ArticleOsteoporosis and sarcopenia2018
Clinical significance of trabecular bone score for prediction of pathologic fracture risk in patients with multiple myeloma.
Article in Osteoporosis and sarcopenia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 5 citations in OpenAlex.
- Trabecular Bone Score as a Complementary Tool for the Assessment of Bone Mineral Density in Patients with Asymptomatic Monoclonal Gammopathies.Journal of clinical medicine · 2024Article
- Associations between bone mineral density, trabecular bone score, and body mass index in postmenopausal females.Osteoporosis and sarcopenia · 2020Article
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2 authors at 1 institution in 1 country.
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Abstract
objectivesOsteolytic bone lesions are common complications in multiple myeloma (MM), and can have an impact on quality of life due to the risk of fractures. Trabecular bone score (TBS) is a novel texture index derived from dual energy x-ray absorptiometry (DXA) of lumbar spine (LS) images that provides information about bone microarchitecture. The aim of this study was to evaluate whether TBS is useful in predicting bone fractures in MM patients.
methodsTBS was calculated retrospectively from existing DXA images of the LS, in 20 patients with newly diagnosed MM. We analyzed the development of fractures in these patients.
resultsThe median age of the patients was 66 years (range, 49-77 years). Osteolytic bone lesions were observed in 18 patients (90%) at the time of diagnosis. The median duration of follow-up was 40.0 months (95% confidence interval [CI], 33.2-46.2), 6 fracture events (long-bone fractures in 5 events, vertebral fracture in 1) occurred in 5 patients (25%). There were no significant differences between patients who experienced new onset fractures and patients who did not for all TBSs and T-scores, although the fracture group had lower levels than the no fracture group. However, among TBSs of individual LSs, only L2 showed significantly lower scores in patients who developed fractures (1.135 ± 0.085 [95% CI, 1.030-1.241] vs. 1.243 ± 0.169 [95% CI, 1.149-1.336], P = 0.032).
conclusionsTBS of the LS in MM patients may be helpful in predicting development of fractures; however, further investigation is needed.
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