ArticleClinics in orthopedic surgery2018
Cortical Thickness Index of the Proximal Femur: A Radiographic Parameter for Preliminary Assessment of Bone Mineral Density and Osteoporosis Status in the Age 50 Years and Over Population.
Article in Clinics in orthopedic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.
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Who cites it
57 citing papers in PubMed, 88 citations in OpenAlex.
- Radiographic Cortical Thickness Index Predicts Fragility Fracture in Gaucher Disease.Radiology · 2023Trial
- Cortical indices, DXA, and FRAX as indicators of bone fragility: a comparative human cadaveric study.JBMR plus · 2026Article
- Automated Cortical Thickness Index Measurement in Pelvic Radiographs Using a Multi-Stage Deep Learning Framework.Journal of imaging informatics in medicine · 2026Article
- Radiographic Indices for Osteoporosis Screening Using CTI and CCR in Resource-Limited Settings: A Literature Review.Diagnostics (Basel, Switzerland) · 2026Review
- Hip anteroposterior radiographic indices for effective osteoporosis screening in female patients undergoing total hip arthroplasty.Archives of osteoporosis · 2026Article
- Prevalence of Sarcopenia in Patients with Hip Osteoarthritis Undergoing Total Hip Arthroplasty: A Cross-Sectional Study Based on EWGSOP2 Criteria.Journal of clinical medicine · 2026Article
- Correlation between perioperative surgical factors and implant-related complications in the basicervical fractures of femoral neck treated with proximal femoral nail antirotation: a retrospective review study in 149 elderly patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Osteoporosis and osteoporosis therapies as determinants of implant fixation failure in arthroplasty and spinal fusion constructs: a position statement from the Fracture Working Group of the Council of Scientific Advisors of the International Osteoporosis Foundation.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Review
- Reliability of methods in assessing proximal femur bone quality for hip prosthesis selection.Scientific reports · 2026Article
- Association between femoral cortical thickness index and hip fracture in older persons.Archives of osteoporosis · 2026Article
- Deep Learning for Osteoporosis Diagnosis Using Magnetic Resonance Images of Lumbar Vertebrae.Journal of imaging informatics in medicine · 2026Article
- Femoral neck-specific cortical thickness predicts internal fixation complications across adults with implications for elderly surgical decision-making.Frontiers in medicine · 2026Article
- Deltoid Tuberosity Index as a Predictor of Hip Fracture Risk in Older Adults.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Trends of incidence and 1-year mortality of vertebral fractures in Korea using nationwide claims data.Archives of osteoporosis · 2025Article
- Osteoporosis prediction from hand X-ray images using segmentation-for-classification and self-supervised learning.Scientific reports · 2025Article
- Femoral cortical thickness index in a population of dogs undergoing total hip replacement.Veterinary surgery : VS · 2025Article
- Lower cortical thickness index does not correlate with increased surgical complications in proximal femoral fractures: a clinical and radiological study.Scientific reports · 2025Article
- Femoral stem subsidence after uncemented total or hemiarthroplasty for femoral neck fractures does not correlate with local femoral bone quality evaluated by Dorr and cortical thickness index.Archives of orthopaedic and trauma surgery · 2025Article
- Predicting mechanical complications in proximal femoral nailing for elderly patients: a radiological scoring system based on a single-centre retrospective cohort with 586 cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Intra-Individual Differences of the Femoral Cortical Thickness Index in Elderly Patients with a Proximal Femoral Fracture.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBone mineral density (BMD) is the indicator of bone quality in at-risk individuals. Along with the fracture risk assessment tool (FRAX), a quick assessment of BMD from routine radiographs may be useful in the case of lacking X-ray absorptiometry data. This study aimed to investigate the correlation of cortical thickness index (CTI) and canal flare index (CFI) with BMD and FRAX and to evaluate their ability to predict femoral neck BMD (nBMD) and FRAX in the general elderly population.
methodsA total of 560 volunteers (age ≥ 50 years) who underwent hip-spine X-ray, BMD scanning and FRAX calculation were retrospectively reviewed. CTI and CFI were measured on anteroposterior radiographs and analyzed for their correlation with BMD and FRAX and for their ability to predict nBMD. The ability of CTI to predict osteoporosis status (OPS) and fracture risk status (FRS) was also investigated and the threshold values were calculated. All the analyses were performed separately on male and female subjects.
resultsSignificant differences in CTI, CFI, nBMD and FRAX between males and females were observed. CTI and CFI demonstrated significant positive correlation with nBMD and FRAX (all
conclusionsCTI was significantly correlated with nBMD and it predicted nBMD at good prediction levels. Therefore, CTI may be used as a supportive tool in the assessment of OPS and FRS besides BMD and FRAX in clinical practice.
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