L'ultrasonografia ossea in nefrologia

applicazioni e limiti.

Translated title of the contribution: [Bone ultrasonography in kidney disease: applications and limitations].

Filippo Aucella, Antonio Gesuete, Antonio Cicchella, Antonio Granata, Fulvio Fiorini, Giuseppe Guglielmi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Quantitative ultrasound (QUS) of the bone is a technique that is generating great interest among bone structure researchers because of its intrinsic features. Its safety and low cost make it an ideal technique for repeated measurements over time such as in chronic disease or when it is necessary to monitor the effects of prescribed therapies. The method was developed for the study of osteoporosis and the sites of measurement are all peripheral, including the distal diaphyses and metaphyses of the phalanges, calcaneus, radius and tibia. QUS parameters, however, cannot be used directly for the diagnosis of osteoporosis according to the WHO criteria, although many authors have shown that ultrasound parameters, particularly those of calcaneal QUS, can predict the risk of osteoporotic fractures independently of MBD. Very promising results with the use of QUS have been obtained in corticosteroid-induced osteoporosis, rheumatoid arthritis, Cushing's syndrome, cystic fibrosis, osteomalacia, thalassemia and osteopenia related to parenteral nutrition. QUS can also monitor the effectiveness of therapy in various pathological conditions. In nephrology the combined use of phalangeal QUS and biochemical markers of bone turnover allows adequate follow-up of patients on dialysis and renal transplant recipients with alterations or disorders of the bone.

Original languageItalian
JournalGiornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia
Volume29 Suppl 57
Publication statusPublished - Nov 2012

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Kidney Diseases
Osteoporosis
Ultrasonography
Bone and Bones
Diaphyses
Osteomalacia
Calcaneus
Osteoporotic Fractures
Thalassemia
Nephrology
Cushing Syndrome
Bone Remodeling
Metabolic Bone Diseases
Parenteral Nutrition
Tibia
Cystic Fibrosis
Renal Dialysis
Rheumatoid Arthritis
Adrenal Cortex Hormones
Chronic Disease

ASJC Scopus subject areas

  • Nephrology

Cite this

L'ultrasonografia ossea in nefrologia : applicazioni e limiti. / Aucella, Filippo; Gesuete, Antonio; Cicchella, Antonio; Granata, Antonio; Fiorini, Fulvio; Guglielmi, Giuseppe.

In: Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia, Vol. 29 Suppl 57, 11.2012.

Research output: Contribution to journalArticle

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