The ratio of anterior and posterior vertebral heights reinforces the utility of DXA in assessment of vertebrae strength

2014
journal article
article
9
dc.abstract.enThe 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.affiliationWydział Lekarski : Zakład Biofizykipl
dc.affiliationWydział Lekarski : Klinika Chorób Wewnętrznych i Geriatriipl
dc.affiliationWydział Fizyki, Astronomii i Informatyki Stosowanej : Instytut Fizyki im. Mariana Smoluchowskiegopl
dc.cm.id65995
dc.contributor.authorTatoń, Grzegorz - 133654 pl
dc.contributor.authorRokita, Eugeniusz - 133291 pl
dc.contributor.authorKorkosz, Mariusz - 130283 pl
dc.contributor.authorWróbel, Andrzej - 132782 pl
dc.date.accessioned2015-05-27T08:04:56Z
dc.date.available2015-05-27T08:04:56Z
dc.date.issued2014pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number2pl
dc.description.physical112-121pl
dc.description.points25pl
dc.description.publication0,5pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume95pl
dc.identifier.doi10.1007/s00223-014-9868-1pl
dc.identifier.eissn1432-0827pl
dc.identifier.issn0171-967Xpl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/8174
dc.languageengpl
dc.language.containerengpl
dc.rightsDodaję tylko opis bibliograficzny*
dc.rights.licenceCC-BY-SA
dc.rights.uri*
dc.share.typeinne
dc.subject.enBMDpl
dc.subject.enDXApl
dc.subject.envertebral strengthpl
dc.subject.enbone fracture riskpl
dc.subtypeArticlepl
dc.titleThe ratio of anterior and posterior vertebral heights reinforces the utility of DXA in assessment of vertebrae strengthpl
dc.title.journalCalcified Tissue Internationalpl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
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.affiliationpl
Wydział Lekarski : Zakład Biofizyki
dc.affiliationpl
Wydział Lekarski : Klinika Chorób Wewnętrznych i Geriatrii
dc.affiliationpl
Wydział Fizyki, Astronomii i Informatyki Stosowanej : Instytut Fizyki im. Mariana Smoluchowskiego
dc.cm.id
65995
dc.contributor.authorpl
Tatoń, Grzegorz - 133654
dc.contributor.authorpl
Rokita, Eugeniusz - 133291
dc.contributor.authorpl
Korkosz, Mariusz - 130283
dc.contributor.authorpl
Wróbel, Andrzej - 132782
dc.date.accessioned
2015-05-27T08:04:56Z
dc.date.available
2015-05-27T08:04:56Z
dc.date.issuedpl
2014
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
2
dc.description.physicalpl
112-121
dc.description.pointspl
25
dc.description.publicationpl
0,5
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
95
dc.identifier.doipl
10.1007/s00223-014-9868-1
dc.identifier.eissnpl
1432-0827
dc.identifier.issnpl
0171-967X
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/8174
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Dodaję tylko opis bibliograficzny
dc.rights.licence
CC-BY-SA
dc.rights.uri*
dc.share.type
inne
dc.subject.enpl
BMD
dc.subject.enpl
DXA
dc.subject.enpl
vertebral strength
dc.subject.enpl
bone fracture risk
dc.subtypepl
Article
dc.titlepl
The ratio of anterior and posterior vertebral heights reinforces the utility of DXA in assessment of vertebrae strength
dc.title.journalpl
Calcified Tissue International
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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