worcester, MA, United States

Synopsis

Keywords: Bone, Aging, Osteoporosis, Porosity, ultrashort echo timeWhile ultrashort echo time (UTE) measures of pore water have shown promise in assessing cortical bone porosity, most are hindered by the need for complicated processing and reference samples. The suppression ratio (SR) is a marker of porosity which is simply calculated as the voxel-wise ratio of two UTE magnitude images, one without and with long-T2 suppression. Automated cortical bone segmentation via deep learning showed elevated SR in postmenopausal women with osteoporosis (P=0.001) and was strongly associated with pore water density (R=0.93) and with pQCT BMD (R=-0.88). Results suggest that SR can detect elevated porosity in postmenopausal osteoporosis.

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Keywords