基于髋部和脊柱定量CT有限元分析在成人骨质疏松症诊治中的临床应用2015年国际临床骨密度学会(ISCD)官方共识(第二部分)

The clinical application of fine element analysis based on quantitative CT of the hip and spine in the diagnosis and treatment of adult osteoporosis. The official consensus of the International Society of Clinical Densitometry( ISCD),2015( the Second Part)

国际临床骨密度学会(ISCD)已经形成了新的基于定量CT(QCT)的脊柱及髋部有限元分析(FEA)的临床应用官方建议。ISCD定量CT工作组回顾了QCT临床应用证据,并在2015临床骨密度测量发展大会提出了新的报告建议。在这里,我们对支持ISCD官方建议的医学证据、理论基础、争议和进一步研究的建议进行探讨。第一部分和第三部分论述了髋关节QCT的临床应用,并讨论了利用以其它疾病诊断为目的的CT扫描(如结肠成像),从而进行骨质疏松症随机筛查的临床可行性。

The new official clinical application suggestion has been formed in the International Society of Clinical Densitometry(ISCD),based on quantitative CT(QCT)of the hip and spine.The QCT working group of ISCD reviews the evidence of the clinical application of QCT and provides new suggestion report in the Conference of Clinical Bone Mineral Density Measurement and Development 2015.Here,we discuss the medical evidence,theoretic base,argument,and further suggestion,which support the ISCD official suggestion.In the first and third part,we discuss the clinical application of QCT in the hip,CT scan for other purpose of clinical diagnosis(such as colon image),and the possibility for randomized screening of osteoporosis.