Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities

Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined a...
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Autor*in:	Heijckmann, A Caroline [verfasserIn] Dumitrescu, Bianca Nieuwenhuijzen Kruseman, Arie C Geusens, Piet Wolffenbuttel, Bruce HR De Vries, Jolanda Drent, Marjolein Huijberts, Maya SP

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2008

Schlagwörter:	Bone Mineral Density Inflammatory Bowel Disease Femoral Neck Vertebral Fracture Sarcoidosis

Anmerkung:	© Heijckmann et al; licensee BioMed Central Ltd. 2008

Übergeordnetes Werk:	Enthalten in: BMC musculoskeletal disorders - London : BioMed Central, 2000, 9(2008), 1 vom: 20. Mai
Übergeordnetes Werk:	volume:9 ; year:2008 ; number:1 ; day:20 ; month:05

Links:	Volltext

DOI / URN:	10.1186/1471-2474-9-72

Katalog-ID:	SPR028009118

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245	1	0	\|a Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities
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520			\|a Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture.
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allfields	10.1186/1471-2474-9-72 doi (DE-627)SPR028009118 (SPR)1471-2474-9-72-e DE-627 ger DE-627 rakwb eng Heijckmann, A Caroline verfasserin aut Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Heijckmann et al; licensee BioMed Central Ltd. 2008 Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. Bone Mineral Density (dpeaa)DE-He213 Inflammatory Bowel Disease (dpeaa)DE-He213 Femoral Neck (dpeaa)DE-He213 Vertebral Fracture (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Dumitrescu, Bianca aut Nieuwenhuijzen Kruseman, Arie C aut Geusens, Piet aut Wolffenbuttel, Bruce HR aut De Vries, Jolanda aut Drent, Marjolein aut Huijberts, Maya SP aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 9(2008), 1 vom: 20. Mai (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:9 year:2008 number:1 day:20 month:05 https://dx.doi.org/10.1186/1471-2474-9-72 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2008 1 20 05
spelling	10.1186/1471-2474-9-72 doi (DE-627)SPR028009118 (SPR)1471-2474-9-72-e DE-627 ger DE-627 rakwb eng Heijckmann, A Caroline verfasserin aut Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Heijckmann et al; licensee BioMed Central Ltd. 2008 Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. Bone Mineral Density (dpeaa)DE-He213 Inflammatory Bowel Disease (dpeaa)DE-He213 Femoral Neck (dpeaa)DE-He213 Vertebral Fracture (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Dumitrescu, Bianca aut Nieuwenhuijzen Kruseman, Arie C aut Geusens, Piet aut Wolffenbuttel, Bruce HR aut De Vries, Jolanda aut Drent, Marjolein aut Huijberts, Maya SP aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 9(2008), 1 vom: 20. Mai (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:9 year:2008 number:1 day:20 month:05 https://dx.doi.org/10.1186/1471-2474-9-72 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2008 1 20 05
allfields_unstemmed	10.1186/1471-2474-9-72 doi (DE-627)SPR028009118 (SPR)1471-2474-9-72-e DE-627 ger DE-627 rakwb eng Heijckmann, A Caroline verfasserin aut Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Heijckmann et al; licensee BioMed Central Ltd. 2008 Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. Bone Mineral Density (dpeaa)DE-He213 Inflammatory Bowel Disease (dpeaa)DE-He213 Femoral Neck (dpeaa)DE-He213 Vertebral Fracture (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Dumitrescu, Bianca aut Nieuwenhuijzen Kruseman, Arie C aut Geusens, Piet aut Wolffenbuttel, Bruce HR aut De Vries, Jolanda aut Drent, Marjolein aut Huijberts, Maya SP aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 9(2008), 1 vom: 20. Mai (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:9 year:2008 number:1 day:20 month:05 https://dx.doi.org/10.1186/1471-2474-9-72 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2008 1 20 05
allfieldsGer	10.1186/1471-2474-9-72 doi (DE-627)SPR028009118 (SPR)1471-2474-9-72-e DE-627 ger DE-627 rakwb eng Heijckmann, A Caroline verfasserin aut Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Heijckmann et al; licensee BioMed Central Ltd. 2008 Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. Bone Mineral Density (dpeaa)DE-He213 Inflammatory Bowel Disease (dpeaa)DE-He213 Femoral Neck (dpeaa)DE-He213 Vertebral Fracture (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Dumitrescu, Bianca aut Nieuwenhuijzen Kruseman, Arie C aut Geusens, Piet aut Wolffenbuttel, Bruce HR aut De Vries, Jolanda aut Drent, Marjolein aut Huijberts, Maya SP aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 9(2008), 1 vom: 20. Mai (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:9 year:2008 number:1 day:20 month:05 https://dx.doi.org/10.1186/1471-2474-9-72 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2008 1 20 05
allfieldsSound	10.1186/1471-2474-9-72 doi (DE-627)SPR028009118 (SPR)1471-2474-9-72-e DE-627 ger DE-627 rakwb eng Heijckmann, A Caroline verfasserin aut Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Heijckmann et al; licensee BioMed Central Ltd. 2008 Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. Bone Mineral Density (dpeaa)DE-He213 Inflammatory Bowel Disease (dpeaa)DE-He213 Femoral Neck (dpeaa)DE-He213 Vertebral Fracture (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Dumitrescu, Bianca aut Nieuwenhuijzen Kruseman, Arie C aut Geusens, Piet aut Wolffenbuttel, Bruce HR aut De Vries, Jolanda aut Drent, Marjolein aut Huijberts, Maya SP aut Enthalten in BMC musculoskeletal disorders London : BioMed Central, 2000 9(2008), 1 vom: 20. Mai (DE-627)326643745 (DE-600)2041355-5 1471-2474 nnns volume:9 year:2008 number:1 day:20 month:05 https://dx.doi.org/10.1186/1471-2474-9-72 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2008 1 20 05
language	English
source	Enthalten in BMC musculoskeletal disorders 9(2008), 1 vom: 20. Mai volume:9 year:2008 number:1 day:20 month:05
sourceStr	Enthalten in BMC musculoskeletal disorders 9(2008), 1 vom: 20. Mai volume:9 year:2008 number:1 day:20 month:05
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Bone Mineral Density Inflammatory Bowel Disease Femoral Neck Vertebral Fracture Sarcoidosis
isfreeaccess_bool	true
container_title	BMC musculoskeletal disorders
authorswithroles_txt_mv	Heijckmann, A Caroline @@aut@@ Dumitrescu, Bianca @@aut@@ Nieuwenhuijzen Kruseman, Arie C @@aut@@ Geusens, Piet @@aut@@ Wolffenbuttel, Bruce HR @@aut@@ De Vries, Jolanda @@aut@@ Drent, Marjolein @@aut@@ Huijberts, Maya SP @@aut@@
publishDateDaySort_date	2008-05-20T00:00:00Z
hierarchy_top_id	326643745
id	SPR028009118
language_de	englisch
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As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. 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author	Heijckmann, A Caroline
spellingShingle	Heijckmann, A Caroline misc Bone Mineral Density misc Inflammatory Bowel Disease misc Femoral Neck misc Vertebral Fracture misc Sarcoidosis Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities
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topic_title	Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities Bone Mineral Density (dpeaa)DE-He213 Inflammatory Bowel Disease (dpeaa)DE-He213 Femoral Neck (dpeaa)DE-He213 Vertebral Fracture (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213
topic	misc Bone Mineral Density misc Inflammatory Bowel Disease misc Femoral Neck misc Vertebral Fracture misc Sarcoidosis
topic_unstemmed	misc Bone Mineral Density misc Inflammatory Bowel Disease misc Femoral Neck misc Vertebral Fracture misc Sarcoidosis
topic_browse	misc Bone Mineral Density misc Inflammatory Bowel Disease misc Femoral Neck misc Vertebral Fracture misc Sarcoidosis
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title	Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities
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title_full	Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities
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author_browse	Heijckmann, A Caroline Dumitrescu, Bianca Nieuwenhuijzen Kruseman, Arie C Geusens, Piet Wolffenbuttel, Bruce HR De Vries, Jolanda Drent, Marjolein Huijberts, Maya SP
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title_sort	quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities
title_auth	Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities
abstract	Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. © Heijckmann et al; licensee BioMed Central Ltd. 2008
abstractGer	Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. © Heijckmann et al; licensee BioMed Central Ltd. 2008
abstract_unstemmed	Background Previous studies from our group have shown that a high prevalence of vertebral deformities suggestive of fracture can be found in patients with an inflammatory disease, despite a near normal bone mineral density (BMD). As quantitative ultrasound (QUS) of the heel can be used for refined assessment of bone strength, we evaluated whether QUS can be used to identify subjects with an inflammatory disease with an increased chance of having a vertebral fracture. Methods 246 patients (mean age: 44 ± 12.4 years) with an inflammatory disease (sarcoidosis or inflammatory bowel disease (IBD)) were studied. QUS of the heel and BMD of the hip (by dual X-ray absorptiometry (DXA)) were measured. Furthermore lateral single energy densitometry of the spine for assessment of vertebral deformities was done. Logistic regression analysis was performed to assess the strength of association between the prevalence of a vertebral deformity and BMD and QUS parameters, adjusted for gender and age. Results Vertebral deformities (ratio of <0.80) were found in 72 vertebrae of 54 subjects (22%). In contrast to the QUS parameters BUA (broadband ultrasound attenuation) and SOS (speed of sound), T-score of QUS and T-scores of the femoral neck and trochanter (DXA) were lower in the group of patients with vertebral deformities. Logistic regression analysis showed that the vertebral deformity risk increases by about 60 to 90% per 1 SD reduction of BMD (T-score) determined with DXA but not with QUS. Conclusion Our findings imply that QUS measurements of the calcaneus in patients with an inflammatory condition, such as sarcoidosis and IBD, are likely of limited value to identify patients with a vertebral fracture. © Heijckmann et al; licensee BioMed Central Ltd. 2008
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title_short	Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities
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Quantitative ultrasound does not identify patients with an inflammatory disease at risk of vertebral deformities

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