ArticleBone & joint research2018
Radiographic predictors for bone mineral loss: Cortical thickness and index of the distal femur.
Article in Bone & joint research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Article
- Association between femoral cortical thickness index and hip fracture in older persons.Archives of osteoporosis · 2026Article
- Diagnostic utility of IBEX Bone Health for assessment of osteoporosis from knee radiographs.Frontiers in molecular biosciences · 2025Article
- Thickness of the hard palate : A new criterion for the diagnosis of osteoporosis?Radiologie (Heidelberg, Germany) · 2024Article
- A few-shot learning framework for the diagnosis of osteopenia and osteoporosis using knee X-ray images.The Journal of international medical research · 2024Article
- Article
- Cortical bone thickness on preoperative CT scans as predictor of bone quality in distal femur fractures: a retrospective study in Caucasians.Archives of orthopaedic and trauma surgery · 2024Article
- The medial cortical ratio as a risk factor for failure after surgical fixation of proximal humerus fractures in elderly patients.Joint diseases and related surgery · 2023Article
- Finite element analysis of medial closing and lateral opening wedge osteotomies of the distal femur in relation to hinge fractures.Journal of experimental orthopaedics · 2023Article
- Osteoporosis diagnosis in knee X-rays by transfer learning based on convolution neural network.Multimedia tools and applications · 2023Article
- Variance of radiographical alveolar bone mineral density by the anatomical morphology of mandibular bone.Heliyon · 2022Article
- Cortical bone thickness of the distal radius predicts the local bone mineral density.Bone & joint research · 2021Article
- Cortical bone thickness predicts the quantitative bone mineral density of the proximal humerus.Archives of osteoporosis · 2021Article
- The role of gut microbiota in bone homeostasis.Bone & joint research · 2021Article
- Relationship of sex steroid hormones with bone mineral density of the lumbar spine in adult men.Bone & joint research · 2020Article
- Is there a significant decrease in the femoral cortical bone around FurlongEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Is there a correlation between outcomes after hip arthroscopy for femoroacetabular impingement syndrome and patient cortical bone thickness?Journal of hip preservation surgery · 2019Article
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Authors and funding
7 authors.
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Abstract
objectivesResearchers continue to seek easier ways to evaluate the quality of bone and screen for osteoporosis and osteopenia. Until recently, radiographic images of various parts of the body, except the distal femur, have been reappraised in the light of dual-energy X-ray absorptiometry (DXA) findings. The incidence of osteoporotic fractures around the knee joint in the elderly continues to increase. The aim of this study was to propose two new radiographic parameters of the distal femur for the assessment of bone quality.
methodsAnteroposterior radiographs of the knee and bone mineral density (BMD) and T-scores from DXA scans of 361 healthy patients were prospectively analyzed. The mean cortical bone thickness (CBTavg) and the distal femoral cortex index (DFCI) were the two parameters that were proposed and measured. Intra- and interobserver reliabilities were assessed. Correlations between the BMD and T-score and these parameters were investigated and their value in the diagnosis of osteoporosis and osteopenia was evaluated.
resultsThe DFCI, as a ratio, had higher reliability than the CBTavg. Both showed significant correlation with BMD and T-score. When compared with DFCI, CBTavg showed better correlation and was better for predicting osteoporosis and osteopenia.
conclusionThe CBTavg and DFCI are simple and reliable screening tools for the prediction of osteoporosis and osteopenia. The CBTavg is more accurate but the DFCI is easier to use in clinical practice.
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