Proximal Femur and Lumbar Spine's DXA T-score Concurrence in Diagnosis of Osteoporosis / 대한골다공증학회지
Journal of Korean Society of Osteoporosis
; : 119-125, 2013.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-760813
Responsible library:
WPRO
ABSTRACT
OBJECTIVES:
To evaluate the correlation between T-score of lumbar spine and that of proximal femur using dual energy x-ray absorptiometry (DXA) and the accuracy of the diagnosis of osteoporosis. MATERIAL ANDMETHODS:
From December 2009 to January 2012, 300 female patients were selected who underwent bone mineral density (BMD) test using DXA. After measuring BMD of proximal femur and lumbar spine, the score of BMD in each age group was compared by two sites. Also, the concordance of the diagnosis of osteoporosis was evaluated.RESULTS:
The result showed significantly lower T-score and BMD as it goes to the elderly group. As it goes for 60's age group and even more for 70's age group, lumbar spine showed lower BMD than proximal femur. In all age groups, lumbar spine and proximal femur T-score showed significant correlation; however, it showed the least states at 60's age group. Discordance rate of osteoporosis diagnosis was 33% and 47.3% each at lowest t-score and total t-score. 60's age group showed the highest discordance rate, and osteoporosis group showed the highest rate.CONCLUSIONS:
When measuring BMD for diagnosis of osteoporosis, since it shows significant discordance between proximal femur and lumbar spine, it is necessary to measure BMD simultaneously on both parts.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Osteoporosis
/
Spine
/
Absorptiometry, Photon
/
Bone Density
/
Diagnosis
/
Femur
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of Korean Society of Osteoporosis
Year:
2013
Document type:
Article