[Dual-photon bone densitometry in dialyzed patients]. 2000

A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
III. interní klinika LF UP a FN, Olomouc.

In non-invasive diagnosis of renal osteodystrophy the levels of bone minerals and the extent of bone turnover are evaluated. The contents of bone minerals are assessed quantitatively by different modalities of bone densitometry, among which the most accurate one is double-energy bone densitometry. So far no standard examination method was defined nor the most suitable portion of the skeleton for densitometric examination. In order to find such an area and also to assess the prevalence of bone demineralization, its severity and regional differences the authors made a cross-sectional study of bone density in dialyzed patients. The group comprised 45 patients, 24 men and 21 women subjected to regular dialyzation treatment for 20-24 months. In a lambda whole body bone densitometry was performed with evaluation of regional densities of the trunk, upper and lower extremities. At the same time the state of bone turnover was assessed arbitrarily using values of serum concentrations of intact parathormone; parathormone concentrations below 50 pg/ml were considered low, above 200 pg/ml high and concentrations within the mentioned range as the normal bone turnover. In the group of patients 62% had a high, 22% a normal and 16% a low bone turnover. The study provided evidence of a significant reduction of bone density (Z score <-1) in 58% of patients. In 92% of patients demineralization affected most and first the extremities. In 69% it affected the lower extremities and in 23% the upper ones. 8% of the patients had the most severe affections in the area of the trunk. This order of affliction was not influenced by bone turnover, sex and in women by age. The diaphysis of long bones seems to be a representative examination area of the skeleton for densitometric measurements in patients with regular dialyzation treatment.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012080 Chronic Kidney Disease-Mineral and Bone Disorder Decalcification of bone or abnormal bone development due to chronic KIDNEY DISEASES, in which 1,25-DIHYDROXYVITAMIN D3 synthesis by the kidneys is impaired, leading to reduced negative feedback on PARATHYROID HORMONE. The resulting SECONDARY HYPERPARATHYROIDISM eventually leads to bone disorders. Renal Osteodystrophy,Renal Rickets,Rickets, Renal,CKD-MBD,Osteodystrophy, Renal,Chronic Kidney Disease Mineral and Bone Disorder,Osteodystrophies, Renal,Renal Osteodystrophies
D005260 Female Females
D006435 Renal Dialysis Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION. Dialysis, Extracorporeal,Dialysis, Renal,Extracorporeal Dialysis,Hemodialysis,Dialyses, Extracorporeal,Dialyses, Renal,Extracorporeal Dialyses,Hemodialyses,Renal Dialyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D015502 Absorptiometry, Photon A noninvasive method for assessing BODY COMPOSITION. It is based on the differential absorption of X-RAYS (or GAMMA RAYS) by different tissues such as bone, fat and other soft tissues. The source of (X-ray or gamma-ray) photon beam is generated either from radioisotopes such as GADOLINIUM 153, IODINE 125, or Americanium 241 which emit GAMMA RAYS in the appropriate range; or from an X-ray tube which produces X-RAYS in the desired range. It is primarily used for quantitating BONE MINERAL CONTENT, especially for the diagnosis of OSTEOPOROSIS, and also in measuring BONE MINERALIZATION. Absorptiometry, X-Ray,Dual-Photon Absorptiometry,Photodensitometry, X-Ray,Photon Absorptiometry,Single-Photon Absorptiometry,X-Ray Absorptiometry,Absorptiometry, Dual X-Ray,Absorptiometry, Dual-Energy Radiographic,Absorptiometry, Dual-Energy X-Ray,DEXA Scan,DPX Absorptiometry,DXA Scan,Densitometry, X-Ray,Densitometry, Xray,Dual X-Ray Absorptiometry,Dual-Energy Radiographic Absorptiometry,Dual-Energy X-Ray Absorptiometry,Dual-Energy X-Ray Absorptiometry Scan,Radiographic Absorptiometry, Dual-Energy,X-Ray Absorptiometry, Dual-Energy,X-Ray Photodensitometry,Absorptiometries, DPX,Absorptiometry, DPX,Absorptiometry, Dual Energy Radiographic,Absorptiometry, Dual Energy X Ray,Absorptiometry, Dual X Ray,Absorptiometry, Dual-Photon,Absorptiometry, Single-Photon,Absorptiometry, X Ray,DEXA Scans,DXA Scans,Densitometry, X Ray,Dual Energy Radiographic Absorptiometry,Dual Energy X Ray Absorptiometry,Dual Energy X Ray Absorptiometry Scan,Dual Photon Absorptiometry,Dual X Ray Absorptiometry,Photodensitometry, X Ray,Radiographic Absorptiometry, Dual Energy,Scan, DEXA,Scan, DXA,Scans, DEXA,Scans, DXA,Single Photon Absorptiometry,X Ray Absorptiometry,X Ray Absorptiometry, Dual Energy,X Ray Photodensitometry,X-Ray Absorptiometry, Dual,X-Ray Densitometry,Xray Densitometry

Related Publications

A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
January 1994, Bone,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
September 1994, Archivos latinoamericanos de nutricion,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
January 1999, Acta Universitatis Palackianae Olomucensis Facultatis Medicae,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
January 1988, Pediatrie,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
March 1992, Revista medica de Chile,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
January 1990, Skeletal radiology,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
March 1987, The Medical journal of Australia,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
September 1987, The Medical journal of Australia,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
June 1992, The British journal of radiology,
A Jaros, and M Budíková, and J Bartek, and J Zadrazil, and K Konecný, and K Krejcí, and P Vrublovský, and J Zahálková, and Z Kosatíková
September 1993, Revista medica de Chile,
Copied contents to your clipboard!