Quantitative Ultrasound (QUS) in the Management of Osteoporosis and Assessment of Fracture Risk.

Details

Serval ID
serval:BIB_5CFEC906186E
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Quantitative Ultrasound (QUS) in the Management of Osteoporosis and Assessment of Fracture Risk.
Journal
Journal of clinical densitometry
Author(s)
Hans D., Baim S.
ISSN
1094-6950 (Print)
ISSN-L
1094-6950
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
20
Number
3
Pages
322-333
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
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.
Keywords
Bone Density, Calcaneus/diagnostic imaging, Femur Neck/diagnostic imaging, Finger Phalanges/diagnostic imaging, Hip Fractures/etiology, Humans, Osteoporosis/complications, Osteoporosis/diagnostic imaging, Osteoporotic Fractures/etiology, Radius/diagnostic imaging, Risk Assessment/methods, Risk Factors, Spinal Fractures/etiology, Tibia/diagnostic imaging, Ultrasonography/methods, Broadband ultrasound attenuation, fracture prediction, osteoporosis, quantitative ultrasound, speed of sound
Pubmed
Web of science
Create date
28/08/2017 10:00
Last modification date
20/08/2019 14:15
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