报告少于四节椎骨:2023 年国际临床骨密度测量学会的官方立场

IF 1.7 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM
Harold Rosen , Adrian Lau , Auryan Szalat , S. Bobo Tanner , Diane Krueger , Tyler Prout , Alan Malabanan , Christopher Shuhart
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引用次数: 0

摘要

脊柱骨矿物质密度 (BMD) 的精确度会随着椎骨的排除而降低,因此需要对基于少于 4 个椎骨的脊柱 BMD 的最小显著变化 (LSC) 提出建议。特别工作组建议重新分析每个机构的 L1-L4 内部精确度研究,以确定精确度,从而计算每个报告的 2 或 3 个椎体组合的 LSC。专责小组建议在诊断或监测骨质疏松症时不要报告基于单个椎体的脊柱 BMD。评估两个非毗连椎体精确度的研究的具体数据不一,但特别工作组最终建议,基于两个非毗连椎体的脊柱 BMD 可用于诊断和监测骨质疏松症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reporting Fewer Than Four Vertebrae: 2023 Official Positions of the International Society for Clinical Densitometry

The precision for spine bone mineral density (BMD) worsens as vertebrae are excluded, so recommendations are needed for least significant change (LSC) for spine BMDs based on fewer than 4 vertebrae. The task force recommends re-analysis of each facility's L1-L4 in-house precision study to determine the precision in order to calculate the LSC for each combination of 2 or 3 reported vertebrae. The task force recommended not reporting spine BMDs based on single vertebral bodies for either the diagnosis or monitoring of osteoporosis. Specific data for studies assessing the precision of two non-contiguous vertebrae are mixed, but ultimately the task force recommended that spine BMD based on 2 non-contiguous vertebrae can be used for the diagnosis and monitoring of osteoporosis.

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来源期刊
Journal of Clinical Densitometry
Journal of Clinical Densitometry 医学-内分泌学与代谢
CiteScore
4.90
自引率
8.00%
发文量
92
审稿时长
90 days
期刊介绍: The Journal is committed to serving ISCD''s mission - the education of heterogenous physician specialties and technologists who are involved in the clinical assessment of skeletal health. The focus of JCD is bone mass measurement, including epidemiology of bone mass, how drugs and diseases alter bone mass, new techniques and quality assurance in bone mass imaging technologies, and bone mass health/economics. Combining high quality research and review articles with sound, practice-oriented advice, JCD meets the diverse diagnostic and management needs of radiologists, endocrinologists, nephrologists, rheumatologists, gynecologists, family physicians, internists, and technologists whose patients require diagnostic clinical densitometry for therapeutic management.
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