Year 2020, Volume 4 , Issue 10, Pages 883 - 886 2020-10-01

Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results
Vertebral ve vertebra dışı fraktürü olan yaşlı olgularda dual–enerji X-ışını absorbsiyometri ve kantitatif bilgisayarlı tomografi karşılaştırması: Preliminar sonuçlar

Esin DERİN ÇİÇEK [1] , Gülcan ÖZTÜRK [2] , İ̇lknur AKTAŞ [3]


Aim: Dual-energy X-ray absorptiometry (DXA) and quantitative computed tomography (QCT) are methods used today to evaluate bone mass and structure and determine the risk of fractures. In this study, spinal and femoral bone density results measured by DXA and QCT in elderly patients with vertebral and non-vertebral fractures were compared to identify the most effective method in determining the risk of osteoporosis and fractures. Methods: In this retrospective cohort study, 45 elderly patients aged 65–84 years were analyzed. Group 1 included 11 patients with atraumatic vertebral fractures, Group 2 included 11 patients with non-vertebral fractures and Group 3 included 23 patients without fractures. T-scores and bone mineral density (BMD) values of spinal (lumbar 1-4) and femoral (neck) regions measured by both DXA and QCT were evaluated. Results: Spinal and femoral T-scores and BMD values measured by DXA and QCT were similar between the groups (P>0.05 for all). In Group 1, lumbar BMD value, lumbar and femoral neck T-scores measured by QCT were significantly lower than DXA (P<0.001, P=0.004 and P=0.037, respectively). In Group 2, lumbar BMD value and T-score measured by QCT were significantly lower than DXA (P<0.001 and P<0.001). In Group 3, lumbar T-score, lumbar and femoral neck BMD values measured by QCT were significantly lower than DXA (P<0.001, P<0.001 and P=0.004, respectively). Conclusion: QCT is an effective method that can be used in elderly patients with fractures and arthrosis where DXA may yield false-positive results.
Amaç: Günümüzde Dual-enerji X-ışını absorbsiyometrisi (DXA) ve kantitatif bilgisayarlı tomografi (KBT) kemik kütle ve yapısını değerlendirmek, kırık riskini belirlemek için kullanılan yöntemlerdir. Bu çalışmada vertebral ve vertebral bölge dışında kırığı olan yaşlı hastalarda, DXA ve KBT ile ölçülen spinal ve femoral bölge dansitometri sonuçlarını karşılaştırarak, osteoporoz ve kırık riskini belirlemede en etkin yöntemi araştırmayı amaçladık. Yöntemler: Bu retrospektif kohort çalışmasında 65- 84 yaş aralığında 45 yaşlı hasta analiz edildi. Grup 1’e atravmatik vertebral kırığı olan 11 hasta, Grup 2’ ye spinal bölgenin dışında kırığı olan 11 hasta, Grup 3’e ise kırığı olmayan 23 hasta dahil edildi. Spinal (lumbar 1-4) ve femoral (boyun) bölgelerden ölçülen, DXA ve KBT ile yapılan kemik mineral yoğunluğu (BMD) ölçümleri ve T skorları değerlendirildi. Bulgular: Gruplar arası değerlendirmede, DXA ve KBT ile ölçülen, lumbar ve femoral boyun BMD değerlerinde ve T skorlarında üç grup arasında istatistiksel olarak anlamlı bir farklılık bulunmadı (tümü P>0,05). Grup 1’de KBT ile ölçülen lumbar BMD değeri, lumbar ve femoral boyun T skor değerleri, DXA ölçümlerinden istatistiksel olarak anlamlı düşük bulundu (sırasıyla, P<0,001, P=0,004 ve P=0,037). Grup 2’de KBT ile ölçülen lumbar bölge BMD ve lumbar bölge T skor değerleri, DXA ölçümlerinden istatistiksel olarak anlamlı derecede düşük bulundu (P<0,001 ve P<0,001). Grup 3’de KBT lumbar bölge T skoru, lumbar ve femoral boyun BMD değerleri, DXA ölçümlerinden istatistiksel olarak anlamlı derecede düşük dulundu (sırasıyla, P<0,001, P<0,001 ve P=0,004). Sonuç: KBT, ileri yaş olgularda kırık ve artroz gibi DXA yönteminin yanlış pozitiflik verebileceği durumlarda kullanılabilecek etkin bir kemik mineral yoğunluğu ölçüm metodudur.
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Primary Language en
Subjects Geriatrics and Gerontology, Radiology, Nuclear Medicine, Medical Imaging, Rehabilitation
Journal Section Research article
Authors

Orcid: 0000-0002-0391-3003
Author: Esin DERİN ÇİÇEK (Primary Author)
Institution: SBÜ. Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi
Country: Turkey


Orcid: 0000-0002-9464-301X
Author: Gülcan ÖZTÜRK
Institution: SBÜ. Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi
Country: Turkey


Orcid: 0000-0002-1050-9666
Author: İ̇lknur AKTAŞ
Institution: SBÜ. Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi
Country: Turkey


Supporting Institution yok
Project Number -
Thanks -
Dates

Publication Date : October 1, 2020

Bibtex @research article { josam790513, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {883 - 886}, doi = {10.28982/josam.790513}, title = {Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results}, key = {cite}, author = {Deri̇n Çi̇çek, Esin and Öztürk, Gülcan and Aktaş, İ̇lknur} }
APA Deri̇n Çi̇çek, E , Öztürk, G , Aktaş, İ . (2020). Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results . Journal of Surgery and Medicine , 4 (10) , 883-886 . DOI: 10.28982/josam.790513
MLA Deri̇n Çi̇çek, E , Öztürk, G , Aktaş, İ . "Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results" . Journal of Surgery and Medicine 4 (2020 ): 883-886 <http://jsurgmed.com/en/pub/issue/57049/790513>
Chicago Deri̇n Çi̇çek, E , Öztürk, G , Aktaş, İ . "Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results". Journal of Surgery and Medicine 4 (2020 ): 883-886
RIS TY - JOUR T1 - Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results AU - Esin Deri̇n Çi̇çek , Gülcan Öztürk , İ̇lknur Aktaş Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.790513 DO - 10.28982/josam.790513 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 883 EP - 886 VL - 4 IS - 10 SN - -2602-2079 M3 - doi: 10.28982/josam.790513 UR - https://doi.org/10.28982/josam.790513 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results %A Esin Deri̇n Çi̇çek , Gülcan Öztürk , İ̇lknur Aktaş %T Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 10 %R doi: 10.28982/josam.790513 %U 10.28982/josam.790513
ISNAD Deri̇n Çi̇çek, Esin , Öztürk, Gülcan , Aktaş, İ̇lknur . "Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results". Journal of Surgery and Medicine 4 / 10 (October 2020): 883-886 . https://doi.org/10.28982/josam.790513
AMA Deri̇n Çi̇çek E , Öztürk G , Aktaş İ . Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results. J Surg Med. 2020; 4(10): 883-886.
Vancouver Deri̇n Çi̇çek E , Öztürk G , Aktaş İ . Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results. Journal of Surgery and Medicine. 2020; 4(10): 883-886.
IEEE E. Deri̇n Çi̇çek , G. Öztürk and İ. Aktaş , "Comparison of quantitative computed tomography and dual-energy X-ray absorptiometry in elderly patients with vertebral and nonvertebral fractures: Preliminary results", Journal of Surgery and Medicine, vol. 4, no. 10, pp. 883-886, Oct. 2020, doi:10.28982/josam.790513