Radecka Aleksandra, Lubkowska Anna
Department of Functional Diagnostics and Physical Medicine, Pomeranian Medical University in Szczecin, Żołnierska 54, 71-210 Szczecin, Poland.
Diagnostics (Basel). 2023 Apr 28;13(9):1576. doi: 10.3390/diagnostics13091576.
In recent years, the usefulness of dual-energy X-ray absorptiometry (DXA) as a valuable complementary method of assessing the content and distribution of adipose and lean tissue as well as bone mineral density and estimating the risk of fractures has been increasingly confirmed. The diagnosis and treatment of Cushing's syndrome remain challenging, and monitoring the effects of treatment is often necessary. DXA tests offer a potential solution to many problems related to the availability of a quick, detailed, and reliable analysis of changes in the content and distribution of individual body composition components. The article discusses total body DXA scans (FMI, VAT, ALMI), lumbar spine scans (VFA, TBS), and osteoporosis scans (BMD, T-score, Z-score)-all are of potential interest in Cushing's syndrome. The article discusses the use of the most important indicators obtained from a DXA test (FMI, VAT, ALMI, BMD, T-score, Z-score, VFA, TBS) and their clinical significance in Cushing's syndrome was verified. The literature from the last decade was used for the study, available in MEDLINE, Web of Science, and ScienceDirect.
近年来，双能X线吸收法（DXA）作为评估脂肪组织和瘦组织的含量及分布、骨矿物质密度以及估计骨折风险的一种有价值的补充方法，其效用已得到越来越多的确证。库欣综合征的诊断和治疗仍然具有挑战性，因此常常需要监测治疗效果。DXA检测为许多与快速、详细且可靠地分析个体身体成分组成部分的含量及分布变化相关的问题提供了一个潜在的解决方案。本文讨论了全身DXA扫描（FMI、VAT、ALMI）、腰椎扫描（VFA、TBS）以及骨质疏松扫描（BMD、T值、Z值）——所有这些在库欣综合征中都具有潜在意义。本文讨论了从DXA检测中获得的最重要指标（FMI、VAT、ALMI、BMD、T值、Z值、VFA、TBS）的用途，并验证了它们在库欣综合征中的临床意义。本研究使用了过去十年发表在MEDLINE、科学引文索引和ScienceDirect上的文献。
