Evaluation of the modified MRI vertebral bone quality score for bone quality in lumbar degenerative disorders
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
OBJECTIVE: The traditional VBQ scoring method may lead to overestimation due to the concentration of intravertebral fat and vascular structures in the posterior half of vertebral bodies, potentially resulting in false-positive outcomes. This study aims to modify the measurement method of VBQ score (Modified-VBQ) and evaluate its effectiveness in evaluating bone quality of lumbar degenerative diseases.
METHODS: Retrospective analysis was conducted on clinical data from patients undergoing lumbar surgery for degenerative diseases between September 2022 and September 2023. Preoperative lumbar t1-weighted Magnetic resonance imaging was used for both modified and traditional VBQ scoring. Computed tomography (CT) images and dual-energy X-ray absorptiometry (DEXA) data were collected through the picture archiving and communication system. The effectiveness of the modified VBQ score was evaluated, considering P < 0.05 as statistically significant.
RESULTS: The study included 212 patients, revealing a significant difference between the modified VBQ and VBQ scores (P < 0.0001). Notably, patients with a history of hyperlipidemia exhibited a significant difference between the two scores (P = 0.0037). The area under the ROC curve (AUC) for the modified VBQ was 0.86, surpassing the VBQ score (AUC = 0.74). Linear regression analysis demonstrated a moderate to strong correlation between the modified VBQ and DEXA T-score (r = - 0.49, P < 0.0001) and a high correlation with CT Hounsfield units (HU) values (r = - 0.60, P < 0.0001).
CONCLUSION: The modified VBQ score provides a simple, effective, and relatively accurate means of assessing bone quality in lumbar degenerative diseases. Preoperative implementation of the modified VBQ score facilitates rapid screening for patients with abnormal bone quality.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society - (2024) vom: 11. Apr. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Li, Dachuan [VerfasserIn] |
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Journal Article |
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| Anmerkungen: |
Date Revised 11.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1007/s00586-024-08228-3 |
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| PPN (Katalog-ID): |
NLM370918452 |
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| 100 | 1 | |a Li, Dachuan |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Evaluation of the modified MRI vertebral bone quality score for bone quality in lumbar degenerative disorders |
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| 520 | |a © 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a OBJECTIVE: The traditional VBQ scoring method may lead to overestimation due to the concentration of intravertebral fat and vascular structures in the posterior half of vertebral bodies, potentially resulting in false-positive outcomes. This study aims to modify the measurement method of VBQ score (Modified-VBQ) and evaluate its effectiveness in evaluating bone quality of lumbar degenerative diseases | ||
| 520 | |a METHODS: Retrospective analysis was conducted on clinical data from patients undergoing lumbar surgery for degenerative diseases between September 2022 and September 2023. Preoperative lumbar t1-weighted Magnetic resonance imaging was used for both modified and traditional VBQ scoring. Computed tomography (CT) images and dual-energy X-ray absorptiometry (DEXA) data were collected through the picture archiving and communication system. The effectiveness of the modified VBQ score was evaluated, considering P < 0.05 as statistically significant | ||
| 520 | |a RESULTS: The study included 212 patients, revealing a significant difference between the modified VBQ and VBQ scores (P < 0.0001). Notably, patients with a history of hyperlipidemia exhibited a significant difference between the two scores (P = 0.0037). The area under the ROC curve (AUC) for the modified VBQ was 0.86, surpassing the VBQ score (AUC = 0.74). Linear regression analysis demonstrated a moderate to strong correlation between the modified VBQ and DEXA T-score (r = - 0.49, P < 0.0001) and a high correlation with CT Hounsfield units (HU) values (r = - 0.60, P < 0.0001) | ||
| 520 | |a CONCLUSION: The modified VBQ score provides a simple, effective, and relatively accurate means of assessing bone quality in lumbar degenerative diseases. Preoperative implementation of the modified VBQ score facilitates rapid screening for patients with abnormal bone quality | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Lumbar degenerative disease | |
| 650 | 4 | |a Modified vertebral bone quality score | |
| 650 | 4 | |a Osteoporosis | |
| 650 | 4 | |a Vertebral bone quality score | |
| 700 | 1 | |a Lu, Xiao |e verfasserin |4 aut | |
| 700 | 1 | |a Gong, Zhaoyang |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Siyang |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Guangyu |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Hongli |e verfasserin |4 aut | |
| 700 | 1 | |a Lu, Feizhou |e verfasserin |4 aut | |
| 700 | 1 | |a Xia, Xinlei |e verfasserin |4 aut | |
| 700 | 1 | |a Jiang, Jianyuan |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Xuesen |e verfasserin |4 aut | |
| 700 | 1 | |a Zou, Fei |e verfasserin |4 aut | |
| 700 | 1 | |a Ma, Xiaosheng |e verfasserin |4 aut | |
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