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Sonographic cortical bone thickness measurement: can it predict bone mineral density in the pediatric population?
Uğur Ufuk Işın1, Emin Çakmakçı2, Ayşe Derya Buluş3
1University of Health Sciences Türkiye, Atatürk Sanatorium Training and Research Hospital, Clinic of Pediatrics, Ankara, Türkiye
Insights
Sonographic cortical bone thickness (CoT) measurements in children do not correlate with bone mineral density (BMD). Therefore, CoT is not a reliable indicator for assessing pediatric osteoporosis.
Area of Science:
- Pediatric Radiology
- Orthopedics
- Bone Health
Background:
- Pediatric osteoporosis diagnosis relies on bone mineral density (BMD) measurements.
- Non-invasive methods for assessing pediatric bone health are needed.
- Cortical bone thickness (CoT) shows promise in adult bone assessment.
Purpose of the Study:
- To evaluate sonographic cortical bone thickness (CoT) as a potential screening tool for pediatric osteoporosis.
- To determine the correlation between CoT and bone mineral density (BMD) in children.
Main Methods:
- Prospective study involving 41 osteopenic/osteoporotic children and 52 healthy controls.
- Measured radius (R-CoT), tibial (T-CoT), and second metatarsal (M-CoT) cortical thickness using B-mode ultrasound.
- Compared CoT values between groups and correlated with BMD T-scores.
Main Results:
- No significant differences in R-CoT, T-CoT, or M-CoT between patient and control groups.
- No significant correlations were found between BMD T-scores and any of the measured CoT values (R-CoT, T-CoT, M-CoT).
Conclusions:
- Sonographic CoT measurements do not correlate with BMD in the pediatric population.
- Cortical bone thickness measured by ultrasound is not a suitable indicator for assessing BMD or diagnosing osteoporosis in children.
Purpose:
To explore sonographic cortical bone thickness (CoT) as a potential indicator of bone mineral density (BMD) measured by dual-energy X-ray absorptiometry for screening and diagnosing pediatric osteoporosis.
Methods:
A prospective study included 41 osteopenic or osteoporotic patients and 52 healthy children. Radius cortical thickness (R-CoT), tibial cortical thickness (T-CoT), and second metatarsal cortical thickness (M-CoT) were measured by B-mode ultrasound; CoT values were compared between groups and the correlation between BMD and CoT was examined.
Results:
There were no significant differences in R-CoT (P = 0.433), T-CoT (P = 0.057), and M-CoT (P = 0.978) values between the patient and control groups. No significant correlations were found between BMD T-scores and R-CoT (r = -0.073, P = 0.490), T-CoT (r = -0.154, P = 0.141), and M-CoT (r = 0.047, P = 0.657) values.
Conclusion:
Sonographic CoT values in children do not correlate with BMD values. Unlike in adults, sonographic CoT measurements do not appear to have a role in assessing BMD in the pediatric population.
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