Comparison of Frontal and Lateral Measurements of Bone Mineral Density of the Lumbar Spine with Dual-energy X-ray Absorptiometry (DXA) in Spinal Deformity: a Phantom Study

The bone mineral density (BMD) measurement of the lumbar spine with dual-energy X-ray absorptiometry (DXA) has the advantage of being able to detect early changes in BMD, which is usually used for the evaluation of drug therapy. However, DXA is not considered suitable for spinal deformity because it...

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Veröffentlicht in:Japanese Journal of Radiological Technology 2022/02/20, Vol.78(2), pp.171-179
Hauptverfasser: Takeya, Mei, Ishida, Satoru, Tozawa, Mitsuyuki, Inaoka, Tsutomu, Terada, Hitoshi
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container_end_page 179
container_issue 2
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container_title Japanese Journal of Radiological Technology
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creator Takeya, Mei
Ishida, Satoru
Tozawa, Mitsuyuki
Inaoka, Tsutomu
Terada, Hitoshi
description The bone mineral density (BMD) measurement of the lumbar spine with dual-energy X-ray absorptiometry (DXA) has the advantage of being able to detect early changes in BMD, which is usually used for the evaluation of drug therapy. However, DXA is not considered suitable for spinal deformity because it is a two-dimensional measurement. The aims of this study were to compare frontal and lateral measurements with a phantom and to examine the possibility of the evaluation of lumbar spine BMD in spinal deformity. The values of frontal and lateral measurements were compared when the lumbar phantom was tilted by 10 degrees from 0 to 40 degrees, assuming kyphosis, and when it was tilted by 5 degrees from 0 to 10 degrees to the right and left, assuming scoliosis. We revealed that in the case of kyphosis, the frontal is more accurate, and in the case of scoliosis, the lateral is more accurate; small rotation of subjects on the plane parallel to the image receiving surface could be acceptable. In general, the two-directional BMD measurement is useful for the improvement of the accuracy and may have a potential to measure patients with spinal deformity, which was previously thought to be impossible.
doi_str_mv 10.6009/jjrt.780207
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subjects Absorptiometry, Photon - methods
Bone Density
Bone mineral density
bone mineral density (BMD)
Chemotherapy
Dimensional measurement
Drug therapy
Dual energy X-ray absorptiometry
dual-energy X-ray absorptiometry (DXA)
Energy
Evaluation
Humans
Kyphosis
Lumbar Vertebrae - diagnostic imaging
Phantoms, Imaging
Scoliosis
spinal deformity
Spine
Spine (lumbar)
title Comparison of Frontal and Lateral Measurements of Bone Mineral Density of the Lumbar Spine with Dual-energy X-ray Absorptiometry (DXA) in Spinal Deformity: a Phantom Study
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