“…Basing on the assumption that during osteoporosis there is an adipose involution of bone marrow, different methods have been proposed to quantify the amount of fat fraction, such as T1-weighted images, the Dixon method (which provide fat and water images), diffusion weighted imaging (DWI) or metabolic evaluation using proton magnetic resonance spectroscopy ( 1 H-MRS) (36)(37)(38)(39)(40); perfusion studies have also demonstrated a reduced blood supply to the bone marrow, in course of osteoporosis (39,41). Moreover, some research studies have shown that HR imaging sequences, scanning peripheral sites such as tibia or calcaneus, may be helpful in the evaluation of bone microstructure and correlate with spinal BMD (42,43).…”