BEYOND DXA: ADVANCES IN CLINICAL APPLICATIONS OF NEW BONE IMAGING TECHNOLOGY

被引：15

作者：

Pawlowska, Monika ^{[1
]}

Bilezikian, John P. ^{[2
]}

机构：

[1] Univ British Columbia, Dept Med, Div Endocrinol, Vancouver, BC, Canada

[2] Columbia Univ, Coll Phys & Surg, Dept Med, Metab Bone Dis Unit,Div Endocrinol, New York, NY USA

来源：

ENDOCRINE PRACTICE | 2016年 / 22卷 / 08期

关键词：

QUANTITATIVE COMPUTED-TOMOGRAPHY; TYPE-2; DIABETES-MELLITUS; CHINESE-AMERICAN WOMEN; IN-VIVO ASSESSMENT; PRIMARY HYPERPARATHYROIDISM; TRABECULAR BONE; POSTMENOPAUSAL WOMEN; MINERAL DENSITY; FRACTURE RISK; FRAGILITY FRACTURES;

D O I：

10.4158/EP151019.RA

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Dual-energy X-ray absorptiometry (DXA) is generally a very useful tool for assessing bone mineral density (BMD) and fracture risk. However, observational studies have shown that in certain instances, BMD as measured by DXA systematically over-or underestimates fracture risk. We herein describe the clinical conundrums encountered when assessing fracture risk by DXA in patients with primary hyperparathyroidism or type 2 diabetes and those of Chinese ethnicity. Furthermore, we discuss how advanced imaging technology that examines skeletal microarchitecture is furthering our understanding of fracture risk in these clinical situations.

引用

页码：990 / 998

页数：9

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