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Abstract #5329

Assessment of IVIM-Derived Microcapillary Perfusion in Osteoporotic Vertebral Fractures

Hiroyuki Takashima1, Rui Imamura2, Yasuhisa Abe3, Tomonori Morita4, Ryunosuke Fukushi4, Yoshihiro Akatsuka2, and Tsuneo Takebayashi3
1Division of Biomedical Science and Engineering, Faculty of Health Sciences, Hokkaido University, Sapporo, Japan, 2Division of Radiology and Nuclear Medicine, Sapporo Medical University Hospital, Sapporo, Japan, 3Sapporo Maruyama Orthopedic Hospital, Sapporo, Japan, 4Department of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan

Synopsis

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Motivation: Osteoporotic vertebral fractures (OVF) frequently lead to delayed healing and reduced mobility in the elderly, increasing long-term care needs. A non-invasive method to assess fracture perfusion characteristics could aid in early intervention.

Goal(s): This study aims to evaluate IVIM MRI’s ability to differentiate perfusion in fractured versus non-fractured vertebrae and establish baseline data for OVF prognostic assessments.

Approach: In 52 patients with acute OVF, IVIM parameters (ADC, D, D*, f) were measured and analyzed for inter-rater reliability and statistical differences.

Results: IVIM parameters showed strong reliability and significant differences between fractured and non-fractured vertebrae, supporting IVIM’s potential for OVF assessment and early intervention.

Impact: This study establishes IVIM as a reliable, non-invasive tool for assessing perfusion in osteoporotic vertebral fractures, providing baseline data for prognostic use. Findings may support early interventions, improving outcomes and potentially reducing long-term care needs in elderly populations.

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