CT densitometry in osteoporosis : the impact on management of the patient
著者
書誌事項
CT densitometry in osteoporosis : the impact on management of the patient
(Series in radiology, 9)
M. Nijhoff , Distributors for the U.S. and Canada, Kluwer Academic Publishers, 1984
- タイトル別名
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C.T. densitometry in osteoporosis
大学図書館所蔵 全3件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
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  アメリカ
注記
Bibliography: p. [100]-105
Includes index
***遡及データをもとにした流用入力である
内容説明・目次
内容説明
In 1977 a Philips Tomoscan 200, second generation, whole body CT scanner was installed at the Department of Radiodiagnosis of the University Hospital of Utrecht (The Netherlands) and its new possibilities concerning the measurements of bone mineral content (BMC) had been considered. As a result of the close cooperation between the Clinical Research Group for Bone Metabolism and the Department of Radiodiagnosis of the University Hospital of Utrecht a new project was started. The aim of a pilot study was to investigate the application of CT scanning in BMC determination in comparison with existing parameters such as histovolumetric measurements in transiliac bone biopsy specimens, morphometric measurements in hand X-ray films and other methods. In 1979 a Philips Tomoscan 300, third generation CT scanner became available. With this new scanner many problems of the Tomoscan 200 seemed to be solved. An examination protocol was designed with a standardized method for CT mea- surements and a follow-up study was started. On account of the availability and the participation of a number of patients it became possible to realize this study.
The results made it possible to draw conclusions concerning CT densitometry, with an impact on the management of the osteoporotic patient. A new dimension is added to the diagnostic procedures concerning osteoporosis and to the methods for measuring the effect of therapeutic regimes. Our aim is to offer the reader insight in the possibilities and limitations of this technique, compared with other parameters in BMC determination.
目次
1. Introduction.- 2. Bone anatomy, physiology and pathology.- Bone anatomy.- Physiology of bone.- Pathology of bone.- 3. Review of literature concerning BMC determination.- Conventional methods.- Photon absorptiometry.- Computed tomography.- Summary.- 4. Methods in CT densitometry.- Principles of CT scanning.- The Philips Tomoscan 300.- Performance of CT densitometry.- 5. Problems and errors.- Device-dependent problems.- Patient-dependent problems.- Personnel-dependent problems.- 6. Phantom studies.- Reliability of the method.- Determination of accuracy and precision.- Translation of HU in terms of BMC.- Dosimetry.- 7. The spine in osteoporosis.- Discussion on osteoporotic changes in general.- Frequency of vertebral collapse.- 8. Methods and material.- Methods.- Material.- 9. Results.- Comments.- 10. Assessment of hypothetically normal values.- 11. Correlation between CT densitometry and other measurements of BMC.- Correlation between CT densitometry and spine score determinations.- Correlation between CT densitometry and metacarpal index estimation.- Correlation between CT densitometry and histologic densitometry.- Comments.- 12. CT densitometry as a prediction for vertebral fractures.- 13. Correlation between mean CT density values in different vertebrae.- 14. The effects of sodium fluoride therapy.- The effect of sodium fluoride therapy measured by CT.- The effect of sodium fluoride therapy measured by histomorphometry.- 15. Management of the patient with osteoporosis.- Complaints.- History taking.- Physical examination.- Diagnostic considerations.- Laboratory examinations.- Orientation on calcium and bone metabolism.- Roentgen diagnosis.- Bone biopsy.- Treatment.- Risks of the therapy.- 16. Summary and conclusions.- Questions.- Conclusions.- References.- Index of subjects.
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