Clinical Utility of a Semiquantitative Method Using Lumbar Radiography as a Screening Tool for Osteoporosis in Elderly Subjects
| Autor: | Manabu Nakagawa, Yasuko Tatewaki, Hideo Shimomura, Keiko Kunitoki, Yasuyuki Taki, Shuzo Yamamoto, Hiroyuki Arai, Yumi Takano, Tatsushi Mutoh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Bone density Radiography Frail Elderly Osteoporosis 030204 cardiovascular system & hematology 03 medical and health sciences Young Adult 0302 clinical medicine Lumbar Absorptiometry Photon Bone Density Clinical Research medicine Humans Femoral neck Aged Geriatrics Bone mineral Aged 80 and over Lumbar Vertebrae Receiver operating characteristic business.industry Femur Neck General Medicine Middle Aged medicine.disease medicine.anatomical_structure ROC Curve 030220 oncology & carcinogenesis Regression Analysis Female Radiology business |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 |
| Popis: | BACKGROUND Osteoporosis is a major global public health problem in the current aging era. Osteoporosis is often diagnosed only after patients have a fracture that causes a severe decline in ability to perform activities of daily life. Although the current criterion standard for diagnosing osteoporosis is dual-energy X-ray absorptiometry (DXA), this modality remains less prevalent among general practitioners in geriatric medicine. The aim of this study was to determine the diagnostic utility of visual inspection of lumbar radiography in detecting bone mineral density (BMD) decline. MATERIAL AND METHODS We retrospectively reviewed medical data of 78 patients who underwent both lateral lumbar radiography and DXA. Board-certified radiologists determined the clinical grade of each patient's condition according to the semiquantitative (SQ) method of lumbar fracture assessment. We compared the grades and young adult means of BMD in the lumbar spine and hips as measured using DXA. RESULTS BMD of the femoral neck was significantly lower in patients with severe osteoporosis (grades 2 and 3 as classified using the SQ method) than in those with mild osteoporosis (grades 0 and 1; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|