Sone Teruki, Ohnaru Kazuhiro, Tanaka Kensuke
Department of Nuclear Medicine, Kawasaki Medical School, Japan.
Clin Calcium. 2013 Mar;23(3):317-23.
Techniques in bone densitometry have made remarkable progress in the past quarter-century and are now widely used in the daily practice of osteoporosis. Since the skeletal site and the method of measurement differ among the type of equipments, several types are adopted to suit the situation of each medical institute. Central DXA is used to provide a thorough examination of osteoporosis in large hospitals, whereas in general clinics the radial DXA or radiographic photodensitometry of metacarpus is mainly used. Quantitative ultrasound of calcaneus is mostly used for screening osteoporosis. DXA is also going to be applied to vertebral fracture assessment, hip structural analysis and micro-architectural analysis of vertebral trabecular bone.
在过去的四分之一世纪里,骨密度测量技术取得了显著进展,目前已广泛应用于骨质疏松症的日常诊疗中。由于不同类型设备的骨骼测量部位和测量方法存在差异,因此会采用多种类型以适应各医疗机构的实际情况。大型医院采用中央双能X线吸收法(DXA)对骨质疏松症进行全面检查,而在普通诊所主要使用桡骨DXA或掌骨放射光密度测定法。跟骨定量超声主要用于骨质疏松症的筛查。DXA还将应用于椎体骨折评估、髋部结构分析以及椎体小梁骨的微观结构分析。