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Related Experiment Videos

Conversion relations for quantitative CT bone mineral densities measured with solid and liquid calibration standards.

M M Goodsitt1

  • 1Department of Radiology, University of Washington, Seattle.

Bone and Mineral
|November 1, 1992
PubMed
Summary

New solid calibration standards for bone mineral density (BMD) measurements using quantitative CT (QCT) are effective. Conversion relations derived are independent of body size and marrow composition, depending primarily on X-ray tube voltage.

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Area of Science:

  • Medical Physics
  • Radiology
  • Biomedical Engineering

Background:

  • Quantitative CT (QCT) bone mineral density (BMD) measurements traditionally use K2HPO4 in liquid standards.
  • Recently introduced hydroxyapatite in water-equivalent plastic (solid) standards offer greater stability.
  • Deriving conversion relations is crucial for integrating these new solid standards into existing QCT protocols.

Purpose of the Study:

  • To investigate the dependence of conversion relations between liquid and solid QCT calibration standards.
  • To assess the influence of X-ray tube voltage, marrow composition, and patient body size on these relations.
  • To establish reliable methods for utilizing stable solid standards in BMD assessment.

Main Methods:

  • Utilized five diverse composition vertebral marrow inserts and a Humanoid phantom with an L1 vertebra.

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  • Acquired QCT data using a GE 9800 scanner at 80 kVp and 140 kVp (single-energy) and dual-energy modes.
  • Manufactured calibration standards from Image Analysis using hydroxyapatite (solid) and K2HPO4 (liquid) references.
  • Main Results:

    • Achieved high correlation (r > 0.999) and low SEE (< 2 mg/ml) between liquid and solid referenced BMD measurements.
    • Conversion slopes were consistent across different body sizes, indicating independence from this factor.
    • Conversion relations demonstrated dependence on X-ray tube voltage (kVp) but were largely independent of marrow composition.

    Conclusions:

    • Established reliable conversion relations for using stable hydroxyapatite solid standards in QCT BMD measurements.
    • Conversion accuracy is primarily dependent on X-ray tube voltage (kVp), not patient size or marrow type.
    • While solid standards offer stability, potential issues requiring further discussion exist.