• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

骨密度测定中的质量评估：一例髋部分析错误的病例

Quality assessment in bone densitometry: a case of incorrect hip analysis.

作者信息

Xu Hongmin, Gabriel Medhat Sam, James Judy Rose

机构信息

Department of Radiology and Medical Imaging, Loyola University Medical Center, Maywood, IL 60153, United States.

出版信息

BJR Case Rep. 2024 Oct 22;10(6):uaae038. doi: 10.1093/bjrcr/uaae038. eCollection 2024 Nov.

DOI:10.1093/bjrcr/uaae038
PMID:39494353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11530240/
Abstract

Dual-energy X-ray absorptiometry (DXA) is a sophisticated imaging technique utilized in the field of medical diagnostics to measure bone mineral density. The significance of DXA lies in its ability to accurately assess bone health, which is crucial in the evaluation of osteoporosis, a condition characterized by weakened bones and heightened susceptibility to fractures. Despite its widespread adoption and clinical utility, DXA is not without limitations. Factors such as body size, tissue hydration, the presence of metal implants, improper equipment installation and maintenance, as well as inadequate education and training in bone densitometry may influence DXA measurements, necessitating careful interpretation by trained professionals. We present a case to show the errors that occurred during DXA analysis leading to dramatic T-score changes, highlighting the importance of technologists' adherence to manufacturers' recommendations, to ensure the accurate processing of DXA scans and diagnosis.

摘要

双能X线吸收测定法（DXA）是医学诊断领域用于测量骨矿物质密度的一种先进成像技术。DXA的重要性在于其能够准确评估骨骼健康，这在骨质疏松症评估中至关重要，骨质疏松症是一种以骨骼变弱和骨折易感性增加为特征的病症。尽管DXA被广泛采用且具有临床实用性，但它并非没有局限性。诸如体型、组织含水量、金属植入物的存在、设备安装和维护不当，以及骨密度测量方面的教育和培训不足等因素可能会影响DXA测量结果，这就需要经过培训的专业人员进行仔细解读。我们呈现一个案例，展示DXA分析过程中出现的导致T值显著变化的错误，强调技术人员遵循制造商建议以确保DXA扫描准确处理和诊断的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/a183fd0975d1/uaae038f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/644a6ab27d26/uaae038f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/f1a4a9f1007c/uaae038f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/425e3aa1b97a/uaae038f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/8770341f0c92/uaae038f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/a183fd0975d1/uaae038f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/644a6ab27d26/uaae038f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/f1a4a9f1007c/uaae038f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/425e3aa1b97a/uaae038f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/8770341f0c92/uaae038f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0139/11530240/a183fd0975d1/uaae038f5.jpg

相似文献

1
Quality assessment in bone densitometry: a case of incorrect hip analysis.骨密度测定中的质量评估：一例髋部分析错误的病例
BJR Case Rep. 2024 Oct 22;10(6):uaae038. doi: 10.1093/bjrcr/uaae038. eCollection 2024 Nov.
2
Utilization of DXA Bone Mineral Densitometry in Ontario: An Evidence-Based Analysis.安大略省双能X线吸收法骨密度测定的应用：基于证据的分析。
Ont Health Technol Assess Ser. 2006;6(20):1-180. Epub 2006 Nov 1.
3
Common errors in dual-energy X-ray absorptiometry scans in imaging centers in Ecuador.厄瓜多尔影像中心双能 X 射线吸收法扫描中的常见错误。
Arch Osteoporos. 2020 Jan 2;15(1):6. doi: 10.1007/s11657-019-0673-3.
4
CONSENSUS STATEMENT BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY ON THE QUALITY OF DXA SCANS AND REPORTS.美国临床内分泌医师协会和美国内分泌学会关于 DXA 扫描和报告质量的共识声明
Endocr Pract. 2018 Feb;24(2):220-229. doi: 10.4158/CS-2017-0081.
5
30years of DXA technology innovations.30 年的 DXA 技术创新。
Bone. 2017 Nov;104:7-12. doi: 10.1016/j.bone.2017.05.020. Epub 2017 May 24.
6
DXA Errors Are Common and Reduced by Use of a Reporting Template.DXA 检测误差很常见，使用报告模板可减少误差。
J Clin Densitom. 2019 Jan-Mar;22(1):115-124. doi: 10.1016/j.jocd.2018.07.014. Epub 2018 Sep 13.
7
Quality in dual-energy X-ray absorptiometry scans.双能 X 射线吸收法扫描中的质量。
Bone. 2017 Nov;104:13-28. doi: 10.1016/j.bone.2017.01.033. Epub 2017 Jan 31.
8
Fundamentals and pitfalls of bone densitometry using dual-energy X-ray absorptiometry (DXA).使用双能X线吸收法（DXA）进行骨密度测定的基本原理与陷阱
Osteoporos Int. 2004 Nov;15(11):847-54. doi: 10.1007/s00198-004-1681-7. Epub 2004 Aug 21.
9
Best Practices for Dual-Energy X-ray Absorptiometry Measurement and Reporting: International Society for Clinical Densitometry Guidance.双能X线吸收测定法测量与报告的最佳实践：国际临床骨密度学会指南
J Clin Densitom. 2016 Apr-Jun;19(2):127-40. doi: 10.1016/j.jocd.2016.03.003. Epub 2016 Mar 22.
10
Bone densitometry.骨密度测定。
Semin Nucl Med. 2011 May;41(3):220-8. doi: 10.1053/j.semnuclmed.2010.12.002.

本文引用的文献

1
DXA Errors Are Common and Reduced by Use of a Reporting Template.DXA 检测误差很常见，使用报告模板可减少误差。
J Clin Densitom. 2019 Jan-Mar;22(1):115-124. doi: 10.1016/j.jocd.2018.07.014. Epub 2018 Sep 13.
2
The challenges of diagnosing osteoporosis and the limitations of currently available tools.骨质疏松症诊断面临的挑战以及现有工具的局限性。
Clin Diabetes Endocrinol. 2018 May 29;4:12. doi: 10.1186/s40842-018-0062-7. eCollection 2018.
3
Best Practices for Dual-Energy X-ray Absorptiometry Measurement and Reporting: International Society for Clinical Densitometry Guidance.
双能X线吸收测定法测量与报告的最佳实践：国际临床骨密度学会指南
J Clin Densitom. 2016 Apr-Jun;19(2):127-40. doi: 10.1016/j.jocd.2016.03.003. Epub 2016 Mar 22.
4
Osteoporosis imaging: state of the art and advanced imaging.骨质疏松症影像学：现状与高级影像学。
Radiology. 2012 Apr;263(1):3-17. doi: 10.1148/radiol.2633201203.
5
Common mistakes in the clinical use of bone mineral density testing.骨密度检测临床应用中的常见错误。
Nat Clin Pract Rheumatol. 2008 Dec;4(12):667-74. doi: 10.1038/ncprheum0928. Epub 2008 Oct 21.