Comparison of DXA, QCT and trabecular structure in beta-thalassaemia

Autor: N. Zoumbos, Michalis Leotsinides, Maria Mylona, Theodoros Alexandrides, Panagiotis Dimopoulos
Rok vydání: 2005
Předmět:
Zdroj: European journal of haematology. 74(5)
ISSN: 0902-4441
Popis: Osteopathy, as a major feature of homozygous β-thalassaemia, is a multifactorial disorder, not fully understood. We studied the lumbar vertebrae of 48 patients using Dual-Energy X-ray Absorptiometry (DXA) and Quantitative Computed Tomography (QCT), and we focused on structural properties, assessed by High Resolution Computed Tomography (HRCT). Bone Mineral Density (BMD) values were expressed as Z-scores and the results were correlated. The effect of age, sex, and type of thalassaemia and hormonal factors on BMD was assessed. We estimated, with HRCT, the cortex integrity and the number and thickness of trabeculae; the latter were classified to a three-grade scale. Our results showed the overall prevalence of osteoporosis to be 44% with DXA and 6% with QCT. Both techniques revealed an inverse correlation between age and BMD, whereas hormonal factors demonstrated associations with QCT and DXA measurements. The correlation coefficient between DXA's BMD and QCT's trabecular BMD was 0.545 (P
Databáze: OpenAIRE