[Daily practice using the guidelines for prevention and treatment of osteoporosis. Semi-quantitative method in the assessment of vertebral fracture].
Assessment of vertebral fracture based on a thoraco-lumbar spine radiographs is a good tool to evaluate the risk of incident fracture. Presence of vertebral fracture indicates 4 to 7 fold increase of risk of future fracture. However, vertebral fracture are often underdiagnosed. Quantitative (QM) and semi-quantitative (SQ) methods are designed for the assessment of prevalent and incident fracture. The advantages of SQ method are more convenient and reproducible as well as more excellent in the assessment of the risk of future fracture compared to QM. It should be recognized that untrained SQ reader produce a high false negative of grade 1 (mild fracture).
Ito
Masako
M
Nagasaki University Hospital, Division of Radiology.
Chiba
Kou
K
D005260:Female; D006801:Humans; D015588:Observer Variation; D010024:Osteoporosis / Q000150:complications / Q000000981:diagnostic imaging*; D011859:Radiography / Q000379:methods; D012306:Risk; D012720:Severity of Illness Index; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000209:etiology; D013131:Spine / Q000000981:diagnostic imaging*