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Validation of quantitative computed tomography-derived areal bone mineral density with dual energy X-ray absorptiometry in an elderly Chinese population 被引量:22
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作者 Cheng Xiaoguang Wang Ling +3 位作者 Wang Qianqian Ma Yimin Su Yongbin Li Kai 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第8期1445-1449,共5页
Background The performance of computed tomography X-ray absorptiometry (CTXA) against the dual energy X-ray absorptiometry (DXA) as standard has not been studied in Chinese population. The aim of this study was to... Background The performance of computed tomography X-ray absorptiometry (CTXA) against the dual energy X-ray absorptiometry (DXA) as standard has not been studied in Chinese population. The aim of this study was to evaluate the precision of this measurement and validate the value of quantitative computed tomography (QCT) by comparing CTXA results with DXA results in an elderly Chinese population. Methods One hundred and three females of 46 to 76 years old and 49 males of 52 to 76 years old were recruited from the Prospective Urban Rural Epidemiology study. All subjects underwent hip scans by both QCT and DXA on the same day. For precision determination, 30 subjects had duplicate DXA hip scans. The hip QCT data of a subset of 27 subjects were separately analyzed by two observers and reanalyzed by one observer at a different time. The inter- and intra-observer variations of CTXA measurement were assessed, and the difference and correlation between CTXA and DXA results were analyzed. Results The inter- and intra-observer variations of CTXA were 0.070 and 0.024 g/cm^2 in the femoral neck (FN), and 0.030 and 0.012 g/cm2 in the total hip (TH), which were comparable to the DXA inter-scan variations (0.013 g/cm2 for FN and 0.014 g/cm2 for TH). The results of CTXA bone mineral density (BMD) were highly correlated with those of DXA (R2 = 0.810 for FN and R2 = 0.878 for TH). The BMD values of CTXA in FN and TH were lower than those of DXA by 21.0% and 17.8% (P〈0.05), respectively. However, after appropriate transformation, the difference was eliminated and a comparable T score could be obtained. Conclusions CTXA shows good agreement with DXA for the measurement of BMD in the proximal femur, which makes QCT suitable for the quantification of bone mineral content in the hip and helpful for the diagnosis of osteoporosis. 展开更多
关键词 bone mineral density OSTEOPOROSIS quantitative computed tomography dual energy x-ray absorptiometry
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Cerebral artery evaluation of dual energy CT angiography with dual source CT 被引量:11
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作者 MA Rui LIU Cheng DENG Kai SONG Shao-juan WANG Dao-ping HUANG Ling 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第9期1139-1144,共6页
Background Conventional computed tomography angiography (CTA) is time consuming, user-dependent and has poor image quality in skull base region. This study assessed the feasibility of a new method, dual energy CTA f... Background Conventional computed tomography angiography (CTA) is time consuming, user-dependent and has poor image quality in skull base region. This study assessed the feasibility of a new method, dual energy CTA for depicting the cerebral artery.Methods Phantom scan was done with head CTA sequences on dual source CT and 64 spiral CT for radiation dose calculation. Dual energy CTA was done with dual source CT on 36 patients who were suspected of having cerebral vascular disease. Three series axial images in 0.75 mm thick, 0.4 mm increment were acquired, which were named with 80 kV, 140 kV and merged images; 80 kV and 140 kV images were transferred into dual energy software, and maximum intensity projection (MIP) image was generated quickly by dual energy bone remove (DEBR group); merged images were transferred into In Space software to acquire MIP image through manual conventional bone remove (CoBR group). Post processing time and reading time were compared. Image qualities of the two groups were compared, mainly focusing on skull base segments of internal carotid artery and bone subtraction. ANOVA and SNK tests were applied for radiation dose comparison. Student's t test and Wilcoxon rank sum test were applied for assessing differences between data for significance. Cohen's kappa was used for interobserver agreement. Results Radiation dose of phantom scan showed dual energy CTA was between digital bone subtraction and conventional CTA. The post processing time and reading time were much shorter in DEBR than CoBR, and image quality in skull base was much higher in DEBR than CoBR (P〈0.01). There was no significant difference for suprasellar vessels between two groups (P〉0.5). Interobserver agreement for all vessel segments was excellent (kappa=0.97). Conclusions Dual energy CTA is a reliable, new modality for depicting cerebral artery, overcoming the limitation of conventional CTA in the skull base region. It can save much time in post processing and reading than conventional CTA. 展开更多
关键词 computed tomography x-ray dual energy x-ray absorptiometry scan cerebral artery ANGIOGRAPHY subtraction technique
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胸椎定量CT和腰椎双能X线吸收检测仪对绝经后女性骨质疏松症的诊断差异 被引量:17
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作者 张羽 张宗军 +5 位作者 刘许慧 滕剑 李清瑶 彭飞 傅迎霞 徐徐 《放射学实践》 CSCD 北大核心 2022年第10期1205-1210,共6页
目的:研究胸椎定量CT(QCT)和双能X线吸收检测仪(DXA)对绝经后女性骨质疏松症的诊断差异,以及胸椎QCT在绝经后女性骨质疏松筛查中的价值。方法:选取2020年8月-2021年8月同时行胸部CT与腰椎及髋关节DXA检测的绝经后女性192例,获取胸7-9椎... 目的:研究胸椎定量CT(QCT)和双能X线吸收检测仪(DXA)对绝经后女性骨质疏松症的诊断差异,以及胸椎QCT在绝经后女性骨质疏松筛查中的价值。方法:选取2020年8月-2021年8月同时行胸部CT与腰椎及髋关节DXA检测的绝经后女性192例,获取胸7-9椎体QCT及腰1-4椎体和左髋关节DXA的BMD和T值,结合文献以胸7-9椎体QCT的平均BMD 90 mg/cm^(3)和136 mg/cm^(3)作为判定骨质疏松和骨量减少的阈值,比较胸椎QCT和双能DXA对绝经后女性骨质疏松症的检出率的差异并评估BMI对腰椎DXA的BMD及T值和胸椎QCT的BMD的影响。结果:192例绝经期女性的平均年龄为64.79岁,胸椎QCT对绝经后女性骨量减少以及骨质疏松症的检出率同腰椎DXA对其检出率有统计学差异(P<0.05),QCT和DXA完全符合者100例(52.08%),不符合者92例(47.92%),其中80例(41.67%)在DXA被低估;不同BMI对腰椎DXA的BMD及T值有统计学差异(P<0.05),而对胸椎QCT的BMD无统计学差异(P>0.05)。结论:胸椎QCT对绝经后女性骨质疏松的检出率优于双能DXA,胸部CT检查联合胸椎QCT获得胸椎BMD可指导绝经后女性进行骨质疏松的筛查,在绝经后女性人群中对骨质疏松症的诊断具有重要价值。 展开更多
关键词 体层摄影术 X线计算机 双能X线骨密度仪扫描 骨质疏松
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双光能X射线骨密度仪测量腰椎骨密度不同扫描模式的对比研究 被引量:2
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作者 周翠红 王猛 +3 位作者 金超岭 刘杰 李环 李红磊 《中国医学装备》 2017年第6期41-44,共4页
目的:探讨在双光能X射线骨密度仪测量腰椎骨密度时不同扫描模式的差异。方法:选取50例临床科室推送的需要进行骨密度检查的患者,进行腰椎和股骨的骨密度测量,采用3种不同模式的扫描方法:A扫描模式,患者身体平躺,选择OneScan(一次性扫描... 目的:探讨在双光能X射线骨密度仪测量腰椎骨密度时不同扫描模式的差异。方法:选取50例临床科室推送的需要进行骨密度检查的患者,进行腰椎和股骨的骨密度测量,采用3种不同模式的扫描方法:A扫描模式,患者身体平躺,选择OneScan(一次性扫描、无需海绵垫块)扫描模式;B扫描模式,患者身体平躺,不选择One Scan扫描模式;C扫描模式,患者下肢放在海绵垫块上,不选择OneScan扫描模式。结果:A、B两种扫描模式所得腰椎的骨密度值对比,第1、2、3、4腰椎及4节腰椎的平均值差异均无统计学意义(t=-0.721,t=-0.153,t=-1.239,t=-1.892,t=-1.469;P>0.05);A、C两种扫描模式所得的骨密度值对比,第2、3、4腰椎及4节腰椎的平均值差异均有统计学意义(t=2.461,t=3.824,t=4.582,t=4.399;P<0.05),第1腰椎无统计学意义(t=-0.006,P>0.05)。结论:采用OneScan扫描模式进行骨密度测量会高估腰椎的骨密度值。 展开更多
关键词 双光能X射线吸收法 骨密度值 一次性扫描 腰椎
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桡骨超远端体积骨密度的测量及性别间的比较 被引量:3
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作者 陈金标 秦林林 +3 位作者 马海波 葛崇华 张卫 肖艳霞 《中日友好医院学报》 2000年第3期125-128,共4页
目的 :在桡骨超远端建立体积骨密度估计法 ,比较其在男女性间的差别 ,探讨骨大小在骨密度测量中的重要性。方法 :应用双能X射线骨密度仪对 88例 2 0岁~ 59岁人群进行前臂骨密度测量 ,利用桡骨超远端外形近似圆台的特点 ,建立体积骨密... 目的 :在桡骨超远端建立体积骨密度估计法 ,比较其在男女性间的差别 ,探讨骨大小在骨密度测量中的重要性。方法 :应用双能X射线骨密度仪对 88例 2 0岁~ 59岁人群进行前臂骨密度测量 ,利用桡骨超远端外形近似圆台的特点 ,建立体积骨密度估计法 ,并比较男女性间差别。结果 :男性桡骨超远端骨矿含量、面积骨密度大于女性 ,差异具有显著性意义(P <0 0 1 ) ,而估计的体积骨密度差异不显著。结论 :测量比较骨密度时宜充分考虑骨大小的影响。 展开更多
关键词 骨密度 放射摄影术 光子吸收测量法 骨折
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美国Norland XR-600双能X线骨密度仪典型故障分析与维修 被引量:3
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作者 徐勇 苏天登 +1 位作者 甯仁义 曾胜全 《中国医疗设备》 2019年第2期168-170,180,共4页
本文根据美国Norland XR-600双能X线骨密度仪的工作原理以及特点进行深入分析,总结了该设备的典型故障,并提出相应的解决办法,对进口医疗设备的维修在确保安全的前提下,采用板级维修替代板级更换的方式降低维修成本,快速地排除设备故障... 本文根据美国Norland XR-600双能X线骨密度仪的工作原理以及特点进行深入分析,总结了该设备的典型故障,并提出相应的解决办法,对进口医疗设备的维修在确保安全的前提下,采用板级维修替代板级更换的方式降低维修成本,快速地排除设备故障,提高设备完好率。 展开更多
关键词 Norland XR-600双能X线骨密度仪 定位按钮 扫描臂 故障诊断 故障处理
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Managing osteoporosis in ulcerative colitis: Something new? 被引量:7
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作者 Luca Petruccio Piodi Alessandro Poloni Fabio Massimo Ulivieri 《World Journal of Gastroenterology》 SCIE CAS 2014年第39期14087-14098,共12页
The authors revise the latest evidence in the literature regarding managing of osteoporosis in ulcerative colitis (UC), paying particular attention to the latest tendency of the research concerning the management of b... The authors revise the latest evidence in the literature regarding managing of osteoporosis in ulcerative colitis (UC), paying particular attention to the latest tendency of the research concerning the management of bone damage in the patient affected by UC. It is wise to assess vitamin D status in ulcerative colitis patients to recognize who is predisposed to low levels of vitamin D, whose deficiency has to be treated with oral or parenteral vitamin D supplementation. An adequate dietary calcium intake or supplementation and physical activity, if possible, should be guaranteed. Osteoporotic risk factors, such as smoking and excessive alcohol intake, must be avoided. Steroid has to be prescribed at the lowest possible dosage and for the shortest possible time. Moreover, conditions favoring falling have to been minimized, like carpets, low illumination, sedatives assumption, vitamin D deficiency. It is advisable to assess the fracture risk in all UC patient by the fracture assessment risk tool (FRAX<sup>&#x000ae;</sup> tool), that calculates the ten years risk of fracture for the population aged from 40 to 90 years in many countries of the world. A high risk value could indicate the necessity of treatment, whereas a low risk value suggests a follow-up only. An intermediate risk supports the decision to prescribe bone mineral density (BMD) assessment and a subsequent patient revaluation for treatment. Dual energy X-ray absorptiometry bone densitometry can be used not only for BMD measurement, but also to collect data about bone quality by the means of trabecular bone score and hip structural analysis assessment. These two indices could represent a method of interesting perspectives in evaluating bone status in patients affected by diseases like UC, which may present an impairment of bone quality as well as of bone quantity. In literature there is no strong evidence for instituting pharmacological therapy of bone impairment in UC patients for clinical indications other than those that are also applied to the patients with osteoporosis. Therefore, a reasonable advice is to consider pharmacological treatment for osteoporosis in those UC patients who already present fragility fractures, which bring a high risk of subsequent fractures. Therapy has also to be considered in patients with a high risk of fracture even if it did not yet happen, and particularly when they had long periods of corticosteroid therapy or cumulative high dosages. In patients without fragility fractures or steroid treatment, a medical decision about treatment could be guided by the FRAX tool to determine the intervention threshold. Among drugs for osteoporosis treatment, the bisphosphonates are the most studied ones, with the best and longest evidence of efficacy and safety. Despite this, several questions are still open, such as the duration of treatment, the necessity to discontinue it, the indication of therapy in young patients, particularly in those without previous fractures. Further, it has to be mentioned that a long-term bisphosphonates use in primary osteoporosis has been associated with an increased incidence of dramatic side-effects, even if uncommon, like osteonecrosis of the jaw and atypical sub-trochanteric and diaphyseal femoral fractures. UC is a long-lasting disease and the majority of patients is relatively young. In this scenario primary prevention of fragility fracture is the best cost-effective strategy. Vitamin D supplementation, adequate calcium intake, suitable physical activity (when possible), removing of risk factors for osteoporosis like smoking, and avoiding falling are the best medical acts. 展开更多
关键词 Ulcerative colitis OSTEOPOROSIS Fragility fracture Bone mineral density Trabecular bone score Hip structural analysis Fracture assessment risk tool dual energy x-ray absorptiometry
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Adipokines and C-reactive protein in relation to bone mineralization in pediatric nonalcoholic fatty liver disease 被引量:3
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作者 Lucia Pacifico Mario Bezzi +4 位作者 Concetta Valentina Lombardo Sara Romaggioli Flavia Ferraro Stefano Bascetta Claudio Chiesa 《World Journal of Gastroenterology》 SCIE CAS 2013年第25期4007-4014,共8页
AIM: To investigate bone mineral density (BMD) in obese children with and without nonalcoholic fatty liver disease (NAFLD); and the association between BMD and serum adipokines, and high-sensitivity C-reactive protein... AIM: To investigate bone mineral density (BMD) in obese children with and without nonalcoholic fatty liver disease (NAFLD); and the association between BMD and serum adipokines, and high-sensitivity C-reactive protein (HSCRP). METHODS: A case-control study was performed. Cases were 44 obese children with NAFLD. The diagnosis of NAFLD was based on magnetic resonance imaging (MRI) with high hepatic fat fraction (≥ 5%). Other causes of chronic liver disease were ruled out. Controls were selected from obese children with normal levels of aminotransferases, and without MRI evidence of fatty liver as well as of other causes of chronic liver diseases. Controls were matched (1-to 1-basis) with thecases on age, gender, pubertal stage and as closely as possible on body mass index-SD score. All participants underwent clinical examination, laboratory tests, and whole body (WB) and lumbar spine (LS) BMD by dual energy X-ray absorptiometry. BMDZ-scores were calcu- lated using race and gender specific LMS curves. RESULTS: Obese children with NAFLD had a significantly lower LS BMDZ-score than those without NAFLD [mean, 0.55 (95%CI: 0.23-0.86) vs 1.29 (95%CI: 0.95-1.63); P < 0.01]. WB BMD Z-score was also decreased in obese children with NAFLD compared to obese children with no NAFLD, though borderline significance was observed [1.55 (95%CI: 1.23-1.87) vs 1.95 (95%CI: 1.67-2.10); P = 0.06]. Children with NAFLD had significantly higher HSCRP, lower adiponectin, but similar leptin levels. Thirty five of the 44 children with MRI-diagnosed NAFLD underwent liver biopsy. Among the children with biopsy-proven NAFLD, 20 (57%) had nonalcoholic steatohepatitis (NASH), while 15 (43%) no NASH. Compared to children without NASH, those with NASH had a significantly lower LS BMD Z-score [mean, 0.27 (95%CI: -0.17-0.71) vs 0.75 (95%CI: 0.13-1.39); P < 0.05] as well as a significantly lower WB BMD Z-score [1.38 (95%CI: 0.89-1.17) vs 1.93 (95%CI: 1.32-2.36); P < 0.05]. In multiple regression analysis, NASH (standardized β coefficient, -0.272; P < 0.01) and HSCRP (standardized β coefficient, -0.192; P < 0.05) were significantly and independently associated with LS BMD Z-score. Similar results were obtained when NAFLD (instead of NASH) was included in the model. WB BMD Z-scores were significantly and independently associated with NASH (standardized β coefficient, -0.248;P < 0.05) and fat mass (standardized β coefficient, -0.224;P < 0.05). CONCLUSION: This study reveals that NAFLD is associated with low BMD in obese children, and that systemic, low-grade inflammation may accelerate loss of bone mass in patients with NAFLD. 展开更多
关键词 Bone MINERALIZATION dual energy x-ray absorptiometry ADIPOKINES C-reactive protein NONALCOHOLIC FATTY liver disease Children
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Green coffee bean extract improves obesity by decreasing body fat in high-fat diet-induced obese mice 被引量:3
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作者 Bong-Keun Choi Sung-Bum Park +4 位作者 Dong-Ryung Lee Hae Jin Lee Ying-Yu Jin Seung Hwan Yang Joo-Won Suh 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2016年第7期616-624,共9页
Objective:To evaluate possible lipid catabolism and body fat regulation effects of 3-caffeoylquinic acid in Green coffee bean extract(GCBE) in high-fat diet(HFD)-induced obese mice.Methods:Obesity was induced in mice ... Objective:To evaluate possible lipid catabolism and body fat regulation effects of 3-caffeoylquinic acid in Green coffee bean extract(GCBE) in high-fat diet(HFD)-induced obese mice.Methods:Obesity was induced in mice using a HFD for four weeks.Then,mice were fed only HFD or HFD with GCBE at 50,100,and 200 mg/kg.Fatty acid synthesis mechanism regulation of body fat was investigated through real-time PCR and Western blot assay.Body fat reduction was measured through dual-energy X-ray absorptiometry.Results:In HFD-induced obese mice,GCBE treatment significantly decreased body weight gain,liver weight and white adipose tissue weights with regulation of adipose tissue lipolysis hormones,like adiponectin and leptin.GCBE treatment decreased mR NA expression levels of adipogenesis and adipocyte metabolism related genes in adipose tissues and the liver,and decreased the corresponding protein expression.Dual energy X-ray absorptiometry measurements were used to compare body fat between mice on high-fat and those treated with GCBE.GCBE treated mice had a lower fat mass compared to HFD alone fed mice and relative body weight and fat mass were markedly decreased.Conclusions:GCBE has a potential anti-obesity effect with lowering body fat accumulation by regulating adipogenesis and lipid metabolism-related genes and proteins in WAT and liver. 展开更多
关键词 Green coffee BEAN EXTRACT High-fat diet INDUCED OBESE MICE Adipogenesis Body fat dual energy x-ray absorptiometry
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SPA法和DXA法测量前臂骨密度的比较及终末期肾病患者骨密度变化特点 被引量:3
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作者 葛崇华 陈金标 +3 位作者 张卫 马海波 肖艳霞 秦林林 《中日友好医院学报》 1999年第3期147-149,共3页
目的:比较单光子吸收法(SPA)和双能X线吸收法(DXA)测量前臂骨密度上的结果,探讨SPA的应用价值;比较尿毒症患者不同部位骨密度的情况。方法:分别用SPA和DXA对87例15岁~50岁(平均3372岁)人群进行... 目的:比较单光子吸收法(SPA)和双能X线吸收法(DXA)测量前臂骨密度上的结果,探讨SPA的应用价值;比较尿毒症患者不同部位骨密度的情况。方法:分别用SPA和DXA对87例15岁~50岁(平均3372岁)人群进行前臂骨远端1/3段骨密度进行测量与比较,并对17例行血液透析治疗的尿毒症患者进行股骨、腰椎、桡骨远端骨密度的测量。结果:SPA和DXA的测量结果显著正相关(r=0907,P<001),尿毒症患者桡骨远端1/3部位骨密度的丢失速度较腰椎、股骨颈、大转子更明显。其T评分是它们的184~424倍。结论:SPA具有一定的应用价值。在测量骨密度时应依据具体的疾病,选择合理的部位进行骨密度测量,从而提高诊断水平。 展开更多
关键词 骨密度 放射摄影术 尿毒症 SPA
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Relationship between peak oxygen uptake and regional body composition in Japanese subjects
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作者 Kanae Oda Nobuyuki Miyatake +4 位作者 Noriko Sakano Takeshi Saito Motohiko Miyachi Izumi Tabata Takeyuki Numata 《Journal of Sport and Health Science》 SCIE 2014年第3期233-238,共6页
Purpose: To investigate the link between peak oxygen uptake and regional body composition by dual energy X-ray absorptiometry (DEXA) in Japanese subjects. Methods: A total of 93 men (42.2 ± 12.3 years old) ... Purpose: To investigate the link between peak oxygen uptake and regional body composition by dual energy X-ray absorptiometry (DEXA) in Japanese subjects. Methods: A total of 93 men (42.2 ± 12.3 years old) and 106 women (43.5 ± 12.3 years old) were enrolled in this cross-sectional investigation study. Peak oxygen uptake was measured by the breath-by-breath method. Regional body composition i.e., body fat mass, lean body mass, and body fat percentage was evaluated using DEXA. In addition, metabolic risk parameters were also evaluated. Results: Peak oxygen uptake was 37.6± 8.7 mL/kg/min in men and 31.1 ± 6.4 mL/kg/min in women, and decreased with age in both genders. Peak oxygen uptake was significantly correlated with total body fat percentage (men: r = -0.684, p 〈 0.0001; women: r = -0.681, p 〈 0.0001). These associations remained even after adjusting for age and total lean body mass. However, peak work rate was positively and significantly correlated with leg lean body mass. Conclusion: Peak oxygen uptake was closely correlated with total body fat percentage in both genders. Aerobic exercise as well as leg resistance training might be useful for improving peak oxygen uptake in Japanese subjects. Copyright 展开更多
关键词 dual energy x-ray absorptiometry (DEXA) JAPANESE Leg muscle mass Peak oxygen uptake Regional body composition
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Body composition of healthy Spanish children
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作者 Soledad Aguado-Henche Rosa Rodríguez-Torres +1 位作者 Asunción Bosch-Martín Luis Gómez-Pellico 《Health》 2011年第4期211-217,共7页
This paper shows the distribution of the body compartments, and the age and gender related changes in Spanish children. Subjects and Methods: A total of 231 healthy children from Madrid (Spain) were recruited and divi... This paper shows the distribution of the body compartments, and the age and gender related changes in Spanish children. Subjects and Methods: A total of 231 healthy children from Madrid (Spain) were recruited and divided into 3 groups according to age (birth-5, 6-10, 11-15y). Body compartments (fat mass, lean mass and bone mass) measures were obtained from dual energy X-ray absorptiometry (DXA) scans. Total and regional body compositions were evaluated. Results: There were gender differences for TBFM (total body fat mass) in 11 - 15 year age group and for TLBM (total lean body mass) in all age groups except for the 6 - 10 year age group. TBMC (total bone mineral content) shows significant gender differences form birth. Conclusions: Contrary to boys, girls showed from early infancy a smaller proportion of muscle mass and a higher proportion of body fat (from the age of 10), with fat deposits being mostly peripheral. Bone mass and muscle mass values were higher in boys. 展开更多
关键词 BODY COMPOSITION dual energy x-ray absorptiometry CHILDREN
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