Osteoporosis involves degradation of bone’s trabecular architecture, cortical thinning, and enlargement of cortical pores. Increased cortical porosity is a major cause of the decreased strength of osteoporotic bone. The majority of cortical pores, however, are below the resolution limit of MRI.
Recent work has shown that porosity can be evaluated by MRI-based quantification of bone water. Bi-exponential T2* fitting and adiabatic inversion preparation are the two most common methods purported to distinguish bound and pore water in order to quantify matrix density and porosity.
To assess the viability of T2* bi-component analysis as a method for quantifying bound and pore water fractions, we have applied this method to human cortical bone at 1.5T, 3T, 7T, and 9.4T, and validated the resulting pool fractions against μCT-derived porosity and gravimetrically-determined bone densities. We also investigated alternative methods: 2D T1–T2* bi-component fitting by incorporating saturation-recovery, 1D and 2D fitting of CPMG echo amplitudes, and deuterium inversion recovery.
Short-T2* pool fraction was moderately correlated with porosity (R2 = 0.70) and matrix density (R2 = 0.63) at 1.5T, but the strengths of these associations were found to diminish rapidly as field strength increases, falling below R2 = 0.5 at 3T. Addition of the T1 dimension to bi-component analysis only slightly improved the strengths of these correlations. T2*-based bi-component analysis should therefore be used with caution.
Performance of deuterium inversion-recovery at 9.4T was also poor (R2 = 0.50 versus porosity and R2 = 0.46 versus matrix density). CPMG-derived short-T2 fraction at 9.4T, however, is highly correlated with porosity (R2 = 0.87) and matrix density (R2 = 0.88), confirming the utility of this method for independent validation of bone water pools.