Fujiwara Saeko
Department of Clinical Studies, Radiation Effects Research Foundation, Japan.
Clin Calcium. 2005 Aug;15(8):1319-23.
For Japanese women aged 65 years and older and men aged 75 years and older, osteoporosis screening through the use of DXA is recommended. For those with risk factors of osteoporosis and bone fracture among postmenopausal women younger than 65 years of age and men younger than 75, osteoporosis screening is considered to be beneficial. Regarding effectiveness of the screening among perimenopausal women, there is simply no evidence to recommend the screening. Further investigation is necessary into the effectiveness of using QUS for osteoporosis screening, as accuracy tends to suffer depending on the type of QUS device used and the level of values measured.
对于65岁及以上的日本女性和75岁及以上的男性，建议通过双能X线吸收法（DXA）进行骨质疏松症筛查。对于65岁以下的绝经后女性和75岁以下有骨质疏松症和骨折风险因素的男性，进行骨质疏松症筛查被认为是有益的。关于围绝经期女性筛查的有效性，根本没有证据推荐进行筛查。由于根据所使用的定量超声（QUS）设备类型和测量值水平，准确性往往会受到影响，因此有必要进一步研究使用QUS进行骨质疏松症筛查的有效性。
