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Current Rheumatology Reports

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01.12.2018 | Imaging (D Mintz, Section Editor)

Opportunistic Screening for Osteoporosis Using Computed Tomography: State of the Art and Argument for Paradigm Shift

verfasst von: Leon Lenchik, Ashley A. Weaver, Robert J. Ward, John M. Boone, Robert D. Boutin

Erschienen in: Current Rheumatology Reports | Ausgabe 12/2018

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Abstract

Purpose of Review

Osteoporosis is disproportionately common in rheumatology patients. For the past three decades, the diagnosis of osteoporosis has benefited from well-established practice guidelines that emphasized the use of dual x-ray absorptiometry (DXA). Despite these guidelines and the wide availability of DXA, approximately two thirds of eligible patients do not undergo testing. One strategy to improve osteoporosis testing is to employ computed tomography (CT) examinations obtained as part of routine patient care to “opportunistically” screen for osteoporosis, without additional cost or radiation exposure to patients. This review examines the role of opportunistic CT in the evaluation of osteoporosis.

Recent Findings

Recent evidence suggests that opportunistic measurement of bone attenuation (radiodensity) using CT has sensitivity comparable to DXA. More importantly, such an approach has been shown to predict osteoporotic fractures.

Summary

The paradigm shift of using CTs obtained for other reasons to opportunistically screen for osteoporosis promises to substantially improve patient care.

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Titel: Opportunistic Screening for Osteoporosis Using Computed Tomography: State of the Art and Argument for Paradigm Shift
verfasst von: Leon Lenchik
Ashley A. Weaver
Robert J. Ward
John M. Boone
Robert D. Boutin
Publikationsdatum: 01.12.2018
Verlag: Springer US
Erschienen in: Current Rheumatology Reports / Ausgabe 12/2018
Print ISSN: 1523-3774
Elektronische ISSN: 1534-6307
DOI: https://doi.org/10.1007/s11926-018-0784-7

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Weitere Artikel der Ausgabe 12/2018

Bridging the Gaps in the Care of Psoriasis and Psoriatic Arthritis: the Role of Combined Clinics

Use of Physical Activity Monitors in Rheumatic Populations

Radiographic Progression in Ankylosing Spondylitis: From Prognostication to Disease Modification

Cardiovascular and Metabolic Comorbidities in Rheumatoid Arthritis

Clinical Perspective on Pain and Pain Phenotypes in Osteoarthritis