Guidelines for the assessment of bone density and microarchitecture in vivo using high-resolution peripheral quantitative computed tomography

Whittier DE, Boyd SK, Burghardt AJ, Paccou J, Ghasem-Zadeh A, Chapurlat R, Engelke K, Bouxsein ML (2020)

Publication Type: Journal article

Publication year: 2020

Journal

Osteoporosis international Springer Verlag (Germany)

DOI: 10.1007/s00198-020-05438-5

Abstract

Introduction: The application of high-resolution peripheral quantitative computed tomography (HR-pQCT) to assess bone microarchitecture has grown rapidly since its introduction in 2005. As the use of HR-pQCT for clinical research continues to grow, there is an urgent need to form a consensus on imaging and analysis methodologies so that studies can be appropriately compared. In addition, with the recent introduction of the second-generation HrpQCT, which differs from the first-generation HR-pQCT in scan region, resolution, and morphological measurement techniques, there is a need for guidelines on appropriate reporting of results and considerations as the field adopts newer systems. Methods: A joint working group between the International Osteoporosis Foundation, American Society of Bone and Mineral Research, and European Calcified Tissue Society convened in person and by teleconference over several years to produce the guidelines and recommendations presented in this document. Results: An overview and discussion is provided for (1) standardized protocol for imaging distal radius and tibia sites using HR-pQCT, with the importance of quality control and operator training discussed; (2) standardized terminology and recommendations on reporting results; (3) factors influencing accuracy and precision error, with considerations for longitudinal and multi-center study designs; and finally (4) comparison between scanner generations and other high-resolution CT systems. Conclusion: This article addresses the need for standardization of HR-pQCT imaging techniques and terminology, provides guidance on interpretation and reporting of results, and discusses unresolved issues in the field.

Authors with CRIS profile

Klaus Engelke Medizinische Fakultät

Additional Organisation(s)

Department of Medicine 3 – Rheumatology and Immunology

Involved external institutions

University of Calgary CA Canada (CA) Beth Israel Deaconess Medical Center (BIDMC) US United States (USA) (US) University of California San Francisco (UCSF) US United States (USA) (US) The University of Melbourne AU Australia (AU) Université de Lille (ULille) / University of Lille Nord de France / Université Lille Nord de France / Université Lille II FR France (FR) Université de Lyon (UDL) FR France (FR)

How to cite

APA:

Whittier, D.E., Boyd, S.K., Burghardt, A.J., Paccou, J., Ghasem-Zadeh, A., Chapurlat, R.,... Bouxsein, M.L. (2020). Guidelines for the assessment of bone density and microarchitecture in vivo using high-resolution peripheral quantitative computed tomography. Osteoporosis international. https://doi.org/10.1007/s00198-020-05438-5

MLA:

Whittier, D. E., et al. "Guidelines for the assessment of bone density and microarchitecture in vivo using high-resolution peripheral quantitative computed tomography." Osteoporosis international (2020).

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