Uses and misuses of quantitative ultrasonography in managing osteoporosis

被引:14
作者
Lewiecki, E. Michael
Richmond, Bradford
Miller, Paul D.
机构
[1] New Mexico Clin Res & Osteoporosis Ctr, Albuquerque, NM USA
[2] Cleveland Clin, Dept Radiol, Cleveland, OH 44106 USA
[3] Colorado Ctr Bone Res, Lakewood, CO USA
关键词
D O I
10.3949/ccjm.73.8.742
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Quantitative ultrasonography is attractive as a test for osteoporosis, being precise, radiation-free, portable, and inexpensive, but it is still no substitute for the gold-standard test, dual-energy x-ray absorptiometry (DXA). At present, it cannot be used to diagnose osteoporosis or to monitor the effects of medications on bone density. As more data become available, however, it may play a larger role. A thorough understanding of the utility and limitations of this test is necessary for using it effectively in clinical practice.
引用
收藏
页码:742 / +
页数:9
相关论文
共 47 条
[1]  
[Anonymous], 1998, FED REG, V63, P34320
[2]  
[Anonymous], 1994, ASS FRACT RISK ITS A
[3]  
BAUER DC, 1995, J BONE MINER RES, V10, P353
[4]   Broadband ultrasound attenuation predicts fractures strongly and independently of densitometry in older women - A prospective study [J].
Bauer, DC ;
Gluer, CC ;
Cauley, JA ;
Vogt, TM ;
Ensrud, KE ;
Genant, HK ;
Black, DM .
ARCHIVES OF INTERNAL MEDICINE, 1997, 157 (06) :629-634
[5]  
Bonnick S., 2004, Bone Densitometry in Clinical Practice: Application and Interpretation, V2nd ed
[6]   Mortality after all major types of osteoporotic fracture in men and women: an observational study [J].
Center, JR ;
Nguyen, TV ;
Schneider, D ;
Sambrook, PN ;
Eisman, JA .
LANCET, 1999, 353 (9156) :878-882
[7]   POPULATION-BASED STUDY OF SURVIVAL AFTER OSTEOPOROTIC FRACTURES [J].
COOPER, C ;
ATKINSON, EJ ;
JACOBSEN, SJ ;
OFALLON, WM ;
MELTON, LJ .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1993, 137 (09) :1001-1005
[8]   Changes in bone mineral density explain little of the reduction in vertebral or nonvertebral fracture risk with anti-resorptive therapy [J].
Delmas, PD ;
Seeman, E .
BONE, 2004, 34 (04) :599-604
[9]   Biological variability of serum and urinary N-telopeptides of type I collagen in postmenopausal women [J].
Eastell, R ;
Mallinak, N ;
Weiss, S ;
Ettinger, M ;
Pettinger, M ;
Cain, D ;
Flessland, K ;
Chesnut, C .
JOURNAL OF BONE AND MINERAL RESEARCH, 2000, 15 (03) :594-598
[10]   Discordance in patient classification using T-scores [J].
Faulkner, KG ;
von Stetten, E ;
Miller, P .
JOURNAL OF CLINICAL DENSITOMETRY, 1999, 2 (03) :343-350