A study on the validity of quantitative ultrasonic measurement used the bone mineral density values on dual-energy X-ray absorptiometry in young and in middle-aged or older women

被引:17
作者
Iida T. [1 ]
Chikamura C. [2 ]
Aoi S. [3 ]
Ikeda H. [3 ]
Matsuda Y. [4 ]
Oguri Y. [5 ]
Ono Y. [1 ]
Katada K. [6 ]
Ishizaki F. [7 ]
机构
[1] Department of Public Health, Fujita Health University School of Medicine, Aichi 470-1192, Kutsukakecho, Toyoake
[2] Graduate School of Health Sciences, Hiroshima University, Hiroshima
[3] Department of Nursing, Prefectural University of Hiroshima, Hiroshima 723-0053, Mihara
[4] Medical Corporation Koujinkai Kajikawa Hospital, Hiroshima 733-0022, Nishi-ku
[5] Department of Health Science, Fujita Health University Toyoake
[6] Department of Radiology, Fujita Health University Toyoake
[7] Department of Communication Sciences and Disorders, Prefectural University of Hiroshima, Hiroshima 723-0053, Mihara
关键词
Calcaneum; DXA; Femur; Lumbar spine; QUS;
D O I
10.1007/s12194-010-0086-x
中图分类号
学科分类号
摘要
The influence of age and physique on dual-energy X-ray absorptiometry (DXA) and quantitative ultrasound (QUS) was investigated in young, middle-aged, and older women. The validity of the bilateral calcaneal QUS values was investigated regarding the bone mineral density (BMD) values on DXA of the lumbar spine, left femoral neck, and left femur as the optimal standards. The subjects were 55 young women (19.6 ± 1.0 years), and 152 middle-aged and older women (62.9 ± 7.2 years). The BMD on DXA was significantly correlated with the bone strength on QUS in both young and middle-aged or older women, but the positive likelihood ratios of the standard QUS values recommended by the manufacturer to the optimum standards on DXA were low, suggesting that osteoporosis cannot be diagnosed or predicted by use of the QUS method. Combination with DXA is necessary, such as primary screening by QUS followed by secondary screening by DXA. © 2010 Japanese Society of Radiological Technology and Japan Society of Medical Physics.
引用
收藏
页码:113 / 119
页数:6
相关论文
共 25 条
[1]
Yoshimura N., Incidences of fast bone losers and factors affecting changes in bone mineral density. A cohort study in a rural Japanese community, J Bone Miner Metab, 14, pp. 171-177, (1996)
[2]
Yamazaki K., Kushida K., Ohmura A., Sano M., Inoue T., Ultrasound bone densitometry of the OS calcis in Japanese women, Osteoporosis International, 4, 4, pp. 220-225, (1994)
[3]
Sakata S., Kushida K., Yamazaki K., Inoue T., Ultrasound bone densitometry of os calcis in elderly Japanese women with hip fracture, Calcified Tissue International, 60, 1, pp. 2-7, (1997)
[4]
Schott A.M., Hans D., Sornay-Rendu E., Delmas P.D., Meunier P.J., Ultrasound measurements on os calcis: Precision and age-related changes in a normal female population, Osteoporos Int, 3, 5, pp. 249-254, (1993)
[5]
Williams Jr. J.W., Simel D.L., The rational clinical examination. Does this patient have ascites? How to divine fluid in the abdomen, JAMA, 267, 19, pp. 2645-2648, (1992)
[6]
Guarino J.R., Guarino J.C., Auscultatory percussion: A simple method to detect pleural effusion, J Gen Intern Med, 9, 2, pp. 71-74, (1994)
[7]
Farwell J.R., Dohrmann G.J., Flannery J.T., Intracranial neoplasms in infants, Arch Neurol, 35, 8, pp. 533-537, (1978)
[8]
Deyo R.A., Rainville J., Kent D.L., What can the history and physical examination tell us about low back pain?, JAMA, 268, 6, pp. 760-765, (1992)
[9]
Williams Jr. J.W., Simel D.L., Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination, Journal of the American Medical Association, 270, 10, pp. 1242-1246, (1993)
[10]
Bush B., Shaw S., Cleary P., Delbanco T.L., Aronson M.D., Screening for alcohol abuse using the CAGE questionnaire, Am J Med, 82, 2, pp. 231-235, (1987)