“…PET imaging would therefore be the means of choice when sensitivity is indispensable, even though it does cause additional costs, a logistic overhead and additional radiation dose compared to CT imaging alone. In contrast, our results demonstrate that VOI roughness is much more sensitive to detect early bone erosion than bone volume or surface area measurements, which have been performed previously 10 and which have frequently been used to quantify arthritic processes in animal models 13, 14, 32, 35, 36 . In fact, we found no delay between the onset of increased PET tracer uptake and increased bone surface roughness after arthritis induction, emphasizing the capability of bone surface roughness analysis to quantify pathological alterations of the bones immediately after arthritis onset.…”