• Title/Summary/Keyword: Dual Energy X-ray Absorptiometry

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A Study on the Bone Density in Newborn Infants - Difference of the Bone Mineral Density according to the Gestational Age and the Birth Weight - (신생아 골밀도에 관한 연구 - 재태 연령과 출생 체중에 따른 골밀도의 차이 -)

  • Lee, Eun-Sil;Shin, Son-Moon;Moon, Han-Ku;Park, Yong-Hoon;Choi, Kwang-Hae
    • Journal of Yeungnam Medical Science
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    • v.14 no.2
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    • pp.383-392
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    • 1997
  • To study the differences of bone mineral density according to the gestational ages and the birth weight and get a reference data for the diagnosis of metabolic bone diseases in the newborn infants, bone mineral densities of the lumbar vertebrae were measured in fifty-three newborn infants born at Yeungnam University Hospital from March 1, 1995 to February 28, 1997, whore gestational ages were between $28^{+3}$ and $41^{+3}$ weeks and who had no intrauterine growth retardation, using dual energy X-ray absorptiometry (X-R 26, Norland, USA) within seven days of life. 1. There was no sexual difference in bone mineral density. The bone density increased significantly as gestational age increased from $0.149{\pm}0.009g/cm^2$ at 28-30wks to $0.229{\pm}0.034g/cm^2$ at 39-41wks of gestational age (p<0.05), but there was no significant difference between bone mineral densities at 33-34 wks and 35-36wks. There was positive linear correlation between gestational age and bone mineral density ($Y=7.5{\times}10^{-3}X-0.082$, r=0.7018, p<0.001). 2. The bone mineral density increased significantly as the birth weight increased from $0.158{\pm}0.020g/cm^2$ in 1,000-1,499 g to $0.251{\pm}0.021g/cm^2$ in 3,500-4,000 g of the birth weight (p<0.05), but there was no significant difference between bone mineral densities in 1,000-1,499 g and 1,500-1,999 g of the birth weight. There was positive linear correlation between the birth weight and the bone mineral density ($Y=3.9{\times}10^{-5}X+0.093$, r=0.7296, p<0.001). There were positive correlations between the bone mineral density and gestational age, and between the bone mineral density and the birth weight. It can be used as a reference data for the further study on the bone mineral metabolism in the newborn infants including preterm babies.

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The Bone Mineral Density Value According to the Operating Time of the Dual Energy X-ray (이중 에너지 엑스레이 흡수기의 가동 시간에 따른 골밀도 값의 평가)

  • Lee, Hae-Jung;Kim, Ho-Sung;Kim, Eun-Hye
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.1
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    • pp.40-45
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    • 2010
  • Purpose: Recently, the performance of the X-ray tube was very much improved by the power generation of the technology. However, the overload of equipment is occurred by the increment of the equipment operating time according to the increment of the examination number of cases. The X-ray dose can change by heat occurrence of the X-ray tube due to this. Moreover, the change of the bone mineral density value is possible to occur. Therefore, We tries to whether the change of the bone mineral density value of each equipment according to the difference of the examination number of cases and operating time occur or not. Materials and Methods: The BMD value was measured by the Aluminum Spine Phantom and the European Spine Phantom in each equipment, in order to find out about the difference of the time general classification bone mineral density value by using the Dual energy X-ray absorptiometry. And after scanning each phantom by using X-ray dose meter (Unfors Mult-O-Meter), a dose was measured by the same condition. As to, an average and standard deviation were found and the change of each equipment much BMD value was compared and it evaluated. Results: $Mean{\pm}SD$ of each equipment by using the Aluminum Spine Phantom, A equipment was $1.174{\pm}0.002$, $1.171{\pm}0.005$, $1.173{\pm}0.005$, B equipment was $1.186{\pm}0.003$, $1.187{\pm}0.003$, $1.185{\pm}0.003$, C equipment was $1.180{\pm}0.003$, $1.182{\pm}0.004$, $1.183{\pm}0.002$, D equipment was $1.188{\pm}0.004$, $1.185{\pm}0.003$, $1.185{\pm}0.004$. By using the European Spine Phantom, A equipment was $1.143{\pm}0.006$, $1.153{\pm}0.009$, $1.161{\pm}0.003$, B equipment was $1.134{\pm}0.004$, $1.13{\pm}0.008$, $1.127{\pm}0.015$, C equipment was $1.143{\pm}0.006$, $1.134{\pm}0.01$, $1.133{\pm}0.006$, D equipment was $1.14{\pm}0.001$, $1.122{\pm}0.002$, $1.131{\pm}0.008$, altogether included in the normal range. Conclusion: There was no significant change of the BMD value of using a phantom by time zones. Therefore, if the quality control is made to use the extent management method of the equipment for beginning in the present application, the reliability of the BMD equipment will be able to be enhanced.

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Effects of Gadolinium Contrast agent on Bone Mineral Density Measurement using Dual Energy X-ray Absorptiometry (가돌리늄조영제가 이중에너지 X-선 흡수법을 이용한 골밀도검사에 미치는 영향)

  • Lee, Keun-Ohk;Lee, Min-Su
    • Journal of the Korean Society of Radiology
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    • v.15 no.1
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    • pp.63-70
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    • 2021
  • Radiographic contrast agents are used for diagnostic purposes and are one of the factors affecting measured values in bone density tests. They are absorbed into tissues and have an effect of increasing the measured values of bone density, so they are avoided as much as possible before performing a bone density test. MRI contrast agents, which have different physical properties and mechanisms of action than radiographic contrast agents, are based on gadolinium, a metal element. They have radiopacity characteristics, so MRI are generally performed prior to examination using radiation. The purpose of this study was to investigate the effects of MRI contrast agents on bone mineral density examination using dual energy X-ray absorption. Two types of gadolinium based MRI contrast agents were injected into an acrylic water tank for each volume, and the humanoid spine phantom was inserted and the BMD and T-score from (L1-L4) were analyzed by scanning a total of 30 times, 5 times for each injection type. The average value of the measured total (L1-L4) bone density for each of the two contrast agents was 0.952±0.052, 0.957±0.050, and 0.956±0.05g/㎠, respectively, for the Gadoterate Meglumine component 0mL, 7.5mL and 15mL, when the gadobutrol components were 0mL, 5mL, and 10mL, there was no statistically significant difference at all sites at 0.953±0.001, 0.954±0.001, and 0.945±0.001g/㎠, respectively(p>0.05). The average value of total T-score was -0.46±0.05, -0.4±0, -0.42±0.04 when the Gadoterate Meglumine component was 0mL, 7.5mL and 15mL, respectively. When the Gadobutrol ingredients were 0mL, 5mL and 10mL, there was no statistically significant difference in all areas, with -0.46±0.05, -0.46±0.05, and 0.5±0.00, respectively. In this experiment, the MRI contrast agent was found to have no effect on bone density tests, using the dual-energy X-ray absorption method. There is a limitation in that physical conditions such as kidney and health conditions etc. were not taken into consideration, so further clinical research is expected to be conducted in the future.

Comparison of Predicted and Measured Resting Energy Expenditure in Overweight and Obese Korean Women (한국 과체중 및 비만 여성의 휴식대사량 측정 및 예측값의 비교)

  • Park, Ji-Sook;Yim, Jung-Eun
    • Korean Journal of Community Nutrition
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    • v.23 no.5
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    • pp.424-430
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    • 2018
  • Objectives: The purpose of this study was to compare predictions and measurements of the resting energy expenditure (REE) of overweight and obese adult women in Korea. Methods: The subjects included 65 overweight or obese adult women ranging in age from 20~60 with a recorded body mass index (BMI) of 23 or higher. Their height, weight, waist-hip ratio, and blood pressure were measured. The investigator also measured their body fat, body fat percentage, and body composition of total weight without fat using Dual energy X-ray absorptiometry (DXA) and measured resting energy expenditure by indirect calorimetry. Measured resting energy expenditures were compared with predictions from six methods: Harris-Benedict, Mifflin, Owen, WHO-WH, Henry-WH, and KDRI. Results: Harris-Benedict predictions showed the smallest differences from measured resting energy expenditure at an accurate prediction rate of 70%. The study analyzed regression between measured resting energy expenditure and body measurements including height, weight and age. The formula proposed by this research is as follows: Proposed REE equation for overweight and obese Korean women = $721-(1.5{\times}age)+(0.4{\times}height)+(9.9{\times}weight)$. Conclusions: These findings suggest that age is a significant variable when predicting resting energy expenditure in overweight and obese women. Therefore, prediction of resting energy expenditure should consider age when determining energy requirements in overweight and obese women.

Association between Sasang Constitutions and Body Composition in African-American, Asian, and Caucasian Race Groups (타 인종에 있어 체질과 체성분의 상관성에 관한 연구)

  • Song, Mi-Yeon;Gallagher, Dympna;Kim, Jae-Hee;Chi, Sang-Eun
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.2
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    • pp.124-128
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    • 2003
  • Background: Sasang Constitutional Medicine (SCM) is a component of Korean traditional medicine that classifies humans into four categories, according to their constitution (Taeyangin, Taeumin, Soyangin and Soeumin). We are unaware of previous assessments of SCM in non-Asian race groups. Objectives: To quantify body composition components in three race groups and to determine whether SCM has an independent effect on body composition components. Design: A cross-sectional evaluation of 76 adults (28 Caucasian, 21 African-American, 27 Asian). Body composition was estimated using dual energy x-ray absorptiometry. Results: SCM component had a significant effect on weight, fat, and lean mass regardless of race group (p <0.001).

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Effect of Dietary Protein Level on Ca Efficiency in Bone Mineral Density in Growing Rats (식이단백질량이 성장기 흰쥐가 골밀도에 대한 칼슘효율에 미치는 영향)

  • 정소형
    • Journal of Nutrition and Health
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    • v.28 no.9
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    • pp.817-824
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    • 1995
  • This study was performed to evaluate the effect of dietary protein level on Ca efficiency in bone mineral density in growing male rats. Twenty male rate were divided into two groups. The rats in one group were fed on casein 20% diet as control group and the others were fed on casein 40% diet as protein group. All rats were fed on experimental diet and deionized water ad libitum for 9 weeks. The total body, spine and femur bone mineral density and bone mineral content were measured using dual energy-x ray absorptiometry. Urinary calcium, phosphate, pyridinoline and creatinine, serum calcium, phosphate, total protein, albumin, alkaline phosphatase(ALP) and osteocalcin were measured. Urinary Ca excretion, pyridinoline and crosslinks value and serum ALP content seem to be increased in high protein group. It appears that the growing rats in high protein group had a higher bone resprption and bone formation than those in control group. Animal fad a high protein diet had a siginficantly higher Ca efficiency in BMD, BMC of total body, spine and femur. The results of this show that increasing of dietary protein level (40%) is beneficial of improvement of Ca efficiency during growing period.

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The Urinary Fluoride Concentration and Periodontal Condition in Postmenopausal Osteoporotic Women (골밀도가 저하된 폐경 후 성인여성의 뇨중 불소농도와 치주조직과의 관계)

  • Kim, Young-Jun
    • Journal of Periodontal and Implant Science
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    • v.29 no.4
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    • pp.837-846
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    • 1999
  • There were few reports about the fluoride concentration in bone and osteoporotic women. This study was designed to evaluate the relationship between the urinary fluoride concentration and periodontal condition in osteoporotic old women. Twentyeight postmenopausal women(Test group) and twenty-one premenopausal women(Control group) were examined. Bone mineral density(BMD) of lumbar spine(L2-L4) was measured by dual energy X-ray absorptiometry(DEXA). The urine samples were collected at early morning and determined with the help of a fluoride-specific electrode and Tisabbufferd samples. The results were as follows. 1. The mean urinary fluoride concentration in test and control group showed statistically no difference. 2. The bone mineral density(BMD) of the spine in test group was significantly lower than control group(p<0.05). 3. The significant negative correlation was found between BMD level and age after menopause $(p<0.001,\;{\gamma}=-0.526$. 4. The urinary fluoride concentration was not correlated with age, age after menopause and bone mineral density. 5. The urinary fluoride concentration was not correlated with periodontal condition.

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Usefulness of panoramic radiography in the diagnosis of osteoporosis (골다공증의 진단시 파노라마 방사선사진 유용성에 대한 연구)

  • Lee Byeong-Do;Lee Sang-Rae
    • Imaging Science in Dentistry
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    • v.31 no.2
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    • pp.67-71
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    • 2001
  • Purpose: To assess the possibility of using panoramic indices as an indicator of jaw osteoporosis. Methods: Mandibular cortical width (MCW), degree of mandibular alveolar bone resorption (ABR) and morphology of mandibular inferior cortex (MIC) on panoramic radiograph were used as panoramic indices. These panoramic indices were compared with bone mineral density (BMD) of lumbar (L1-L4) and femoral neck measured by dual energy X-ray absorptiometry. We also compared MCW and ABR of young men with those of postmenopausal women. Results : There was a significant correlation between ABR and BMD of lumbar and femoral neck. And also significant correlation between MIC and BMD of lumbar and femoral neck. ANOVA test of BMD of lumbar and femoral neck showed significant differences according to morphologic classification of inferior cortex. There was significant difference in MCW and ABR between young men and postmenopausal women. Conclusion: Our results suggested that ABR and MIC on panoramic radiograph could be reliable in screening of osteoporosis.

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A Study of Calcium Status and Effect of Nutrition Education of Prevention Osteoporosis in Middle - Women (장년기 여성의 칼슘영양상태와 골다공증 예방을 위한 영양교육의 효과)

  • Hong, Sun-Myeong;Kim, Hyeon-Ju
    • Journal of the Korean Dietetic Association
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    • v.7 no.2
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    • pp.159-166
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    • 2001
  • This study was conducted to investigate the relationship of calcium intake , serum calcium level to calcium supplementation and the effect of nutritional education in middle-aged women. The age distribution of the subjects was 49-55 years. Daily nutrient intakes and dietary sources of calcium were analyzed by convenient method and food frequency questionnaire. At the same time, fasting blood samples were collected and serum calcium and magnesium concentrations were measured before and after nutritional education. The BMD of subjects were measured by Dual Energy X-ray Absorptiometry(DEXA). Serum calcium and magnesium concentrations were significantly(p<0.05) different between pre and post nutritional education. After nutritional education, nutrient intakes were significantly increased(p<0.05), especially calcium. This results suggested that dietary calcium intake as well as nutritional education seem to be important in preventing in middle-aged women.

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Influencing Factors of Bone Mineral Density in Men (남성의 골밀도 영향요인)

  • Lee, Dong-Ha;Lee, Eun-Nam
    • Journal of muscle and joint health
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    • v.18 no.1
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    • pp.5-15
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    • 2011
  • Purpose: Osteoporosis is often considered as a women's disease, but men's osteoporosis is also increasingly recognized as an important public health problem. This study was carried out to identify the important modifiable risk factors for osteoporosis in men. Methods: Two hundred and fourteen men were selected among those who checked bone mineral density by dual energy x-ray absorptiometry in lumbar vertebrae from June to September, 2009 at 3 general hospitals in Busan. Self-administrated questionnaires and BMD results of lumbar vertebrae were used for data. Collected data were analyzed by using SPSS 14.0 program. Results: The sports activity level in 30's, body weight, and fracture history of mother were the most powerful influencing factors on the bone mineral density of lumbar vertebrae. Conclusion: These results highlight the need to participate vigorously in sports activity during 30s as a means of increasing peak bone mass in lumbar vertebrae in order to prevent osteoporosis and fracture in men.