Messtechnische Verfahren im Kontext der DVO Leitlinie – neue Entwicklungen

Zusammenfassung

Die Osteodensitometrie, die Bestimmung von Knochendichte und biochemischer Knochenumbauparameter sind ein integraler Bestandteil der DVO Leitlinie. Dieser Beitrag gibt einen Überblick über neue Studien und neue technische Entwicklungen soweit sie insbesondere im Kontext der Leitlinie, also für Diagnose, Bestimmung des Frakturrisikos und Verlaufskontrolle relevant sind. Dabei stehen zunächst die Verfahren im Vordergrund, die unmittelbar zur Anpassung von Empfehlungen geführt haben. Andere Techniken wie das sogenannte „opportunistic screening“ von Routine CT Aufnahmen haben zwar noch keinen Eingang in die Leitlinie gefunden, allerdings scheint aufgrund ihres Potentials, die Identifikation von Patienten mit hohem Frakturrisiko wesentlich zu verbessern, ein Überblick auch über diese Methoden im Rahmen dieses Beitrages gerechtfertigt.

Abstract

Osteodensitometry, the determination of bone density and biochemical bone remodeling parameters are an integral part of the DVO guideline. This article gives an overview of new studies and new technical developments as far as they are relevant especially in the context of the guideline, i. e. for diagnosis, determination of fracture risk and follow-up. The focus is in particular on those techniques that have directly led to the adaptation of recommendations. Other techniques, such as opportunistic screening of routine CT scans, have not yet found their way into the guideline, but their potential to significantly improve the identification of patients at high risk of fracture seems to justify an overview of these methods in the context of this article.

Schlüsselwörter

DVO Leitlinie - messtechnische Verfahren - DXA - VFA - QCT - HR-pQCT - Knochendichte und Struktur

Key words

DVO Guideline - DXA - QCT - VFA - Biochemical Markers

Publikationsverlauf

Eingereicht: 14. Februar 2023

Angenommen: 28. Februar 2023

Artikel online veröffentlicht:
25. Mai 2023

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