01骨质疏松与骨质疏松骨折的影像检查课件.pptVIP

诊断标准之二：骨密度测量 骨密度测量技术是对被测物体骨矿含量、骨密度和体质成份进行无创性定量分析的方法。 目前主要采用的技术有下列几种： 1，双能X线骨密度仪(DXA，pDXA) 2，定量CT(QCT，pQCT) 3，其他骨密度测量技术 Dual energy X-ray absorptiometry (DXA) QCT Technology QCT was introduced by Harry Genant in 1980s,it is to use clinical CT scanner to measure BMD and body composition with QCT system Mindways QCT system parts： QA phantom calibrationphantom workstation QCT protocol Clinical CT scanner Mindways QCT Supine position,phantom beneath the back CT data are transformed to QCT workstation for BMD 3 D QCT exam Sag Cor and axial 3 axis adjustment for location High precision fast Retriavable Data User friendly QCT vs DXA hip BMD QCT DXA QCT质量控制 欧洲体模 材料和方法 在QCT PRO工作站上测量欧洲腰椎体模，选好测量位置后软件自动生产的感兴趣区（ROI） 结 果 BMD测量与常规放射检查的辐射剂量 BMD测量 有效剂量（mSV) 放射检查 有效剂量（mSV) 成人腰椎DXA 0.013 胸片正位片 0.02 成人髋部DXA 0.009 腰椎正侧位片 0.7+0.3 二维QCT 0.06-0.3 乳腺钼靶 0.4 三维腰椎QCT 1.5 成人腹部CT 8 三维髋部QCT 2.5-3 牙片 0.005 pQCT前臂 0.01 胸椎侧位片 0.3 * In the osteoporotic patient, the entire skeleton is susceptible to fracture, resulting in significant disability, limited physical activity, and mortality Whereas the entire skeleton is at risk for fracture, vertebral fractures are the most common, accounting for approximately 46% of all osteoporosis-related fractures, followed by the hip (19%), wrist (16%), and nonvertebral fractures (19%).8 Fractures of the hip and spine – most frequently observed throughout the postmenopausal period – are associated with significant morbidity and increased mortality.3,4 Because the entire skeleton is at risk for osteoporosis, osteoporotic fractures have widespread adverse effects on the body, including the gastrointestinal, respiratory, genitourinary, and craniofacial systems, although exact prevalence rates are unknown.3 骨质疏松及骨质疏松骨折的影像检查 北京积水潭医院放射科 程晓光 xiao65@263.net 诊断标准之一：骨质疏松性骨折 “脆性骨折”是诊断骨质疏松的标准之一。 “脆性骨折”即由于轻微外伤,如从站立或更低的高度跌倒所致的骨折。 Presence of a “fragility” fracture. Fracture due to minimal trauma, such as after fall from standing height or less. * O