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Quantitative ultrasound of the phalanges and DXA of the lumbar spine and proximal femur in evaluating the risk of osteoporotic vertebral fracture in postmenopausal women

Albanese, C. V. ; De Terlizzi, F. ; Passariello, R.

Radiologia medica, 2011-02, Vol.116 (1), p.92-101 [Periódico revisado por pares]

Milan: Springer Milan

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Título:
Quantitative ultrasound of the phalanges and DXA of the lumbar spine and proximal femur in evaluating the risk of osteoporotic vertebral fracture in postmenopausal women
Autor: Albanese, C. V. ; De Terlizzi, F. ; Passariello, R.
Assuntos: Absorptiometry, Photon ; Aged ; Aged, 80 and over ; Bone Density ; Diagnostic Radiology ; European Continental Ancestry Group ; Female ; Femur - diagnostic imaging ; Finger Phalanges - diagnostic imaging ; Humans ; Imaging ; Interventional Radiology ; Italy ; Logistic Models ; Lumbar Vertebrae - diagnostic imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; Musculoskeletal Radiology ; Neuroradiology ; Osteoporosis, Postmenopausal - diagnostic imaging ; Osteoporotic Fractures - diagnostic imaging ; Predictive Value of Tests ; Radiologia Muscolo-Scheletrica ; Radiology ; Risk Assessment ; ROC Curve ; Spinal Fractures - diagnostic imaging ; Ultrasonography ; Ultrasound
É parte de: Radiologia medica, 2011-02, Vol.116 (1), p.92-101
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Purpose This study was undertaken to compare the quantitative ultrasound (QUS) parameters of amplitudedependent speed of sound (AD-SoS) and ultrasound bone profile index (UBPI) of the phalanges with bone mineral density (BMD) of the lumbar spine and proximal hip using dual-energy X-ray absorptiometry (DXA) in discriminating women with vertebral fracture. Materials and methods A total of 692 postmenopausal Caucasian women were included in the study. The presence of vertebral fracture was evaluated by radiography. AD-SoS and UBPI were measured at the phalangeal metaphysis using a DBM Sonic device. Multiple logistic regression analysis was performed to estimate the odds ratio (OR) for vertebral fractures. The ORs were also adjusted for the significant anthropometric variables of age, weight and height. Furthermore, for QUS parameters, the ORs were also adjusted for lumbar spine and total hip BMD. Results All measurements obtained with DXA and QUS significantly discriminated between women with and without fractures ( p <0.0001). However, the OR was higher for lumbar spine BMD (OR 4.01), AD-SoS (OR 3.81), total hip (OR 3.7) and femoral neck BMD (OR 3.62). Conclusions The QUS parameter AD-SoS showed diagnostic sensitivity equal to that of lumbar DXA in discriminating between women with and without osteoporotic vertebral fractures.
Editor: Milan: Springer Milan
Idioma: Inglês;Italiano

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Quantitative ultrasound of the phalanges and DXA of the lumbar spine and proximal femur in evaluating the risk of osteoporotic vertebral fracture in postmenopausal women

Albanese, C. V. ; De Terlizzi, F. ; Passariello, R.

Milan: Springer Milan

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