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Multidetector computed tomography-based microstructural analysis reveals reduced bone mineral content and trabecular bone changes in the lumbar spine after transarterial chemoembolization therapy for hepatocellular carcinoma.

Takasu M, Yamagami T, Nakamura Y, Komoto D, Kaichi Y, Tani C, Date S, Kiguchi M, Awai K - PLoS ONE (2014)

Bottom Line: It is well recognized that therapeutic irradiation can result in bone damage.Of these indices, CTDIv (CT) had the highest area under the curve (AUC) (0.735).Correlation analyses of tBMD with cumulative radiation dose revealed weak correlations between tBMD and CTDIv (CT) (r2 = 0.194, P<0.001).

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.

ABSTRACT

Purpose: It is well recognized that therapeutic irradiation can result in bone damage. However, long-term bone toxicity associated with computed tomography (CT) performed during interventional angiography has received little attention. The purpose of this study was to determine the prevalence of osteoporosis and trabecular microstructural changes in patients after transarterial chemoembolization (TACE) for hepatocellular carcinoma therapy using an interventional-CT system.

Materials and methods: Spinal microarchitecture was examined by 64-detector CT in 81 patients who underwent TACE, 35 patients with chronic hepatitis, and 79 controls. For each patient, the volumetric CT dose index (CTDIv) during TACE (CTDIv (TACE)), the dose-length product (DLP) during TACE (DLP (TACE)), and CTDIv and DLP of routine dynamic CT scans (CTDIv (CT) and DLP (CT), respectively), were calculated as the sum since 2008. Using a three dimensional (3D) image analysis system, the tissue bone mineral density (tBMD) and trabecular parameters of the 12th thoracic vertebra were calculated. Using tBMD at a reported cutoff value of 68 mg/cm3, the prevalence of osteoporosis was assessed.

Results: The prevalence of osteoporosis was significantly greater in the TACE vs. the control group (39.6% vs. 18.2% for males, P<0.05 and 60.6% vs. 34.8% for females, P<0.01). Multivariate regression analysis demonstrated that sex, age, and CTDIv (CT) significantly affected the risk of osteoporosis. Of these indices, CTDIv (CT) had the highest area under the curve (AUC) (0.735). Correlation analyses of tBMD with cumulative radiation dose revealed weak correlations between tBMD and CTDIv (CT) (r2 = 0.194, P<0.001).

Conclusion: The prevalence of osteoporosis was significantly higher in post TACE patients than in control subjects. The cumulative radiation dose related to routine dynamic CT studies was a significant contributor to the prevalence of osteoporosis.

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Representative 3D MDCT images of the L3 vertebra obtained from a 71-year-old man after five dynamic CT scans and two transarterial chemoembolization procedures for hepatocellular carcinomas.An axial CT image of the liver shows a recurrence of hepatocellular carcinoma in S7 as a low density area compared to adjacent liver parenchyma(a), (black arrow). The 3D image of the L3 vertebra is shown (b). Tissue bone mineral density (76.8 mg/cm3) is normal for age. The image is cut in half along the longitudinal midline.
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pone-0110106-g003: Representative 3D MDCT images of the L3 vertebra obtained from a 71-year-old man after five dynamic CT scans and two transarterial chemoembolization procedures for hepatocellular carcinomas.An axial CT image of the liver shows a recurrence of hepatocellular carcinoma in S7 as a low density area compared to adjacent liver parenchyma(a), (black arrow). The 3D image of the L3 vertebra is shown (b). Tissue bone mineral density (76.8 mg/cm3) is normal for age. The image is cut in half along the longitudinal midline.

Mentions: Representative images are shown in Figures 3 and 4.


Multidetector computed tomography-based microstructural analysis reveals reduced bone mineral content and trabecular bone changes in the lumbar spine after transarterial chemoembolization therapy for hepatocellular carcinoma.

Takasu M, Yamagami T, Nakamura Y, Komoto D, Kaichi Y, Tani C, Date S, Kiguchi M, Awai K - PLoS ONE (2014)

Representative 3D MDCT images of the L3 vertebra obtained from a 71-year-old man after five dynamic CT scans and two transarterial chemoembolization procedures for hepatocellular carcinomas.An axial CT image of the liver shows a recurrence of hepatocellular carcinoma in S7 as a low density area compared to adjacent liver parenchyma(a), (black arrow). The 3D image of the L3 vertebra is shown (b). Tissue bone mineral density (76.8 mg/cm3) is normal for age. The image is cut in half along the longitudinal midline.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199685&req=5

pone-0110106-g003: Representative 3D MDCT images of the L3 vertebra obtained from a 71-year-old man after five dynamic CT scans and two transarterial chemoembolization procedures for hepatocellular carcinomas.An axial CT image of the liver shows a recurrence of hepatocellular carcinoma in S7 as a low density area compared to adjacent liver parenchyma(a), (black arrow). The 3D image of the L3 vertebra is shown (b). Tissue bone mineral density (76.8 mg/cm3) is normal for age. The image is cut in half along the longitudinal midline.
Mentions: Representative images are shown in Figures 3 and 4.

Bottom Line: It is well recognized that therapeutic irradiation can result in bone damage.Of these indices, CTDIv (CT) had the highest area under the curve (AUC) (0.735).Correlation analyses of tBMD with cumulative radiation dose revealed weak correlations between tBMD and CTDIv (CT) (r2 = 0.194, P<0.001).

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.

ABSTRACT

Purpose: It is well recognized that therapeutic irradiation can result in bone damage. However, long-term bone toxicity associated with computed tomography (CT) performed during interventional angiography has received little attention. The purpose of this study was to determine the prevalence of osteoporosis and trabecular microstructural changes in patients after transarterial chemoembolization (TACE) for hepatocellular carcinoma therapy using an interventional-CT system.

Materials and methods: Spinal microarchitecture was examined by 64-detector CT in 81 patients who underwent TACE, 35 patients with chronic hepatitis, and 79 controls. For each patient, the volumetric CT dose index (CTDIv) during TACE (CTDIv (TACE)), the dose-length product (DLP) during TACE (DLP (TACE)), and CTDIv and DLP of routine dynamic CT scans (CTDIv (CT) and DLP (CT), respectively), were calculated as the sum since 2008. Using a three dimensional (3D) image analysis system, the tissue bone mineral density (tBMD) and trabecular parameters of the 12th thoracic vertebra were calculated. Using tBMD at a reported cutoff value of 68 mg/cm3, the prevalence of osteoporosis was assessed.

Results: The prevalence of osteoporosis was significantly greater in the TACE vs. the control group (39.6% vs. 18.2% for males, P<0.05 and 60.6% vs. 34.8% for females, P<0.01). Multivariate regression analysis demonstrated that sex, age, and CTDIv (CT) significantly affected the risk of osteoporosis. Of these indices, CTDIv (CT) had the highest area under the curve (AUC) (0.735). Correlation analyses of tBMD with cumulative radiation dose revealed weak correlations between tBMD and CTDIv (CT) (r2 = 0.194, P<0.001).

Conclusion: The prevalence of osteoporosis was significantly higher in post TACE patients than in control subjects. The cumulative radiation dose related to routine dynamic CT studies was a significant contributor to the prevalence of osteoporosis.

Show MeSH
Related in: MedlinePlus