Investigation of changes in bone density and chemical composition associated with bone marrow oedema-type appearances in magnetic resonance images of the equine forelimb.
Abstract: The aetiology of bone marrow oedema-like abnormalities (BMOA) seen on magnetic resonance imaging (MRI) is as yet not fully understood. The current study aimed to investigate the potential of projection radiography and Raman microspectroscopy to provide information regarding the underlying physiological changes associated with BMOA in equine bone samples. Methods: MRI was used to assess 65 limbs from 43 horses. A subset of 13 limbs provided 25 samples, 8 with BMOA present and 17 as controls; these were examined with projection radiography to assess bone mineral density and Raman spectroscopy to assess bone composition. Statistical analysis was conducted using SPSS, the relationship between BMOA and age was tested using binary logistic regression, other outcome measures via unpaired t-tests. Results: Overall BMOA was found to be associated with locally increased bone density (p = 0.011), suggesting increased bone formation; however, no measurable changes relating to bone remodelling were found, and there were no detectable changes in the chemical composition of bone. Conclusions: BMOA is associated with locally increased bone density, without an associated change in the chemical composition of bone, suggesting this is not linked to BMOA. The presence of increased bone density associated with BMOA does appear to suggest that an increased amount of bone formation is occurring in these regions, but as Raman microspectroscopy data do not demonstrate any significant changes in bone chemical composition associated with BMOA, it would appear that the increased bone volume is due to a greater amount of bone being formed rather than an imbalance in relation to bone remodelling. The study provides a proof of principle for the use of Raman microspectroscopy and projection radiography in in vitro studies of BMOA.
Publication Date: 2019-07-15 PubMed ID: 31307450PubMed Central: PMC6631911DOI: 10.1186/s12891-019-2693-yGoogle Scholar: Lookup
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- Journal Article
Summary
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This research aimed to analyse the underlying physiological changes correlated with abnormalities in horse bone marrow, referred to as BMOA, observed on MRI, using projection radiography and Raman microspectroscopy. The study identified an increased local bone density associated with these abnormalities but no significant alterations in bone chemical composition.
Research Objectives and Methods
- The purpose of this research was to scrutinize the unknown causes of bone marrow oedema-like abnormalities (BMOA) seen on magnetic resonance imaging (MRI) in horses. The study estimated the potential of projection radiography and Raman microspectroscopy to capture data related to the in-depth physiological changes associated with BMOA in equine bone samples.
- The examination used MRI to evaluate 65 limbs from 43 horses, and then selected 13 limbs that provided 25 samples, with 8 displaying BMOA and the rest as control samples. The team then utilized projection radiography to evaluate bone mineral density and Raman spectroscopy to examine the bone composition. Statistical analysis was done using SPSS software, with the correlation between BMOA and age tested using binary logistic regression methods.
Research Outcome
- The observation of the research revealed that BMOA was linked to an increased local bone density. This increased density implies the formation of a larger volume of bone.
- Interestingly, despite the increased bone density, there were no detectable changes in the chemical composition of the bones. Furthermore, there were also no details showing alterations relating to bone remodeling, meaning the growth and reshaping of bone tissue.
Conclusions and Future Implications
- The study concludes that BMOA is linked to an increased formation of bone density, without any change in the chemical composition of the bone, indicating that the phenomenon is not a result of BMOA. This suggests that the volume increase is due to a higher amount of bone formation rather than an imbalance in bone remodeling.
- Moreover, the study also illustrates the potential use of Raman microspectroscopy and projection radiography in in vitro studies of BMOA, offering a proof of principle for these methods.
- This research forms a basis for further inquiries into the phenomenon of BMOA, its etiology, and how bone density and composition changes might correlate with other biological or pathological changes in the equine anatomy.
Cite This Article
APA
Heales CJ, Summers IR, Fulford J, Knapp KM, Winlove CP.
(2019).
Investigation of changes in bone density and chemical composition associated with bone marrow oedema-type appearances in magnetic resonance images of the equine forelimb.
BMC Musculoskelet Disord, 20(1), 330.
https://doi.org/10.1186/s12891-019-2693-y Publication
Researcher Affiliations
- College of Medicine and Health, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK. c.j.heales@exeter.ac.uk.
- College of Engineering, Mathematics and Physical Sciences, University of Exeter, Streatham Campus, Stocker Road, Exeter, EX4 4QL, UK.
- College of Medicine and Health, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
- College of Medicine and Health, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
- College of Engineering, Mathematics and Physical Sciences, University of Exeter, Streatham Campus, Stocker Road, Exeter, EX4 4QL, UK.
MeSH Terms
- Animals
- Bone Density
- Bone Diseases / diagnostic imaging
- Bone Diseases / pathology
- Bone Diseases / veterinary
- Bone Marrow Diseases / diagnostic imaging
- Bone Marrow Diseases / veterinary
- Bone and Bones / chemistry
- Bone and Bones / diagnostic imaging
- Bone and Bones / pathology
- Edema / diagnostic imaging
- Edema / pathology
- Edema / veterinary
- Forelimb
- Horses
- Magnetic Resonance Imaging
- Magnetic Resonance Spectroscopy / methods
- Proof of Concept Study
- Spectrum Analysis, Raman / methods
Conflict of Interest Statement
The authors declare that they have no competing interests.
References
This article includes 40 references
- Zanetti M, Bruder E, Romero J, Hodler J. Bone marrow edema pattern in osteoarthritic knees: correlation between MR imaging and histologic findings.. Radiology 2000 Jun;215(3):835-40.
- Yao L, Lee JK. Occult intraosseous fracture: detection with MR imaging.. Radiology 1988 Jun;167(3):749-51.
- Craig JG, Amin MB, Wu K, Eyler WR, van Holsbeeck MT, Bouffard JA, Shirazi K. Osteomyelitis of the diabetic foot: MR imaging-pathologic correlation.. Radiology 1997 Jun;203(3):849-55.
- Carrino JA, Blum J, Parellada JA, Schweitzer ME, Morrison WB. MRI of bone marrow edema-like signal in the pathogenesis of subchondral cysts.. Osteoarthritis Cartilage 2006 Oct;14(10):1081-5.
- Zanetti M, Steiner CL, Seifert B, Hodler J. Clinical outcome of edema-like bone marrow abnormalities of the foot.. Radiology 2002 Jan;222(1):184-8.
- Trappeniers L, De Maeseneer M, De Ridder F, Machiels F, Shahabpour M, Tebache C, Verhellen R, Osteaux M. Can bone marrow edema be seen on STIR images of the ankle and foot after 1 week of running?. Eur J Radiol 2003 Jul;47(1):25-8.
- Lazzarini KM, Troiano RN, Smith RC. Can running cause the appearance of marrow edema on MR images of the foot and ankle?. Radiology 1997 Feb;202(2):540-2.
- Weishaupt D, Schweitzer ME. MR imaging of the foot and ankle: patterns of bone marrow signal abnormalities.. Eur Radiol 2002 Feb;12(2):416-26.
- Vanhoenacker FM, Snoeckx A. Bone marrow edema in sports: general concepts.. Eur J Radiol 2007 Apr;62(1):6-15.
- Starr AM, Wessely MA, Albastaki U, Pierre-Jerome C, Kettner NW. Bone marrow edema: pathophysiology, differential diagnosis, and imaging.. Acta Radiol 2008 Sep;49(7):771-86.
- Felson DT, McLaughlin S, Goggins J, LaValley MP, Gale ME, Totterman S, Li W, Hill C, Gale D. Bone marrow edema and its relation to progression of knee osteoarthritis.. Ann Intern Med 2003 Sep 2;139(5 Pt 1):330-6.
- Sowers MF, Hayes C, Jamadar D, Capul D, Lachance L, Jannausch M, Welch G. Magnetic resonance-detected subchondral bone marrow and cartilage defect characteristics associated with pain and X-ray-defined knee osteoarthritis.. Osteoarthritis Cartilage 2003 Jun;11(6):387-93.
- Baranyay FJ, Wang Y, Wluka AE, English DR, Giles GG, Sullivan RO, Cicuttini FM. Association of bone marrow lesions with knee structures and risk factors for bone marrow lesions in the knees of clinically healthy, community-based adults.. Semin Arthritis Rheum 2007 Oct;37(2):112-8.
- Roemer FW, Neogi T, Nevitt MC, Felson DT, Zhu Y, Zhang Y, Lynch JA, Javaid MK, Crema MD, Torner J, Lewis CE, Guermazi A. Subchondral bone marrow lesions are highly associated with, and predict subchondral bone attrition longitudinally: the MOST study.. Osteoarthritis Cartilage 2010 Jan;18(1):47-53.
- Davies-Tuck ML, Wluka AE, Wang Y, English DR, Giles GG, Cicuttini F. The natural history of bone marrow lesions in community-based adults with no clinical knee osteoarthritis.. Ann Rheum Dis 2009 Jun;68(6):904-8.
- Loeuille D, Chary-Valckenaere I. MRI in OA: from cartilage to bone marrow lesion.. Osteoporos Int 2012 Dec;23 Suppl 8:S867-9.
- Mayerhoefer ME, Breitenseher MJ, Kramer J, Aigner N, Norden C, Hofmann S. STIR vs. T1-weighted fat-suppressed gadolinium-enhanced MRI of bone marrow edema of the knee: computer-assisted quantitative comparison and influence of injected contrast media volume and acquisition parameters.. J Magn Reson Imaging 2005 Dec;22(6):788-93.
- Richardson JD, Cripps PJ, Lane JG. An evaluation of the accuracy of ageing horses by their dentition: can a computer model be accurate?. Vet Rec 1995 Aug 5;137(6):139-40.
- Eustace S, Keogh C, Blake M, Ward RJ, Oder PD, Dimasi M. MR imaging of bone oedema: mechanisms and interpretation.. Clin Radiol 2001 Jan;56(1):4-12.
- McIlwraith C, Wayne, Frisbie DD, Kawcak CE, Goodrich LR, van Weeren PR. Joint Disease in the Horse. 2016; pp. 376–398.
- Penel G, Leroy G, Bres E. New preparation method of bone samples for Raman microspectrometry. Appl Spectrosc 1998;52(2):312–313.
- Penel G, Delfosse C, Descamps M, Leroy G. Composition of bone and apatitic biomaterials as revealed by intravital Raman microspectroscopy.. Bone 2005 May;36(5):893-901.
- Ager JW, Nalla RK, Breeden KL, Ritchie RO. Deep-ultraviolet Raman spectroscopy study of the effect of aging on human cortical bone.. J Biomed Opt 2005 May-Jun;10(3):034012.
- McCreadie BR, Morris MD, Chen TC, Sudhaker Rao D, Finney WF, Widjaja E, Goldstein SA. Bone tissue compositional differences in women with and without osteoporotic fracture.. Bone 2006 Dec;39(6):1190-5.
- Yeni YN, Yerramshetty J, Akkus O, Pechey C, Les CM. Effect of fixation and embedding on Raman spectroscopic analysis of bone tissue.. Calcif Tissue Int 2006 Jun;78(6):363-71.
- Gamsjaeger S, Mendelsohn R, Boskey AL, Gourion-Arsiquaud S, Klaushofer K, Paschalis EP. Vibrational spectroscopic imaging for the evaluation of matrix and mineral chemistry.. Curr Osteoporos Rep 2014 Dec;12(4):454-64.
- Turunen MJ, Saarakkala S, Rieppo L, Helminen HJ, Jurvelin JS, Isaksson H. Comparison between infrared and Raman spectroscopic analysis of maturing rabbit cortical bone.. Appl Spectrosc 2011 Jun;65(6):595-603.
- Jayachandran CA. Calculated effective atomic number and kerma values for tissue-equivalent and dosimetry materials.. Phys Med Biol 1971 Oct;16(4):617-23.
- Bani Hassan E, Mirams M, Mackie EJ, Whitton RC. Prevalence of subchondral bone pathological changes in the distal metacarpi/metatarsi of racing Thoroughbred horses.. Aust Vet J 2017 Oct;95(10):362-369.
- Whitton RC, Ayodele BA, Hitchens PL, Mackie EJ. Subchondral bone microdamage accumulation in distal metacarpus of Thoroughbred racehorses.. Equine Vet J 2018 Nov;50(6):766-773.
- Lo GH, Hunter DJ, Zhang Y, McLennan CE, Lavalley MP, Kiel DP, McLean RR, Genant HK, Guermazi A, Felson DT. Bone marrow lesions in the knee are associated with increased local bone density.. Arthritis Rheum 2005 Sep;52(9):2814-21.
- Driban JB, Tassinari A, Lo GH, Price LL, Schneider E, Lynch JA, Eaton CB, McAlindon TE. Bone marrow lesions are associated with altered trabecular morphometry.. Osteoarthritis Cartilage 2012 Dec;20(12):1519-26.
- Gurkan UA, Akkus O. The mechanical environment of bone marrow: a review.. Ann Biomed Eng 2008 Dec;36(12):1978-91.
- Kazanci M, Fratzl P, Klaushofer K, Paschalis EP. Complementary information on in vitro conversion of amorphous (precursor) calcium phosphate to hydroxyapatite from Raman microspectroscopy and wide-angle X-ray scattering.. Calcif Tissue Int 2006 Nov;79(5):354-9.
- Freeman JJ, Wopenka B, Silva MJ, Pasteris JD. Raman spectroscopic detection of changes in bioapatite in mouse femora as a function of age and in vitro fluoride treatment.. Calcif Tissue Int 2001 Mar;68(3):156-62.
- Crane NJ, Popescu V, Morris MD, Steenhuis P, Ignelzi MA Jr. Raman spectroscopic evidence for octacalcium phosphate and other transient mineral species deposited during intramembranous mineralization.. Bone 2006 Sep;39(3):434-42.
- Gourion-Arsiquaud S, Burket JC, Havill LM, DiCarlo E, Doty SB, Mendelsohn R, van der Meulen MC, Boskey AL. Spatial variation in osteonal bone properties relative to tissue and animal age.. J Bone Miner Res 2009 Jul;24(7):1271-81.
- Bailey AJ, Sims TJ, Ebbesen EN, Mansell JP, Thomsen JS, Mosekilde L. Age-related changes in the biochemical properties of human cancellous bone collagen: relationship to bone strength.. Calcif Tissue Int 1999 Sep;65(3):203-10.
- Akkus O, Polyakova-Akkus A, Adar F, Schaffler MB. Aging of microstructural compartments in human compact bone.. J Bone Miner Res 2003 Jun;18(6):1012-9.
- McCoy AM, Toth F, Dolvik NI, Ekman S, Ellermann J, Olstad K, Ytrehus B, Carlson CS. Articular osteochondrosis: a comparison of naturally-occurring human and animal disease.. Osteoarthritis Cartilage 2013 Nov;21(11):1638-47.
Citations
This article has been cited 3 times.- Noordwijk KJ, Chen L, Ruspi BD, Schurer S, Papa B, Fasanello DC, McDonough SP, Palmer SE, Porter IR, Basran PS, Donnelly E, Reesink HL. Metacarpophalangeal Joint Pathology and Bone Mineral Density Increase with Exercise but Not with Incidence of Proximal Sesamoid Bone Fracture in Thoroughbred Racehorses. Animals (Basel) 2023 Feb 24;13(5).
- Germonpré J, Lorenz I, Vandekerckhove LMJ, Duchateau L, Diekhoff T, Vanderperren K. Dual-Energy Computed Tomography for the Detection of Bone Edema-Like Lesions in the Equine Foot: Standing Horses and Cadaveric Specimens. Vet Sci 2025 Jun 24;12(7).
- Nagy A, Dyson SJ. Combined standing low-field magnetic resonance imaging and fan-beam computed tomographic diagnosis of fetlock region pain in 27 sports horses. Equine Vet J 2025 Sep;57(5):1313-1327.
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