مقایسه سنجش تراکم استخوان در دو محل در مقایسه با سه محل در بیماران مشکوک به استئوپروز

اعظمی, احد and اناری, حسن and ایرانپرور, منوچهر and عزیزی, امین and حبیب زاده, افشین (1398) مقایسه سنجش تراکم استخوان در دو محل در مقایسه با سه محل در بیماران مشکوک به استئوپروز. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders ــ 12 . pp. 1-5. شاپا 1179-5441

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Official URL: https://journals.sagepub.com/doi/full/10.1177/1179...


Comparison of Bone Mineral Densitometry at 2 Sites Versus 3 Sites in Patients Suspicious for Osteoporosis

English Abstract

Abstract Objectives: In this study, we aim to evaluate the bone mineral density (BMD) results of 2 standard sites with 3 sites including wrist in diagnosing osteoporosis. Methods: We evaluated the BMD results of 1272 individuals referred for suspected osteoporosis between 2012 and 2015. Those individuals were included with BMD at lumbar spine, femur neck, and wrist. Bone mineral density was measured using a dual-energy X-ray absorptiometry (DXA) device. Bone mineral density and T score were measured for all 3 sites. Results: There was significant correlation between wrist T score with hip T score (r = 0.606, P < .001) and lumbar T score (r = 0.527, P < .001). With BMD of 2 sites, patients had osteopenia in 46.3% and osteoporosis in 23.7%, while by adding wrist T-BMD, subjects had osteopenia in 46.6% and osteoporosis in 33%. Between BMD at 2 sites and 3 sites, there was concordance in 81.9%, minor discordance in 17.6%, and major discordance in 0.5%. Conclusions: We observed discordance between BMD measurements of 2 sites and 3 sites, with latter detecting more cases with osteoporosis. In fact, measurement of T scores of wrist along with lumbar and femur neck improves the diagnosis.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :احد اعظمی
نویسنده :حسن اناری
نویسنده :منوچهر ایرانپرور
نویسنده مسئول :افشین حبیب زاده
Additional Information:Indexed in: ESCI, Scopus, Pubmed/PMC, Embase, DOAJ
کلیدواژه ها (انگلیسی):bone mineral densitometry, dual-energy X-ray absorptiometry, osteoporosis, concordance
Subjects:WE Musculoskeletal system
Divisions:Faculty of Medicine > Department of Internal Medicine , Cardiology , Infectious
Faculty of Medicine > Department of Radiology
ID Code:11860
Deposited By: دکتر افشین حبیب زاده
Deposited On:08 Mar 1398 11:32
Last Modified:04 May 1398 08:45

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