Simple view
Full metadata view
Authors
Statistics
The ratio of anterior and posterior vertebral heights reinforces the utility of DXA in assessment of vertebrae strength
BMD
DXA
vertebral strength
bone fracture risk
The objective of the study was to introduce a new parameter describing bone strength with greater precision than the widely used antero-posterior DXA (dual-energy X-ray absorptiometry), which measures areal bone mineral density (aBMD). The adjusted areal bone mineral density (AaBMD) defined as the ratio between aBMD and h_{a}/ h_{p} (h_{a} and h_{p}: anterior and posterior vertebral body heights measured on the lateral view, respectively) is proposed: AaBMD = aBMD/ (h_{a}/ h_{p}). The utility of AaBMD in prediction of bone strength was assessed by in vitro measurements of cadaver L3 vertebrae. The AaBMD of 31 vertebrae was correlated with the ultimate stress (P_{max}) and load (F_{max}) values obtained in mechanical tests. The correlations were compared to those obtained for aBMD and for volumetric bone mineral density (vBMD) measured by computed tomography. The correlation of AaBMD to F_{max} adjusted for donor's age was significantly higher than for aBMD and vBMD ( r = 0.740, 0.658, and 0.609, respectively, p < 0.05). The differences between partial correlation coefficients for P_{max} to AaBMD, aBMD and vBMD relationships were smaller ( r = 0.764, 0.720, and 0.732, respectively, p < 0.05), but also showed the superiority of AaBMD. Combining antero-posterior DXA aBMD and the lateral h_{a}/ h_{p} ratio, measured, for example, by the Vertebral Fracture Assessment software of the new generation of DXA devices, seems to accurately predict the mechanical vertebral parameters related to bone strength. It is assumed that the proposed AaBMD parameter may be more predictive for fracture risk assessment, which requires further studies.
dc.abstract.en | The objective of the study was to introduce a new parameter describing bone strength with greater precision than the widely used antero-posterior DXA (dual-energy X-ray absorptiometry), which measures areal bone mineral density (aBMD). The adjusted areal bone mineral density (AaBMD) defined as the ratio between aBMD and h_{a}/ h_{p} (h_{a} and h_{p}: anterior and posterior vertebral body heights measured on the lateral view, respectively) is proposed: AaBMD = aBMD/ (h_{a}/ h_{p}). The utility of AaBMD in prediction of bone strength was assessed by in vitro measurements of cadaver L3 vertebrae. The AaBMD of 31 vertebrae was correlated with the ultimate stress (P_{max}) and load (F_{max}) values obtained in mechanical tests. The correlations were compared to those obtained for aBMD and for volumetric bone mineral density (vBMD) measured by computed tomography. The correlation of AaBMD to F_{max} adjusted for donor's age was significantly higher than for aBMD and vBMD ( r = 0.740, 0.658, and 0.609, respectively, p < 0.05). The differences between partial correlation coefficients for P_{max} to AaBMD, aBMD and vBMD relationships were smaller ( r = 0.764, 0.720, and 0.732, respectively, p < 0.05), but also showed the superiority of AaBMD. Combining antero-posterior DXA aBMD and the lateral h_{a}/ h_{p} ratio, measured, for example, by the Vertebral Fracture Assessment software of the new generation of DXA devices, seems to accurately predict the mechanical vertebral parameters related to bone strength. It is assumed that the proposed AaBMD parameter may be more predictive for fracture risk assessment, which requires further studies. | pl |
dc.affiliation | Wydział Lekarski : Zakład Biofizyki | pl |
dc.affiliation | Wydział Lekarski : Klinika Chorób Wewnętrznych i Geriatrii | pl |
dc.affiliation | Wydział Fizyki, Astronomii i Informatyki Stosowanej : Instytut Fizyki im. Mariana Smoluchowskiego | pl |
dc.cm.id | 65995 | |
dc.contributor.author | Tatoń, Grzegorz - 133654 | pl |
dc.contributor.author | Rokita, Eugeniusz - 133291 | pl |
dc.contributor.author | Korkosz, Mariusz - 130283 | pl |
dc.contributor.author | Wróbel, Andrzej - 132782 | pl |
dc.date.accessioned | 2015-05-27T08:04:56Z | |
dc.date.available | 2015-05-27T08:04:56Z | |
dc.date.issued | 2014 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.number | 2 | pl |
dc.description.physical | 112-121 | pl |
dc.description.points | 25 | pl |
dc.description.publication | 0,5 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 95 | pl |
dc.identifier.doi | 10.1007/s00223-014-9868-1 | pl |
dc.identifier.eissn | 1432-0827 | pl |
dc.identifier.issn | 0171-967X | pl |
dc.identifier.uri | http://ruj.uj.edu.pl/xmlui/handle/item/8174 | |
dc.language | eng | pl |
dc.language.container | eng | pl |
dc.rights | Dodaję tylko opis bibliograficzny | * |
dc.rights.licence | CC-BY-SA | |
dc.rights.uri | * | |
dc.share.type | inne | |
dc.subject.en | BMD | pl |
dc.subject.en | DXA | pl |
dc.subject.en | vertebral strength | pl |
dc.subject.en | bone fracture risk | pl |
dc.subtype | Article | pl |
dc.title | The ratio of anterior and posterior vertebral heights reinforces the utility of DXA in assessment of vertebrae strength | pl |
dc.title.journal | Calcified Tissue International | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
* The migration of download and view statistics prior to the date of April 8, 2024 is in progress.
Views
14
Views per month
Views per city
No access