Evidence map›Paper›PMID 38057601›Full record

ArticleJournal of bone and mineral metabolism2024

The effect of forearm rotation on the bone mineral density measurements of the distal radius.

Keisuke Uemura, Satoshi Miyamura, Yoshito Otake, Hirokazu Mae, Kazuma Takashima, Hidetoshi Hamada, Kosuke Ebina, Tsuyoshi Murase, Yoshinobu Sato, Seiji Okada

Abstract read
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In one paragraph

Article in Journal of bone and mineral metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Letter to the Editor regarding "Associations between ultra-distal forearm bone mineral density and incident fracture in women".Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Keisuke UemuraDepartment of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. surmountjp@gmail.com.ORCID http://orcid.org/0000-0002-9245-1743
Satoshi MiyamuraDepartment of Orthopaedics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.ORCID http://orcid.org/0000-0002-2245-5554
Yoshito OtakeDivision of Information Science, Graduate School of Science and Technology, Nara Institute of Science and Technology, Ikoma, Nara, Japan.ORCID http://orcid.org/0000-0003-1291-9316
Hirokazu MaeDepartment of Orthopaedics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.ORCID http://orcid.org/0009-0000-4617-0409
Kazuma TakashimaDepartment of Orthopaedics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.ORCID http://orcid.org/0009-0008-4376-8075
Hidetoshi HamadaDepartment of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.ORCID http://orcid.org/0000-0003-3652-9400
Kosuke EbinaDepartment of Orthopaedics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.ORCID http://orcid.org/0000-0002-2426-1024
Tsuyoshi MuraseDepartment of Orthopaedics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.ORCID http://orcid.org/0000-0001-5628-5891
Yoshinobu SatoDivision of Information Science, Graduate School of Science and Technology, Nara Institute of Science and Technology, Ikoma, Nara, Japan.ORCID http://orcid.org/0000-0001-6199-3681
Seiji OkadaDepartment of Orthopaedics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.ORCID http://orcid.org/0000-0002-5107-8209

Funding

Japanese Orthopaedic Association JOA-Subsidized Science Project Research: grant number 2023-2Japan Society for the Promotion of Science 19H01176Japan Society for the Promotion of Science 20H04550Japan Society for the Promotion of Science 21K16655
6 · The paper itself

Abstract

introductionForearm dual-energy X-ray absorptiometry (DXA) is often performed in clinics where central DXA is unavailable. Accurate bone mineral density (BMD) measurement is crucial for clinical assessment. Forearm rotation can affect BMD measurements, but this effect remains uncertain. Thus, we aimed to conduct a simulation study using CT images to clarify the effect of forearm rotation on BMD measurements. MATERIALS AND

methodsForearm CT images of 60 women were analyzed. BMD was measured at the total, ultra-distal (UD), mid-distal (MD), and distal 33% radius regions with the radius located at the neutral position using digitally reconstructed radiographs generated from CT images. Then, the rotation was altered from - 30° to 30° (supination set as positive) with a one-degree increment, and the percent BMD changes from the neutral position were quantified for all regions at each angle for each patient.

resultsThe maximum mean BMD changes were 5.8%, 7.0%, 6.2%, and 7.2% for the total, UD, MD, and distal 33% radius regions, respectively. The analysis of the absolute values of the percent BMD changes from the neutral position showed that BMD changes of all patients remained within 2% when the rotation was between - 5° and 7° for the total region, between - 3° and 2° for the UD region, between - 4° and 3° for the MD region, and between - 3° and 1° for the distal 33% radius region.

conclusionSubtle rotational changes affected the BMD measurement of each region. The results showed the importance of forearm positioning when measuring the distal radius BMD.

Indexed as

ForearmRadiusAbsorptiometry, PhotonBone DensityFemaleHumansDual-energy X-ray absorptiometryOne-third distal radiusPatient positioningPeripheral DXAQuantitative computed tomography

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.