骨质疏松症和骨折的计算机断层扫描筛查。

IF 0.9 4区医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI:10.1055/s-0043-1771037

Daphne Guenoun, Pierre Champsaur

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引用次数: 0

摘要

骨质疏松症诊断不足，治疗不足，导致患者失去治疗，医疗保健系统成本高昂。针对其他适应症进行的常规胸部和/或腹部计算机断层扫描（CT）可以在没有额外成本、时间或照射的情况下，机会主义地筛查骨质疏松症。各种方法可以在机会性临床CT上量化骨折风险：椎骨Hounsfield单位骨密度（BMD），通常为L1；采用异步或内部校准的BMD测量；定量CT；骨结构评估；以及有限元分析。在机会CT上筛查骨质疏松症和脊椎骨折是一种很有前途的方法，通过人工智能提供自动化的骨折风险评分，从而实现早期管理。

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Opportunistic Computed Tomography Screening for Osteoporosis and Fracture.

Osteoporosis is underdiagnosed and undertreated, leading to loss of treatment for the patient and high costs for the health care system. Routine thoracic and/or abdominal computed tomography (CT) performed for other indications can screen opportunistically for osteoporosis with no extra cost, time, or irradiation. Various methods can quantify fracture risk on opportunistic clinical CT: vertebral Hounsfield unit bone mineral density (BMD), usually of L1; BMD measurement with asynchronous or internal calibration; quantitative CT; bone texture assessment; and finite element analysis. Screening for osteoporosis and vertebral fractures on opportunistic CT is a promising approach, providing automated fracture risk scores by means of artificial intelligence, thus enabling earlier management.

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来源期刊

Seminars in Musculoskeletal Radiology 医学-核医学

CiteScore

2.50

自引率

7.10%

发文量

112

审稿时长

>12 weeks

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.