Sonographic cortical bone thickness measurement: can it predict bone mineral density in the pediatric population?


Işın U. U., Çakmakçı E., Buluş A. D., Yaşartekin Y., Ünal Ö., DİRİCAN O., ...More

Diagnostic and interventional radiology (Ankara, Turkey), vol.30, no.3, pp.200-204, 2024 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 3
  • Publication Date: 2024
  • Doi Number: 10.4274/dir.2023.232392
  • Journal Name: Diagnostic and interventional radiology (Ankara, Turkey)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.200-204
  • Keywords: bone, children, cortical, density, Osteoporosis, thickness, ultrasonography
  • Istanbul Gelisim University Affiliated: Yes

Abstract

PURPOSE: To explore sonographic cortical bone thickness (CoT) as a potential indicator of bone mineral density (BMD) measured by dual-energy X-ray absorptiometry for screening and diagnosing pediatric osteoporosis. METHODS: A prospective study included 41 osteopenic or osteoporotic patients and 52 healthy children. Radius cortical thickness (R-CoT), tibial cortical thickness (T-CoT), and second metatarsal cortical thickness (M-CoT) were measured by B-mode ultrasound; CoT values were compared between groups and the correlation between BMD and CoT was examined. RESULTS: There were no significant differences in R-CoT (P = 0.433), T-CoT (P = 0.057), and M-CoT (P = 0.978) values between the patient and control groups. No significant correlations were found between BMD T-scores and R-CoT (r = -0.073, P = 0.490), T-CoT (r = -0.154, P = 0.141), and M-CoT (r = 0.047, P = 0.657) values. CONCLUSION: Sonographic CoT values in children do not correlate with BMD values. Unlike in adults, sonographic CoT measurements do not appear to have a role in assessing BMD in the pediatric population.