一个超声波装置测量骨矿物质密度的有效性
Jessica L Puranda1, Chris M Edwards1, Vinicius M R Weber2
1School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
概括
便携式UltraScan650TM显示了测量骨矿物质密度 (BMD) 的良好可靠性,但不是DXA的有效诊断替代品. 它可以作为具有线性转换的选工具.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 生物医学工程 生物医学工程
背景情况:
- 骨矿物质密度 (BMD) 评估对于诊断骨质疏松症至关重要.
- 双能X射线吸收计 (DXA) 是测量BMD的黄金标准.
- 便携式超声波设备提供了可访问的BMD查的潜力.
研究的目的:
- 为了评估UltraScan650TM在1/3半径测量BMD的有效性和可靠性.
- 将UltraScan650TM测量与DXA在女性急救人员和医疗保健提供者的队列中进行比较.
主要方法:
- 52名女性参与者接受了使用DXA和UltraScan650TM的BMD评估.
- 使用皮尔森相关性,布兰德-阿尔特曼图和t测试来评估有效性.
- 使用类内相关系数 (ICC) 评估可靠性.
主要成果:
- 超扫描650TM表现出良好的评分器间可靠性 (ICC=0.896) 和出色的重复性 (ICC=0.917).
- 通过UltraScan650TM测量BMD显示与DXA的相关性很弱 (r=0.382) 和低估的BMD.
- 一个线性转换改进了协议,表明了选使用的潜力.
结论:
- 在诊断环境中,UltraScan650TM不是DXA的有效替代品.
- 该设备具有良好的可靠性,在采用线性转换时可以作为临床或研究选工具.
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