Correlation of Hounsfield Unit Measurements on Computed Tomography of the Shoulder With Dual-Energy X-ray Absorptiometry Scans and Fracture Risk Assessment Tool Scores: A Potential for Opportunistic Screening
| Autor: | Jamie E. Collins, Brandon E. Earp, Tamara D. Rozental, Kyra A. Benavent, Jennifer R Kallini, Scott M. Tintle |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Fracture risk Shoulder Computed tomography Risk Assessment Correlation 03 medical and health sciences Absorptiometry Photon 0302 clinical medicine Bone Density Hounsfield scale medicine Humans Orthopedics and Sports Medicine Dual-energy X-ray absorptiometry Femoral neck Bone mineral 030222 orthopedics Hip fracture medicine.diagnostic_test business.industry 030208 emergency & critical care medicine General Medicine musculoskeletal system medicine.disease medicine.anatomical_structure Osteoporosis Surgery Tomography X-Ray Computed Nuclear medicine business |
| Zdroj: | Journal of Orthopaedic Trauma. 35:384-390 |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0000000000001994 |
| Popis: | BACKGROUND The diagnosis of bone mineral density (BMD) abnormalities involves dual-energy x-ray absorptiometry (DXA), but few patients complete this after a fragility fracture. The assessment of BMD using Hounsfield unit (HU) measurements from computed tomography (CT) scans has been correlated with DXA results in previous studies. We aimed to evaluate the correlation between shoulder CT HU and DXA scores. METHODS Billing databases of 3 academic institutions were queried for patients who underwent both DXA and CT scan of the upper extremity within 1 year of each other. DXA T-scores for spine, hip, and femoral neck were recorded. BMD status was defined based on composite T-scores, using the lowest T-score in the spine, hip, or proximal femur. CT scans were measured for HU over 4 slices, recorded to create a bone column, then averaged. The patients' risks of major osteoporosis-related fracture and hip fracture were calculated using the Fracture Risk Assessment Tool. RESULTS In total, 300 patients were included. A positive correlation was found between composite T-scores and HU for glenoid and proximal humerus (0.36; 0.17). The proximal humerus HU was significantly associated with the BMD T-score for the hip (P = 0.01); the glenoid HU was significantly associated with BMD T-scores for the hip, spine, and femoral neck (P = 0.002; P = 0.001; P = 0.002). A 10-year risk of hip fracture >3% was associated with lower proximal humerus HU. CONCLUSIONS Our study is the first to discover significant correlations between HU at the glenoid and proximal humerus and risk factors as established by the Fracture Risk Assessment Tool scoring system. LEVEL OF EVIDENCE Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|