A quantitative ultrasound approach to estimate bone fragility: A first comparison with dual X-ray absorptiometry

Abstract

Aim of this paper was to assess the discrimination power of a novel ultrasound (US) parameter, called theFragility Score (F.S.), in the early identification of subjects prone to osteoporotic fractures. A total of 102female patients were recruited: 49 with a recent osteoporotic fracture (''frail" subjects), 53 were controlswithout fracture history (''non-frail" subjects). All the patients underwent a spinal DXA (dual X-rayabsorptiometry) and an abdominal US scan of lumbar vertebrae. Acquired US data were analyzed by anovel algorithm, which calculated the F.S. through spectral and statistical analyses involving both echographicimages and corresponding ''raw" signals. F.S. showed a good performance in discriminating ''frail"from ''non-frail" subjects (sensitivity = 76%, specificity = 68%), resulting even slightly more effective thanDXA-measured BMD (sensitivity = 73%, specificity = 66%). This methodology has a potential to become aneffective tool for the early identification, and timely treatment, of ''frail" subjects.


Tutti gli autori

  • P. Pisani; A. Greco; F. Conversano; M.D. Renna; E. Casciaro; L. Quarta; D. Costanza; M. Muratore; S. Casciaro

Titolo volume/Rivista

Measurement


Anno di pubblicazione

2016

ISSN

0263-2241

ISBN

Non Disponibile


Numero di citazioni Wos

Nessuna citazione

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Numero di citazioni Scopus

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Settori ERC

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Codici ASJC

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