Skip to main content
Log in

Ultrasound bone densitometry of the os calcis in Japanese women

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

The velocity (SOS), attenuation slope (BUA) and stiffness index in the os calcis were measured using the ‘Achilles’ ultrasound bone densitometer (Lunar, Madison, WI). We evaluated the basic attributes of this ultrasound bone densitometer, and showed the age-related changes in ultrasound values in normal Japanese women. The precision was measured in vivo on ten occasions over a 2-week period in 5 subjects. The short-term precision errors (CVs) in vivo were 0.6% for stiffness index, 0.3% for SOS and 1.0% for BUA. Spine, femur neck and total body BMD using dual X-ray absorptiometry (DXA) were highly correlated with stiffness index (r=0.80, 0.77 and 0.78, respectively) in 194 subjects. Ultrasound values for patients with osteoporosis were significantly lower than those for the normal controls. TheZ-score compared with young normals was significantly higher for spine bone mineral density (−4.4) than for stiffness index (−3.5); BUA and SOS gave significantly lowerZ-scores −2.9 and −3.0, respectively). Ultrasound values were also lower compared with age-matched normal controls. TheZ-score for stiffness index (−2.1) was significantly superior to that for either SOS or BUA (−1.5). Age-related change in ultrasound values was evaluated in 842 normal women. There was a decline in stiffness index of about 24% from the values in young adulthood to those of women in their seventies, about 75% of which occurred from age 44–49 years onward. These findings seem to indicate that the menopause affected the change in ultrasound values. In conclusion, ultrasound bone densitometry may not be as useful as DXA of the spine for screening for osteoporosis, since theZ-score for DXA is excellent. However, ultrasound bone densitometry appears potentially to be applicable to problems in the diagnosis and management of osteoporosis when used in association with DXA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Heaney RP, Avioli LV, Chesnut CH, Lappe J, Recker RR, Brandenburger GH. Osteoporotic bone fragility: detection by ultrasound transmission velocity. JAMA 1989;261:2986–90.

    Google Scholar 

  2. Lunar Corporation. Theory of ultrasound densitometry. In: Lunar Corporation, editors. Manual of Achilles ultrasound bone densitometer. Madison, Wis.: Lunar Corporation, 1991:B1-B7.

    Google Scholar 

  3. Ashman RB, Corin JD, Turner CH. Elastic properties of cancellous bone: measurement by an ultrasonic technique. J Biomech 1987;10:979–86.

    Google Scholar 

  4. Trempe J, Genske T, Wiener S, Mazess R. Ultrasound measurements of the os calcis. In: Ringe EFJ, editors. Current research in osteoporosis and bone mineral measurement I. London: British Institute of Radiology, 1992.

    Google Scholar 

  5. Mazess R, Trempe J, Barden H. Ultrasound bone densitometry of the os calcis. J Bone Miner Res 1992;7:(Suppl):S186.

    Google Scholar 

  6. McKelvie ML, Fordham J, Clifford C, Palmer SB. In vitro comparison of quantitative computed tomography and broadband ultrasonic attenuation of trabecular bone. Bone 1989;10:101–4.

    Google Scholar 

  7. McCoskey EV, Murray SA, Charlesworth D, et al. Assessment of broadband ultrasound attenuation in the os calcis in vitro. Clin Sci 1990;78:221–5.

    Google Scholar 

  8. Poll V, Cooper C, Cawley MID. Broadband ultrasonic attenuation in the os calcis and single photon absorptiometry in the distal forearm: a comparative study. Clin Phys Physiol Meas 1986;7:375–9.

    Google Scholar 

  9. Hosie CJ, Smith DA, Deacon AD, Langton CM. Comparison of broadband ultrasonic attenuation of the os calcis and quantitative computed tomography of the distal radius. Clin Phys Physiol Meas 1987;8:303–8.

    Google Scholar 

  10. Evans WD, Crawley EO, Compston JE, Evans C, Owen BM. Broadband ultrasonic attenuation and bone mineral density. Clin Phys Physiol Meas 1988;9:163–5.

    Google Scholar 

  11. McCloskey EV, Murray SA, Miller C, et al. Broadband ultrasound attenuation in the os calcis: relationship to bone mineral at other skeletal sites. Clin Sci 1990;78:227–33.

    Google Scholar 

  12. Baran DT, Kelley AM, Karellas A, et al. Ultrasound attenuation of the os calcis in women with osteoporosis and hip fractures. Calcif Tissue Int 1988;43:138–42.

    Google Scholar 

  13. Baran DT, McCarthy CK, Leahey D, Lew R. Broadband ultrasound attenuation of the calcaneus predicts lumbar and femoral density in Caucasian women: a preliminary study. Osteoporosis Int 1991;1:110–3.

    Google Scholar 

  14. Agren M, Karellas A, Leahey D, Marks S, Baran D. Ultrasound attenuation of the calcaneus: a sensitive and specific discriminator of osteopenia in postmenopausal women. Calcif Tissue Int 1991;48:240–4.

    Google Scholar 

  15. Lees B, Stevenson J. Precision and sensitivity of a new ultrasound bone densitometer. In: Ringe EFJ, editors. Current research in osteoporosis and bone mineral measurement I. London: British Institute of Radiology, 1992.

    Google Scholar 

  16. Cepollaro C, Zacchei F, Borracelli D, et al. Precision of new ultrasound bone densitometers: correlation with absorptiometry methods. In: Ringe EFJ, editors. Current research in osteoporosis and bone mineral measurement I. London: British Institute of Radiology, 1992.

    Google Scholar 

  17. Ramalingam T, Lees B, Blake GM, Stevenson J, Miller CG, Fogelman I. Ultrasonic studies of the calcaneus: a comparison of measurement precision in three commercial scanners. In: Ringe EFJ, editors. Current research in osteoporosis and bone mineral measurement I. London: British Institute of Radiology, 1992.

    Google Scholar 

  18. Kin K, Kushida K, Yamazaki K, Okamoto S, Inoue T. Bone mineral density of the spine in normal Japanese subjects using dual-energy x-ray absorptiometry: effect of obesity and menopause status. Calcif Tissue Int 1991;49:101–6.

    Google Scholar 

  19. Damilakis JE, Dretakis E, Gourtsoyiannis NC. Ultrasound attenuation of the calcaneus in the female population: normative data. Calcif Tissue Int 1992;51:180–3.

    Google Scholar 

  20. Resch H, Pietschmann P, Bernecker P, Krexner E, Willvonseder R. Broadband ultrasound attenuation: a new diagnostic method in osteoporosis. Am J Radiol 1990;155:825–8.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yamazaki, K., Kushida, K., Ohmura, A. et al. Ultrasound bone densitometry of the os calcis in Japanese women. Osteoporosis Int 4, 220–225 (1994). https://doi.org/10.1007/BF01623242

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01623242

Keywords

Navigation