Artículos de revistas
Review Of Comparative Studies Between Bone Densitometry And Quantitative Ultrasound Of The Calcaneus In Osteoporosis
Registro en:
Acta Reumatologica Portuguesa. , v. 36, n. 4, p. 327 - 335, 2011.
0303464X
2-s2.0-84864742944
Autor
dos Santos Floter M.
Bittar C.K.
Zabeu J.L.A.
Carneiro A.C.R.
Institución
Resumen
Objective: 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. 36 4 327 335 Nayak, 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. 832-841 Camozzi, 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. , Jul Hans, D., Krieg, M., Quantitative ultrasound for the detection and management of osteoporosis (2009) Salud Pública Mex, 51 (SUPL.1), pp. S25-S37 (2001) Men Ageing And Health: achieving health across the life span, , World Health Organization Geneva, WHO El 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. , Mar Frost, 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. , Jan Canhão, 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-Mar Hans, 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. , Aug Boonen, 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. 93-100 Imashuku, 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. , May Gudmundsdottir, 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. , Spring Trimpou, 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 8 Ikeda, 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. , Jul Pearson, 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. 345-352 Kraemer, 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 12 Arana-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. , Dec Jørgensen, 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. , Jan Hodson, 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.326.7401 Fukunaga, M., Sone, T., Yoshikawa, K., DXA, QUS, and radiogram (2006) Nihon Rinsho, 64 (9), pp. 1615-1620. , Sep Soontrapa, 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. , Sep Frost, 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 6 El-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. , Sep Glüer, 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. , Winter Krieg, 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-Mar Hans, 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. , Jul Navas 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. , Aug Wüster, C., Hadji, P., Use of quantitative ultrasound densitometry (QUS) in male osteoporosis (2001) Calcif Tissue Int, 69 (4), pp. 225-228. , Oct Dubois, 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. , Feb Glüer, 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 May Stewart, 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. , Feb Djokoto, 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. , Winter Schnabel, 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. , Oct Frediani, 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 14 Diessel, 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. , Jan Knapp, K.M., Quantitative ultrasound and bone health (2009) Salud Publica Mex, 51 (SUPPL 1), pp. S18-S24 Mueller, 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. 113-135 Nayak, 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-Sep Hien, 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. 824-830 Zhu, 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. 165-171 Mazariegos, 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. , Dec Frost, 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. 406-414