Quantitative computed tomography and opportunistic bone density screening by dual use of computed tomography scans

被引:60
作者
Brett, Alan D. [1 ]
Brown, J. Keenan [1 ]
机构
[1] Mindways Software Inc, 3001 S Lamar Blvd,Suite 302, Austin, TX 78704 USA
关键词
opportunistic; osteoporosis; quantitative computed tomography; screening; CONTRAST-ENHANCED MDCT; MINERAL DENSITY; T-SCORES; CT COLONOGRAPHY; OSTEOPOROSIS; QCT; DXA; WOMEN; CLASSIFICATION; DENSITOMETRY;
D O I
10.1016/j.jot.2015.08.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Central dual-energy X-ray absorptiometry (DXA) of the lumbar spine and proximal femur is the preferred method for bone mineral density (BMD) testing. Despite the fracture risk statistics, osteoporosis testing with DXA remains underused. However, BMD can also be assessed with quantitative computed tomography (QCT) that may be available when access to DXA is restricted. For patients undergoing a primary CT study of the abdomen or pelvis, a potential opportunity exists for concurrent BMD screening by QCT without the need for any additional imaging, radiation exposure, or patient time. Copyright (C) 2015, The Authors. Published by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license
引用
收藏
页码:178 / 184
页数:7
相关论文
共 36 条
[11]   Radiation exposure in X-ray-based imaging techniques used in osteoporosis [J].
Damilakis, John ;
Adams, Judith E. ;
Guglielmi, Giuseppe ;
Link, Thomas M. .
EUROPEAN RADIOLOGY, 2010, 20 (11) :2707-2714
[12]   Clinical use of quantitative computed tomography and peripheral quantitative computed tomography in the management of osteoporosis in adults: The 2007 ISCD Official Positions [J].
Engelke, Klaus ;
Adams, Judith E. ;
Armbrecht, Gabriele ;
Augat, Peter ;
Bogado, Cesar E. ;
Bouxsein, Mary L. ;
Felsenberg, Dieter ;
Ito, Masako ;
Prevrhal, Sven ;
Hans, Didier B. ;
Lewiecki, E. Michael .
JOURNAL OF CLINICAL DENSITOMETRY, 2008, 11 (01) :123-162
[13]   Discordance in patient classification using T-scores [J].
Faulkner, KG ;
von Stetten, E ;
Miller, P .
JOURNAL OF CLINICAL DENSITOMETRY, 1999, 2 (03) :343-350
[14]   QUANTITATIVE COMPUTED-TOMOGRAPHY OF VERTEBRAL SPONGIOSA - A SENSITIVE METHOD FOR DETECTING EARLY BONE LOSS AFTER OOPHORECTOMY [J].
GENANT, HK ;
CANN, CE ;
ETTINGER, B ;
GORDAN, GS .
ANNALS OF INTERNAL MEDICINE, 1982, 97 (05) :699-705
[15]   Bone mineral density measurements of the proximal femur from routine contrast-enhanced MDCT data sets correlate with dual-energy X-ray absorptiometry [J].
Gruber, M. ;
Bauer, J. S. ;
Dobritz, M. ;
Beer, A. J. ;
Wolf, P. ;
Woertler, K. ;
Rummeny, E. J. ;
Baum, T. .
EUROPEAN RADIOLOGY, 2013, 23 (02) :505-512
[16]   VERTEBRAL BONE-DENSITY IN ICELANDIC WOMEN USING QUANTITATIVE COMPUTED-TOMOGRAPHY WITHOUT AN EXTERNAL REFERENCE PHANTOM [J].
GUDMUNDSDOTTIR, H ;
JONSDOTTIR, B ;
KRISTINSSON, S ;
JOHANNESSON, A ;
GOODENOUGH, D ;
SIGURDSSON, G .
OSTEOPOROSIS INTERNATIONAL, 1993, 3 (02) :84-89
[17]   Effect of spinal degenerative changes on volumetric bone mineral density of the central skeleton as measured by quantitative computed tomography [J].
Guglielmi, G ;
Floriani, I ;
Torri, V ;
Li, J ;
van Kuijk, C ;
Genant, HK ;
Lang, TF .
ACTA RADIOLOGICA, 2005, 46 (03) :269-275
[18]   Estimation of bone mineral density in children from diagnostic CT images: A comparison of methods with and without an internal calibration standard [J].
Habashy, Alexander H. ;
Yan, Xiaowei ;
Brown, J. Keenan ;
Xiong, Xiaoping ;
Kaste, Sue C. .
BONE, 2011, 48 (05) :1087-1094
[19]   The use of clinical CT for baseline bone density assessment [J].
Hopper, KD ;
Wang, MP ;
Kunselman, AR .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2000, 24 (06) :896-899
[20]   VERTEBRAL BONE-MINERAL ANALYSIS - AN INTEGRATED APPROACH WITH CT [J].
KALENDER, WA ;
KLOTZ, E ;
SUESS, C .
RADIOLOGY, 1987, 164 (02) :419-423