재활치료 환자에서 DXA를 이용한 요추부와 대퇴경부 골밀도 검사의 상관관계
Correlation Analysis of the Lumbar Spine and Femur Neck BMD using Dual Energy X-ray Absorptiometry in Rehabilitated Patients
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Average life expectancy is getting longer due to medical developments and improvements in living standards. So much so that the elderly have an increased risk of developing osteoporosis. Therefore, it is important to prevent, diagnose, and treat the senile disease at an early stage through a bone density test. Bone density is measured by dual energy X-ray absorption (DXA). In this study, while using DXA, in cases when the measurements for both the lumbar and the femur could not be taken simultaneously, the correlation between both measurements were known, and the measurement of one area was used to make a clinical inference for the value of the other. Measurements were taken using Lunar Prodigy Advance (GE) for 43 participant with clinically significant fractures. Statistical calculations were produced and analysed regarding bone density. In case of T-score, lumbar spine produced a statistical result of -2.112±1.836 and femur neck was -1.716±1.565. In case of Z-score lumbar spine produced a statistical result of -0.151±1.513, and femur neck -0.026±1.283. It is indicated that the pearson correlation coefficient of T-score between lumbar spine and femur neck is high at 0.699, and the pearson correlation coefficient of Z-score is considered relatively high at 0.503. The correlation of bone density between lumbar spine and femur neck is shown to be statistically meaningful in T-score’s p-value at 0.000 and Z-score’s p-value at 0.001. In conclusion, it seems to have clinical usefulness that we can infer the result of one measurement through that of the other part tested, based on the knowledge of the correlation coefficients between lumbar spine and femur neck.
Abstract
Average life expectancy is getting longer due to medical developments and improvements in living standards. So much so that the elderly have an increased risk of developing osteoporosis. Therefore, it is important to prevent, diagnose, and treat the senile disease at an early stage through a bone density test. Bone density is measured by dual energy X-ray absorption (DXA). In this study, while using DXA, in cases when the measurements for both the lumbar and the femur could not be taken simultaneously, the correlation between both measurements were known, and the measurement of one area was used to make a clinical inference for the value of the other. Measurements were taken using Lunar Prodigy Advance (GE) for 43 participant with clinically significant fractures. Statistical calculations were produced and analysed regarding bone density. In case of T-score, lumbar spine produced a statistical result of -2.112±1.836 and femur neck was -1.716±1.565. In case of Z-score lumbar spine produced a statistical result of -0.151±1.513, and femur neck -0.026±1.283. It is indicated that the pearson correlation coefficient of T-score between lumbar spine and femur neck is high at 0.699, and the pearson correlation coefficient of Z-score is considered relatively high at 0.503. The correlation of bone density between lumbar spine and femur neck is shown to be statistically meaningful in T-score’s p-value at 0.000 and Z-score’s p-value at 0.001. In conclusion, it seems to have clinical usefulness that we can infer the result of one measurement through that of the other part tested, based on the knowledge of the correlation coefficients between lumbar spine and femur neck.
참고문헌 (14)
- 정책연구원, "여성이 남성보다 13.4배 많은 골다공증, 봄철 산행시 낙상사고 주의하고, 생활습관 개선 및 운동으로예방해야", 건강보험관리공단, ~ (2015)
- Blake GM, "Bone densitometry and the diagnosis of osteoporosis", Semin Nucl Med, 31(1), pp.69~81 (2001)
- 동경래, "골밀도검사의 올바른 질 관리에 따른 임상적용과 해석-이중 에너지 방사선 흡수법을 중심으로-", 방사선기술과학, 31(1), pp.17~24 (2008), 대한방사선과학회
- Fiter J., "A comparative study of computed digital absorptiometry and conventional dual-energy X-ray absorptiometry in postmenopausal women", Osteoporos Int, 12(7), pp.565~569 (2001)
- 한만석, "이중에너지 X-ray 흡수법을 적용한 근위 대퇴골 및 요추부 골밀도 검사의 상관관계 분석", 한국컴퓨터정보학회논문지, 17(9), pp.165~169 (2012), 한국컴퓨터정보학회
- Jang JS, "Comparative Study of Femur BMD and Lumbar BMD Measurement Using Dual Energy X-ray Absorptiometry in Proximal Femur Fractures", Korean J. Bone metab, 3(1), pp.170~173 (1996)
- Kendler DL, "Effect of calcium tablets on interpretation of lumbar spine DXA scans", J. Clin. Densitom, 9(1), pp.97~104 (2006)
- 김은혜, "A Study on the Effects of a Calcium Drug on the Bone Mineral Density (BMD) by Using Dual-energy X-ray Absorptiometry (DXA)", Journal of the Korean Physical Society, 61(11), pp.1889~1897 (2012), 한국물리학회
- 김은혜, "Assessment of the Effect of Bone Density and Soft Tissue Thickness on Phantom Measurements", Journal of the Korean Physical Society, 57(5), pp.1263~1269 (2010), 한국물리학회
- 김호성, "골밀도 검사의 재검사 방지에 따른 업무효율 향상", 한국콘텐츠학회 논문지, 9(5), pp.174~181 (2009), 한국콘텐츠학회
- 김호성, "골밀도 검사에서 환자 자세 변경 최소화에 따른 수검자의 불필요한 피폭선량 감소 및 생산성 향상", 한국콘텐츠학회 논문지, 9(4), pp.228~235 (2009), 한국콘텐츠학회
- 김호성, "골밀도 측정의 정확한 정도관리방법 ― 이중 에너지 방사선 흡수법을 중심으로 ―", 방사선기술과학, 32(4), pp.361~370 (2009), 대한방사선과학회
- Yang JY, "Correlation analysis of BMD in proximal femur and spine", J Korean Soc. Fract, 16(3), pp.440~446 (1996)
- Yoo MC, "Bone mineral density and fracture threshold in the patients with femoral neck & intertrochanteric fractures due to osteoporosis", J Orthop. Assoc, 28(5), pp.1851~1965 (1993)