Department of Neuroradiology, Unit of Diagnostic and Interventional Neuroradiology, "Umberto I" Hospital, ASL Salerno, Italy.
Department of Medical, Surgical and Experimental Sciences, Radiology Unit, University of Sassari, Sassari, Italy.
Semin Musculoskelet Radiol. 2024 Oct;28(5):641-650. doi: 10.1055/s-0044-1788580. Epub 2024 Oct 15.
Metabolic bone diseases (MBDs), including osteoporosis, osteomalacia, and Paget's disease, represent a significant challenge in medical imaging and intervention. Interventional radiologists play a pivotal role in managing these conditions, due to the crucial role of detailed and precise imaging in diagnosing and treating MBDs. This article offers comprehensive recommendations aimed at optimizing interventional radiologic practices for patients with MBDs, highlighting the importance of using advanced imaging modalities, including dual-energy X-ray absorptiometry and magnetic resonance imaging, essential for accurate assessment of bone mineral density and architecture, guiding effective intervention strategies. We also discuss the use of minimally invasive procedures like vertebroplasty and biopsy, vital for both diagnostic and therapeutic purposes, to enhance diagnostic accuracy and therapeutic outcomes, ensuring high-quality patient management in the context of MBDs.
代谢性骨病(MBDs),包括骨质疏松症、佝偻病和佩吉特病,在医学影像和介入治疗方面构成了重大挑战。由于详细和精确的成像在诊断和治疗 MBDs 中的关键作用,介入放射科医生在治疗这些疾病中起着关键作用。本文提供了全面的建议,旨在优化 MBD 患者的介入放射学实践,强调使用先进的成像方式,包括双能 X 射线吸收测定法和磁共振成像,对准确评估骨矿物质密度和结构至关重要,从而指导有效的干预策略。我们还讨论了使用经皮椎体成形术和活检等微创程序的重要性,这些程序对于诊断和治疗都至关重要,以提高诊断准确性和治疗效果,确保在 MBD 背景下进行高质量的患者管理。