Fracture Prediction by Computed Tomography and Finite Element Analysis: Current and Future Perspectives.

Abstract:

PURPOSE OF REVIEW:This review critiques the ability of CT-based methods to predict incident hip and vertebral fractures. RECENT FINDINGS:CT-based techniques with concurrent calibration all show strong associations with incident hip and vertebral fracture, predicting hip and vertebral fractures as well as, and sometimes better than, dual-energy X-ray absorptiometry areal biomass density (DXA aBMD). There is growing evidence for use of routine CT scans for bone health assessment. CT-based techniques provide a robust approach for osteoporosis diagnosis and fracture prediction. It remains to be seen if further technical advances will improve fracture prediction compared to DXA aBMD. Future work should include more standardization in CT analyses, establishment of treatment intervention thresholds, and more studies to determine whether routine CT scans can be efficiently used to expand the number of individuals who undergo evaluation for fracture risk.

journal_name

Curr Osteoporos Rep

authors

Johannesdottir F,Allaire B,Bouxsein ML

doi

10.1007/s11914-018-0450-z

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

411-422

issue

4

eissn

1544-1873

issn

1544-2241

pii

10.1007/s11914-018-0450-z

journal_volume

16

pub_type

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