Predicting Wrist Osteoporosis from excised human finger bones using spatially offset Raman spectroscopy, A Cadaveric Study

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Main Authors: Hosseini, Mohammad, Afrin, Sadia, Yosick, Anthony, Schenker, Emma, Awad, Hani, Berger, Andrew J.
Format: Preprint
Published: 2025
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author Hosseini, Mohammad
Afrin, Sadia
Yosick, Anthony
Schenker, Emma
Awad, Hani
Berger, Andrew J.
author_facet Hosseini, Mohammad
Afrin, Sadia
Yosick, Anthony
Schenker, Emma
Awad, Hani
Berger, Andrew J.
contents Osteoporosis and osteopenia remain vastly underdiagnosed. Current clinical screening relies almost exclusively on dual-energy X-ray absorptiometry (DXA), which measures bone mineral density (BMD) but fails to capture the compositional changes that lead to BMD loss. We investigated whether Spatially Offset Raman Spectroscopy (SORS) applied to excised finger bones can assess subsurface biochemical markers capable of diagnosing osteoporosis and osteopenia and predicting wrist DXA T-scores. Raman spectra were acquired ex vivo on the mid-shaft of the proximal phalanx of the second digit from 25 female cadavers spanning the three T-score categories (n=8 normal, n=6 osteopenic, and n=11 osteoporotic) at spatial offsets of 0, 3, and 6 mm from a laser irradiation spot. After normalizing spectra to the PO43- peak, group-averaged spectra of the three categories, measured at 3-mm offset, showed clear differences in the CO32-, Amide III, CH2, and Amide I bands. Quantitatively, four out of five mineral-to-matrix ratios differed significantly (p < 0.05) between normal and osteopenic bone, and between osteopenic and osteoporotic bone, and all five ratios showed significant differences between normal and osteoporotic bone. In contrast, the 0-mm offset suffered diminished contrast, and the 6-mm offset did not enhance discrimination between different groups, compared with the 3-mm offset. A leave-one-out, partial-least-squares regression model built from the 3-mm spectra predicted distal radius DXA T-score with a Pearson correlation of r = 0.85 and a root-mean-square error of cross-validation of 1 T-score units, correctly classifying 92% of specimens.
format Preprint
id arxiv_https___arxiv_org_abs_2510_23876
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Predicting Wrist Osteoporosis from excised human finger bones using spatially offset Raman spectroscopy, A Cadaveric Study
Hosseini, Mohammad
Afrin, Sadia
Yosick, Anthony
Schenker, Emma
Awad, Hani
Berger, Andrew J.
Medical Physics
Optics
Osteoporosis and osteopenia remain vastly underdiagnosed. Current clinical screening relies almost exclusively on dual-energy X-ray absorptiometry (DXA), which measures bone mineral density (BMD) but fails to capture the compositional changes that lead to BMD loss. We investigated whether Spatially Offset Raman Spectroscopy (SORS) applied to excised finger bones can assess subsurface biochemical markers capable of diagnosing osteoporosis and osteopenia and predicting wrist DXA T-scores. Raman spectra were acquired ex vivo on the mid-shaft of the proximal phalanx of the second digit from 25 female cadavers spanning the three T-score categories (n=8 normal, n=6 osteopenic, and n=11 osteoporotic) at spatial offsets of 0, 3, and 6 mm from a laser irradiation spot. After normalizing spectra to the PO43- peak, group-averaged spectra of the three categories, measured at 3-mm offset, showed clear differences in the CO32-, Amide III, CH2, and Amide I bands. Quantitatively, four out of five mineral-to-matrix ratios differed significantly (p < 0.05) between normal and osteopenic bone, and between osteopenic and osteoporotic bone, and all five ratios showed significant differences between normal and osteoporotic bone. In contrast, the 0-mm offset suffered diminished contrast, and the 6-mm offset did not enhance discrimination between different groups, compared with the 3-mm offset. A leave-one-out, partial-least-squares regression model built from the 3-mm spectra predicted distal radius DXA T-score with a Pearson correlation of r = 0.85 and a root-mean-square error of cross-validation of 1 T-score units, correctly classifying 92% of specimens.
title Predicting Wrist Osteoporosis from excised human finger bones using spatially offset Raman spectroscopy, A Cadaveric Study
topic Medical Physics
Optics
url https://arxiv.org/abs/2510.23876