Quantitative Ultrasound of Phalanx in Primary and Secondary Osteoporosis: Mini-Review and Practical Experience Publisher



Najafi M¹ ; Najafi M¹ ; Mahdavimazdeh M² ; Maziar S³ ; Keshtkar AA⁴ ; Sedaghat M⁵ ; Zarebidaki F⁶ ; Larijani B⁶ ; Hamidi Z¹
Source: Journal of Diagnostic Medical Sonography Published:2022

Abstract

Objective: Dual x-ray absorptiometry (DXA) is gold standard of bone densitometry, but quantitative ultrasound (QUS) of bone is less expensive and portable. This study was designed to assess its usefulness in secondary osteoporosis diagnosis. Materials and Methods: There were 200 secondary osteoporosis cases (rheumatoid arthritis, hemodialysis, kidney transplant patients, and levothyroxine users) and of those, their phalanx QUS results were compared with normal controls. Also, the QUS and DXA results were compared to find any correlation of these methods for diagnosing osteoporosis. Results: There was not significantly different results compared with normal controls, except for those of hemodialysis patients (P =.00). Also, the comparison of QUS with DXA results showed no significant correlation except in hemodialysis patients, in both spinal and femoral regions (P =.023 and.21, respectively), as well as the levothyroxine group’s spinal region (P =.005). Conclusion: These results suggest that QUS of phalanx may be useful in screening secondary osteoporosis but for establishment of diagnosis, DXA measurements are still needed. © The Author(s) 2022.