Journal article
Quantitative Ultrasound (QUS) in the Management of Osteoporosis and Assessment of Fracture Risk.
- 2017-07-26
Published in:
- Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry. - 2017
Broadband ultrasound attenuation
fracture prediction
osteoporosis
quantitative ultrasound
speed of sound
Bone Density
Calcaneus
Femur Neck
Finger Phalanges
Hip Fractures
Humans
Osteoporosis
Osteoporotic Fractures
Radius
Risk Assessment
Risk Factors
Spinal Fractures
Tibia
Ultrasonography
English
The use of quantitative ultrasound (QUS) for a variety of skeletal sites, associated with the absence of technology-specific guidelines, has created uncertainty with respect to the application of QUS results to the management of individual patients in clinical practice. However, when prospectively validated (this is not the case for all QUS devices and skeletal sites), QUS is a proven, low-cost, and readily accessible alternative to dual-energy X-ray absorptiometry (DXA) measurements of bone mineral density (BMD) for the assessment of fracture risk. Indeed, the clinical use of QUS to identify subjects at low or high risk of osteoporotic fracture should be considered when central DXA is unavailable. Furthermore, the use of QUS in conjunction with clinical risk factors (CRF),allows for the identification of subjects who have a low and high probability of osteoporotic fracture. Device- and parameter-specific thresholds should be developed and cross-validated to confirm the concurrent use of QUS and CRF for the institution of pharmacological therapy and monitoring therapy.
- Language
-
- English
- Open access status
- closed
- Identifiers
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- DOI 10.1016/j.jocd.2017.06.018
- PMID 28739081
- Persistent URL
- https://folia.unifr.ch/global/documents/266347
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