Cited by 31Bone health and osteoporosis researchBody Composition Measurement TechniquesHIV-related health complications and treatments

DXA beyond bone mineral density and the REMS technique: New insights for current radiologists practice

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Messina, Carmelo, Fusco, Stefano, Gazzotti, Silvia, Albano, Domenico, Bonaccorsi, Gloria, Guglielmi, Giuseppe, Bazzocchi, Alberto·2024·La radiologia medica

Abstract

Osteoporosis is the most prevalent skeletal disorder, a condition that is associated with significant social and healthcare burden. In the elderly, osteoporosis is commonly associated with sarcopenia, further increasing the risk of fracture. Several imaging techniques are available for a non-invasive evaluation of osteoporosis and sarcopenia. This review focuses on dual-energy X-ray absorptiometry (DXA), as this technique offers the possibility to evaluate bone mineral density and body composition parameters with good precision and accuracy. DXA is also able to evaluate the amount of aortic calcification for cardiovascular risk estimation. Additionally, new DXA-based parameters have been developed in recent years to further refine fracture risk estimation, such as the Trabecular Bone Score and the Bone Strain Index. Finally, we describe the recent advances of a newly developed ultrasound-based technology known as Radiofrequency Echographic Multi-Spectrometry, which represent the latest non-ionizing approach for osteoporosis evaluation at central sites.

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Authors
Messina, C., Fusco, S., Gazzotti, S., Albano, D., Bonaccorsi, G., Guglielmi, G., & Bazzocchi, A.
Affiliations
  • University of Milan (IT)
  • Istituto Ortopedico Rizzoli (IT)
  • University of Ferrara (IT)
  • University of Foggia (IT)
Corresponding author
Guglielmi, Giuseppe
Venue
La radiologia medica
Published
2024-07-30
Volume
129
Issue
8
Pages
1224-1240
ISSN
  • 0033-8362 (ISSN-L)
  • 1826-6983
OpenAlex
W4401109501
Cited by
31
References
2
Citations by year
2026: 15 · 2025: 14 · 2024: 2
FWCI
3.31
Type
journal article
Language
en
Open access
Locations
  • La radiologia medica (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Università di Foggia
Topics
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
  • Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
Keywords
dual-energy X-ray absorptiometry, osteoporosis, sarcopenia, bone mineral density, body composition, aortic calcification, cardiovascular risk, fracture risk prediction, trabecular bone score, radiofrequency echographic multi-spectrometry, non-ionizing imaging
MeSH terms
Body Composition, Humans, Osteoporosis, Ultrasonography, Absorptiometry, Photon, Bone Density, Risk Assessment, Sarcopenia

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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