1. Dynamic contrast-enhanced magnetic resonance imaging for monitoring neovascularization during bone regeneration—a randomized in vivo study in rabbits
- Author
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Junho Jung, Bilal Al-Nawas, Laura M. Schreiber, Leonardo Righesso, Maximilian Ackermann, Tilman Emrich, Javier Rojas, Maxim Terekhov, Werner E. G. Müller, and Hermann Götz
- Subjects
0301 basic medicine ,Bone Regeneration ,Contrast Media ,02 engineering and technology ,Neovascularization ,03 medical and health sciences ,In vivo ,Multiparametric magnetic resonance imaging ,Medicine ,Animals ,Tissue engineering ,Bone regeneration ,General Dentistry ,medicine.diagnostic_test ,Neovascularization, Pathologic ,business.industry ,Reproducibility of Results ,Histology ,Magnetic resonance imaging ,Gold standard (test) ,X-Ray Microtomography ,021001 nanoscience & nanotechnology ,Magnetic Resonance Imaging ,030104 developmental biology ,Animal experimentation ,Original Article ,Rabbits ,medicine.symptom ,Translational medical research ,0210 nano-technology ,business ,Nuclear medicine ,Perfusion ,Ex vivo ,Neovascularization, physiologic - Abstract
ObjectivesMicro-computed tomography (μ-CT) and histology, the current gold standard methods for assessing the formation of new bone and blood vessels, are invasive and/or destructive. With that in mind, a more conservative tool, dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), was tested for its accuracy and reproducibility in monitoring neovascularization during bone regeneration. Additionally, the suitability of blood perfusion as a surrogate of the efficacy of osteoplastic materials was evaluated.Materials and methodsSixteen rabbits were used and equally divided into four groups, according to the time of euthanasia (2, 3, 4, and 6 weeks after surgery). The animals were submitted to two 8-mm craniotomies that were filled with blood or autogenous bone. Neovascularization was assessed in vivo through DCE-MRI, and bone regeneration, ex vivo, through μ-CT and histology.ResultsThe defects could be consistently identified, and their blood perfusion measured through DCE-MRI, there being statistically significant differences within the blood clot group between 3 and 6 weeks (p= 0.029), and between the former and autogenous bone at six weeks (p= 0.017). Nonetheless, no significant correlations between DCE-MRI findings on neovascularization and μ-CT (r=−0.101, 95% CI [−0.445; 0.268]) or histology (r= 0.305, 95% CI [−0.133; 0.644]) findings on bone regeneration were observed.ConclusionsThese results support the hypothesis that DCE-MRI can be used to monitor neovascularization but contradict the premise that it could predict bone regeneration as well.
- Published
- 2021