Browse > Article
http://dx.doi.org/10.5392/JKCA.2012.12.12.335

Assessment of the Correlation for Geometry Transition using Bone Mineral Density in Proximal Femur  

Kim, Da-Hye (부산가톨릭대학교 보건과학대학 대학원 방사선학과)
Ko, Seong-Jin (부산가톨릭대학교 보건과학대학 방사선학과)
Kang, Se-Sik (부산가톨릭대학교 보건과학대학 방사선학과)
Kim, Jung-Hoon (부산가톨릭대학교 보건과학대학 방사선학과)
Kim, Dong-Hyun (부산가톨릭대학교 보건과학대학 방사선학과)
Ye, Soo-Young (부산가톨릭대학교 보건과학대학 방사선학과)
Kim, Changsoo (부산가톨릭대학교 보건과학대학 방사선학과)
Publication Information
The Journal of the Korea Contents Association / v.12, no.12, 2012 , pp. 335-344 More about this Journal
Abstract
Osteoporosis is increasing in Korea as it becomes an aging society with the rapid economic growth and the development of medical technology. Osteoporosis also develops due to chemo and radiation therapy of cancer which also increases owing to Westernized diet. Osteoporosis is caused by reduced bone density, has close relationship with the change of geometry of proximal femur, which is a factor of hip fracture risk. The purpose of this study was the analysis of the correlations of osteoporosis and the change of geometry of proximal femur, which was observed according to T-score variance. The 350 male and female patients are chosen from D hospital in Busan, who were classified by age, sex and T-score values (normal, osteopenia, and osteo porosis). The results show that the age and gender have significant difference in the incidence of osteoporosis; the disease classification according to T-score value has significant difference in the geometry of the proximal femur such as Cortical ratio calcar, Cortical ratio shaft, Hip/shaft Angle, Strength index, Section modulus, CSMI, and CSA, and is highly correlated with the incidence of osteoporosis. Therefore, the findings of this research is that the change of the geometry of the proximal femur could be used as an indicator in the diagnosis of osteoporosis, could enhance the accuracy of the diagnosis in the future, and could be used as a clinical predictive factors through the analysis of the correlations of T-score variance and the geometry changes of the proximal femur.
Keywords
Bone Mineral Density; T-score; Osteoporosis; Femur Geometry;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 대한공중보건의사협의회, 대한민국 공중보건의사를 위한 진료지침서, 웬즈데이, pp.70-74, 2011.
2 박명윤, 이건순, 노인 영양과 복지, 광문각, pp.264-265, 2006.
3 대한골다공증학회, 골다공증(Osteoporosis 3판), 영림의학, pp.38-40, 2006.
4 K. G. Faulkner, W. K. Wacker, H. S. Barden, C. Simonelli, P. K. Burke, S. Ragi, and L. Del Rio, "Femur strength index predicts hip fracture Independent of bone density and hip axis length," Osteoporosis International Vol.17, No.4, pp.593-599, 2006.   DOI   ScienceOn
5 C. Bergot, V. Bousson, A. Meunier, M. La val-Jeantet, and J. D. Laredo, "Hip Fracture Risk and Proximal Femur Geometry from DXA Scans," Osteoporosis International, Vol.13, No.7, pp.542-550, 2002.   DOI   ScienceOn
6 대한골대사학회, 골다공증 진단 및 치료지침 pp.24-30, 2008.
7 박훈기, 건강상식: 골다공증이란?, 대한지방행정 공제회(구 대한지방행정협회地方行政) 제45권, 제518호, pp.149-151, 1996.
8 J. A. Kanis, and the WHO study Group, "Assessment of the fracture risk and its application to screening for postmenopausal osteoporosis," Osteoporosis International, Vol.4, No.6, pp.368-381, 1994.   DOI   ScienceOn
9 최용준, 노인에게 발생한 골다공증성 대퇴골 골절과 Femur Geometry와의 상관관계, 아주대학교 대학원 의학과 석사논문, pp.1-17, 2007.
10 S. Gnudi, C. Ripamonti, L. Lisi, M. Fini, R. Giardino, and G. Giavaresi, "Proximal femur, geometry to detect and distinguish femoral neck fractures from trochanteric fractures in post menopausal women," Osteoporosis International Vol.13, No.1, pp.69-73, 2002.   DOI
11 K. M. Karlsson, I. Sernbo, K. J. Obrant, I. Redlund-Johnell, and O. Johnell, "Femoral neck geometry and radiographic signs of osteoporosis as predictors of hip fracture," Bone. Vol.18, No.4, pp.327-330, 1996.   DOI   ScienceOn
12 Pasi Pulkkinen, Juha Partanen, Pekka Jalovaar, and Timo Jamsa, "Combination of bone mineral density and upper femur geometry improves the prediction of hip fracture," Osteoporosis Inter national Vol.15, No.4, pp.274-280, 2004.   DOI
13 정선관, 박성훈, 김혜원, 이영환, 윤권하, 최시성, 노병석, 원종진, "골다공증성 대퇴골절의 위험인자 평가", 원광의과학, 원광대학교 의과대학 영상의학교실, 원광의학연구소, 제22권, 제1호, pp.15-19, 2007.
14 P. Szulc, F. Duboeuf, A. M. Schott, P. Dargent- Molina, P. J. Meunier, and P. D. Delmas, "Structural determinants of hip fracture in elderly women: re-analysis of the data from the EPIDOS study," Osteoporosis International Vol. 17, No.2, pp231-236, 2006.   DOI
15 C. G. Alonso, M. D. Curiel, F. H. Carranza, R. P. Cano, and A. D. Perez, "Femoral bone mineral density, neck-shaft angle and mean femoral neck width as predictors of hip fracture in men and women. Multicenter Project for Research in Osteoporosis. Osteoporosis International, Vol.11, No.8, pp.714-720, 2000.   DOI
16 대한골다공증학회, 골다공증 임상의를 위한 골다공증의가이드(진단, 예방 및 치료), pp171-173, 2007.
17 강영한, 조광호, 근위대퇴부 정면 영상을 이용한 골다공증 평가 시 방사선적 계측의 진단일치도, 한국콘텐츠학회논문지, 제12권, 제6호, pp.353-360.   과학기술학회마을   DOI   ScienceOn
18 김선응, 김기학, 이청무, 최태희, 정일규, 발육발달학, 대한미디어, pp.159-186, 2007.
19 S. Mori, "Assessment of hip fracture risk relat ed to the structure, Article in Japanese," Clin Calcium Vol.20, No.9, pp.1349-1356, 2010.
20 대한골다공증학회, 골밀도 측정가이드, 청운출판사, pp.209-211, 2009.
21 K. G. Faulkner, S. R. Cummings, D. Black, L. Palermo, C. C. Gluer, and H. K. Genant, "Simple measurement of femoral geometry predicts hip fracture: The Study of Osteoporotic Fractures," Journal of Bone Mineral Research, Vol.8, No.10, pp.1211-1217, 1993.
22 김재구, 노호성, 운동처방총론(과학적 운동처방과 운동요법의 실제), 대경북스, pp.240-246, 2009.
23 한민석, 전민철, 서선열, 김종진, 김용균, "원위 요골 골밀도의 측정 자세 및 요추 골밀도의 상관관계에 관한 연구", 방사선기술과학 Vol.33, No.1, pp.19-24, 2010.   과학기술학회마을
24 N. J. Crabtree, H. Kroger, A. Martin, H. A. P. Pols, R. Lorenc, J. Nijs, J. J. Stepan, J. A. Falc h , T. Miazgowski, S. Grazio, P. Paptou, J. Adams, A. Collings, K. T. Khaw, N. Rushiton, M. Lunt , A. K. Dixon, and J. Reeve, "Improving risk assess ment: hip geometry, bone mineral distribu tion and bone strength in hip fracture cases and controls. The EPOS study," Osteoporosis Interna tional, Vol.13, No.1, pp.48-54, 2002.   DOI