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定量计算机断层扫描在疑似成骨不全猫中的临床应用。

Clinical application of quantitative computed tomography in osteogenesis imperfecta-suspected cat.

作者信息

Won Sungjun, Chung Woo-Jo, Yoon Junghee

机构信息

Irion Animal Hospital, Seoul 06015, Korea.

College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Korea.

出版信息

J Vet Sci. 2017 Sep 30;18(3):415-417. doi: 10.4142/jvs.2017.18.3.415.

Abstract

One-year-old male Persian cat presented with multiple fractures and no known traumatic history. Marked decrease of bone radiopacity and thin cortices of all long bones were identified on radiography. Tentative diagnosis was osteogenesis imperfecta, a congenital disorder characterized by fragile bone. To determine bone mineral density (BMD), quantitative computed tomography (QCT) was performed. The QCT results revealed a mean trabecular BMD of vertebral bodies of 149.9 ± 86.5 mg/cm. After bisphosphonate therapy, BMD of the same site increased significantly (218.5 ± 117.1 mg/cm, < 0.05). QCT was a useful diagnostic tool to diagnose osteopenia and quantify response to medical treatment.

摘要

一只1岁雄性波斯猫出现多处骨折且无已知外伤史。X线检查发现所有长骨的骨密度明显降低且皮质变薄。初步诊断为成骨不全,这是一种以骨骼脆弱为特征的先天性疾病。为测定骨密度(BMD),进行了定量计算机断层扫描(QCT)。QCT结果显示椎体平均小梁骨密度为149.9±86.5mg/cm。双膦酸盐治疗后,同一部位的骨密度显著增加(218.5±117.1mg/cm,P<0.05)。QCT是诊断骨质减少和量化药物治疗反应的有用诊断工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f26b/5639095/481871c88cc4/jvs-18-415-g001.jpg

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