Clinical Use of Quantitative Computed Tomography (QCT) of the Hip in the Management of Osteoporosis in Adults: the 2015 ISCD Official Positions-Part I

被引:106
作者
Engelke, Klaus [1 ,2 ]
Lang, Thomas [3 ]
Khosla, Sundeep [4 ]
Qin, Ling [5 ]
Zysset, Philippe [6 ]
Leslie, William D. [7 ,8 ]
Shepherd, John A. [3 ]
Schousboe, John T. [9 ,10 ]
机构
[1] Univ Erlangen Nurnberg, Inst Med Phys, D-91052 Erlangen, Germany
[2] Bioclinica, Hamburg, Germany
[3] Univ Calif San Francisco, Sch Med, Dept Radiol & Biomed Imaging, San Francisco, CA USA
[4] Mayo Clin, Coll Med, Ctr Clin & Translat Sci, Rochester, MN USA
[5] Chinese Univ Hong Kong, Dept Orthoped & Traumatol, Bone Qual & Hlth Ctr, Hong Kong, Hong Kong, Peoples R China
[6] Univ Bern, Inst Surg Technol & Biomech, CH-3012 Bern, Switzerland
[7] Univ Manitoba, Dept Med, Winnipeg, MB, Canada
[8] Univ Manitoba, Dept Radiol, Winnipeg, MB, Canada
[9] HealthPartners, Pk Nicollet Clin, Minneapolis, MN USA
[10] Univ Minnesota, Div Hlth Policy & Management, Minneapolis, MN USA
关键词
Bone mineral density (BMD); Osteoporosis; Position; Proximal femur; Quantitative computed tomography (QCT); BONE-MINERAL DENSITY; PROXIMAL FEMORAL STRENGTH; FINITE-ELEMENT-ANALYSIS; X-RAY ABSORPTIOMETRY; POSTMENOPAUSAL WOMEN; CORTICAL BONE; PARATHYROID-HORMONE; FRACTURE RISK; GENE/ENVIRONMENT SUSCEPTIBILITY; TERIPARATIDE TREATMENT;
D O I
10.1016/j.jocd.2015.06.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The International Society for Clinical Densitometry (ISCD) has developed new official positions for the clinical use of quantitative computed tomography of the hip. The ISCD task force for quantitative computed tomography reviewed the evidence for clinical applications and presented a report with recommendations at the 2015 ISCD Position Development Conference. Here, we discuss the agreed on ISCD official positions with supporting medical evidence, rationale, controversy, and suggestions for further study. Parts II and III address the advanced techniques of finite element analysis applied to computed tomography scans and the clinical feasibility of existing techniques for opportunistic screening of osteoporosis using computed tomography scans obtained for other diagnosis such as colonography was addressed.
引用
收藏
页码:338 / 358
页数:21
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