Evidence map›Paper›PMID 22893356›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2013

Micro-finite element analysis applied to high-resolution MRI reveals improved bone mechanical competence in the distal femur of female pre-professional dancers.

G Chang, C S Rajapakse, M Diamond, S Honig, M P Recht, D S Weiss, R R Regatte

Open access · greenAbstract read
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. A CombinedAnnals of biomedical engineering · 2026
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  8. Potential of PET-MRI for imaging of non-oncologic musculoskeletal disease.Quantitative imaging in medicine and surgery · 2016
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

G ChangQuantitative Multinuclear Musculoskeletal Imaging Group, Center for Biomedical Imaging, NYU Langone Medical Center, 660 First Avenue, 2nd Floor, New York, NY 10016, USA. chang_gregory@yahoo.com
C S Rajapakse
M Diamond
S Honig
M P Recht
D S Weiss
R R Regatte
NYU Langone Health · USHospital of the University of Pennsylvania · US

Funding

Sodium MRI for Assessment of Early OA.R01AR060238 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI REGATTE, RAVINDER · 2011 to 2015
$2.9M
Cartilage, Bone and Marrow Interactions in Knee OAR01AR056260 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI REGATTE, RAVINDER · 2010 to 2014
$2.5M
Quantitative MRI for Early Diagnosis of ArthritisR01AR053133 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI REGATTE, RAVINDER · 2007 to 2011
$1.8M
Osteoarthritis: Identification of Novel Imaging Biomarkers via 23Na/1H MRI at 7 TK23AR059748 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHANG, GREGORY · 2011 to 2015
$663k
Computational Biomechanics for Prediction of Osteoporotic Vertebral Fracture RiskK25AR060283 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI RAJAPAKSE, CHAMITH SUDESH · 2011 to 2014
$491k
NIAMS NIH HHS K23 AR059748NIAMS NIH HHS K23-AR059748NIAMS NIH HHS K25 AR060283NIAMS NIH HHS K25-AR060283NIAMS NIH HHS R01 AR053133NIAMS NIH HHS R01-AR053133NIAMS NIH HHS R01 AR056260NIAMS NIH HHS R01-AR056260NIAMS NIH HHS R01 AR060238NIAMS NIH HHS R01-AR060238
6 · The paper itself

Abstract

unlabelledMicro-finite element analysis applied to high-resolution (0.234-mm length scale) MRI reveals greater whole and cancellous bone stiffness, but not greater cortical bone stiffness, in the distal femur of female dancers compared to controls. Greater whole bone stiffness appears to be mediated by cancellous, rather than cortical bone adaptation.

introductionThe purpose of this study was to compare bone mechanical competence (stiffness) in the distal femur of female dancers compared to healthy, relatively inactive female controls.

methodsThis study had institutional review board approval. We recruited nine female modern dancers (25.7±5.8 years, 1.63±0.06 m, 57.1±4.6 kg) and ten relatively inactive, healthy female controls matched for age, height, and weight (32.1±4.8 years, 1.6±0.04 m, 55.8±5.9 kg). We scanned the distal femur using a 7-T MRI scanner and a three-dimensional fast low-angle shot sequence (TR/TE=31 ms/5.1 ms, 0.234 mm×0.234 mm×1 mm, 80 slices). We applied micro-finite element analysis to 10-mm-thick volumes of interest at the distal femoral diaphysis, metaphysis, and epiphysis to compute stiffness and cross-sectional area of whole, cortical, and cancellous bone, as well as cortical thickness. We applied two-tailed t-tests and ANCOVA to compare groups.

resultsDancers demonstrated greater whole and cancellous bone stiffness and cross-sectional area at all locations (p<0.05). Cortical bone stiffness, cross-sectional area, and thickness did not differ between groups (>0.08). At all locations, the percent of intact whole bone stiffness for cortical bone alone was lower in dancers (p<0.05). Adjustment for cancellous bone cross-sectional area eliminated significant differences in whole bone stiffness between groups (p>0.07), but adjustment for cortical bone cross-sectional area did not (p<0.03).

conclusionsModern dancers have greater whole and cancellous bone stiffness in the distal femur compared to controls. Elevated whole bone stiffness in dancers may be mediated via cancellous, rather than cortical bone adaptation.

Indexed as

AdultBiomechanical PhenomenaCase-Control StudiesDancingDiaphysesElasticityEpiphysesFemaleFemurFinite Element AnalysisHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingYoung Adult

Identifiers

PMID22893356
PMCPMC3719856
OpenAlexW2072415469

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.