Under-reporting of osteoporotic vertebral fractures on computed tomography

Williams, Alexandra L.; Al-Busaidi, Aisha; Sparrow, Patrick; Adams, Judith E.; Whitehouse, Richard W.

doi:10.1016/j.ejrad.2007.08.028

Cited by 116 publications

(80 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In recent years, many authors have investigated VFs using different imaging modalities, such as radiography, dual-energy Xray absorptiometry and CT [9,14,17,23].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reliability and accuracy of scout CT in the detection of vertebral fractures

Bazzocchi

Fuzzi

Garzillo

et al. 2013

BJR

View full text Add to dashboard Cite

Objective: The aim of the present study was to evaluate the reliability of scout CT (sCT) lateral radiograph, in terms of diagnostic accuracy and intra-and interobserver agreement in the detection of vertebral fractures (VFs). Methods: 300 CT examinations of the thoracic and/or lumbar spine were collected and independently analysed by 3 musculoskeletal radiologists in 2 different sessions. A semi-quantitative approach was used for VF assessment on sCT, and morphometric analysis was performed when a VF was suspected. Results of multiplanar sagittal CT reconstructions interpreted by the most expert radiologist were considered as gold standard. Arthrosis was also scored. Only vertebral bodies assessable by both sCT and gold standard were considered for the analysis. Area under the receiver operating characteristic curve (AUROC), Cohen's kappa statistic and linear-by-linear association were used for statistical analysis.

show abstract

“…In recent years, many authors have investigated VFs using different imaging modalities, such as radiography, dual-energy Xray absorptiometry and CT [9,14,17,23].…”

Section: Discussionmentioning

confidence: 99%

“…Results show that detection is still low when VFs are not the intent of the study [13,14]. Radiographs of the chest and abdomen, as well as CT sagittal multiplanar reconstructions (MPRs), have been considered [7,8,15,16] following the widespread use of CT imaging.…”

mentioning

confidence: 99%

Reliability and accuracy of scout CT in the detection of vertebral fractures

Bazzocchi

Fuzzi

Garzillo

et al. 2013

BJR

View full text Add to dashboard Cite

show abstract

“…Incidental osteoporotic VFs are usually under-reported on radiograph and CT (7)(8)(9)(10). The sensitivity of axial CT images in detecting these fractures is poor, sagittal reformation is recommended to improve the detection rate (10).…”

mentioning

confidence: 99%

Identifying osteoporotic vertebral endplate and cortex fractures

Wáng

Santiago

Deng

et al. 2017

Quant. Imaging Med. Surg.

View full text Add to dashboard Cite

“…Many vertebral fractures are never brought to clinical attention [4][5][6][7], and valid estimates of the prevalence of these fractures must be based on a radiographical survey of the population. Use of the term ''vertebral deformity'' is now standard in morphometric studies performed without reference to clinical presentation.…”

mentioning

confidence: 99%

High prevalence of vertebral deformities in COPD patients: relationship to disease severity

Kjensli

Falch²,

Ryg³

et al. 2009

European Respiratory Journal

View full text Add to dashboard Cite

Bone mineral density decreases with advancing chronic obstructive pulmonary disease (COPD) severity, but it is not known whether this is reflected in higher fracture rates. The present authors wanted to compare the prevalence of vertebral deformities in COPD patients with those in a population-based reference group to determine whether the number of deformities was related to the severity of COPD and how far the use of oral corticosteroids (OCS) influenced the prevalence of deformities.In the present cross-sectional study of 465 COPD patients and 462 controls, vertebral deformities were found in 31% of the COPD patients and 18% of the controls. In subjects who had never or sporadically used OCS, deformities were found in 29% of the COPD patients and 17% of the controls. In females, the average number of vertebral deformities was almost two-fold when COPD severity increased from Global Initiative of Chronic Obstructive Lung Disease stage II to III. In males, the use of OCS had a small but significant influence.Prevalence of vertebral deformities was significantly higher in chronic obstructive pulmonary disease patients than in the controls. In females, the average number of deformities was related to chronic obstructive pulmonary disease severity even after adjustment for other known risk factors. The difference between patients and controls remained significant even in those who never or sporadically used oral corticosteroids.

show abstract

Under-reporting of osteoporotic vertebral fractures on computed tomography

Cited by 116 publications

References 21 publications

Reliability and accuracy of scout CT in the detection of vertebral fractures

Reliability and accuracy of scout CT in the detection of vertebral fractures

Identifying osteoporotic vertebral endplate and cortex fractures

High prevalence of vertebral deformities in COPD patients: relationship to disease severity

Contact Info

Product

Resources

About