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Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey
Background: The aim of the current study is to determine the relationship between osteoporosis findings in plain X-ray and dual-energy X-ray absorptiometry (DXA) measurement results and to create an alternative diagnostic method for osteoporosis without DXA measurement when necessary. Methods: DXA v...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10417530/ https://www.ncbi.nlm.nih.gov/pubmed/37568882 http://dx.doi.org/10.3390/diagnostics13152519 |
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author | Ilyas, Gokhan Ipci, Fikri Burak |
author_facet | Ilyas, Gokhan Ipci, Fikri Burak |
author_sort | Ilyas, Gokhan |
collection | PubMed |
description | Background: The aim of the current study is to determine the relationship between osteoporosis findings in plain X-ray and dual-energy X-ray absorptiometry (DXA) measurement results and to create an alternative diagnostic method for osteoporosis without DXA measurement when necessary. Methods: DXA values and hip radiographs of 156 patients were retrospectively analyzed. Singh index (SI), Dorr index (DI), cortical thickness index (CTI), and canal-to-calcar ratio (CCR) measurements from both plain hip radiographs were determined by two observers. The correlation of the DXA parameters (hip total T-score, femoral neck T-score, hip total Z-score, hip total bone mineral density [BMD], and femoral neck BMD) and osteoporosis markers on plain hip radiography (SI, DI, CTI, and CCR) was calculated. In addition, patients were evaluated by dividing them into three groups according to the level of their T-scores (normal, osteopenia, and osteoporosis). In addition, cut-off values were calculated for CTI and CCR. Results: The mean age was 68.27 ± 8.27 (50–85) years. There was a strong correlation between hip total T-score values and SI, DI, and CTI (r = 0.683, −0.667, and 0.632, respectively), and a moderate correlation (r = −0.495) with CCR. When both hips were compared, there were strong correlations between radiographic parameters (r = 0.942 for SI, 0.858 for DI, 0.957 for CTI, and 0.938 for CCR, all with p < 0.001). When patients divided into three groups according to the T-score level were compared in terms of SI, DI, CTI, and CCR, it was found to be directly related to osteoporosis level (all p < 0.001). In the differentiation of osteopenia and osteoporosis, the cut-off values were 50.4 degrees for CTI and 60.3 degrees for CCR. Conclusion: Good correlations between hip total T-score values and SI, DI, CTI, and CCR (r = 0.683, −0.667, 0.632, and −0.495, respectively) indicate that the presence of osteoporosis can be detected by hip radiography findings without DXA. |
format | Online Article Text |
id | pubmed-10417530 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104175302023-08-12 Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey Ilyas, Gokhan Ipci, Fikri Burak Diagnostics (Basel) Article Background: The aim of the current study is to determine the relationship between osteoporosis findings in plain X-ray and dual-energy X-ray absorptiometry (DXA) measurement results and to create an alternative diagnostic method for osteoporosis without DXA measurement when necessary. Methods: DXA values and hip radiographs of 156 patients were retrospectively analyzed. Singh index (SI), Dorr index (DI), cortical thickness index (CTI), and canal-to-calcar ratio (CCR) measurements from both plain hip radiographs were determined by two observers. The correlation of the DXA parameters (hip total T-score, femoral neck T-score, hip total Z-score, hip total bone mineral density [BMD], and femoral neck BMD) and osteoporosis markers on plain hip radiography (SI, DI, CTI, and CCR) was calculated. In addition, patients were evaluated by dividing them into three groups according to the level of their T-scores (normal, osteopenia, and osteoporosis). In addition, cut-off values were calculated for CTI and CCR. Results: The mean age was 68.27 ± 8.27 (50–85) years. There was a strong correlation between hip total T-score values and SI, DI, and CTI (r = 0.683, −0.667, and 0.632, respectively), and a moderate correlation (r = −0.495) with CCR. When both hips were compared, there were strong correlations between radiographic parameters (r = 0.942 for SI, 0.858 for DI, 0.957 for CTI, and 0.938 for CCR, all with p < 0.001). When patients divided into three groups according to the T-score level were compared in terms of SI, DI, CTI, and CCR, it was found to be directly related to osteoporosis level (all p < 0.001). In the differentiation of osteopenia and osteoporosis, the cut-off values were 50.4 degrees for CTI and 60.3 degrees for CCR. Conclusion: Good correlations between hip total T-score values and SI, DI, CTI, and CCR (r = 0.683, −0.667, 0.632, and −0.495, respectively) indicate that the presence of osteoporosis can be detected by hip radiography findings without DXA. MDPI 2023-07-28 /pmc/articles/PMC10417530/ /pubmed/37568882 http://dx.doi.org/10.3390/diagnostics13152519 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ilyas, Gokhan Ipci, Fikri Burak Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey |
title | Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey |
title_full | Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey |
title_fullStr | Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey |
title_full_unstemmed | Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey |
title_short | Evaluation of the Relationship between Osteoporosis Parameters in Plain Hip Radiography and DXA Results in 156 Patients at a Single Center in Turkey |
title_sort | evaluation of the relationship between osteoporosis parameters in plain hip radiography and dxa results in 156 patients at a single center in turkey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10417530/ https://www.ncbi.nlm.nih.gov/pubmed/37568882 http://dx.doi.org/10.3390/diagnostics13152519 |
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