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Chronic low back pain (LBP) is a global socioeconomic crisis. Etiological research suggests the predominant pathology associated with chronic LBP is disc degeneration. The disc is a composed of a cartilaginous end plate, nucleus pulposus, and annulus fibrosus. The disc is predominantly avascular and aneural, predisposing it to degeneration. Disc degeneration in humans can be diagnosed using X-ray imaging and quantified using a measurement known as disc height index (DHI). DHI is also the current gold standard for evaluating disc degeneration in animal models. Unfortunately, X-ray imaging suffers poor spatial resolution, limiting the precision of DHI in rodents. Further, the application of disc height as a surrogate for degeneration involves subjective choices by experimenters, decreasing reliability. Microcomputed tomography (µCT) generates 3D reconstructions with profound spatial resolution. µCT has been used to measure disc degeneration, however, this work used costly contrast agents that increase procedure time. The objective of this work was to create a novel method for using µCT to assess disc degeneration in real-time, non-invasively and without contrast agents. Herein we describe a method for quantifying disc volume in vivo using µCT and the data suggest that this metric is precise, reliable, and sensitive to disc degeneration.

Application of microcomputed tomography to calculate rat intervertebral disc volume as a surrogate measure of degeneration