Document Detail


Ultrasound velocity and cortical bone characteristics in vivo.
MedLine Citation:
PMID:  11444089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Axial transmission of ultrasound along cortical bone may reflect a combination of material and structural properties of long bone cortices. The goal of this study was to determine the association of speed of sound (SOS) with cortical density (CoD), cortical wall thickness (CWT), and total cortical area (CoA). Quantitative ultrasound (QUS) and peripheral quantitative computed tomography (pQCT) were used to measure the above variables in the distal third of radius and the midshaft of tibia in 51 postmenopausal women aged 62 to 71 years. Univariate regression analysis showed that the site-specific CoD accounted for 34% of the variability in the radial SOS and 29% of that in the tibial SOS (p < 0.001 both). SOS was only moderately associated with radial CWT (R2 = 0.14, p < 0.05) and CoA (R2 = 0.12, p < 0.05), but not with tibial CWT nor CoA. After controlling for CoD, these dimension-related associations disappeared. Stepwise multiple regression analysis showed that CoD was the only significant determinant of radial SOS (adjusted R2 = 0.31), whereas for tibia, not only CoD but also the years since menopause were associated with SOS (adjusted R2 = 0.41). In conclusion, out of the studied macroscopic cortical variables, CoD (an apparent surrogate for material properties of bone) was the only determinant of SOS measured in vivo at radial and tibial shafts. The key question that still needs to be answered is whether the SOS information obtained from the peripheral long bone cortical shafts can be translated to describe the mechanical competence and quality of clinically pertinent bones (e.g. proximal femur) of a given individual.
Authors:
H Sievänen; S Cheng; S Ollikainen; K Uusi-Rasi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA     Volume:  12     ISSN:  0937-941X     ISO Abbreviation:  Osteoporos Int     Publication Date:  2001  
Date Detail:
Created Date:  2001-07-10     Completed Date:  2001-08-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9100105     Medline TA:  Osteoporos Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  399-405     Citation Subset:  IM    
Affiliation:
Bone Research Group, UKK Institute, PO Box 30, FIN-33501, Tampere, Finland. llhasi@uta.fi
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MeSH Terms
Descriptor/Qualifier:
Aged
Anthropometry
Bone Density*
Female
Humans
Middle Aged
Postmenopause / physiology*
Radius / physiology,  radiography,  ultrasonography*
Regression Analysis
Tibia / physiology,  radiography,  ultrasonography*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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