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首页> 外文期刊>Medical engineering & physics. >Inter-scanner differences in in vivo QCT measurements of the density and strength of the proximal femur remain after correction with anthropomorphic standardization phantoms
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Inter-scanner differences in in vivo QCT measurements of the density and strength of the proximal femur remain after correction with anthropomorphic standardization phantoms

机译:用拟人化标准化体模校正后,体内QCT测量的股骨近端密度和强度在扫描仪间存在差异

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摘要

In multicenter studies and longitudinal studies that use two or more different quantitative computed tomography (QCT) imaging systems, anthropomorphic standardization phantoms (ASPs) are used to correct inter-scanner differences and allow pooling of data. In this study, in vivo imaging of 20 women on two imaging systems was used to evaluate inter-scanner differences in hip integral BMD (iBMD), trabecular BMD (tBMD), cortical BMD (cBMD), femoral neck yield moment (My) and yield force (Fy), and finite-element derived strength of the femur under stance (FEstance) and fall (FEfall) loading. Six different ASPs were used to derive inter-scanner correction equations. Significant (p0.05) inter-scanner differences were detected in all measurements except My and FEfall, and no ASP-based correction was able to reduce inter-scanner variability to corresponding levels of intra-scanner precision. Inter-scanner variability was considerably higher than intra-scanner precision, even in cases where the mean inter-scanner difference was statistically insignificant. A significant (p0.01) effect of body size on inter-scanner differences in BMD was detected, demonstrating a need to address the effects of body size on QCT measurements. The results of this study show that significant inter-scanner differences in QCT-based measurements of BMD and bone strength can remain even when using an ASP.
机译:在使用两个或多个不同的定量计算机断层扫描(QCT)成像系统的多中心研究和纵向研究中,拟人化标准化体模(ASP)用于纠正扫描器间的差异并允许合并数据。在这项研究中,使用两个成像系统对20名女性进行了体内成像,以评估扫描仪之间的髋部积分BMD(iBMD),小梁BMD(tBMD),皮质BMD(cBMD),股骨屈服力矩(My)和屈服力(Fy),以及在姿态(FEstance)和跌落(FEfall)载荷下股骨的有限元派生强度。使用六个不同的ASP导出扫描仪间校正方程。除My和FEfall外,所有测量均检测到显着的(p <0.05)扫描仪间差异,并且没有基于ASP的校正能够将扫描仪间的可变性降低到相应的扫描仪内精度水平。即使在平均扫描仪间差异在统计学上不显着的情况下,扫描仪间的差异性也明显高于扫描仪内的精度。检测到人体大小对BMD扫描仪间差异的显着(p <0.01)影响,表明需要解决人体大小对QCT测量的影响。这项研究的结果表明,即使使用ASP,在基于QCT的BMD和骨强度测量中,扫描器之间仍存在显着差异。

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