Potential diagnostic role of diffusion tensor imaging in early-stage osteonecrosis of the femoral head

  • Authors:
    • Hongwei Min
    • Feng Xu
    • Rui Gu
    • Xinzuo Han
    • Anqing Wang
    • Kemin Liu
  • View Affiliations

  • Published online on: October 11, 2016     https://doi.org/10.3892/etm.2016.3787
  • Pages: 3347-3352
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Abstract

The present study aimed to explore the potential diagnostic role of diffusion tensor magnetic resonance imaging (DTI) in the early stage of modified corticosteroid-induced osteonecrosis of the femoral head (ONFH). A total of 20 beagles were randomly classified (1:1) into either an experimental group (LM), which were intramuscularly injected with lipopolysaccharide (LPS) and methylprednisolone (MPS) on three consecutive days, or control (CON) group, which were injected with saline. Magnetic resonance imaging (MRI) and DTI were performed at pre‑induction and 8 and 12 weeks post‑induction. Apparent diffusion coefficient (ADC) values in the range of interest in the femoral head were quantified using DTI. Proximal femora were examined for ONFH at 8 and 12 weeks. The results demonstrated that ONFH developed in four beagles at 8 weeks and in six beagles at 12 weeks, whereas no ONFH was detected in the CON group. No abnormalities were detected by MRI and DTI, and no mortality occurred. In beagles with ONFH in the LM group, the ADC values were 4.7±0.2x10‑4 and 4.8±0.3x10‑4 mm2/sec at 8 and 12 weeks, respectively, which were significantly increased compared with the CON group (2.5±0.3x10‑4 and 2.4±0.3x10‑4 mm2, respectively) and the LM group without ONFH (2.6±0.4x10‑4 and 2.4±0.3x10‑4 mm2, respectively) (P<0.05). The results of the present study indicated that intramuscular injection of LPS and MPS may lead to early‑stage ONFH in beagles. As such, the detection of locally elevated ADC values in the femoral head may aid in the early diagnosis of ONFH.
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November-2016
Volume 12 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Min H, Xu F, Gu R, Han X, Wang A and Liu K: Potential diagnostic role of diffusion tensor imaging in early-stage osteonecrosis of the femoral head. Exp Ther Med 12: 3347-3352, 2016.
APA
Min, H., Xu, F., Gu, R., Han, X., Wang, A., & Liu, K. (2016). Potential diagnostic role of diffusion tensor imaging in early-stage osteonecrosis of the femoral head. Experimental and Therapeutic Medicine, 12, 3347-3352. https://doi.org/10.3892/etm.2016.3787
MLA
Min, H., Xu, F., Gu, R., Han, X., Wang, A., Liu, K."Potential diagnostic role of diffusion tensor imaging in early-stage osteonecrosis of the femoral head". Experimental and Therapeutic Medicine 12.5 (2016): 3347-3352.
Chicago
Min, H., Xu, F., Gu, R., Han, X., Wang, A., Liu, K."Potential diagnostic role of diffusion tensor imaging in early-stage osteonecrosis of the femoral head". Experimental and Therapeutic Medicine 12, no. 5 (2016): 3347-3352. https://doi.org/10.3892/etm.2016.3787