A ultrassonografia no rastreamento da qualidade óssea na perspectiva da osteoporose
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2016-04-04
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Universidade Federal de Goiás
Resumo
To determine the accuracy of the phalanx ultrasound and bone quality
tracker element in view of osteoporosis, produce a review article covering the various
diagnostic methods for osteoporosis; establish diagnostic tests ultrasonometry as
bone quality, according to age, set a Bone Quality nomogram (UBPI) view ultrasound
and build bone quality normal curve according to age setting the cut off of
pathological risk. Methods: A descriptive, analytical study of diagnostic accuracy.
Attended the screening 932 women, of these, 125 were selected for agreeing to
participate and fit the inclusion and exclusion criteria. They were oriented to
addressing the Women's Hospital and Maternity Hospital Iris to achieve the phalanx
ultrasound scans and bone densitometry. Results: to evaluate the osteossonografia
phalanx in relation to spinal bone densitometry test sensitivity was 80% in Group 1
and 100% for G2, G3 and G4. In relation to the femur test sensitivity was 90% and
G1 100% G2, G3 and G4. When analyzing the 50th percentile, there was a
significant inverse correlation showing that the higher the age, the greater the loss of
bone quality. When the disease risk was calculated the results were, for the age
group 30-39 years the average: 0.68 and SD: 0.23; 40-49 years, mean 0.64 and SD:
0.28; 50-59, mean and SD years: 0.54 and 0.37, respectively, and finally, age> 60
years, mean and SD: 0.32 and 0.30. Conclusion: a phalanx of ultrasonometry
proved to be a method of good accuracy, as part crawler osteoporosis, regarding the
evaluation of bone quality. The sensitivity of the phalanx ultrasound was calculated
and comparative test densitometry, effective results were obtained, varying between
80 and 100%. When the nomogram was built, it can be seen the evidence that bone
quality has a gradual loss with increasing age, but also the ability of this method to
check that early. As for the ultimate goal of building a normal curve to calculate the
pathological risk the results were, for the age group 30-39 years the average: 0.68
and SD: 0.23; 40-49 years, mean 0.64 and SD: 0.28; 50-59 years, mean and SD:
0.54 and 0.37, respectively, and finally, age> 60 years, mean and SD: 0.32 and 0.30.
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Citação
ANDRADE, S. R.S. A ultrassonografia no rastreamento da qualidade óssea na perspectiva da osteoporose. 2016. 103 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2016.