Osteoporosis X-ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

An X-ray may be helpful in the diagnosis of osteoporosis. The main X-ray finding suggestive of osteoporosis is the bone mass loss. Primarily, the loss is mainly in bony trabecula, than the cortex. The most common bones monitored for osteoporosis are the femoral neck, lumbar vertebrae, and calcaneus. For plain radiography to be sensitive, 30-50% of bone loss needs to occur, thus making this modality less desirable in diagnosis of osteoporosis.

X-ray

An X-ray may be helpful in the diagnosis of osteoporosis. The main X-ray finding suggestive of osteoporosis is the bone mass loss. Primarily, the loss is mainly in bony trabecula, than the cortex. The most common bones monitored for osteoporosis are the femoral neck, lumbar vertebrae, and calcaneus. For plain radiography to be sensitive, 30-50% of bone loss needs to occur, thus making this modality less desirable in diagnosis of osteoporosis.

Vertebra-plana and Dowager's hump, Via:Radiopaedia.org[1]

Indications for imaging

Consider vertebral imaging tests for the following individuals:

Lumbar vertebrae

Femoral neck

Tubular bones

References

  1. Radiopaedia.org. From the case <"https://radiopaedia.org/cases/12072">rID: 12072
  2. Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S; et al. (2014). "Clinician's Guide to Prevention and Treatment of Osteoporosis". Osteoporos Int. 25 (10): 2359–81. doi:10.1007/s00198-014-2794-2. PMC 4176573. PMID 25182228.
  3. "Juvenile Osteoporosis".
  4. 4.0 4.1 "Osteoporosis | Radiology Reference Article | Radiopaedia.org".
  5. "Singh index | Radiology Reference Article | Radiopaedia.org".
  6. Radiopaedia.org. From the case <"https://radiopaedia.org/cases/17333">rID: 17333
  7. Radiopaedia.org. From the case <"https://radiopaedia.org/cases/17333">rID: 17333
  8. Radiopaedia.org. From the case <"https://radiopaedia.org/cases/18147">rID: 18147
  9. Radiopaedia.org. From the case <"https://radiopaedia.org/cases/22910">rID: 22910
  10. Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11710">rID: 11710

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