Evaluation of bound and pore water in cortical bone using ultrashort‐TE MRI

Bone water exists in different states with the majority bound to the organic matrix and to mineral, and a smaller fraction in ‘free’ form in the pores of cortical bone. In this study, we aimed to develop and evaluate ultrashort‐TE (UTE) MRI techniques for the assessment of T₂*, T₁ and concentration of collagen‐bound and pore water in cortical bone using a 3‐T clinical whole‐body scanner. UTE MRI, together with an isotope study using tritiated and distilled water (THO–H₂O) exchange, as well as gravimetric analysis, were performed on ten sectioned bovine bone samples. In addition, 32 human cortical bone samples were prepared for comparison between the pore water concentration measured with UTE MRI and the cortical porosity derived from micro‐computed tomography (μCT). A short T₂* of 0.27 ± 0.03 ms and T₁ of 116 ± 6 ms were observed for collagen‐bound water in bovine bone. A longer T₂* of 1.84 ± 0.52 ms and T₁ of 527 ± 28 ms were observed for pore water in bovine bone. UTE MRI measurements showed a pore water concentration of 4.7–5.3% by volume and collagen‐bound water concentration of 15.7–17.9% in bovine bone. THO–H₂O exchange studies showed a pore water concentration of 5.9 ± 0.6% and collagen‐bound water concentration of 18.1 ± 2.1% in bovine bone. Gravimetric analysis showed a pore water concentration of 6.3 ± 0.8% and collagen‐bound water concentration of 19.2 ± 3.6% in bovine bone. A mineral water concentration of 9.5 ± 0.6% was derived in bovine bone with the THO–H₂O exchange study. UTE‐measured pore water concentration is highly correlated (R² = 0.72, p < 0.0001) with μCT porosity in the human cortical bone study. Both bovine and human bone studies suggest that UTE sequences could reliably measure collagen‐bound and pore water concentration in cortical bone using a clinical scanner. Copyright © 2015 John Wiley & Sons, Ltd.