QCT of the proximal femur—which parameters should be measured to discriminate hip fracture?

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• 作者：O. Museyko ; V. Bousson ; J. Adams ; J. -D. Laredo ; K. Engelke
• 关键词：BMD ; Cortical bone ; Femur neck geometry ; Hip fracture discrimination ; QCT
• 刊名：Osteoporosis International
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：27
• 期：3
• 页码：1137-1147
• 全文大小：701 KB
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• 作者单位：O. Museyko (1)
  V. Bousson (2)
  J. Adams (3)
  J. -D. Laredo (2)
  K. Engelke (1)
  
  1. Institute of Medical Physics (IMP), University of Erlangen, Henkestr. 91, 91052, Erlangen, Germany
  2. Service de Radiologie OstéoArticulaire, Hôpital Lariboisière, Paris, France
  3. Clinical Radiology, The Royal Infirmary, University of Manchester, Manchester, UK
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  Gynecology
  Endocrinology
  Rheumatology
  
• 出版者：Springer London
• ISSN：1433-2965

文摘

Summary For quantitative computed tomography (QCT), most relevant variables to discriminate hip fractures were determined. A multivariate analysis showed that trabecular bone mineral density (BMD) of the trochanter with “cortical” thickness of the neck provided better fracture discrimination than total hip integral BMD. A slice-by-slice analysis of the neck or the inclusion of strength-based parameters did not improve fracture discrimination.