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QUS使用の実際 - 日本骨粗鬆症学会

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1. 10 BM QUS NA SOF m Fi EPIDOS population based study predictor Huang Hawaii Osteoporotic Study 2 7 BT QUS broadband ultrasound attenuation BUA pre dictor
2. DHAMO QUS Wl LONG 2 mE HE Osteoporosis Japan vol 13 no 1 2005 QUS 3 QUS BE J o I QUSH EIZ A 1000 AOS 100
3. BMD BUA AM RAE eM CX cost effective ness QUS BMD BMD Osteoporosis Japan vol 13 no 1 2005 QUS inp RIEC
4. BUA BUA Il QUS QUS DXA BY QUS quality as surance QA 26 26 QUS 15 27C
5. sustentaculum tali 2153 QUS SOS 18cm 19cm 20mm 14mm QUS
6. SOS 16 3m sec 1 1 16 W gt Osteoporosis Japan vol 13 no 1 2005 2D UPI LRAT X YV UV 7 A 1000 InSight A 1000 AOS 100
7. Su S ks V2 a9 6 SOS BU OX EHE Vneai HEY D 125 wa HE Vbone TOF time of flight Vo 3 TOE d Vx x 4tVw x HOI V SOS Vpone DS SOS Vi II attenuation of ultra sound 2101
8. Osteoporosis Japan vol 13 no 1 2005 QUS 2 HRI 29 QUS 23 23 QUS QUS xm I QUS quantitative ultrasound QUS 10
9. X QUS DXA QUS PAN QUS reference data I QUS modeling ned YD MI Osteoporosis Japan vol 13 no 1 2005 pp QUS an ae 0 v Rn reference data Piin EHEIEORUD DERE S3 ee
10. dual energy X ray absorptiometry DXA BLT SHA QUS Bi QUS I QUS 70 75 QUS QUS BASE bone min eral density BMD QUS
11. Osteoporosis Japan vol 13 no 1 2005 Z1 6 20 CM100 SOS normal reference data QUS 7 QUS QUS Osteoporosis Japan vol 13 no 1 2005 1580 1560 1540 SOS m s a a O no O O 1480 1460 1440 10 30 50 70 90 x 1 6o 85 RECO SOS O normal reference curve DXA BMD i did Noe HX HORE re
12. 7 A 1000 stiffness AOS 100 OSI osteosono assessment index Young adult mean YAM YAM T score age matched U Z score YAM YAM x 100 T score YAM YAM 6age matched x 100 Z score least significant change LSC 2 AOS 100 a b 28 28 Osteoporosis Japan vol 13 no 1 2005 LSC 95 CV x 1 96 x 4 2 C
13. BRO MID TTI 35 Hsu EC DXA 71 4 microdensitometry MD 21 496 RNN 096 5 7 MC et QUS Achilles 21 496 DXA QDR 14 396 1 51 4 22 9 21 4 E 20 0 39 39 II QUS DXA 1990 10 DXA L DXA 10 QUS M 40 79 1543 50 400 199
14. X gioi dad DD X Nep iue PS ober QUS 1 FAVE QUS HU EZ
15. 5mg 0 5 gc 13 44 O H THRARE ZCTELZ 23 7C 1 ENZ TI 231 6796 OSI232 0896 Osteoporosis Japan vol 13 no 1 2005 BUA SOS stiffness A Mean SE I p lt 0 05 vs BIB p 0 01 vs EY p lt 0 001 vs p 0 01 vs 1 KK KKK e 2 KKK O 2 KK 5 kkk O 1 2 5 SOS BUA stiffness E 63 Osteoporosis Japan vol 13 no 1 2005 O D e Mean SE p 0 05 vs p lt 0 01 vs BUA 2 ml 0 2 0 3 0 4 0 5 0 6 D SOS 96 0 1 2 88OITU Ds 1g 50 84 8 53 85 7 icd30 5888 QUS 88 2
16. Io os I A 1000 SOS BUA stiff ness 100 PARAE BA 236090 f E O IB IL k3 SOS BUA stiffness BUA 50 06 YNBUA 75 100 SOS 1380 06 YNsos 180 x 100 26 YNBuA YNsos stiffness 0 667 X BUA 0 278 X SOS 417 B ER ia MHz 2 BUA A mA o Ga x B BUA 22 22 Osteoporosis Japan vol 13 no 1 2005 stiffness AOS 100 SOS TI osteosono assessment index OSI OSI TI x SOS TI OSI
17. AOS 100 18 22cm FH 22 25cm 25cm 3 3 A 1000 70 70 2 4 A 1000 CERE 1 2 Ed 1a A 1000 A 1000 Plus A 1000 EXPRESS k U A 1000 InSight UA AOS 100
18. JUL EOCENE oJ wq ESN TW4S Bg xXx l Lk QUS 0 1 2MHz Fourier transform subtraction Z dB MHz iX FRE OR ORR THA BUA dB MHz 25 25 dB pu 0 1 2 MHz dB Oo ne 0 1 2 MHz 2 BUA 0 1 2MHz dB K A N DL CI PF 0 1 2 MHz dB o BUA I 0 1 2 MHz E 4H EAE HP UX DSB EY Ze X3
19. ds SOS K x density VOS velocity of sound dry system water water bag water system water system 1 SOS 1403 5t 0 06t 0 0003t t C water M 2 BUA broadband ultra sound attenuation 2 AB
20. z 89 CUBA BUA 6 KD 5 15 40 9dHB MHz 87 9dB MHz 35 5dB MHz 7 5 74 60B MHz CM100 7 18 4794 4352 SOS 1 8 W OM 9 10 BUA 18 14 19 20 normal reference curve t 1 SOS 19
21. MIU AT eae ti Yi E FER THERE anorexia nervosa cystic fibro sis DXA pQCT precision accuracy BO DXA hf oes DXA pQCT QUS 1984
22. f 0 1 1 Aw f A ICE oCRPCOStumiijem SAISMeonz5 x ERA uU f 8 686 Ae f 7 Ap D uf gt In Tae Ty dB cm Tg Toe x y m 1 EP QUS A dB 0 1 1 0 MHz dB QUS Hw o2 2481 E EUR broadband ultra sound attenuation BUA 2 BUA AOS 100 BUA transmission index TI TI
23. 9 3 9 QUS BMD 4 QUS BMD QUS BMD 48 FHE KRIER BEDT Y QUS amp HRA BMD 59 SOF study BUA 2 5 1 3 4 9 KHE tr BMD 4 5 2 4 8 4 QUS 5 0 2 7 9 5 UCTS Ab BMD 8 QUS BMD BMD QUS BMD 3 9
24. QUS QUS water wet water bag dry QUS QUS Osteoporosis Japan vol 13 no 1 2005 S1 T1 S2 T2 D T 1 SOS i D T OS D 1 S14 2 T1 T2 D
25. DXA QUS EF M Osteoporosis Japan vol 13 no 1 2005 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 X Langton CM Palmer SB Porter RW The measure ment of broadband ultrasonic attenuation in cancel lous bone Eng Med 1984 13 89 91 Black DM Cummings SR Genant HK Nevitt MC Palermo L Browner W Axial and appendicular bone density predict fractures in older women J Bone Miner Res 1992 7 633 8 Kaufman JJ Siffert RS Noninvasive measurement of bone integrity In Stephen CC editor Bone Me chanics Handbook 2nd edition Boca Raton CRC Press 2001 chapter 34 p1 25 Blake GM Wahner HW Fogelman I Technical prin ciples of ultrasound In Blake GM Wahner HW Fogelman I editor The Evaluation of Osteoporosis Dual Energy X ray Absorptiome
26. S1 S2 TI T2 1 SOS speed of sound 1 SOS m sec QUS Young SOS Young N m density Kg m Young Young Young N m K X density Kg m K Osteoporosis Japan vol 13 no 1 2005
27. 100 SOS BMD DXA 0 35 0 7224 7 BUA amp EHE DXA 2527 732 QR XU up DXAZ2290 0 32 0 55 RASE amp SEP O BMD MADE DXA BK WE DXA 2 DXA T QUS Osteoporosis Japan vol 13 no 1 2005 HI 1 QU QUS DXA 3 WED 4
28. X QUS 1990 DXA dual energy X ray absorptiometry Hrsg QUS OFS bone volume bone quality QUS QUS Signet Osteo Technology COR Achilles A 1000 Lunar SAHARA Hologic ft UB
29. 42 42 RUSSE AS UC OTI Bp E E X ARMED WR Lea AC Ian EAM ZEE QUS QUS Osteoporosis Japan vol 13 no 1 2005 QUS Rela cT AMRI Ne ultrasound QUS QUS Tf OT 1 QUS 2 QUS QUS
30. QUS QUS 9 reference data QUS Ms 47 47 QUS x L QUS quantitative ultrasound EIU 6208 THESEOlIEE XULAZZX T 1999 textbook DXA he c 3E Bt Mean SE br p lt 0 05 vs amp p lt 0 01 vs
31. SOS 1 29 29 a NS b NS OT 1700 A 1700 8 8 1650 1650 O 2 1600 2 1600 1550 1550 9 j 6 1500 O 1500 1450 1450 4 AOS 100 SOS a BTE n 77 b n 89 1000 15 27 C238 A 1000 AOS 100 AOS 100 30 30 Osteoporosis Japan vol 13 no 1 2005 QUS QUS USE 6 AA 1 A 1000 GE 1 5 stiffness broadband ultra sound attention BUA speed
32. QUS uk d An m CRF QUS m SOS 0 37 3 86 L 4 TI 0 24 2 29 OSI 0 28 2 74 2 79 2 20 2 42 0 26 2 60 0 29 2 46 ii 0 31 979 0 29 2 97 0 33 2 85 a 0 33 2 92 ii p 005 p lt 001 p lt 0 001 Osteoporosis Japan vol 13 no 1 2005 41 41 AHMAE SOM DOPE B im viajpirivit iei deve ELLA population strategy
33. semi_ reflection QUS DH RA Chie L 1 AS His CVS BES QUS HUIS QUS gi 5 I speed of sound SOS V x m t s V m s CH VU TRE Osteoporosis Japan vol 13 no 1 2005 E 0V N m Q p BE kg m zz zo Et ool k ki ks ks o gw 2 3 EZXko HO OEY E ky 2 7 0 kV a 9 B
34. AHR QUS QUS QUS dual energy X ray absorptiome try DXA AA QUS Osteoporosis Japan vol 13 no 1 2005 Ce Os I 7 1995 Fe ideis D 7 78 98 79 ww X
35. 1 5 2 QUS H KOSS SET bo t DKS PAIL 43 43 1 QUS QUS Krieg MA et al Njeh CF et al SOS BUA SI SOS AUC area under curve 0 70 0 70 0 65 AUC area under curve QUS TEE SOS 0 67 BUA 0 65 SI 0 66 m XH SA ed e P 1 l 1 SOS BUA SI 1 QUS1 SOS SI 1SD 2 5 1 QUS Gl er CC et al Hartl F et al 0 79 0 76 0 77 QUS i i zn QUS QUS
36. 0 001 vs 1 p lt 0 05 vs p 0 01 vs 855 Dp 0 001 vs 10 SS 8 gp e zi 4 l 2f A ZA G 0 M AA ML HEF Ee 4 6 0 1 2 3 4 SS ht i K G E 2 3 4 1 FLY KFRAR K AAILY ILHA EIL Y ILAR ER eA ir B C415 SOS BUA stiffness 67 727 0 Bgu ul a RBR LSC 48 48 Osteoporosis Japan vol 13 no 1 2005 o ARE Mean SE I p lt 0 05 vs p lt 0 05 vs CE e A D CR SOS 96 12 TI 3 0 2 5 2 0 1 5 1 0 0 5 OSI 0 5 E 1 0 B a No 0 3 6 9 2 EEC HIT SHS QUS A A D CRE Osteoporosis Japan vol 13 no 1 2005 SOS TI OSI 96 e 1 p lt 0 05 vs paired t test p lt 0 05 vs 2 unpaired t test 0 5 0 4 0 3 0 2 ja 0 1 0 0 1 0 2 0 3 0 4 0 5 0 3 6 9 12 15 18 21 24 12 15 18 21 24 5H
37. QUS I QUS QUS KASH BRA A QUS 15 30 SOS BUA stiffness ROC QUS AUC area under curve 0 7 0 75 BER 0 6 0 65 0 75 900 1 QUSE AHER Hr AYP KROME c RIC TET SH AUC 0 8 Osteoporosis Japan vol 13 no 1 2005 Hote 89 1 ERE 2 D QUSS lc k 2 JHE fI DA Bll Z 23 QUS
38. SATE QUS water coupled device gel coupled device 46 46 QUS II QUS reference data 20 reference data refer ence data QUS Contact Ultra sound Bone Analyser paediatric CUBA system paediatric Achilles ultrasound system normal refer ence data
39. I QUS 51778 9 883 QUS 1 SD 1 6 2 0 QUS QUS TIERE CIA WEB 99 QUS D 5 4975 SOS BUA stiffness index Ser A SOS AOS 100 KIERRE H F Hah CH DULOUUTIUAZ FYASA C 1SD
40. 2 50 SOS p 0 05 0 001 DXA SOS TL OSI 1 B 1 50 60 70 80 1 5 FEF FE FKF 1 0 025 0 0 50 60 70 80 2 TI 767 p 005 p lt 0 01 5 lt 0 001 40 40 Osteoporosis Japan vol 13 no 1 2005 TRANS validity reliability convenience 3 kis SANZA IEIR IZ Re redis idest X
41. 1 BUA QUS BMD 1 QUS BMD 2 QUS 2 36 36 QUS 3 SOS 68 06 BUA 6796 stiffness 72 BMD 74 QUS 7D 4 DXA KIER FFE BRA pQCT BER QCT HE QUS HHT o BJR ddA eR OP IC BV T QUS BMD BUA SOS IL
42. 1 A 1000 BUA dB MH SOS ye IB n 20 9 24 4 27 1 21 2 26 6 20 5 20 9 21 9 20 8 20 5 2AL2 23 9 21 0 19 1 12 1 8 1 36 5 Dou 32 8 34 6 30 1 AIl 29 1 26 6 21 9 27 1 29 0 32 4 32 8 19 3 16 8 Osteoporosis Japan vol 13 no 1 2005 31 381 stiffness 120 of sound SOS 1 bee YATE RCO 7250 00 A 7 U v Z Vc ld stiff bo ness stiffness m 40 1 60 2 AOS100 osteo sono 40 assessent index OSI 3 amp 2 X 25 40 Bd 2 0 3 Benus en is e a SOS 1 A 1000 3 3 SOS 2 AOS100 F ftn 20 2 4842 2l 2 4704 22 2 4612 29 2 4574 24 2 4517 20 2 4413 26 2 4945 27 2 4324 28 2 4243 29 2 4118 30 2 3987 31 2 3783 22 2 3948 DU 2 3330 34 2 3194 30 2 3093 36 2 3033 37
43. 3787 IV QUS 2 8 QUS 6 8469 D QUS QUS DXA 9 1 BMD 1 196 SOS0 4 BUA 1 1 stiffness 3 2 4 BMD 7 696 SOS1 2 BUA 1 996 stiffness 9 QUS stiffness BMD 2
44. 4 20 77 20 5 89 20 2 AOS 100 E ZIR LERET Hon SOS 35C 1520m sec 37 1530m sec 2C 10m sec 523525 LL A p 0 0001 1650 1625 1600 1575 1550 1525 1500 1475 1563 93 29 9 1450 SOS m sec 1547 6 29 1 3 A 1000
45. EM Dh A OAN CUR ARA g T 3 INTE H d d mes n 2 ul dii M a chr SH m ij 1 NI if IE Nn a P e Los E 6 ioe an es RM QUS ORUE 24 JM EEAS m ER i P vc Gp n y i ig Hn e 2A yog DR COLI uu ed Fk 1 DU MS ODA Mi Auk a VEA JUPE dil d c p 2 a F E e CS Ae ME pn ax QUS ELSE 34 ESGBCAC FEEDS TENER UST Ws Se ee LBS xk BPO A fe diea on zm n m ENE i il qi n Ei D lass ISM sd OO Jede Acne o Ge ERE a pase Be dp Beaten n p fA E B ds uw US Se 20 PERU A SREP IR ARAR eggs vv dE NE CP HAS EO U LP ii 43 DU a DE AR TIA T WUS AS il Wi P 1 as Ky 3 Jug Bere ifi B PIDE ul x ES ym KJBL MI ITE VU 4 Rn ERE Sa zu ZEE EN RUAN ARIEL lah NT A Me Ld 7 d lues mu SAP PIbyps EAM An DBC HTS x HABER BH QUS X DXA QUS WRD HTHEAE OO TZ IC QUS SOS BUA
46. II E 9 1 QA A 1000 QA QA QA A 1000 A 1000 Plus QA A 1000 EXPRESS A 1000 InSight QA QA A 1000 24 1 A 1000 Plus A 1000 EXPRESS A 1000 InSight 1 1 AOS 100 QA QA 1 1 2 1 ID 2 Osteoporosis Japan vol 13 no 1 2005 L ATIG 2 A 1000
47. BMD iit AWER MERE 500 BUA DXA T QUS 560 2 7 BUA SH RM O 1 89 1 72 QUS QUS BUA 2 7 SOS 3 8 stiffness 3 0 TH DXA2 1 KIPEE DXA 2 4 CHV BMD 49 2 QUS 1 QUS QUS ROC QUS SOS 0 85 BUA 0 79 stiffness 0 83 Ik HE DXA 0 53 DXA 0 78
48. p lt 0 01 6 2 2 AOS 100 200mg 400mg G 2 12 57 RIEKIE YT 1 TL 1 38 OSI 1 71 2 TI 0 50 OSI 0 68 3 Il Sahota J Achilles plus 4 hormone replacement thera 51 51 py HRT 27 4 BUA 1 6 SOS BUA 4 Achilles 1 HRT 44 SOS 0 09 BUA 2 06 stiffness
49. QUS DXA QUS DS QUS HORREA ER zm AL QUS QUS QUS QUS QUS T QUS ORE SENE 1984 Langton QUS quantitative ultrasound 1992 Genant QUS
50. 3 SOS BUA XH amp BMD 2 0 3 5 QUS ABLE DXA 2549 65 QUS 2 0 3 0 QUS ZARELA BMD 49 Osteoporosis Japan vol 13 no 1 2005 2 QUS QUS 1414 2 BUA 5662 2 BUA 2 0 1 6 2 4 SOS 1 7 1 4 2 1 BMD 1 9 1 6 2 4 T QUS BMD BUA BMD 75 RAED 7598 3 5 EPIDOS study 2 80 BMD SOS BUA D 80
51. 2 5 2 0 1 5 1 0 0 5 0 0 5 1 0 0 3 6 9 12 15 18 21 24 5H 3 fo BEA cB SEE QUS 7 SOS TT OSI 21 2 49 49 SOS BUA stiffness HRT a Mean SE p lt 0 05 I 0 lt 0 01 3 4 3 4 4 4 QUS 6 IL 1 Gonnelli 9 X Achilles plus 10mg 63 SOS speed of sound 1 0 4 2 0 7 3 0 9 4 1 2 BUA broad ultrasound attention 1 1 196 2 1 4 3 1 8 4 1 9 stiffness 1 3 2 90 2 5 7 3
52. e d ARIE ORe QUS ei WARIERB IC QUS QUS TH 44 44 Osteoporosis Japan vol 13 no 1 2005 QUS he E ey Pes TH FE VS MAIC 33 Vo T AHRI D PREP quantitative ultrasound me Sees peak bone mass ich 9 eines M a eiii br Mn ORES amp ARRECANI BP
53. 1 34 Balikian UBA Model575 2 21 BUA HI o0 ft 1 Gonnelli 5 2 Achilless 2 200IU 1 1 72 RIEKIE BVT SOS 1 0 16 0 70 2 0 20 0 70 BUA 1 1 93 5 7096 2 0 88 6 20 52 52 stiffness 1 2 77 6 90 2 2 12 8 30 SOS stiffness 5 2 D Krieg 5 id Achilles 2 7 D 880IU H 50 BUA 1 6 0 8 SOS 0 5 6 5
54. Lanton iliis DXA C BARR A TRAE BO BE HT PARE RD QUS QUS 45 45 25 EWE 23 Cd A 17x QUS SOS speed of sound m s BUA broad band ultrasound attenuation dB MHz stiffness SOS BUA Eiu 42507645 0 stiffness SOS BUA stiffness 0 67 X BUS 0 28 x SOS 420 QUS QUS
55. Cornuz J Ruffieux C et al Comparison of three bone ultrasounds for discrimination of sub jects with and without osteoporotic fractures among 7562 elderly women J Bone Miner Res 2003 18 1261 6 Gnudi S Ripamonti C Malavolta N Quantitative ul trasound and bone densitometry to evaluate the risk of nonspine fractures a prospective study Osteoporos Int 2000 11 518 23 Marshall D Johnell O Wedel H Meta analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures BMJ 1996 312 1254 9 Khaw KT Reeve J Luben R et al Prediction of total and hip fracture risk in men and women by quantita tive ultrasound of the calcaneus EPIC Norfork pro spective population study Lancet 2004 363 197 202 Huopio J Kroger H Honkanen R et al Calcaneal ultrasound predicts early postmenopausal fractures as well as axial BMD a prospective study of 422 women Osteoporos Int 2004 15 190 5 Bonjour JP Theintz G Buchs B et al Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence J Clin Endocrinol Metab 1991 73 555 63 Kelly PJ Eisman JA Sambrook PN Interraction of genetic and environmental influences on peak bone density Osteoporos Int 1990 1 56 60 Avecilla LA Miller PD Normal references data Njeh CF Hans D Fuerst T Gl er CC Genant HK ed Quantitative Ultrasound Assessment of Osteoporo sis and Bone Status Brazil Martin Dunitz Ltd 19
56. QUS DXA QUS E QUS CRE C 38 38 QUS 6869 QUS QUS MDS QUS
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58. sec a SD 4 0 3 8 3 4 3 7 3 3 3 6 3 6 4 0 9 9 2 9 e o 80 5 DM US100 40 e BAR 96 35 3 25 20 T 20 22 mE 24 26 10 28 30 32 0 34 20 40 60 80 36 5 DM US100 42 MTD 40 48 50 4 CM 100 52 SOS 4 SOS 4 60 62 1479m s M 5 DM US100 68 bone area 70 ratio BAR 5 BAR 72 40 c 78 5 80 82 84 86 88 90 Osteoporosis Japan vol 13 no 1 2005 35 35 QUS gt EPRI FA fo I quantitative ultrasound QUS X
59. three year longitudinal study Calcif Tissue Int 2003 73 133 9 Osteoporosis Jpn 2004 12 284 7 HERA Osteoporosis Jpn 2001 9 650 4 Osteoporosis Jpn 1997 5 435 7 Balikian P Burbank K Houde J et al Bone mineral density and broadband ultrasound attenuation with estrogen treatment of postmenopausal women J Clin Densitom 1998 1 19 26 Barkmann R et al Quantitative ultrasound In Ra diology of Osteoporosis Springer 2002 p 131 41 Osteoporosis Japan vol 13 no 1 2005 QUS 2005 1 31 Osteoporosis Japan Vol 13 No 1 Symposium Series No 86 T 103 0024 11 7 Tel 03 3664 7900 Fax 03 3664 7735 E mail opj lifescience co jp Printed in Japan 2005
60. 0 DXA DPX 1000 Lunar WI USA BEL 4 10 MD DIP MD CXD DXA DCS600 DXA DTX DXA QDR DXA DPX QUS Achilles others 0 5 10 15 20 25 1 DXA AOS100 ALOKA Tokyo Japan H speed of sound SOS m sec X amp transmission index TD Tr osteosono assessment index OSI SOS 50 60 70 80 1558 22 1558 22 1539 18 1526 21 m sec 50 60 70 80 p lt 0 05 0 001 50 1553 25 1530 16 1526 28 1514 15 m sec 50 60 80 pb lt 0 001 60 80 p lt 0 01 TI OSI
61. 2 3003 38 2 2950 39 2 2896 40 2 2809 Al 2 2122 42 2 2626 43 2 2914 44 2 2436 45 2 2404 46 2 2412 47 2 2414 48 2 2420 49 2 2919 90 2 2204 32 32 Osteoporosis Japan vol 13 no 1 2005 OSI 2 AOS100 ol 04 93 o4 5O 56 57 08 99 60 61 62 63 64 65 66 67 68 69 70 71 12 13 74 75 16 77 18 19 80 OSI x 109 2 AOS100 Osteoporosis Japan vol 13 no 1 2005 FATE SD 20 2 2121 2 1979 2 1842 2 1735 2 1667 2 1647 2 1618 2 1548 2 1448 2 1337 2 1218 2 1121 2 1047 2 0987 2 0890 2 0769 2 0638 2 0494 2 0401 2 0336 2 0337 2 0290 2 0252 2 0146 1 9958 1 9645 1 9413 1 9229 1 9149 1 9085 33 33 3 Benus F fn 20 44 40 44 45 49 50 54 09 99 60 64 65 69 10 74 T9 49 90 SOS m sec AERE 2000 1900 1800 1700 1600 1500 20 40 x4 CM 100 F fn 20 24 20 v 29 30 34 99 v 39 40 44 45 49 50 54 9 59 60 64 65 69 10 74 oe 19 80 84 80 89 34 34 SOS m sec e o 60 80 3 Benus 1600 SOS m sec EIE 39 39 32 30 26 28 28 27 ar Zi 24 1400 26 20 40 60 22 4 CM 100 Osteoporosis Japan vol 13 no 1 2005 1500 SOS m
62. 7 6 4 9 0 L SOS 3 4 HT BUA 2 3 4 stiffness 2 3 4 stiffness 2 3 4 HT least significant change LSC 50 50 1 Achilles plus 10mg 7 2644 0 A ATE AHEIC BVT SOS 1 0 296 2 0 3 3 0 4 BUA 1 2 1 2 3 2 3 3 8 stiffness 1 3 6 2 4 996 3 6 BUA 2 3 LSC AOS 100 5mg 23 1 TI transmission index 0 37 OSI osteosono assesment index 0 82
63. 99 p221 45 89 90 91 92 93 94 95 96 97 98 99 100 Mughalo MZ Lorenc R Assessment of bone status in children using quantitative ultrasound techniques Njeh CF Hans D Fuerst T Gluer CC Genant HK edit Quantitative Ultrasound Assessment of os teoporosis and bone status Brazil Martin Dunitz Ltd 1999 p309 24 Os teoporosis Jpn 2004 12 Suppl1 96 te CM100 Osteoporosis Jpn 2004 12 Suppl1 148 Medical Practice 2004 21 1721 4 Gl er CC For the international quantitative ultra sound consensus group Quantitative ultrasound techniques for the assessment of osteoporosis ex pert agreement on current status J Bone Miner Res 1997 12 1280 8 Roux C et al Quantitative ultrasound for monitor ing bone changes In Quantitative ultrasound as sessment of Osteoporos and Bone Status Martin Dunitz 1999 p 299 307 Gonnelli S Cepollaro C Montagnani A et al Alendronate treatment in men with primary os teoporosis a
64. A 575 UBA 575 plus Walker Sonix CUBA clinical McCue UXA 300 AOS Aloka Benus CM100 DM US100 Soundscan 2000 Myriad Sonic 1200 DBM 24 24 DTU One Osteometer fb UBIS 5000 DMS imaging Omnisense Sunlight imaging QUS QUS QUS A 1000 AOS Benus CM100 DM US100 CUBA clinical T 2 II QUS QUS
65. BS A 7 DAT quan titative ultrasound QUS 2001 NIH QUS eee NEUE
66. CHE CRAZ 1 2 27 27 1b io b 2a 2b assai a b V ANIT VEN RE 1 QUS a A 1000 b AOS 100 A 1000 6 Bg ES Bihl
67. V coefficient of vari ation 90 1 96 1 64 8 A 1000 2 200 6 1 AOS 100 HL 3 BRAN P IBA Ee GEE cm 3 20 26 20 9 ink 24 5cm A 1000 1 2 5mm
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