Остеопороз и остеопатии (Aug 2005)
VLIYaNIE ISSLEDOVANIYa MINERAL'NOY PLOTNOSTI KOSTI (MPK) V STANDARTNYKh LOKALIZATsIYaKh I DOPOLNITEL'NYKh IZMERENIY MPK NA USTANOVLENIE DIAGNOZA OSTEOPOROZA
Abstract
The aim of the study was to improve the quality of densitometric evaluations of bone mineral density disorders. Dual-energy x-ray absorbtiometry data collected in 874 females were analyzed. All patients had got bone mineral density examination of the lumbar spine, proximal femur at the both sides; some of the patients also had been measured at the distal radius. We hypothesize that the judgment of diagnostic categories (osteoporosis stages) should include consideration of bone mineral density data both for L2-L4 and for any of two adjacent vertebra, as well as variations of the femur neck data between the two sides. Ultradistal forearm bone densitometry was carried out for osteopenic patients who had had a Colles'fracture -to estimate fracture risk for the opposite radius. The osteoporotic fracture threshold for such cases may be at T-Score of -.1.
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