Vertebral fracture assessment using a semiquantitative technique
Abstract
The assessment of vertebral fracture by conventional radiography has been refined and improved using either semiquantitative or quantitative criteria. The inter- and intraobserver variability was determined for a semiquantitative visual approach that we routinely use in clinical studies for assessing prevalent and incident vertebral fractures. In addition, the semiquantitative approach was compared with a quantitative morphometric approach. The incidence and prevalence of vertebral fractures were determined in 57 postmenopausal women (age 65-75 years) by three independent observers. The radiographic basis for fracture definitions and the source of interobserver agreement for the semiquantitative technique. We conclude that the semiquantitative approach can be applied reliably in vertebral fracture assessment when performed using well-defined criteria.
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The Genant visual semiquantitative method is a widely accepted way of assessing vertebral fractures on conventional radiography that can be easily applied to sagittal CT images.
“by employing the Genant visual semiquantitative method (15), a widely accepted way of assessing vertebral fractures on conventional radiography that can be easily applied to sagittal CT images.”
From Opportunistic screening for osteoporosis using abdominal computed tomography scans obtained for other indications (2013) · cites this paper as [15]
CT scans were screened for prevalent osteoporotic vertebral fractures using the semi-quantitative technique by Genant.
“CT scans of the remaining 258 patients were screened for prevalent osteoporotic vertebral fractures using the semi-quantitative technique by Genant [18].”
From Automatic opportunistic osteoporosis screening in routine CT: improved prediction of patients with prevalent vertebral fractures compared to DXA (2021) · cites this paper as [18]
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- Authors
- Genant, H. K., Wu, C. Y., van Kuijk, C., & Nevitt, M. C.
- Affiliations
- University of California, San Francisco (US)
- Department of Radiology, University of California, San Francisco
- Corresponding author
- Genant, Harry K.
- Venue
- Journal of Bone and Mineral Research
- Publisher
- Oxford University Press (OUP)
- Published
- 1993-09-01
- Volume
- 8
- Issue
- 9
- Pages
- 1137-1148
- ISSN
- 0884-0431 (ISSN-L)
- 1523-4681
- OpenAlex
- W2044178924
- Cited by
- 3,691
- References
- 0
- Citations by year
- 2026: 157 · 2025: 187 · 2024: 217 · 2023: 203 · 2022: 208 · 2021: 211 · 2020: 252 · 2019: 170 · 2018: 171 · 2017: 151 · 2016: 165 · 2015: 138 · 2014: 140 · 2013: 168 · 2012: 152
- FWCI
- 10.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Journal of Bone and Mineral Research (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Surgery › Spinal Fractures and Fixation Techniques
- Health Sciences › Medicine › Surgery › Scoliosis diagnosis and treatment
- Keywords
- vertebral fractures, semi-quantitative analysis, interobserver variability, intraobserver variability, morphometrics, postmenopausal women, osteoporosis, fracture prevalence, fracture incidence
- MeSH terms
- Aged, Female, Follow-Up Studies, Fractures, Spontaneous, Humans, Lumbar Vertebrae, Radiography, Thoracic Vertebrae, Observer Variation, Osteoporosis, Postmenopausal, Spinal Fractures
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