Riassunto
L’osteoporosi sembra in grado di compromettere la stabilità dell’osso, che si evidenzia clinicamente con la frattura, agendo sia sulla densità minerale che sulla qualità dell’osso stesso. La ricerca tecnologica dedicata ha quindi focalizzato l’attenzione, oltre che sulle metodiche densitometriche tradizionali, anche su nuove metodiche non invasive, in grado di valutare non solo le caratteristiche densitometriche dell’osso ma anche quelle qualitative, come la microarchitettura.
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Bibliografia
Brown T, Ferguson A (1980) A mechanical property distributions in the cancellous bone of the human proximal femur. Acta Orthop Scand 51:429–437
Ciarelli MJ, Goldstein S, Kuhn J et al (1991) Evaluation of orthogonal mechanical properties and density of human trabecular bone from the major metaphyseal regions with materials testing and computed tomography. J Orthop Res 9:674–682
Martin R, Ishida J (1989) The relative effects of collagen fiber orientation, porosity, density, and mineralization on bone strength. J Biomech 22:419–426
Grynpas M ( 1993) Age and disease-related changes in the mineral of bone. Calcif Tissue Int 53(Suppl):S57–S64
Gibson L (2004) The mechanical behaviour of cancellous bone. J Biomech 18:317–328
Sakata S, Barkmann R, Lochmuller EV et al (2004) Assessing bone status beyond BMD: evaluation of bone geometry and porosity by quantitative ultrasound of human finger phalanges. J Bone Miner Res 19(6):924–930
Siegel IM, Anast GT, Fields T (1958) The determination of fracture healing by measurament of sound velocity across the fracture site. Surg Gynecol Obstet 107:327–333
Gluer CC (1997) Quantitative ultrasound techniques for the assessment of osteoporosis: expert agreement on current status. J Bone Miner Res 12:1280–1288
Kinsler LE, Frey AR, Coppens AB et al (1992) Fundamentals of Acoustics. Wiley, New York
Kotzki PO, Buyck D, Hans D et al (1994) Influence of fat on ultrasound measurements of the calcaneus. Calcif Tissue Int 54:91–95
Bambers JC, Tristam M (1988) Diagnostic ultrasound. In: Webb S (ed) The Physics of Medical Imaging. Adam Hilger, Bristol, pp 319–386
Wuster C, Albanese CV, De Aloysio D et al (2000) Phalangeal osteosonogrammetry study (PhOS): Age related changes, diagnostic sensitivity and discriminating power. J Bone Miner Res 15(8): 1603–1614
Evans WD, Jones EA, Owen GM (1995) Factors affecting the in vivo precision of broad-band ultrasonic attenuation. Phys Med Biol 40(1):137–151
Strelizki R, Clarke AJ, Truscott JE et al (1996) Ultrasonic measurament: an evaluation of three heel bone scanners compared with a bench-top system. Osteoporosis Int 6(6):471–479
Thiele DL (1987) Quality control in diagnostic radiology — A United States perspective. Australas Phys Engl Sci Med 19(2):97–105
Chappard C, Laugie P, Fournier B et al (1997) Assessment of the relationship between broadband ultrasound attenuation abd bone mineral density at the calcaneus using BUA imaging and DXA. Osteoporosis Int 7(4): 316–322
Barkmann R, Gluer C (1998) Factors influencing QUS parameters of the calcaneum: suggestions for an improved procedure. J Clin Densitom 1:93–104
Cheng S, Tylavsky F, Carbone L (1997) Utility of ultrasound to assess risk of fracture. J Am Geriatr Soc 45(11): 1382–1394
Gregg EW, Kriska AM, Salamone LM et al (1997) The epidemiology of quantitative ultrasound: a review of the relationships with bone mass, osteoporosis and fracture risk. Osteoporos Int 7(2):89–99
Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporos Int 7(1):7–22
Pocok NA, Noakes KA, Howard GM et al (1996) Screening for osteoporosis: what is the role of heel ultrasound? Med J Aust, 164(6):367–370
Langhton CM, Ballard PA, Langton DK et al (1997) Maximising the cost effectiveness of BMD referral for DXA using ultrasound as a selective population pre-screen. Technol Health Care, 5(3): 235–241
Albanese CV, Cepollaro C, de Terlizzi F, Brandi ML (2008) Performance of five QUS parameters in the evaluation of gonadal-status, age and vertebral fracture risk in comparison to DXA. Ultrasound Med Biol (in stampa)
Gluer C, Eastell R, Reid DM et al (2004) Association of five quantitative ultrsound devices and bone densitometry with osteoporotic vertebral fractures in a population-based sample: the OPUS Study. J Bone Min Res 19(5):782–793
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Albanese, C.V. (2009). Ultrasonografia ossea quantitativa. In: Osteoporosi e malattie metaboliche dell’osso. Springer, Milano. https://doi.org/10.1007/978-88-470-1357-5_42
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DOI: https://doi.org/10.1007/978-88-470-1357-5_42
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