Ultrasound bone densitometry of the os calcis in the diagnosis of osteoporosis

被引:10
作者
Wendt, B
Cornelius, A
Otto, R
机构
[1] Institut für Radiologie, Kantonsspital Baden
[2] Inst. Rontgendiagnostik/N., Kantonsspital
来源
RADIOLOGE | 1996年 / 36卷 / 01期
关键词
osteoporosis; ultrasound; calcaneus; bone structure;
D O I
10.1007/s001170050040
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: We evaluated the speed of sound (SOS) and broadband ultrasound attenuation (BUA) at the os calcis as an indicator of osteoporosis and observed the age-related changes in ultrasound values in normal women, Materials and methods: BUA and SOS were measured in 236 women using the ''Achilles'' densitometer (Lunar, Madison, Ohio), From the BUA and SOS values the BUA/SOS Index (''Stiffness'' Index) is calculated. We investigated 55 female patients with osteoporosis (aged 43-85 years) and 181 healthy women (aged 20-80 years). Results: Ultrasound values for women with osteoporosis were significantly lower than those for the normal control group, The Z-score compared with young normals was higher for the BUA/ SOS Index (-3.1) than for BUA (-2.5) and SOS (-3.0). At a BUA/SOS Index of 68 the sensitivity was 85%, and the specificity was 77% for patients with osteoporotic fractures. We found a significant decline with age in sos (r = -0.55), BUA (r = -0.50) and BUA/SOS Index (r = -0.57). Conclusion: Ultrasound bone densitometry at the os calcis can be used as a screening test in the diagnosis of osteoporosis.
引用
收藏
页码:58 / 63
页数:6
相关论文
共 21 条
[1]  
DAMBACHER MA, 1994, ORTHOPADE, V23, P38
[2]  
DAMBACHER MA, 1994, HOSPITALIS, V64, P333
[3]   BROAD-BAND ULTRASOUND ATTENUATION IN THE DIAGNOSIS OF OSTEOPOROSIS - CORRELATION WITH OSTEODENSITOMETRY AND FRACTURE [J].
FUNKE, M ;
KOPKA, L ;
VOSSHENRICH, R ;
FISCHER, U ;
UEBERSCHAER, A ;
OESTMANN, JW ;
GRABBE, E .
RADIOLOGY, 1995, 194 (01) :77-81
[4]   OSTEOPOROTIC BONE FRAGILITY - DETECTION BY ULTRASOUND TRANSMISSION VELOCITY [J].
HEANEY, RP ;
AVIOLI, LV ;
CHESNUT, CH ;
LAPPE, J ;
RECKER, RR ;
BRANDENBURGER, GH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (20) :2986-2990
[5]   ULTRASOUND TRANSMISSION VELOCITY IN DIAGNOSIS OF POSTMENOPAUSAL OSTEOPOROSIS [J].
JERGAS, M ;
UFFMANN, M ;
MULLER, P ;
KOSTER, O .
FORTSCHRITTE AUF DEM GEBIETE DER RONTGENSTRAHLEN UND DER NEUEN BILDGEBENDEN VERFAHREN, 1993, 158 (03) :207-213
[6]   ULTRASOUND TRANSMISSION VELOCITY AT WEIGHT-BEARING AND NONWEIGHTBEARING SKELETAL SITES - EFFECTS OF EXERCISE IN SOCCER PLAYERS [J].
JERGAS, M ;
UFFMANN, M ;
WITTENBERG, R ;
MULLER, P ;
KOSTER, O .
FORTSCHRITTE AUF DEM GEBIETE DER RONTGENSTRAHLEN UND DER NEUEN BILDGEBENDEN VERFAHREN, 1992, 157 (04) :420-424
[7]   ULTRASONIC METHODS IN THE DIAGNOSIS OF OSTEOPOROSIS [J].
JERGAS, M ;
KOSTER, O .
ULTRASCHALL IN DER MEDIZIN, 1993, 14 (03) :136-142
[8]  
KAUFMAN JJ, 1993, J BONE MINER RES, V8, P517
[9]  
MAUTALEN C, 1993, 4TH INT S OST, V27
[10]   HOW MANY WOMEN HAVE OSTEOPOROSIS [J].
MELTON, LJ ;
CHRISCHILLES, EA ;
COOPER, C ;
LANE, AW ;
RIGGS, BL .
JOURNAL OF BONE AND MINERAL RESEARCH, 1992, 7 (09) :1005-1010