Fracture Risk Prediction by Non-BMD DXA Measures: the 2015 ISCD Official Positions Part 1: Hip Geometry

被引:85
作者
Broy, Susan B. [1 ]
Cauley, Jane A. [2 ]
Lewiecki, Michael E. [3 ]
Schousboe, John T. [4 ]
Shepherd, John A. [5 ]
Leslie, William D. [6 ,7 ]
机构
[1] Chicago Med Sch, Rosalind Franklin Sch Med, Dept Med, N Chicago, IL 60064 USA
[2] Univ Pittsburgh, Grad Sch Publ Hlth, Dept Epidemiol, Pittsburgh, PA USA
[3] Univ New Mexico, Sch Med, New Mexico Clin Res & Osteoporosis Ctr, Albuquerque, NM 87131 USA
[4] Univ Minnesota, Div Hlth Policy & Management, HealthPartners, Pk Nicollet Clin, Minneapolis, MN 55455 USA
[5] Univ Calif San Francisco, Sch Med, Dept Radiol & Biomed Imaging, San Francisco, CA USA
[6] Univ Manitoba, Dept Med, Winnipeg, MB, Canada
[7] Univ Manitoba, Dept Radiol, Winnipeg, MB, Canada
关键词
Dual-energy X-ray absorptiometry; fracture risk; hip axis length; hip structural analysis; neck-shaft angle; BONE-MINERAL DENSITY; PROXIMAL FEMUR GEOMETRY; X-RAY ABSORPTIOMETRY; FEMORAL-NECK FRACTURES; AXIS LENGTH; POSTMENOPAUSAL WOMEN; STRUCTURAL GEOMETRY; ELDERLY-MEN; OSTEOPOROTIC FRACTURES; SHAFT ANGLE;
D O I
10.1016/j.jocd.2015.06.005
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Bone mineral density (BMD) measured by dual-energy X-ray absorptiometry is the current imaging procedure of choice to assess fracture risk. However, BMD is only one of the factors that explain bone strength or resistance to fracture. Other factors include bone microarchitecture and macroarchitecture. We now have the ability to assess some of these non-BMD parameters from a dual-energy X-ray absorptiometry image. Available measurements include various measurements of hip geometry including hip structural analysis, hip axis length, and neck-shaft angle. At the 2015 Position Development Conference, the International Society of Clinical Densitometry established official positions for the clinical utility of measurements of hip geometry. We present the official positions approved by an expert panel after careful review of the recommendations and evidence prepared by an independent task force. Each question addressed by the task force is presented followed by the official position with the associated medical evidence and rationale.
引用
收藏
页码:287 / 308
页数:22
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