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[通过计算机断层扫描评估椎骨矿化的实验研究(作者译)]

[An experimental study to evaluate mineralization of vertebral bone by computerized tomography (author's transl)].

作者信息

Laval-Jeantet M, Laval-Jeantet A M, Lamarque J L, Demoulin B

出版信息

J Radiol. 1979 Feb;60(2):87-93.

PMID:490468
Abstract

Computerized tomography ("tomodensitometry") should, in principle, be able to calculate the linear attenuation coefficient of a compact or spongy bone volume. This coefficient is related to the amount of mineralization, enabling the use of the Scanner X to measure the density of the bone. Thirty vertebrae from the vertebral columns of 14 subjects who died after acute infections were examined by C.T. and by standard methods, and then calcinified. The correlation between ashes weight-Houns-field number was positive but only moderate (r = 0.54), and lower than the result obtained (r = 0.84) with standard methods. Errors occur with presently used apparatuses which are related to: polychromatism, too high an energy of the beam, artefacts, and the effects of "partial volume". Futhermore, the mineral concentration by unit of vertebral volume is very low, and large variations must occur for it to be detectable. Finally, considerable errors arise from the intravertebral bone fat. Suggestions are made with the objective of improving the quality of C.T. as a measuring instrument.

摘要

计算机断层扫描(“体层密度测定法”)原则上应能够计算致密或松质骨体积的线性衰减系数。该系数与矿化量相关,使得能够使用X线扫描仪来测量骨密度。对14名急性感染后死亡受试者的脊柱中的30个椎骨进行了CT检查和标准方法检查,然后进行钙化处理。骨灰重量与亨氏单位数之间的相关性为正,但仅为中等程度(r = 0.54),且低于用标准方法获得的结果(r = 0.84)。当前使用的设备会出现一些误差,这些误差与以下因素有关:多色性、过高的射线能量、伪影以及“部分容积”效应。此外,单位椎骨体积的矿物质浓度非常低,必须出现很大变化才能被检测到。最后,椎骨内骨脂肪会产生相当大的误差。针对提高CT作为测量仪器的质量提出了一些建议。

相似文献

1
[An experimental study to evaluate mineralization of vertebral bone by computerized tomography (author's transl)].[通过计算机断层扫描评估椎骨矿化的实验研究(作者译)]
J Radiol. 1979 Feb;60(2):87-93.
2
Computed tomography scanning for the measurement of bone mineral in the human spine.计算机断层扫描用于测量人体脊柱中的骨矿物质。
J Comput Assist Tomogr. 1978 Jul;2(3):253-62. doi: 10.1097/00004728-197807000-00002.
3
[Value and limitations of the computed x-ray tomographic measurement of vertebral mineralization].
J Radiol. 1984 Mar;65(3):151-7.
4
[Measurement of vertebral density by computerized tomodensitometry. Preliminary results in 15 osteoporotic patients (author's transl)].[用计算机断层密度测定法测量椎体密度。15例骨质疏松患者的初步结果(作者译)]
Nouv Presse Med. 1979 Oct 29;8(41):3361.
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[Investigations of the mineral topography in human vertebral bodies. A comparison of results derived from bone-ashing, photodensitometry and attenuation coefficients by CT (author's transl)].
Radiologe. 1980 Nov;20(11):554-7.
6
Idiopathic osteoporosis in a three-year-old girl. Follow-up over a period of 6 years by computed tomography bone densitometry (CT).一名三岁女童的特发性骨质疏松症。通过计算机断层扫描骨密度测定法(CT)进行为期6年的随访。
Helv Paediatr Acta. 1984 Dec;39(5-6):517-28.
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Intravertebral fat measurement with quantitative CT in patients with Cushing disease and anorexia nervosa.库欣病和神经性厌食症患者椎体脂肪定量CT测量
Radiology. 1989 Mar;170(3 Pt 1):835-8. doi: 10.1148/radiology.170.3.2916039.
8
[Bone x-ray computed tomographic densitometry by the dual energy technic in a single rotation. Initial results].[单次旋转双能技术的骨X线计算机断层密度测定法。初步结果]
Rev Rhum Mal Osteoartic. 1985 Dec;52(12):695-9.
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[X-ray of osteopathies (author's transl)].[骨病的X线检查(作者译)]
Rontgenblatter. 1980 Apr;33(4):163-76.
10
[Radiological bone patterns compared with pathological and anatomical appearances (author's transl)].放射学骨模式与病理及解剖学表现的比较(作者译)
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引用本文的文献

1
Errors in measuring trabecular bone by computed tomography due to marrow and bone composition.
Calcif Tissue Int. 1983;35(2):148-52. doi: 10.1007/BF02405022.
2
Fracture prevalence and bone mineral mass in osteoporosis measured with computed tomography and dual energy photon absorptiometry.采用计算机断层扫描和双能光子吸收测定法测量骨质疏松症中的骨折患病率和骨矿物质质量。
Skeletal Radiol. 1986;15(3):191-7. doi: 10.1007/BF00354059.