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Clinical Use of Quantitative Computed Tomography-Based Advanced Techniques in the Management of Osteoporosis in Adults: the 2015 ISCD Official Positions-Part III

机译:基于定量计算机断层扫描的先进技术在成人骨质疏松症管理中的临床应用:2015年ISCD官方职位-第III部分

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摘要

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. This also addresses techniques suggested 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. Here we discuss the agreed upon ISCD official positions with supporting medical evidence, rationale, controversy, and suggestions for further study. Advanced techniques summarized as statistical parameter mapping methods were also reviewed. Their future use is promising but the clinical application is premature. The clinical use of QCT of the hip is addressed in part I and of finite element analysis of the hip and spine in part II.
机译:国际临床密度测定学会(ISCD)为临床使用计算机断层扫描(CT)扫描而没有校准体模(例如,用于其他诊断(例如结肠造影)的CT扫描)开发了新的官方职位。这也解决了建议的机会性筛查骨质疏松症的技术。 ISCD定量CT工作队审查了这些新技术的临床应用证据,并在2015年ISCD职位发展会议上提出了建议报告。在这里,我们将讨论商定的ISCD官方立场,并提供支持的医学证据,理由,争议和进一步研究的建议。还概述了归纳为统计参数映射方法的先进技术。它们的未来用途是有前途的,但临床应用还为时过早。髋部QCT的临床使用在第一部分中进行了介绍,而在髋部和脊椎的有限元分析中在第二部分中进行了介绍。

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