Phalangeal osteosonogrammetry study: Age-related changes, diagnostic sensitivity, and discrimination power

Christian Wüster, C. Albanese, D. De Aloysio, F. Duboeuf, M. Gambacciani, S. Gonnelli, C. C. Glüer, D. Hans, J. Joly, J. Y. Reginster, F. De Terlizzi, R. Cadossi, R. Barkmann, G. P I Baroncelli, C. M. Boivin, E. Boschitsch, G. Federico, C. Franceschi, C. Gennari, G. GuglielmiM. Mauloni, G. Pini, J. Nijs, C. F. Njeh, S. Ortolani, W. Pluskiewics, J. P. Sabatier, A. Sili Scavalli, R. Theiler

Research output: Contribution to journalArticle

224 Citations (Scopus)

Abstract

Phalangeal osteosonogrammetry was introduced as a method for bone tissue investigation in 1992. It is based on the measure of the velocity of ultrasound (amplitude-dependent speed of sound [AD-SoS]) and on the interpretation of the characteristics of the ultrasound signal. In this study we have collected a database of 10,115 subjects to evaluate the performance of AD-SoS and to develop a parameter that is able to quantify the signal characteristics: ultrasound bone profile index (UBPI). The database only includes females of which 4.5% had documented vertebral osteoporotic fractures, 16% lumbar spine dual X-ray absorptiometry (DXA), and 6% hip DXA. The analysis of the ultrasound signal has shown that with aging the UBPI, first wave amplitude (FWA), and signal dynamics (SDy) follow a trend that is different from the one observed for AD-SoS; that is, there is no increase during childhood. In the whole population, the risk of fracture per SD decrease for AD-SOS was odds ratio (OR) 1.71 (CI, 1.58-1.84). The AD-SoS in fractured subjects was significantly lower than in a group of age-matched nonfractured subjects (p <0.0001). In a small cohort of hip-fractured patients UBPI proved to be lower than in a control age-matched group (p <0.0001). When the World Health Organization (WHO) working group criteria were applied to this population to identify the T score value for osteoporosis, for AD-SoS we found a T score of -3.2 and for UBPI we found a T score of - 3.14. Sixty-six percent of vertebral fractures were below the AD-SoS -3.2 T score and 62% were below UBPI -3.14. We observed the highest incidence of fractures (63.6%) among subjects with AD-SoS who had both DXA T score values below the threshold. We conclude from this study that ultrasound investigation at the hand phalanges is a valid methodology for osteoporosis assessment. It has been possible to quantify signal changes by means of UBPI, a parameter that will improve the possibility of investigating bone structure.

Original languageEnglish
Pages (from-to)1603-1614
Number of pages12
JournalJournal of Bone and Mineral Research
Volume15
Issue number8
Publication statusPublished - 2000

Fingerprint

Bone and Bones
Photon Absorptiometry
Osteoporosis
Hip
Research Design
Age Groups
Databases
Osteoporotic Fractures
Population
Spine
Hand
Odds Ratio
Incidence

Keywords

  • Bone
  • Osteoporosis
  • Phalanges
  • Signal processing
  • Ultrasound

ASJC Scopus subject areas

  • Surgery

Cite this

Wüster, C., Albanese, C., De Aloysio, D., Duboeuf, F., Gambacciani, M., Gonnelli, S., ... Theiler, R. (2000). Phalangeal osteosonogrammetry study: Age-related changes, diagnostic sensitivity, and discrimination power. Journal of Bone and Mineral Research, 15(8), 1603-1614.

Phalangeal osteosonogrammetry study : Age-related changes, diagnostic sensitivity, and discrimination power. / Wüster, Christian; Albanese, C.; De Aloysio, D.; Duboeuf, F.; Gambacciani, M.; Gonnelli, S.; Glüer, C. C.; Hans, D.; Joly, J.; Reginster, J. Y.; De Terlizzi, F.; Cadossi, R.; Barkmann, R.; Baroncelli, G. P I; Boivin, C. M.; Boschitsch, E.; Federico, G.; Franceschi, C.; Gennari, C.; Guglielmi, G.; Mauloni, M.; Pini, G.; Nijs, J.; Njeh, C. F.; Ortolani, S.; Pluskiewics, W.; Sabatier, J. P.; Sili Scavalli, A.; Theiler, R.

In: Journal of Bone and Mineral Research, Vol. 15, No. 8, 2000, p. 1603-1614.

Research output: Contribution to journalArticle

Wüster, C, Albanese, C, De Aloysio, D, Duboeuf, F, Gambacciani, M, Gonnelli, S, Glüer, CC, Hans, D, Joly, J, Reginster, JY, De Terlizzi, F, Cadossi, R, Barkmann, R, Baroncelli, GPI, Boivin, CM, Boschitsch, E, Federico, G, Franceschi, C, Gennari, C, Guglielmi, G, Mauloni, M, Pini, G, Nijs, J, Njeh, CF, Ortolani, S, Pluskiewics, W, Sabatier, JP, Sili Scavalli, A & Theiler, R 2000, 'Phalangeal osteosonogrammetry study: Age-related changes, diagnostic sensitivity, and discrimination power', Journal of Bone and Mineral Research, vol. 15, no. 8, pp. 1603-1614.
Wüster C, Albanese C, De Aloysio D, Duboeuf F, Gambacciani M, Gonnelli S et al. Phalangeal osteosonogrammetry study: Age-related changes, diagnostic sensitivity, and discrimination power. Journal of Bone and Mineral Research. 2000;15(8):1603-1614.
Wüster, Christian ; Albanese, C. ; De Aloysio, D. ; Duboeuf, F. ; Gambacciani, M. ; Gonnelli, S. ; Glüer, C. C. ; Hans, D. ; Joly, J. ; Reginster, J. Y. ; De Terlizzi, F. ; Cadossi, R. ; Barkmann, R. ; Baroncelli, G. P I ; Boivin, C. M. ; Boschitsch, E. ; Federico, G. ; Franceschi, C. ; Gennari, C. ; Guglielmi, G. ; Mauloni, M. ; Pini, G. ; Nijs, J. ; Njeh, C. F. ; Ortolani, S. ; Pluskiewics, W. ; Sabatier, J. P. ; Sili Scavalli, A. ; Theiler, R. / Phalangeal osteosonogrammetry study : Age-related changes, diagnostic sensitivity, and discrimination power. In: Journal of Bone and Mineral Research. 2000 ; Vol. 15, No. 8. pp. 1603-1614.
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AU - Wüster, Christian

AU - Albanese, C.

AU - De Aloysio, D.

AU - Duboeuf, F.

AU - Gambacciani, M.

AU - Gonnelli, S.

AU - Glüer, C. C.

AU - Hans, D.

AU - Joly, J.

AU - Reginster, J. Y.

AU - De Terlizzi, F.

AU - Cadossi, R.

AU - Barkmann, R.

AU - Baroncelli, G. P I

AU - Boivin, C. M.

AU - Boschitsch, E.

AU - Federico, G.

AU - Franceschi, C.

AU - Gennari, C.

AU - Guglielmi, G.

AU - Mauloni, M.

AU - Pini, G.

AU - Nijs, J.

AU - Njeh, C. F.

AU - Ortolani, S.

AU - Pluskiewics, W.

AU - Sabatier, J. P.

AU - Sili Scavalli, A.

AU - Theiler, R.

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N2 - Phalangeal osteosonogrammetry was introduced as a method for bone tissue investigation in 1992. It is based on the measure of the velocity of ultrasound (amplitude-dependent speed of sound [AD-SoS]) and on the interpretation of the characteristics of the ultrasound signal. In this study we have collected a database of 10,115 subjects to evaluate the performance of AD-SoS and to develop a parameter that is able to quantify the signal characteristics: ultrasound bone profile index (UBPI). The database only includes females of which 4.5% had documented vertebral osteoporotic fractures, 16% lumbar spine dual X-ray absorptiometry (DXA), and 6% hip DXA. The analysis of the ultrasound signal has shown that with aging the UBPI, first wave amplitude (FWA), and signal dynamics (SDy) follow a trend that is different from the one observed for AD-SoS; that is, there is no increase during childhood. In the whole population, the risk of fracture per SD decrease for AD-SOS was odds ratio (OR) 1.71 (CI, 1.58-1.84). The AD-SoS in fractured subjects was significantly lower than in a group of age-matched nonfractured subjects (p <0.0001). In a small cohort of hip-fractured patients UBPI proved to be lower than in a control age-matched group (p <0.0001). When the World Health Organization (WHO) working group criteria were applied to this population to identify the T score value for osteoporosis, for AD-SoS we found a T score of -3.2 and for UBPI we found a T score of - 3.14. Sixty-six percent of vertebral fractures were below the AD-SoS -3.2 T score and 62% were below UBPI -3.14. We observed the highest incidence of fractures (63.6%) among subjects with AD-SoS who had both DXA T score values below the threshold. We conclude from this study that ultrasound investigation at the hand phalanges is a valid methodology for osteoporosis assessment. It has been possible to quantify signal changes by means of UBPI, a parameter that will improve the possibility of investigating bone structure.

AB - Phalangeal osteosonogrammetry was introduced as a method for bone tissue investigation in 1992. It is based on the measure of the velocity of ultrasound (amplitude-dependent speed of sound [AD-SoS]) and on the interpretation of the characteristics of the ultrasound signal. In this study we have collected a database of 10,115 subjects to evaluate the performance of AD-SoS and to develop a parameter that is able to quantify the signal characteristics: ultrasound bone profile index (UBPI). The database only includes females of which 4.5% had documented vertebral osteoporotic fractures, 16% lumbar spine dual X-ray absorptiometry (DXA), and 6% hip DXA. The analysis of the ultrasound signal has shown that with aging the UBPI, first wave amplitude (FWA), and signal dynamics (SDy) follow a trend that is different from the one observed for AD-SoS; that is, there is no increase during childhood. In the whole population, the risk of fracture per SD decrease for AD-SOS was odds ratio (OR) 1.71 (CI, 1.58-1.84). The AD-SoS in fractured subjects was significantly lower than in a group of age-matched nonfractured subjects (p <0.0001). In a small cohort of hip-fractured patients UBPI proved to be lower than in a control age-matched group (p <0.0001). When the World Health Organization (WHO) working group criteria were applied to this population to identify the T score value for osteoporosis, for AD-SoS we found a T score of -3.2 and for UBPI we found a T score of - 3.14. Sixty-six percent of vertebral fractures were below the AD-SoS -3.2 T score and 62% were below UBPI -3.14. We observed the highest incidence of fractures (63.6%) among subjects with AD-SoS who had both DXA T score values below the threshold. We conclude from this study that ultrasound investigation at the hand phalanges is a valid methodology for osteoporosis assessment. It has been possible to quantify signal changes by means of UBPI, a parameter that will improve the possibility of investigating bone structure.

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KW - Osteoporosis

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