Glüer C C, Barkmann R, Heller M
Klinik für Radiologische Diagnostik der Christian-Albrechts-Universität zu Kiel.
Ther Umsch. 1998 Nov;55(11):667-75.
The rapid development of Quantitative Ultrasound (QUS) methods in recent years allows to use these devices in a clinical setting. Their primary role is the assessment of fracture risk due to osteoporosis. Further investigations are required for use of QUS for monitoring and diagnostic purposes. Differences between the QUS parameters, Speed of Sound (SOS) and Broadband Ultrasound Attenuation (BUA), between different measurement sites and measurement technology need to be appreciated. Consequently, QUS devices need to be validated individually. In addition, adequate quality assurance measures need to be implemented. QUS and bone densitometry have different complementing features and both should find their place in the clinical arena. These recent developments open up the opportunity to reduce the number of fractures by targeted diagnostic assessments which should lead to medical progress and should also bring along socio-economical advantages.
近年来,定量超声(QUS)方法的迅速发展使得这些设备能够应用于临床环境。其主要作用是评估骨质疏松症导致的骨折风险。将QUS用于监测和诊断目的还需要进一步研究。需要认识到不同测量部位和测量技术之间QUS参数(声速(SOS)和宽带超声衰减(BUA))的差异。因此,QUS设备需要单独进行验证。此外,还需要实施适当的质量保证措施。QUS和骨密度测定具有不同的互补特性,两者都应在临床领域找到自己的位置。这些最新进展为通过有针对性的诊断评估减少骨折数量提供了机会,这将带来医学进步,也应带来社会经济优势。