Role of dual-energy X-ray absorptiometry in the diagnosis and treatment of osteoporosis

被引：124

作者：

Blake, Glen M. ^{[1
]}

Fogelman, Ignac ^{[1
]}

机构：

[1] Kings Coll London, Sch Med, London WC2R 2LS, England

来源：

JOURNAL OF CLINICAL DENSITOMETRY | 2007年 / 10卷 / 01期

关键词：

bone mineral density; dual-energy X-ray absorptiometry; fracture risk; osteoporosis treatment;

D O I：

10.1016/j.jocd.2006.11.001

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Dual energy X-ray absorptiometry (DXA) measurements of spine and hip bone mineral density (BMD) (referred to here as central DXA) have an important role as a clinical tool for the evaluation of individuals at risk of osteoporosis, and in helping clinicians give advice to patients about the appropriate use of antifracture treatment. Compared with alternative bone densitometry techniques such quantitative computed tomography (QCT), peripheral DXA (pDXA) and quantitative ultrasound (QUS), central DXA has a number of significant advantages that include a consensus that BMD results can be interpreted using the World Health Organization (WHO),T-score definition of osteoporosis, a proven ability to predict fracture risk, and proven effectiveness at targeting antifracture treatments. This review article discusses the evidence for these and other advantages of central DXA, including its role in the new WHO algorithm for treating patients on the basis of individual fracture risk.

引用

页码：102 / 110

页数：9

共 55 条

[1]

Semmelweis lecture sepsis research: What did we do wrong? What would semnelweis do today? [J].

Baue, AE .

SHOCK, 2001, 16 (01) :1-8

[2]

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

[3]

OPTIMAL CALCIUM INTAKE [J].

BILEZIKIAN, JP ;

BAILEY, L ;

ELMER, PJ ;

FAVUS, MJ ;

GO, VLW ;

GOLDRING, SR ;

HOLT, LH ;

INSOGNA, KL ;

KRIMGOLD, B ;

MALLETTE, LE ;

SHAPIRO, JR ;

STJEOR, ST ;

STERN, PH ;

TILLEY, BC ;

YAMAMOTO, ME .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (24) :1942-1948

[4]

Black DM, 2006, J BONE MINER RES, V21, pS16

[5]

Black DM, 2000, OSTEOPOROSIS INT, V11, pS59

[6]

Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures [J].

Black, DM ;

Cummings, SR ;

Karpf, DB ;

Cauley, JA ;

Thompson, DE ;

Nevitt, MC ;

Bauer, DC ;

Genant, HK ;

Haskell, WL ;

Marcus, R ;

Ott, SM ;

Torner, JC ;

Quandt, SA ;

Reiss, TF ;

Ensrud, KE .

LANCET, 1996, 348 (9041) :1535-1541

[7]

A list of device-specific thresholds for the clinical interpretation of peripheral x-ray absorptiometry examinations [J].

Blake, GM ;

Chinn, DJ ;

Steel, SA ;

Patel, R ;

Panayiotou, E ;

Thorpe, J ;

Fordham, JN .

OSTEOPOROSIS INTERNATIONAL, 2005, 16 (12) :2149-2156

[8]

Blake GM, 2004, EUR J NUCL MED MOL I, V31, P785

[9]

Technical principles of dual energy x-ray absorptiometry [J].

Blake, GM ;

Fogelman, I .

SEMINARS IN NUCLEAR MEDICINE, 1997, 27 (03) :210-228

[10]

A longitudinal study of supine lateral DXA of the lumbar spine: A comparison with posteroanterior spine, hip and total-body DXA [J].

Blake, GM ;

Herd, RJM ;

Fogelman, I .

OSTEOPOROSIS INTERNATIONAL, 1996, 6 (06) :462-470

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