The clinical role of dual energy X-ray absorptiometry

被引：69

作者：

Blake, Glen M. ^{[1
]}

Fogelman, Ignac ^{[1
]}

机构：

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

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 2009年 / 71卷 / 03期

关键词：

Bone mineral density; Dual energy X-ray absorptiometry; Fracture risk; Osteoporosis; Treatment; BONE-MINERAL DENSITY; FRACTURE RISK; POSTMENOPAUSAL WOMEN; OSTEOPOROTIC FRACTURES; STRONTIUM RANELATE; COST-EFFECTIVENESS; NONVERTEBRAL FRACTURES; VERTEBRAL FRACTURE; INTERVENTION THRESHOLDS; ECONOMIC-EVALUATION;

D O I：

10.1016/j.ejrad.2008.04.062

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

100231 [临床病理学]; 100902 [航空航天医学];

摘要：

Dual energy X-ray absorptiometry (DXA) measurements of hip and spine bone mineral density (BMD) have an important role in the evaluation of individuals at risk of osteoporosis, and in helping clinicians advise patients about the appropriate use of anti-fracture treatment. Compared with alternative bone densitometry techniques, hip and spine DXA examinations have a number of advantages that include a consensus that BMD results can be interpreted using the World Health Organisation (WHO) T-score definition of osteoporosis, a proven ability to predict fracture risk, proven effectiveness at targeting anti-fracture therapies, and the ability to monitor response to treatment. This review discusses the evidence for these and other clinical aspects of DXA scanning, including its role in the new WHO algorithm for treating patients on the basis of their individual fracture risk. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

引用

页码：406 / 414

页数：9

共 78 条

[1]

Can peripheral DXA measurements be used to predict fractures in elderly women living in the community? [J].

Barr, RJ ;

Adebajo, A ;

Fraser, WD ;

Halsey, JP ;

Kelsey, C ;

Stewart, A ;

Reid, DM .

OSTEOPOROSIS INTERNATIONAL, 2005, 16 (10) :1177-1183

[2]

Black DM, 2000, OSTEOPOROSIS INT, V11, pS59

[3]

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

[4]

BLACK DM, 2007, NEW ENGL J MED, V356, P1809, DOI [DOI 10.1056/NEJMOA067312, 10.1056/NEJMoa067312]

[5]

How important are BMD accuracy errors for the clinical interpretation of DXA scans? [J].

Blake, Glen M. ;

Fogelman, Ignac .

JOURNAL OF BONE AND MINERAL RESEARCH, 2008, 23 (04) :457-462

[6]

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

[7]

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

[8]

Does the combination of two BMD measurements improve fracture discrimination? [J].

Blake, GM ;

Patel, R ;

Knapp, KM ;

Fogelman, I .

JOURNAL OF BONE AND MINERAL RESEARCH, 2003, 18 (11) :1955-1963

[9]

Peripheral or central densitometry: Does it matter which technique we use? [J].

Blake, GM ;

Fogelman, I .

JOURNAL OF CLINICAL DENSITOMETRY, 2001, 4 (02) :83-96

[10]

Blake GM, 2002, CURR OPIN ENDOCRINOL, V9, P502

← 1 2 3 4 5 6 7 8 →