The accuracy of volumetric bone density measurements in dual X-ray absorptiometry

1995 ◽  
Vol 56 (3) ◽  
pp. 210-214 ◽  
Author(s):  
M. A. Sabin ◽  
G. M. Blake ◽  
S. M. MacLaughlin-Black ◽  
I. Fogelman
1992 ◽  
Vol 19 (2) ◽  
pp. 459-465 ◽  
Author(s):  
Glen M. Blake ◽  
Diane B. McKeeney ◽  
Sanjiv C. Chhaya ◽  
Paul J. Ryan ◽  
Ignac Fogelman

2016 ◽  
Vol 24 (4) ◽  
pp. 565-569
Author(s):  
Chandan Das ◽  
Anna G. U. S. Newcomb ◽  
Daniel P. Gaudin ◽  
Neil R. Crawford

OBJECTIVE Atlantooccipital fixation is an important technique in the treatment of upper cervical spine instability. Important considerations for implant devices are obtrusiveness and propagation of torque through the device caused by cervical rotation. The authors evaluated the feasibility of 3 regions of the occiput as sites for occipitocervical fixation by examining bone mineral density at these locations. METHODS Unembalmed occiputs of 9 male and 4 female cadavers were used (mean age at time of death was 61.6 years, range 36–68 years). Studies were undertaken using caliper measurements and dual-energy x-ray absorptiometry of the superior nuchal line (SNL), the external occipital protuberance (EOP), and the inferior nuchal line (INL). RESULTS Data indicate that the bone at the INL has a similar volumetric bone density as the bone at the SNL, despite having half the thickness. Also, the volumetric bone density increases laterally along the nuchal lines. CONCLUSIONS Most hardware fixation is centered on stabilization at the EOP and the SNL. On the basis of these radiological results, the INL shows promise as a potential alternative site for screw placement in occipitocervical fixation.


2009 ◽  
Vol 10 (7) ◽  
pp. 1101-1110 ◽  
Author(s):  
Michael Jergas ◽  
Martin Breitenseher ◽  
CLAUS-C. Glüer ◽  
Wei Yu ◽  
Harry K. Genant

2019 ◽  
Vol 94 (3) ◽  
pp. 268-272
Author(s):  
Eun Heui Kim ◽  
In Joo Kim ◽  
Yun Kyung Jeon

Science ◽  
1965 ◽  
Vol 150 (3693) ◽  
pp. 221-222 ◽  
Author(s):  
R. L. Mason ◽  
C. Ruthven

2015 ◽  
pp. 50-58
Author(s):  
Thi Dung Nguyen ◽  
Tam Vo

Background: The patients on hemodialysis have a significantly decreased quality of life. One of many problems which reduce the quality of life and increase the mortality in these patients is osteoporosis and osteoporosis associated fractures. Objectives: To assess the bone density of those on hemodialysis by dual energy X ray absorptiometry and to examine the risk factors of bone density reduction in these patients. Patients and Method: This is a cross-sectional study, including 93 patients on chronic hemodialysis at the department of Hemodialysis at Cho Ray Hospital. Results: Mean bone densities at the region of interest (ROI) neck, trochanter, Ward triangle, intertrochanter and total neck are 0.603 ± 0.105; 0.583 ± 0.121; 0.811 ± 0.166; 0.489 ± 0.146; 0.723 ± 0.138 g/cm2 respectively. The prevalences of osteoporosis at those ROI are 39.8%, 15.1%; 28%; 38.7%; and 26.9% respectively. The prevalences of osteopenia at those ROI are 54.8%; 46.3%; 60.2%; 45.2% and 62.7% respectively. The prevalence of osteopososis in at least one ROI is 52.7% and the prevalence of osteopenia in at least one ROI is 47.3%. There are relations between the bone density at the neck and the gender of the patient and the albuminemia. Bone density at the trochanter is influenced by gender, albuminemia, calcemia and phosphoremia. Bone density at the intertrochanter is affected by the gender. Bone density at the Ward triangle is influenced by age and albuminemia. Total neck bone density is influenced by gender, albuminemia and phosphoremia. Conclusion: Osteoporosis in patients on chronic hemodialysis is an issue that requires our attention. There are many interventionable risk factors of bone density decrease in these patients. Key words: Osteoporosis, DEXA, chronic renal failure, chronic hemodialysis


1996 ◽  
Vol 89 (8) ◽  
pp. 457-461 ◽  
Author(s):  
D J Torgerson ◽  
C Donaldson ◽  
D M Reid

Bone mineral density measurements have been criticized on the grounds that they are not a worth-while screening tool. In this paper we argue that bone mineral measurements can be an efficient diagnostic tool even if they are not of proven value for screening. There is complex relationship between the costs of a measurement, the intervention and the predictive value of the test all of which must be accounted for when assessing the value of a bone density measurement. For bone density measurements to be used for screening, a wider evaluation needs to be undertaken compared with that for their use as a diagnostic tool. We address some common objections, for example, that low compliance with screening would undermine efficiency, and show that these are not relevant. Evaluations of screening need to address issues that are likely to affect efficiency.


Sign in / Sign up

Export Citation Format

Share Document