Quantitative Computer Tomography in Children and Adolescents: The 2013 ISCD Pediatric Official Positions

被引:81
作者
Adams, Judith E. [1 ]
Engelke, Klaus [2 ,3 ]
Zemel, Babette S. [4 ]
Ward, Kate A. [5 ]
机构
[1] Cent Manchester Univ Hosp NHS Fdn Trust, Dept Clin Radiol, Royal Infirm, Manchester M13 9WL, Lancs, England
[2] Univ Erlangen Nurnberg, Inst Med Phys, D-91054 Erlangen, Germany
[3] Synarc AS, Hamburg, Germany
[4] Univ Penn, Perelman Sch Med, Childrens Hosp Philadelphia, Div Gastroenterol Hepatol & Nutr,Dept Pediat, Philadelphia, PA 19104 USA
[5] Elsie Widdowson Lab, MRC Human Nutr Res, Cambridge, England
基金
英国医学研究理事会;
关键词
Bone mineral density; children; fracture assessment; pQCT; QCT; BONE-MINERAL DENSITY; X-RAY ABSORPTIOMETRY; GROUND REACTION FORCE; CORTICAL BONE; TRABECULAR BONE; DISTAL RADIUS; FAT MASS; LONGITUDINAL ASSESSMENT; RADIATION-EXPOSURE; MUSCLE PARAMETERS;
D O I
10.1016/j.jocd.2014.01.006
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
In 2007, International Society of Clinical Densitometry Pediatric Positions Task Forces reviewed the evidence for the clinical application of peripheral quantitative computed tomography (pQCT) in children and adolescents. At that time, numerous limitations regarding the clinical application of pQCT were identified, although its use as a research modality for investigation of bone strength was highlighted. The present report provides an updated review of evidence for the clinical application of pQCT, as well as additional reviews of whole body QCT scans of the central and peripheral skeletons, and high-resolution pQCT in children. Although these techniques remain in the domain of research, this report summarizes the recent literature and evidence of the clinical applicability and offers general recommendations regarding the use of these modalities in pediatric bone health assessment.
引用
收藏
页码:258 / 274
页数:17
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