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Journal of Clinical Endocrinology & Metabolism Vol. 66, No. 6 1124-1131
doi:10.1210/jcem-66-6-1124
Copyright © 1988 by the Endocrine Society.
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Skeletal Blood Flow, Iliac Histomorphometry, and Strontium Kinetics in Osteoporosis: A Relationship Between Blood Flow and Corrected Apposition Rate

J. REEVE, M. ARLOT, R. WOOTTON*, C. EDOUARD, M. TELLEZ, R. HESP, J. R. GREEN and P. J. MEUNIER

Medical Research Council Clinical Research Centre and Northwick Park Hospital Harrow, HA1 3UJ United Kingdom
Unité Inserm 234, Pathologie des Tissus Calcifiés, Uniuersité Claude Bernard (M.A., C.E., P.J.M.) Lyon, France

Address requests for reprints to: Dr. J. Reeve, Clinical Research Centre, Bone Disease Research Group, Watford Road, Harrow, Middlesex, HA1 3UJ United Kingdom.

In 20 untreated patients with idiopathic or postmenopausal osteoporosis, kinetic studies of skeletal blood flow (using 18F) and bone turnover (using 85Sr) were combined with dynamic histomorphometry performed on transiliac biopsies taken within 6 weeks of each other. In 8 patients the combined studies were repeated after treatment. A further 5 patients were studied only while receiving treatment. As expected, skeletal blood flow measured by 18F correlated with an index of 85Sr uptake into the exchangeable pools of bone. Additionally and independently, skeletal blood flow correlated with an index of the work rate of the osteoblasts in each multicellular unit of bone (the corrected apposition rate of Parfitt). These correlations were statistically significant in both the untreated patients (P < 0.05) and the whole group (P < 0.001). Further indices related to bone turnover at the level of the skeleton as a whole were significantly associated with skeletal blood flow only in the combined group.

* Current address: Department of Medical Physics, Royal Postgraduate Medical School, Ducane Road, London, W12 OHS United Kingdom.

Received August 24, 1987.




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