Comparison of nuclear magnetic resonance spectroscopy with dual-photon absorptiometry and dual-energy X-ray absorptiometry in the measurement of thoracic vertebral bone mineral density: Compressive force versus bone mineral

1994 ◽  
Vol 4 (3) ◽  
pp. 129-137 ◽  
Author(s):  
T. J. Myers ◽  
J. H. Battocletti ◽  
M. Mahesh ◽  
M. Gulati ◽  
C. R. Wilson ◽  
...  
2019 ◽  
Vol 12 (04) ◽  
pp. 1907-1914
Author(s):  
S. M. Nazia Fathima ◽  
R. Tamil Selvi ◽  
M. Parisa Beham

Biomedical engineering is one of the promising disciplines in engineering that deals with technology advancement in human health. Osteoporosis is a common metabolic disease categorized by decreased bone mass and increased liability to fractures. Bone densitometry is a broad term comprising the art and science of measuring the bone mineral content (BMC) and bone mineral density (BMD) of particular skeletal sites or the whole body. There are various methods to measure bone mineral density which differs based on the differential absorption of ionizing radiation or the sound waves. The methods are SPA (Single Photon Absorptiometry), DPA (Dual Photon Absorptiometry), SEXA (Single Energy X ray Absorptiometry), DEXA (Dual Energy X ray Absorptiometry), QCT (Quantitative Computed Tomography), QUS (Quantitative Ultra Sound) and RA (Radiographic absorptiometry). The DEXA test can measure the whole body but usually the lower spine and hips. A major disadvantage of DEXA is that currently there is a lack of standardization in bone and soft tissue measurements. Furthermore, for a given manufacturer, results may vary by the model of the instrument, the mode of operation or the version of the software used to analyze the data. In addition to that, DEXA scan images are only for the confirmation of correct positioning of the patient and correct placement of the regions of interest (ROI). Motivated by the above issues, this paper can pave a way for analysis in the measurement of BMD, measurement of T-score, and Z-score from the DEXA scan images. This proposed methodology includes segmentation algorithms such as k means clustering & mean –shift algorithm and comparison of the accuracy of algorithms. Also in addition, a novel mathematical analysis is also proposed to measure the T–score values in DEXA images with a new parameter ‘S’ from BMD values in order to detect the osteoporosis condition accurately.


1990 ◽  
Vol 1 (1) ◽  
pp. 23-29 ◽  
Author(s):  
D. O. Slosman ◽  
R. Rizzoli ◽  
A. Donath ◽  
J. -Ph. Bonjour

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 227.2-228
Author(s):  
D. Claire ◽  
M. Geoffroy ◽  
L. Kanagaratnam ◽  
C. Isabelle ◽  
A. Hittinger ◽  
...  

Background:Dual energy X-ray absoprtiometry is the reference method to mesure bone mineral density (1). Loss of bone mineral density is significant if it exceeds the least significant change. The threshold value used in general population is 0,03 g/cm2 (2). Patients with obesity are known for having a higher bone mineral density due to metabolism and physiopathology characteristics (3,4).Objectives:The aim of our study was to determine the least significant change in bone densitometry in patients with obesity.Methods:We conducted an interventionnal study in 120 patients with obesity who performed a bone densitometry. We measured twice the bone mineral density at the lumbar spine, the femoral neck and the total hip in the same time (5,6). We determined the least significant change in bone densitometry from each pair of measurements, using the Bland and Altman method. We also determined the least significant change in bone densitometry according to each stage of obesity.Results:The least significant change in bone densitometry in patients with obesity is 0,046g/cm2 at the lumbar spine, 0.069 g/cm2 at the femoral neck and 0.06 g/cm2 at the total hip.Conclusion:The least significant change in bone densitometry in patients with obesity is higher than in general population. These results may improve DXA interpretation in this specific population, and may personnalize their medical care.References:[1]Lees B, Stevenson JC. An evaluation of dual-energy X-ray absorptiometry and comparison with dual-photon absorptiometry. Osteoporos Int. mai 1992;2(3):146-52.[2]Briot K, Roux C, Thomas T, Blain H, Buchon D, Chapurlat R, et al. Actualisation 2018 des recommandations françaises du traitement de l’ostéoporose post-ménopausique. Rev Rhum. oct 2018;85(5):428-40.[3]Shapses SA, Pop LC, Wang Y. Obesity is a concern for bone health with aging. Nutr Res N Y N. mars 2017;39:1-13.[4]Savvidis C, Tournis S, Dede AD. Obesity and bone metabolism. Hormones. juin 2018;17(2):205-17.[5]Roux C, Garnero P, Thomas T, Sabatier J-P, Orcel P, Audran M, et al. Recommendations for monitoring antiresorptive therapies in postmenopausal osteoporosis. Jt Bone Spine Rev Rhum. janv 2005;72(1):26-31.[6]Ravaud P, Reny JL, Giraudeau B, Porcher R, Dougados M, Roux C. Individual smallest detectable difference in bone mineral density measurements. J Bone Miner Res. août 1999;14(8):1449-56.Disclosure of Interests:None declared.


Sign in / Sign up

Export Citation Format

Share Document