The role of hip and chest radiographs in osteoporotic evaluation among south Indian women population: a comparative scenario with DXA

• Published in: Journal of endocrinological investigation 2014-05, Vol.37 (5), p.429-440
• Main Authors: Kumar, D. Ashok, Anburajan, M.
• Format: Article
• Language: English
• Subjects: Absorptiometry, Photon; Adult; Aged; Algorithms; Bone and Bones - diagnostic imaging; Bone Density; Clavicle; Cohort Studies; Cross-Sectional Studies; Developing Countries; Endocrinology; Female; Femur; Hip; Humans; India; Mass Screening - methods; Medicine; Medicine & Public Health; Metabolic Diseases; Middle Aged; Osteoporosis - diagnostic imaging; Osteoporosis, Postmenopausal - diagnostic imaging; Prospective Studies; Research Article; Sensitivity and Specificity; Thorax
• ISSN: 1720-8386; 1720-8386
• DOI: 10.1007/s40618-014-0074-9

Background Osteoporosis is recognized as a worldwide skeletal disorder problem. In India, the older as well as postmenopausal women population suffering from osteoporotic fractures has been a common issue. Bone mineral density measurements gauged by dual-energy X-ray absorptiometry (DXA) are used in the diagnosis of osteoporosis. Objectives (1) To evaluate osteoporosis in south Indian women by radiogrammetric method in a comparative perspective with DXA. (2) To assess the capability of KJH; Anburajan’s Empirical formula in the prediction of total hip bone mineral density (T.BMD) with estimated Hologic T.BMD. Methods In this cross-sectional design, 56 south Indian women were evaluated. These women were randomly selected from a health camp. The patients with secondary bone diseases were excluded. The standard protocol was followed in acquiring BMD of the right proximal femur by DPX Prodigy (DXA Scanner, GE-Lunar Corp., USA). The measured Lunar Total hip BMD was converted into estimated Hologic Total hip BMD. In addition, the studied population underwent chest and hip radiographic measurements. Combined cortical thickness of clavicle has been used in KJH; Anburajan’s Empirical formula to predict T.BMD and compared with estimated Hologic T.BMD by DXA. Results The correlation coefficients exhibited high significance. The combined cortical thickness of clavicle and femur shaft of total studied population was strongly correlated with DXA femur T.BMD measurements ( r  = 0.87, P