Sonographic cortical bone thickness measurement: can it predict bone mineral density in the pediatric population?

IF 1.4 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Diagnostic and interventional radiology Pub Date : 2024-05-13 Epub Date: 2023-12-04 DOI:10.4274/dir.2023.232392

Uğur Ufuk Işın, Emin Çakmakçı, Ayşe Derya Buluş, Yüksel Yaşartekin, Öznur Ünal, Onur Dirican, Abbas Ali Husseini

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Abstract

Purpose: To explore sonographic cortical bone thickness (CoT) as a potential indicator of bone mineral density (BMD) measured by dual-energy X-ray absorptiometry for screening and diagnosing pediatric osteoporosis.

Methods: A prospective study included 41 osteopenic or osteoporotic patients and 52 healthy children. Radius cortical thickness (R-CoT), tibial cortical thickness (T-CoT), and second metatarsal cortical thickness (M-CoT) were measured by B-mode ultrasound; CoT values were compared between groups and the correlation between BMD and CoT was examined.

Results: There were no significant differences in R-CoT (P = 0.433), T-CoT (P = 0.057), and M-CoT (P = 0.978) values between the patient and control groups. No significant correlations were found between BMD T-scores and R-CoT (r = -0.073, P = 0.490), T-CoT (r = -0.154, P = 0.141), and M-CoT (r = 0.047, P = 0.657) values.

Conclusion: Sonographic CoT values in children do not correlate with BMD values. Unlike in adults, sonographic CoT measurements do not appear to have a role in assessing BMD in the pediatric population.

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超声皮质骨厚度测量:能否预测儿科人群的骨密度?

目的:探讨超声皮质骨厚度(CoT)作为双能x线骨密度(BMD)的潜在指标对儿童骨质疏松症的筛查和诊断价值。方法:前瞻性研究纳入41例骨质减少或骨质疏松患者和52例健康儿童。b超测量桡骨皮质厚度(R-CoT)、胫骨皮质厚度(T-CoT)、第二跖骨皮质厚度(M-CoT);比较各组间CoT值，并分析BMD与CoT的相关性。结果:患者与对照组R-CoT (P = 0.433)、T-CoT (P = 0.057)、M-CoT (P = 0.978)差异均无统计学意义。BMD t评分与r - cot (r = -0.073, P = 0.490)、T-CoT (r = -0.154, P = 0.141)、M-CoT (r = 0.047, P = 0.657)无显著相关性。结论:儿童超声CoT值与BMD值无相关性。与成人不同，超声CoT测量在儿科人群中似乎没有评估骨密度的作用。

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来源期刊

Diagnostic and interventional radiology Medicine-Radiology, Nuclear Medicine and Imaging

自引率

4.80%

发文量

期刊介绍： Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English. The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.