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[Dual-photon absorptiometry: a new method of determining bone mineral content. I. Basic principles].

G Buttermann1, J Eiber, J Hennig

  • 1Nuklearmedizinische Klinik der Technischen Universität München, BRD.

Nuklearmedizin. Nuclear Medicine
|February 1, 1988
PubMed
Summary

Dual-photon absorptiometry (DPA) is a reliable method for early osteoporosis diagnosis. However, "normal" bone mineral content (BMC) values vary significantly, complicating individual risk assessment, especially in postmenopausal women.

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Area of Science:

  • Bone Densitometry
  • Osteoporosis Diagnosis
  • Medical Imaging

Background:

  • Dual-photon absorptiometry (DPA) is currently recommended for early osteoporosis detection due to its cost-effectiveness, low radiation, and reliability.
  • Assessing bone mineral content (BMC) is crucial for diagnosing and monitoring bone diseases.

Purpose of the Study:

  • To evaluate the effectiveness of DPA in determining bone mass in a cohort of males and females.
  • To identify the most suitable parameter for longitudinal and cross-sectional bone mass studies.
  • To address challenges in individual fracture risk assessment using DPA.

Main Methods:

  • Dual-photon absorptiometry (DPA) using 153Gd was employed to measure cortical and trabecular bone mass.
  • Bone mineral content (BMC) and BMC-area were determined in 545 females and 112 males.

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  • Measured "normal" values were compared with US inhabitants and Belgian data.
  • Main Results:

    • "Normal" BMC values in the study cohort were approximately 30% lower than those of US inhabitants but consistent with Belgian data.
    • BMC-area was identified as the most suitable parameter for both cross-sectional and longitudinal studies, being independent of height and weight.
    • Significant overlap in "normal" BMC values and wide variations, particularly in women due to menopause, complicate individual fracture risk assessment.

    Conclusions:

    • While DPA is valuable for osteoporosis diagnosis, improvements in accuracy and reproducibility are needed for shorter-interval assessments.
    • Individual fracture risk estimation requires careful consideration of the wide range of "normal" BMC values and menopausal status.
    • Normalizing BMC on age for elderly patients may lead to misclassification; comparing postmenopausal values to premenopausal averages or age-normalized values could be more informative.