儿童和青少年定量计算机断层扫描：2013 年 ISCD 儿科官方立场。

Quantitative computer tomography in children and adolescents: the 2013 ISCD Pediatric Official Positions.

机构信息

Department of Clinical Radiology, The Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Oxford Road, Manchester, England, UK.

Institute of Medical Physics, University of Erlangen, Erlangen, Germany and Synarc A/S, Germany.

出版信息

J Clin Densitom. 2014 Apr-Jun;17(2):258-74. doi: 10.1016/j.jocd.2014.01.006.

DOI:10.1016/j.jocd.2014.01.006

PMID:24792821

Abstract

In 2007, International Society of Clinical Densitometry Pediatric Positions Task Forces reviewed the evidence for the clinical application of peripheral quantitative computed tomography (pQCT) in children and adolescents. At that time, numerous limitations regarding the clinical application of pQCT were identified, although its use as a research modality for investigation of bone strength was highlighted. The present report provides an updated review of evidence for the clinical application of pQCT, as well as additional reviews of whole body QCT scans of the central and peripheral skeletons, and high-resolution pQCT in children. Although these techniques remain in the domain of research, this report summarizes the recent literature and evidence of the clinical applicability and offers general recommendations regarding the use of these modalities in pediatric bone health assessment.

摘要

2007 年，国际临床骨密度学会儿科立场工作组审查了外周定量计算机断层扫描（pQCT）在儿童和青少年中的临床应用证据。当时，尽管强调了 pQCT 作为研究骨强度的方法的使用，但仍发现了其临床应用的许多局限性。本报告提供了对 pQCT 临床应用证据的更新审查，以及对中央和外周骨骼全身 QCT 扫描和儿童高分辨率 pQCT 的额外审查。尽管这些技术仍处于研究领域，但本报告总结了近期文献和临床应用证据，并就这些方式在儿科骨健康评估中的应用提供了一般建议。