定量计算机断层扫描技术在成人骨质疏松管理中的临床应用:2015年国际临床骨密度学会官方共识(第三部分)

Clinical use of quantitative computed tomography based advanced techniques in the management of osteoporosis in adults: the 2015 ISCD (International Society for Clinical Densitometry) official positions(the third part)

国际临床骨密度学会(International Society for Clinical Densitometry,ISCD)就无校准体模的计算机断层扫描(如来源于结肠成像术)的临床应用发布了新的官方立场,并提出机会性骨质疏松筛查技术。ISCD定量CT工作组综述了这些新技术临床应用的证据,并在2015年ISCD官方大会上提出一份报告和建议。该文将讨论与ISCD官方立场相关的支持证据、理论说明、争议和进一步研究建议,综述了统计参数映射方法的最新进展。

The International Society for Clinical Densitometry(ISCD)has developed new official positions for the clinical use of computed tomography(CT)scans acquired without a calibration phantom,for example,CT scans obtained for other diagnosis such as colonography,which also addressed techniques for opportunistic screening of osteoporosis.The ISCD task force for quantitative CT reviewed the evidence for clinical applications of these new techniques and presented a report with recommendations at the 2015 ISCD Position Development Conference.In this article,we discussed the ISCD official positions and supporting medical evidence,rationale,controversy,and suggestions for further studies.Recent advances in statistical parameter mapping method were also summarized.