Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.typeArtigo de periódicopt
dc.titleReview Of Comparative Studies Between Bone Densitometry And Quantitative Ultrasound Of The Calcaneus In Osteoporosispt
dc.contributor.authordos Santos Floter
unicamp.authordos Santos Flöter, M., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazilpt
unicamp.authorBittar, C.K., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazil, Orthopedics Department, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazilpt
unicamp.authorZabeu, J.L.A., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazilpt
unicamp.authorCarneiro, A.C.R., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazilpt
dc.description.abstractObjective: To assess the utility of quantitative ultrasound (QUS) of the calcaneus for diagnosing osteoporosis compared to the gold standard, bone densitometry using dual-emission X-ray absorptiometry (DXA), according to published reports. Design: In this systematic review, the Medline/ /PUB MED, Medline Ovid and Journals@Ovid, and Wilson General Sciences Full Text database were used. The search strategy involved use of the following MeSH descriptors: [osteoporosis AND (densitometry OR ultrasonography)], and 39 articles published between 2001 and April 2010 were assessed. However, only six articles met the inclusion criteria: sensitivity and specificity of QUS, sample (women or men with no treatment or other di sease likely to change bone mass index), devices used, comparative T-score between QUS of the calcaneus and DXA. The GE-Lunar Achilles and Hologic Sahara devices were used in most of the tests reported and were effective. Results: All studies assessed compared QUS of the calcaneus to DXA of the lumbar spine or femoral neck, as the gold standard. QUS sensitivity ranged from 79% to 93% and specificity ranged from 28% to 90% when at the lower threshold. It is a controversial parameter, because the gold-standard threshold (T-score < -2.5, DXA) could not be used for QUS without errors in osteoporosis diagnosis. All studies had a threshold determined by the authors' criteria, with a variability of -1.7 (pDXA T--score) and -2.4 for QUS, leading to the same prevalence of osteoporosis, and a T-score of < -3.65 for QUS was equivalent to a T-score < -2.5 for DXA.Conclusions: Based on the analysis of seven stu -dies, we conclude that QUS of the calcaneus still cannot be used to confirm diagnosis of osteoporosis by comparing the results to those of patients who had already received such a diagnosis based on DXA. However, further research should be conducted in this area, because it is possible to improve the number diagnoses by varying the cutoff T-score. Furthermore, using QUS of the calcaneus was a helpful tool for assessing pathological fractures, whether or not they were associated with osteoporosis.en
dc.relation.ispartofActa Reumatologica Portuguesapt_BR
dc.identifier.citationActa Reumatologica Portuguesa. , v. 36, n. 4, p. 327 - 335,
dc.description.provenanceMade available in DSpace on 2015-06-30T20:26:52Z (GMT). No. of bitstreams: 1 2-s2.0-84864742944.pdf: 786967 bytes, checksum: b0e55e506badcffe9fd41a18b4b1bbe8 (MD5) Previous issue date: 2011en
dc.description.provenanceMade available in DSpace on 2015-11-26T14:49:35Z (GMT). No. of bitstreams: 1 2-s2.0-84864742944.pdf: 786967 bytes, checksum: b0e55e506badcffe9fd41a18b4b1bbe8 (MD5) Previous issue date: 2011en
dc.description.referenceNayak, S., Olkin, I., Liu, H., Grabe, M., Gould, M.K., Allen, E., Meta-Analysis: accuracy of quantitative ultrasound for identifying patients with osteoporosis (2006) Ann Intern Med, 144, pp. 832-841pt
dc.description.referenceCamozzi, V., De Terlizzi, F., Zangari, M., Luisetto, G., Quantitative bone ultrasound at phalanges and calcaneus in osteoporotic postmenopausal women: influence of age and measurement site (2007) Ultrasound Med Biol, 33 (7), pp. 1039-1045. , Julpt
dc.description.referenceHans, D., Krieg, M., Quantitative ultrasound for the detection and management of osteoporosis (2009) Salud Pública Mex, 51 (SUPL.1), pp. S25-S37pt
dc.description.reference(2001) Men Ageing And Health: achieving health across the life span, , World Health Organization Geneva, WHOpt
dc.description.referenceEl Maghraoui, A., Morjane, F., Ghazi, M., Nouijal, A., Achemlal, L., Bezza, A., Ghozlani, I., Performance of calcaneus quantitative ultrasound and dual-energy Xray absorptiometry in the discrimination of prevent asymptomatic osteoporotic fractures in postmenopausal women (2009) Reumatol Int, 29 (5), pp. 551-556. , Marpt
dc.description.referenceFrost, M.L., Blake, G.M., Fogelman, I., (2001) Does the combination of quantitative ultrasound and dual-energy Xray absorptiometry improve fracture discrimination? Osteoporosis, 12 (6), pp. 471-477. , Janpt
dc.description.referenceCanhão, H., Ferreira, R., Costa, L., Romeu, J.C., Fonseca, J.E., Branco, J., Normative data for quantitative ultrasound measurement of the calcaneus in a Portuguese population (2006) Acta Reumatol Port, 31 (1), pp. 65-73. , Jan-Marpt
dc.description.referenceHans, D., Schott, A.M., Duboeuf, F., Durosier, C., Meunier, P.J., EPIDOS Group. Does follow-up duration influence the ultrasound and DXA prediction of hip fracture? (2004) The EPIDOS prospective study. Bone., 35 (2), pp. 357-363. , Augpt
dc.description.referenceBoonen, S., Nijs, J., Borghs, H., Peeters, H., Vanderschueren, D., Luyten, F.P., Identifying postmenopausal women with osteoporosis by calcaneal ultrasound, metacarpal digital X-ray radiogrammetry and phalangeal radiographic absorptiometry: a comparative study (2005) Osteoporos Int, 16, pp. 93-100pt
dc.description.referenceImashuku, Y., Takada, M., Murata, K., Comparisons of bone mass measurements on various skeletal sites including quantitative ultrasonography of the calcaneus for assessing age-related losses, their correlations, and diagnostic agreement using the Japanese and WHO criteria for osteoporosis (2007) Radiat Med, 25 (4), pp. 148-154. , Maypt
dc.description.referenceGudmundsdottir, S.L., Indridason, O.S., Franzson, L., Sigurdsson, G., Age-related decline in bone mass measured by dual energy X-ray absorptiometry and quantitative ultrasound in a population-based sample of both sexes: identification of useful ultrasound thresholds for osteoporosis screening (2005) J Clin Densi -tom, 8 (1), pp. 80-86. , Springpt
dc.description.referenceTrimpou, P., Bosaeus, I., Bengtsson, B.A., Landin-Wilhelmsen, K., High correlation between quantitative ultrasound and DXA during 7 years of follow-up (2010) Eur J Radiol, 73 (2), pp. 360-364. , Feb Epub 2009 Jan 8pt
dc.description.referenceIkeda, Y., Iki, M., Marumo, F., Age-specific values and cutoff levels for the diagnosis of osteoporosis in quantitative ultrasound measurements at the calcaneus with SAHARA in healthy Japanese women: Japanese population-based osteoporosis (JPOS) study (2002) Calcif Tissue Int, 71 (1), pp. 1-9. , Julpt
dc.description.referencePearson, D., Masud, T., Sahota, O., Earnshaw, S., Hosking, D., A comparison of calcaneal dual X-ray absorptiometry and calcaneal ultrasound for predicting the diagnosis of osteoporosis from hip and spine bone densitometry (2003) J Clin Densitom, 6 (4), pp. 345-352pt
dc.description.referenceKraemer, D.F., Nelson, H.D., Bauer, D.C., Helfand, M., Economic comparison of diagnostic approaches for evaluating osteoporosis in older women (2006) Osteoporos Int, 17 (1), pp. 68-76. , Jan Epub 2005 May 12pt
dc.description.referenceArana-Arri, E., Gutiérrez Ibarluzea, I., Ecenarro Mugaguren, A., Asua Batarrita, J., Predictive value of ultrasound densitometry as method of selective screening for osteoporosis in primary care (2007) Aten Primaria, 39 (12), pp. 655-659. , Decpt
dc.description.referenceJørgensen, H.L., Warming, L., Bjarnason, N.H., Andersen, P.B., Hassager, C., How does quantitative ultrasound compare to dual X-ray absorptiometry at various skeletal sites in relation to the WHO diagnoses categories? (2001) Clin Physiol, 21 (1), pp. 51-59. , Janpt
dc.description.referenceHodson, J., Marsh, J., Quantitative ultrasound and risk factor enquiry as predictors of postmenopausal osteoporosis: comparative study in primary care (2003) BMJ, 326, p. 1250. , June: 23.1250 doi:10.1136/bmj.326.7401pt
dc.description.referenceFukunaga, M., Sone, T., Yoshikawa, K., DXA, QUS, and radiogram (2006) Nihon Rinsho, 64 (9), pp. 1615-1620. , Seppt
dc.description.referenceSoontrapa, S., Soontrapa, S., Chaikitpinyo, S., Using quantitative ultrasound and OSTA index to increase the efficacy and decrease the cost for diagnosis of osteoporosis (2009) J Med Assoc Thai, 92 (SUPPL5), pp. S49-S53. , Seppt
dc.description.referenceFrost, M.L., Blake, G.M., Fogelman, I., A comparision of fracture discrimination using calcaneal quantitative ultrasound and dual X-ray absorptiometry in women with a history of fracture at sites other than the spine and hip (2002) Calcif Tissue Int, 71 (3), pp. 207-211. , Sep Epub 2002 Aug 6pt
dc.description.referenceEl-Desouki, M.I., Sherafzal, M.S., Othman, S.A., Comparision of bone mineral density with dual energy x-ray absorptiometry, quantitative ultrasound and single energy absorptiometry (2005) Saudi Med J, 26 (9), pp. 1346-1350. , Seppt
dc.description.referenceGlüer, M.G., Minne, H.W., Glüer, C.C., Lazarescu, A.D., Pfeifer, M., Perschel, F.H., Prospective identification of postmenopausal osteoporotic women at high vertebral fracture risk by radiography, bone densitometry, quantitative ultrasound, and laboratory fin -dings: results from the PIOS study (2005) J Clin Densitom, 8 (4), pp. 386-395. , Winterpt
dc.description.referenceKrieg, M.A., Barkmann, R., Gonnelli, S., Stewart, A., Bauer, D.C., Del Rio Barquero, L., Quantitative ultrasound in the management of osteoporosis: the 2007 ISCD Official Positions (2008) J Clin Densito, 11 (1), pp. 163-187. , Jan-Marpt
dc.description.referenceHans, D., Krieg, M.A., The clinical use of quantitative ultrasound (QUS) in the detection and management of osteoporosis (2008) IEEE Trans Ultrason Ferroelectr Freq Control, 55 (7), pp. 1529-1538. , Julpt
dc.description.referenceNavas Cámara, F.J., Fernández de Santiago, F.J., Bayona Marzo, I., Mingo Gómez, T., De la Fuente Sanz, M.M., Cacho del Amo, A., Prevalence of osteoporosis assessed by quantitative ultrasound calcaneus measurements in institutionalized elderly population (2006) An Med Interna, 23 (8), pp. 374-378. , Augpt
dc.description.referenceWüster, C., Hadji, P., Use of quantitative ultrasound densitometry (QUS) in male osteoporosis (2001) Calcif Tissue Int, 69 (4), pp. 225-228. , Octpt
dc.description.referenceDubois, E.F., Van den Bergh, J.P., Smals, A.G., Van de Meerendonk, C.W., Zwinderman, A.H., Schweitzer, D.H., (2001) Comparison of quantitative ultrasound parameters with dual energy X-ray absorptiometry in pre and postmenopausal women. Neth J Med, 58 (2), pp. 62-70. , Febpt
dc.description.referenceGlüer, C.C., Eastell, R., Reid, D.M., Felsenberg, D., Roux, C., Barkmann, R., Association of five quantitative ultrasound devices and bone densitometry with osteoporotic vertebral fractures in a population-based sample: the OPUS Study (2004) J Bone Miner Res, 19 (5), pp. 782-793. , Epub 2004 Mar 1 Maypt
dc.description.referenceStewart, A., Reid, D.M., Quantitative ultrasound or clinical risk factors-which best identifies women at risk of osteoporosis? (2000) Br J Radiol, 73 (866), pp. 165-171. , Febpt
dc.description.referenceDjokoto, C., Tomlinson, G., Waldman, S., Grynpas, M., Cheung, A.M., Relationship among MRTA DXA and QUS (2004) J Clin Densitom, 7 (4), pp. 448-456. , Winterpt
dc.description.referenceSchnabel, M., Eser, G., Ziller, V., Mann, D., Mann, E., Hadji, P., Bone mineral density in postmenopausal women with proximal femoral fractures-comparative study between quantitative ultrasonometry and gold standard DXA (2005) Zentralbl Chir, 130 (5), pp. 469-475. , Octpt
dc.description.referenceFrediani, B., Acciai, C., Falsetti, P., Baldi, F., Filippou, G., Siagkri, C., Calcaneus ultrasonometry and dual Xray absorptiometry for the evaluation of vertebral fracture risk (2006) Calcif Tissue Int, 79 (4), pp. 223-229. , Oct. Epub 2006 Sep 14pt
dc.description.referenceDiessel, E., Fuerst, T., Njeh, C.F., Hans, D., Cheng, S., Genant, H.K., Comparison of an imaging heel quantitative ultrasound device (DTU-one) with densitometry and ultrasonic measurements (2000) Br J Radiol, 73 (865), pp. 23-30. , Janpt
dc.description.referenceKnapp, K.M., Quantitative ultrasound and bone health (2009) Salud Publica Mex, 51 (SUPPL 1), pp. S18-S24pt
dc.description.referenceMueller, D., Gandjour, A., Cost effectiveness of ultrasound and bone densitometry for osteoporosis screening in post-menopausal women (2008) Appl Health Econ Health Policy, 6 (2-3), pp. 113-135pt
dc.description.referenceNayak, S., Roberts, M.S., Greenspan, S.L., Osteoporosis screening preferences of older adults (2009) J Clin Densi -tom, 12 (3), pp. 279-286. , Epub 2009 Jul 9 Jul-Seppt
dc.description.referenceHien, V.T.T., Khan, N.C., Lam, N.T., Mai, L.B., Lel, D.N., Nhung, B.T., Determining the Prevalence of Osteoporosis and Related Factors using Quantitative Ultrasound in Vietnamese Adult Women (2005) Am J Epidemiol, 161, pp. 824-830pt
dc.description.referenceZhu, Z.Q., Liu, W., Xu, C.L., Han, S.M., Zhu, G.J., Reference data for quantitative ultrasound values of calcaneus in 2927 healthy Chinese men (2008) J Bone Miner Metab, 26 (2), pp. 165-171pt
dc.description.referenceMazariegos, A., Osteoporosis and bone echography of the calcaneus Pharmaceutical companies and primary care. What are we doing? (2004) Aten Primaria, 34 (10), pp. 548-552. , Decpt
dc.description.referenceFrost, M.L., Blake, G.M., Fogelman, I., Quantitative ultrasound and bone mineral density are equally strongly associated with risk factors for osteoporosis (2001) J Bone Miner Res, 16 (2), pp. 406-414pt
Appears in Collections:Unicamp - Artigos e Outros Documentos

Files in This Item:
File SizeFormat 
2-s2.0-84864742944.pdf768.52 kBAdobe PDFView/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.