Abstract
Quantitative CT (QCT) is a method for evaluating bone mineral density (BMD) of the spine and proximal femur three-dimensionally by combining clinical CT with a bone density phantom and dedicated software. It is possible to measure BMD more accurately than with dual energy X-ray absorptiometry (DXA).
High-resolution peripheral quantitative CT (HR-pQCT) is a small-sized clinical CT dedicated to bone research, and its high resolution (voxel size 61 μm) enables analysis of the bone microstructure of living patients noninvasively. It shows osteoporotic changes at the bone microstructure level, such as decreased trabecular number, cortical thickness, and increased cortical porosity.
The present invited review was completed and submitted to the publisher on 01-Jul-20.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Link TM, Lang TF. Axial QCT: clinical applications and new developments. J Clin Densitom. 2014;17:438–48.
Link TM. Osteoporosis imaging: state of the art and advanced imaging. Radiology. 2012;263:3–17.
Yu W, Glüer CC, Grampp S, Jergas M, Fuerst T, Wu CY, Lu Y, Fan B, Genant HK. Spinal bone mineral assessment in postmenopausal women: a comparison between dual X-ray absorptiometry and quantitative computed tomography. Osteoporos Int. 1995;5:433–9.
Bergot C, Laval-Jeantet AM, Hutchinson K, Dautraix I, Caulin F, Genant HK. A comparison of spinal quantitative computed tomography with dual energy X-ray absorptiometry in European women with vertebral and nonvertebral fractures. Calcif Tissue Int. 2001;68:74–82.
Black DM, Greenspan SL, Ensrud KE, et al. The effects of parathyroid hormone and alendronate alone or in combination in postmenopausal osteoporosis. N Engl J Med. 2003;349:1207–15.
Johannesdottir F, Turmezei T, Poole KES. Cortical bone assessed with clinical computed tomography at the proximal femur. J Bone Miner Res. 2014;29:771–83.
Pickhardt PJ, Lee LJ, del Rio AM, Lauder T, Bruce RJ, Summers RM, Pooler BD, Binkley N. Simultaneous screening for osteoporosis at CT colonography: bone mineral density assessment using MDCT attenuation techniques compared with the DXA reference standard. J Bone Miner Res. 2011;26:2194–203.
Lee SJ, Graffy PM, Zea RD, Ziemlewicz TJ, Pickhardt PJ. Future osteoporotic fracture risk related to lumbar vertebral trabecular attenuation measured at routine body CT. J Bone Miner Res. 2018;33:860–7.
Damilakis J, Adams JE, Guglielmi G, Link TM. Radiation exposure in X-ray-based imaging techniques used in osteoporosis. Eur Radiol. 2010;20:2707–14.
Burghardt AJ, Link TM, Majumdar S. High-resolution computed tomography for clinical imaging of bone microarchitecture. Clin Orthop Relat Res. 2011;469:2179–93.
Cheung AM, Adachi JD, Hanley DA, et al. High-resolution peripheral quantitative computed tomography for the assessment of bone strength and structure: a review by the Canadian bone strength working group. Curr Osteoporos Rep. 2013;11:136–46.
Nishiyama KK, Shane E. Clinical imaging of bone microarchitecture with HR-pQCT. Curr Osteoporos Rep. 2013;11:147–55.
Burghardt AJ, Pialat J-B, Kazakia GJ, et al. Multicenter precision of cortical and trabecular bone quality measures assessed by high-resolution peripheral quantitative computed tomography. J Bone Miner Res. 2013;28:524–36.
Chiba K, Okazaki N, Kurogi A, Isobe Y, Yonekura A, Tomita M, Osaki M. Precision of Second-Generation High-Resolution Peripheral Quantitative Computed Tomography: Intra- and Intertester Reproducibilities and Factors Involved in the Reproducibility of Cortical Porosity. J Clin Densitom. 2018;21:295–302.
Manske SL, Zhu Y, Sandino C, Boyd SK. Human trabecular bone microarchitecture can be assessed independently of density with second generation HR-pQCT. Bone. 2015;79:213–21.
Bouxsein ML, Boyd SK, Christiansen BA, Guldberg RE, Jepsen KJ, Müller R. Guidelines for assessment of bone microstructure in rodents using micro-computed tomography. 2010;25:1468–1486.
Whittier DE, Boyd SK, Burghardt AJ, Paccou J, Ghasem-Zadeh A, Chapurlat R, Engelke K, Bouxsein ML. Guidelines for the assessment of bone density and microarchitecture in vivo using high-resolution peripheral quantitative computed tomography. Osteoporos Int. 2020. https://doi.org/10.1007/s00198-020-05438-5
Yokota K, Chiba K, Okazaki N, et al. Deterioration of bone microstructure by aging and menopause in Japanese healthy women: analysis by HR-pQCT. J Bone Miner Metab. 2020. https://doi.org/10.1007/s00774-020-01115-z
Samelson EJ, Broe KE, Xu H, et al. Cortical and trabecular bone microarchitecture as an independent predictor of incident fracture risk in older women and men in the bone microarchitecture international consortium (BoMIC): a prospective study. Lancet Diabetes Endocrinol. 2019;7:34–43.
Pialat J, Burghardt A, Sode M, Link T, Majumdar S. Visual grading of motion induced image degradation in high resolution peripheral computed tomography: impact of image quality on measures of bone density and micro-architecture. Bone. 2012;50:111–8.
Majumdar S, Genant HK, Grampp S, Newitt DC, Truong VH, Lin JC, Mathur A. Correlation of trabecular bone structure with age, bone mineral density, and osteoporotic status: in vivo studies in the distal radius using high resolution magnetic resonance imaging. J Bone Miner Res. 1997;12:111–8.
Majumdar S. Magnetic resonance imaging of trabecular bone structure. Top Magn Reson Imaging. 2002;13:323–34.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Chiba, K., Osaki, M., Ito, M. (2022). Assessment of Osteoporosis by QCT, HR-pQCT, and MRI. In: Takahashi, H.E., Burr, D.B., Yamamoto, N. (eds) Osteoporotic Fracture and Systemic Skeletal Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-16-5613-2_11
Download citation
DOI: https://doi.org/10.1007/978-981-16-5613-2_11
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-5612-5
Online ISBN: 978-981-16-5613-2
eBook Packages: MedicineMedicine (R0)