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基于双能X线吸收测量法的三种胫骨软骨下骨骨密度测量方法的信度与效度分析
引用本文:庞坚,郑昱新,曹月龙,段铁骊,吴玉云,吕桦,赵文琼,郭海玲,赵咏芳,石印玉.基于双能X线吸收测量法的三种胫骨软骨下骨骨密度测量方法的信度与效度分析[J].中国医学影像技术,2013,29(4):655-658.
作者姓名:庞坚  郑昱新  曹月龙  段铁骊  吴玉云  吕桦  赵文琼  郭海玲  赵咏芳  石印玉
作者单位:上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203;上海中医药大学附属曙光医院石氏伤科医学中心 上海市中医药研究院骨伤科研究所, 上海 201203
基金项目:国家重点学科"中医骨伤科学"项目(100508);国家自然科学基金(81102603、81173277、81072830);上海市教育委员会科研创新项目(12YZ064、11YZ64);"海派中医流派传承研究基地"(ZYSNXD-CC-HPGC-JD-001);上海领军人才项目(041);上海市卫生局中药新药及院内制剂研发项目(2011ZJ007、2011ZJ012)。
摘    要:目的 观察基于双能X线吸收测量法(DXA)的三种胫骨近端软骨下骨骨密度检测方法的信度与效度。方法 招募28名健康女性,利用双能X线骨密度仪扫描膝关节;由2名研究者分别应用三种不同测量方法选取ROI进行测量分析,通过计算组内相关系数值(ICC),评价各方法的复测信度与测量者间信度,利用t检验评价区分效度。结果 三种方法均具有较好的复测信度(ICC 0.833~0.998)与测量者间信度(ICC 0.905~0.997),且对低年龄者和高年龄者具有较好的区分效度(P<0.05)。结论 利用双能X线骨密度仪研究膝关节软骨下骨具有可行性;本研究分析的三种测量方法可有选择地用于临床研究。

关 键 词:膝关节  软骨下骨  骨密度  双能X线吸收测量法
收稿时间:2012/11/29 0:00:00
修稿时间:2013/1/17 0:00:00

Reproducibility and validity of measuring tibial subchondral bone density with dual-energy X-ray absorptiometry: A preliminary assessment
PANG Jian,ZHENG Yu-xin,CAO Yue-long,DUAN Tie-li,WU Yu-yun,L&#; Hu,ZHAO Wen-qiong,GUO Hai-ling,ZHAO Yong-fang and SHI Yin-yu.Reproducibility and validity of measuring tibial subchondral bone density with dual-energy X-ray absorptiometry: A preliminary assessment[J].Chinese Journal of Medical Imaging Technology,2013,29(4):655-658.
Authors:PANG Jian  ZHENG Yu-xin  CAO Yue-long  DUAN Tie-li  WU Yu-yun  L&#; Hu  ZHAO Wen-qiong  GUO Hai-ling  ZHAO Yong-fang and SHI Yin-yu
Institution:Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China;Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China
Abstract:Objective To explore the reproducibility and validity of three different dual-energy X-ray absorptiometry measurement techniques for subchondral bone mineral density (sBMD) in the knee. Methods Twenty-eight female participants were collected, and sBMD was measured using dual energy X-ray absorptiometry scans. ROI was placed in the lateral and medial compartments of tibial subchondral bone using three methods. Intraclass correlation coefficient (ICC) was calculated to describe the reproducibility. Results All three methods had excellent reproducibility (inter-observer reliability 0.905-0.997, reliability 0.833-0.998). For validity, these three methods had good discrimination validity in different age groups (P<0.05). Conclusion It is feasible of studying on knee by measuring sBMD with dual energy X-ray absorptiometry scans. Rational selection of measuring methods are necessary in clinical studies.
Keywords:Knee joint  Subchondral bone  Bone density  Dual energy X-ray absorptiometry
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