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The epidemiology of quantitative ultrasound: A review of the relationships with bone mass, osteoporosis and fracture risk
Authors:E. W. Gregg PhD  A. M. Kriska  L. M. Salamone  M. M. Roberts  S. J. Aderson  R. E. Ferrell  L. H. Kuller  J. A. Cauley
Affiliation:(1) Division of Primary Care Internal Medicine, University of Vermont, College of Medicine, Burlington, Vermont;(2) Departments of Epidemiology, Biostatistics, and Human Genetics, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, Pennsylvania;(3) Department of Endocrinology and Metabolism, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA;(4) Division of Primary Care, Given Health Care Center, University of Vermont, 1 Prospect Street, 05401 Burlington, VT, USA
Abstract:Quantitative ultrasound (QUS) is a simple, inexpensive and non-invasive measure of bone which has been used in research settings for the prediction of osteoporosis. This review summarizes the current status of the epidemiology of QUS analysis, including its relationship with bone mineral density (BMD), risk of osteoporotic fracture and risk factors for osteoporosis. Although only moderately correlated with BMD, QUS appears to be as strong a predictor of osteoporotic fracture as BMD and may predict fracture independent of BMD. Risk factors for low QUS, including age, menopause, body composition and physical inactivity, seem to parallel those of low BMD. More longitudinal research is needed to confirm the clinical utility of QUS and more experimental and population-based studies are needed to determine whether the etiology of low QUS values is different from that of low bone mass.
Keywords:Bone quality  Broadband ultrasound attenuation  Epidemiology  Osteoporosis  Quantitative ultrasound  Speed of sound
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