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[宽带超声衰减(BUA)在骨质疏松症诊断中的应用]

[Broadband ultrasound attenuation (BUA) in the diagnosis of osteoporosis].

作者信息

Funke M, Kopka L, Fey T, Grabbe E

机构信息

Abteilung Röntgendiagnostik I, Universität Göttingen.

出版信息

Radiologe. 1993 Aug;33(8):462-5.

PMID:8372173
Abstract

The measurement of broadband ultrasound attenuation (BUA) of the calcaneus has been introduced as a new technique that provides information about both bone mass and structure without the use of ionizing radiation. BUA measurements of the calcaneus were obtained in 324 patients, 109 of whom had osteoporosis. Two hundred and fifteen patients served as control group. BUA values were compared with dual-energy X-ray absorptiometry (DXA) measurements of the lumbar spine, the neck and the heel. The precision error of BUA was 4.1%. The correlation with spinal bone mineral density was r = 0.49, with DXA of the neck r = 0.52 and of the calcaneus r = 0.56, respectively. Patients with osteoporosis showed a significant decrease in BUA compared with healthy subjects (61.4 dB/MHz vs 74.6 dB/MHz). Roc analysis demonstrated that BUA was inferior to DXA of the lumbar spine in detecting osteoporosis.

摘要

跟骨宽带超声衰减(BUA)测量作为一种新技术被引入,该技术无需使用电离辐射就能提供有关骨量和骨结构的信息。对324例患者进行了跟骨BUA测量,其中109例患有骨质疏松症。215例患者作为对照组。将BUA值与腰椎、颈部和足跟的双能X线吸收法(DXA)测量值进行比较。BUA的精确误差为4.1%。与脊柱骨密度的相关性分别为r = 0.49,与颈部DXA的相关性为r = 0.52,与跟骨DXA的相关性为r = 0.56。与健康受试者相比,骨质疏松症患者的BUA显著降低(61.4 dB/MHz对74.6 dB/MHz)。Roc分析表明,在检测骨质疏松症方面,BUA不如腰椎DXA。

相似文献

1
[Broadband ultrasound attenuation (BUA) in the diagnosis of osteoporosis].[宽带超声衰减(BUA)在骨质疏松症诊断中的应用]
Radiologe. 1993 Aug;33(8):462-5.
2
[Osteoporosis diagnosis by broad-band ultrasound attenuation (BUA): its correlation with established measurement procedures of bone densitometry].通过宽带超声衰减(BUA)诊断骨质疏松症:其与骨密度测定既定测量程序的相关性
Rofo. 1993 May;158(5):479-82.
3
Broadband ultrasound attenuation in the diagnosis of osteoporosis: correlation with osteodensitometry and fracture.宽带超声衰减在骨质疏松症诊断中的应用:与骨密度测定及骨折的相关性
Radiology. 1995 Jan;194(1):77-81. doi: 10.1148/radiology.194.1.7997586.
4
Comparison of ultrasound and dual energy X-ray absorptiometry measurements in the calcaneus.跟骨超声与双能X线吸收测定法测量结果的比较。
Br J Radiol. 1998 Aug;71(848):861-7. doi: 10.1259/bjr.71.848.9828799.
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[Ultrasound assessment of the calcaneus: for the time being a conservative approach in clinical use; the ERGO study (Erasmus Rotterdam Health and the Elderly)].跟骨的超声评估:目前临床应用中采取保守方法;ERGO研究(鹿特丹伊拉斯姆斯健康与老年人研究)
Ned Tijdschr Geneeskd. 1996 Jul 6;140(27):1398-402.
6
Comparison of accuracy and cost effectiveness of clinical criteria and BUA for referral for BMD assessment by DXA in osteoporotic and osteopenic perimenopausal subjects.临床标准与跟骨宽带超声衰减(BUA)用于骨质疏松症和骨质减少围绝经期妇女双能X线吸收法(DXA)骨密度评估转诊的准确性及成本效益比较
Technol Health Care. 1999;7(5):319-30.
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[X-ray densitometry and ultrasonography of the heel bone--sensitivity and comparison with densitometry of the axial skeleton].跟骨的X线骨密度测定与超声检查——敏感性及与中轴骨密度测定的比较
Cas Lek Cesk. 2000 Apr 26;139(8):231-6.
8
Maximising the cost effectiveness of BMD referral for DXA using ultrasound as a selective population pre-screen.利用超声作为选择性人群预筛查手段,使双能X线吸收法(DXA)骨密度检测转诊的成本效益最大化。
Technol Health Care. 1997 Jul;5(3):235-41.
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Comparison of broadband ultrasound attenuation to single X-ray absorptiometry measurements at the calcaneus in postmenopausal women.绝经后女性跟骨处宽带超声衰减与单能X线吸收测定法测量结果的比较。
Calcif Tissue Int. 1994 Feb;54(2):87-90. doi: 10.1007/BF00296056.
10
Ultrasound analyses of the calcaneus predict relative risk of the presence of at least one vertebral fracture and reflect different physical qualities of bone in different regions of the skeleton.跟骨的超声分析可预测至少发生一处椎体骨折的相对风险,并反映骨骼不同区域骨骼的不同物理特性。
Horm Metab Res. 1997 Feb;29(2):76-9. doi: 10.1055/s-2007-978990.

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Osteoporos Int. 2003 Jun;14(4):295-300. doi: 10.1007/s00198-002-1355-2. Epub 2003 Apr 18.