Keywords: Bone/Skeletal, Diabetes
Motivation: Type 2 diabetes (T2D) patients suffer from increased bone fracture risk despite preserved or even elevated bone mineral density (BMD). A better diagnostic tool that accurately reports the bone health of T2D patients is urgently needed.
Goal(s): To develop an MRI method that can probe non-enzymatic crosslinking of bone collagen and compromise of bone mechanical properties.
Approach: We used ultrashort echo time magnetization transfer (UTE-MT) MRI for measuring the degree of collagen crosslinking in ex vivo rat bones with ribosylation.
Results: The UTE-MT showed sensitivity to bone collagen crosslinking via ribosylation and subsequent compromise of bone mechanical properties.
Impact: The UTE-MT technique showed significant sensitivity to non-enzymatic crosslinking of bone collagen, a key mechanism that explains the increased fracture risk of T2D patients. The UTE-MT can be an accurate noninvasive diagnostic tool for probing bone health of T2D patients.
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