{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T04:26:58Z","timestamp":1786768018094,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vertebral marrow alterations are associated with lumbar spine degeneration, but their relationships with marrow fat and diffusion measurements remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess associations of vertebral marrow proton density fat fraction (PDFF), apparent diffusion coefficient (ADC), slow diffusion coefficient (SDC), and diffusion\u2010derived vessel density (DDVD) with lumbar structural degeneration and low back pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Type<\/jats:title>\n                    <jats:p>Prospective cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>\n                      One hundred and sixty\u2010two community\u2010dwelling adults (male\/female: 71\/91, age: 55.1\u2009\u00b1\u200911.1\u2009years, and body mass index (BMI): 24.4\u2009\u00b1\u20093.3\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Field Strength\/Sequence<\/jats:title>\n                    <jats:p>\n                      3.0\u2010T; sagittal multi\u2010\n                      <jats:italic>b<\/jats:italic>\n                      \u2010value readout\u2010segmented echo\u2010planar DWI and transverse six\u2010echo three\u2010dimensional q\u2010Dixon imaging.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Assessment<\/jats:title>\n                    <jats:p>PDFF, ADC, SDC, and DDVD were measured adjacent to the L3\/4\u2013L5\/S1 endplates. Six structural features were independently evaluated by two radiologists with 8 and 7\u2009years of experience and summed across levels as a degenerative burden score (range, 0\u201318). Chronic low back pain was self\u2010reported pain lasting at least 3\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Tests<\/jats:title>\n                    <jats:p>\n                      Generalized estimating equations, multivariable linear and logistic regression, principal component analysis, and K\u2010means clustering.\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05 and FDR\u2010adjusted\n                      <jats:italic>q<\/jats:italic>\n                      \u2009&lt;\u20090.05 were considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After FDR correction, ADC was associated with Modic changes (OR\u2009=\u20091.520), endplate defects (OR\u2009=\u20092.072), and nerve root compression (OR\u2009=\u20091.641), while PDFF was associated with central canal stenosis (OR\u2009=\u20092.152). Age (standardized regression coefficient (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      )\u2009=\u20090.534) and BMI (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.200), but not ADC (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.182,\n                      <jats:italic>q<\/jats:italic>\n                      \u2009=\u20090.123), were associated with degenerative burden. No MRI parameter was associated with low back pain after FDR correction (\n                      <jats:italic>q<\/jats:italic>\n                      \u2009=\u20090.312\u20130.975). Three exploratory clusters differed in age and sex, but not adjusted degenerative burden (nominal\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.381).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Conclusion<\/jats:title>\n                    <jats:p>ADC showed the most consistent adjusted associations with lumbar structural degeneration. The clinical significance of the identified vertebral marrow imaging profiles remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evidence Level<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technical Efficacy<\/jats:title>\n                    <jats:p>Stage 2.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jmri.70513","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T03:36:18Z","timestamp":1786764978000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of Vertebral Marrow Multiparametric\n                    <scp>MRI<\/scp>\n                    Measurements With Lumbar Degeneration"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3814-7126","authenticated-orcid":false,"given":"Dingbo","family":"Shu","sequence":"first","affiliation":[{"name":"Department of Radiology Shaoxing People's Hospital  Shaoxing China"},{"name":"Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City  Shaoxing China"},{"name":"School of Medicine, Shaoxing University  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Radiology Shaoxing People's Hospital  Shaoxing China"},{"name":"Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City  Shaoxing China"},{"name":"School of Medicine, Shaoxing University  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haijuan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Radiology Shaoxing People's Hospital  Shaoxing China"},{"name":"Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City  Shaoxing China"},{"name":"School of Medicine, Shaoxing University  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanghua","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology Shaoxing People's Hospital  Shaoxing China"},{"name":"Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City  Shaoxing China"},{"name":"School of Medicine, Shaoxing University  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Radiology Shaoxing People's Hospital  Shaoxing China"},{"name":"Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City  Shaoxing China"},{"name":"School of Medicine, Shaoxing University  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8952-8677","authenticated-orcid":false,"given":"Zhenhua","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Radiology Shaoxing People's Hospital  Shaoxing China"},{"name":"Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City  Shaoxing China"},{"name":"School of Medicine, Shaoxing University  Shaoxing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"issue":"3","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1007\/s00330-022-09140-4","article-title":"Association of Lumbar Vertebral Bone Marrow and Paraspinal Muscle Fat Composition With Intervertebral Disc Degeneration: 3T Quantitative MRI Findings From the Population\u2010Based KORA Study","volume":"33","author":"Jung M.","year":"2023","journal-title":"European Radiology"},{"issue":"5","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1007\/s00586-023-07604-9","article-title":"ISSLS PRIZE in Clinical Science 2023: Comparison of Degenerative MRI Features of the Intervertebral Disc Between Those With and Without Chronic Low Back Pain. 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