Rossella Gifuni, Manuela Montatore, Riccardo Guglielmi, Alberto Bazzocchi, Carmelo Messina, Giuseppe Guglielmi
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引用次数: 0
摘要
双能 X 射线吸收测量法(DXA)和骨矿物质密度(BMD)在某些患者类别中存在一些局限性,如孕妇和年轻人。这篇综述文章探讨了创新的射频回声多谱勒技术(REMS)是否有利于评估不同患者群体的骨质状况。肢端肥大症患者、接受激素治疗的前列腺癌患者、成骨不全症患者、神经性厌食症患者以及腹膜透析患者的常见后果包括 BMD 减少和脆性骨折风险增加。然而,对于需要反复进行 BMD 测试的年轻患者来说,使用 DXA 技术有几个缺点,因为它使用了电离辐射。由于其精确性和一致性,REMS 技术可能是评估各年龄段患者骨质状况变化的重要工具,尤其是对生育期、妊娠期或哺乳期的女性患者。
Radiofrequency Echographic Multi-Spectrometry in the Diagnosis of Metabolic Bone Disease.
Dual-energy X-ray absorptiometry (DXA) and bone mineral density (BMD) pose several limitations in some patient categories, such as pregnant women and young people. This review article explores whether the innovative radiofrequency echographic multi-spectrometry (REMS) technology is beneficial for assessing the bone condition of various patient groups. Common consequences in patients with acromegalia, prostate cancer undergoing hormone therapy, osteogenesis imperfecta, anorexia nervosa, and in a peritoneal dialysis setting include decreased BMD and an increased risk of fragility fracture.DXA is currently regarded as the gold standard for BMD assessment. However, using the DXA technique has several drawbacks in a young patient who requires repeated BMD tests because it uses ionizing radiation. Because of its precision and consistency, the REMS technique may be a valuable tool to assess changes in bone condition in patients of all ages, particularly in female patients who are fertile or who are pregnant or nursing.
期刊介绍:
Seminars in Musculoskeletal Radiology is a review journal that is devoted to musculoskeletal and associated imaging techniques. The journal''s topical issues encompass a broad spectrum of radiological imaging including body MRI imaging, cross sectional radiology, ultrasound and biomechanics. The journal also covers advanced imaging techniques of metabolic bone disease and other areas like the foot and ankle, wrist, spine and other extremities.
The journal''s content is suitable for both the practicing radiologist as well as residents in training.