Aloia J F, Vaswani A, Atkins H, Zanzi I, Ellis K, Cohn S H
J Nucl Med. 1977 May;18(5):425-31.
Measurements of bone mineral content and total-body calcium, normalized and expressed as ratios, were compared with radiographic morphometry in 45 women who had spinal osteoporosis. The radiographic indices examined included the femoral score, the femoral trabecular pattern, the biconcavity and metacarpal indices, and the total peripheral score. Both ratios and all the radiographic indices except the femoral trabecular pattern were found to be related to the number of dorsal spine fractures. The relationships observed support the following conclusions: (A) the femoral score and the metacarpal index are related to the degree of osteopenia; (B) the biconcavity index reflects the extraskeletal factors that are pathogenic in spinal osteoporosis; (C) a reduced femoral trabecular pattern index is associated with spinal osteoporosis, although this measurement is not related to the degree of osteopenia; and (D) it may be imprudent to diagnose osteoporosis from the presence of lumbar compression fractures.
对45名患有脊柱骨质疏松症的女性进行了骨矿物质含量和全身钙含量的测量，并将其标准化并以比率表示，然后与X线形态测量结果进行比较。所检查的X线指标包括股骨评分、股骨小梁模式、双凹和掌骨指数以及总外周评分。发现除股骨小梁模式外，比率和所有X线指标均与胸椎骨折数量有关。观察到的这些关系支持以下结论：(A)股骨评分和掌骨指数与骨质减少程度有关；(B)双凹指数反映了脊柱骨质疏松症发病机制中的骨骼外因素；(C)股骨小梁模式指数降低与脊柱骨质疏松症相关，尽管该测量与骨质减少程度无关；(D)仅根据腰椎压缩性骨折的存在来诊断骨质疏松症可能是轻率的。
