Skip to main content
Log in

Broadband ultrasound attenuation of the os calcis: Preliminary study

  • Originals
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

Summary

Broadband ultrasound attenuation (BUA) measurements of the calcaneus were performed in 87 healthy subjects and in 17 patients with osteoporotic vertebral fractures. In 52 normal subjects, bone mineral densities (BMD) of the lumbar spine were measured by quantitative CT (QCT), and in another group of 15 normal subjects, BMD of the lumbar spine was measured using dual energy X-ray absorptiometry (DXA). BUA showed a negative significant correlation with age (r=0,44; p<0.001), and was more pronounced in women. A significant positive correlation of BUA in the os calcis with lumbar BMD using QCT (r=0,53, p<0,001) or DXA (r=0,81; p<0,001), was observed. We found no significant difference between osteoporotic patients (n=17; mean BUA value: 58.4±18) and controls (n=17; mean BUA value; 61±15). The mean coefficient of variation was high: 6%. These results suggest that BUA is not yet a valuable tool in general clinical practice and that further additional improvements are necessary in order to use it in the management of osteoporosis.

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

Access this article

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. Fogelman, I., Ryan, P. Measurement of bone mass. Bone 1992, 13, S23-S28.

    Article  Google Scholar 

  2. Bartley, M.H., Arnold, J.S., Haslam, R.K., Webster, S.S.J. The relationship of bone strength and bone quantity in health, disease and ageing. J Gerontology 1966, 21, 517–521.

    Google Scholar 

  3. Riggs, B.L., Wahner, H.W., Dunn, W.L., Mazess, R.B., Offord, K.P., Melton, L.J. Differential changes in bone mineral density of the appendicular and axial skeleton with ageing. J Clin Invest 1981, 67, 328–335.

    PubMed  Google Scholar 

  4. Wasnich, R.D., Ross, P.D., Heilbrun, L.K., Vogel, J.M. Selection of the optimal skeletal site for fracture risk prediction. Clin Orthop Relat Res 1987, 216, 262–269.

    PubMed  Google Scholar 

  5. Hui, S.L., Siemenda, S.W., Johnston, C.C. Age and bone mass as predictors of fracture in a prospective study. J Clin Invest 1988, 81, 1804–1809.

    PubMed  Google Scholar 

  6. Cummings, B.R., Black, D.M., Nevitt, M.C., Browner, W.S., Cauley, A., Genant, H.K., Masciolli, S.R., Scott, J.C., Seeley, D.G., Steiger, R., Vogdt, T.M. The study of osteoporosis fracture research group. Appendicular bone density and age predict hip fracture in women. JAMA 1990, 263, 665–668.

    Article  PubMed  Google Scholar 

  7. Mc Kelvie, M.L., Fordham, J., Clifford, C., Palmer, S.B. In vitro comparison of quantitative computed tomography broadband ultrasonic attenuation of trabecular bone. Bone 1989, 10, 101–104.

    Article  PubMed  Google Scholar 

  8. Mc Closkey, E.V., Murray, S.A., Charlesworth, D., Miller, C., Fordhan, I., Clifford, K., Atkins, R., Kanis, J.A. Assessment of broadband ultrasound attenuation in the os calcis in vitro. Clin Science 1990, 78, 221–225.

    Google Scholar 

  9. Gluer, C.C., Faulkner, K.G., Engelke, K., Black, D., Genant, H.K. Broadband ultrasound attenuation of the heel versus single photon absorptiometry of the heel: do these techniques measure different entities. J Bone Min Res 1991, 6, suppl 1, 343.

    Google Scholar 

  10. Baran, D.T., Kelly, A.M., Karellas, A., Gionet, M., Price, M., Leahey, D., Stenterman, S., Mc Sherry, B., Roche, J. Ultrasound attenuation of the os calcis in women with osteoporosis and hip fractures. Calcif Tissue Int 1988, 43, 138–142.

    PubMed  Google Scholar 

  11. Baran, D.T., Mc Carthy, C.K., Leahey, D., Lew, R. Broadband ultrasound attenuation of the calcaneus predicts lumbar and femoral neck density in Caucasian women. Osteoporosis Int 1991, 1, 110–113.

    Article  Google Scholar 

  12. Waud, C.E., Lexu, R., Baran, D.T. The relationship between ultrasound and densitometric measurements of bone mass at the calcaneus in women. Calcif Tissue Int 1992, 51, 415–418.

    Article  PubMed  Google Scholar 

  13. Resch, H., Pietschmann, P., Bernecker, P., Krexner, E., Willvonseder, R. Broadband ultrasound attenuation: a new diagnostic method in osteoporosis. Am J Roentgenol, 1990, 155, 825–828.

    Google Scholar 

  14. Mc Closkey, E.V., Murray, S.A., Charlesworth, D., Miller, C., Charlesworth, D., Tindale, W., O'Doherty, D.P., Bickerstaff, D.R., Hamdy, N.A.T., Kanis, J.A. Broadband ultrasound attenuation of the os calcis: relationship to bone mineral at other skeletal sites. Clin Science 1990, 78, 227–233.

    Google Scholar 

  15. Agren, M., Karellas, A., Leahey, D., Marks, S., Baran, D. Ultrasound attenuation of calcaneus: a sensitive and specific discriminator of osteopenia in post menopausal women. Calcif Tissue Int 1991, 48, 240–244.

    PubMed  Google Scholar 

  16. Porter, R.W., Miller, C.G., Grainger, D., Palmer, S.B. Prediction of hip fracture in elderly women: a prospective study. B M J 1990, 301, 683–641.

    Google Scholar 

  17. Zagzebski, J.A., Rossman, P.J., Mesina, C., Mazess, R.B., Madsen, E.L. Ultrasound transmission measurements through the os calcis. Calcif Tissue Int 1991, 49, 107–111.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Poet, J.L., Tonolli Serabian, I., Camboulives, H. et al. Broadband ultrasound attenuation of the os calcis: Preliminary study. Clin Rheumatol 13, 234–238 (1994). https://doi.org/10.1007/BF02249018

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02249018

Key words

Navigation