medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2019-2-37(412)-22-28medalphabet-1344Research ArticleСтатьиВ помощь практикующему врачу: возможность мониторирования лечения остеопороза при исследовании минеральной плотности кости на разных аксиальных денситометрахTo help practitioner: monitoring treatment of osteoporosis in study of bone mineral density on different axial densitometersНикитинскаяО. А.NikitinskayaO. A.

к. м. н., с. н. с. лаборатории по остеопорозу

г. Москва

Moscow

ТоропцоваН. В.ToroptsovaN. V.

д. м. н., зав. лабораторией по остеопорозу

г. Москва

Moscow

ФГБНУ «Научно-исследовательский институт ревматологии имени В. А. Насоновой»РоссияV. A. Nasonova Research Institute of RheumatologyRussian Federation201920012020237Ревматология в общей врачебной практике2228Copyright © Никитинская О.А., Торопцова Н.В., 20202020Никитинская О.А., Торопцова Н.В.Nikitinskaya O.A., Toroptsova N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/1344

«Золотым стандартом» диагностики остеопороза признана двухэнергетическая рентгеновская абсорбциометрия. Этот метод используется не только для исходной оценки состояния МПК, но и для дальнейшего мониторирования лечения или профилактических мероприятий. Он позволяет сравнивать данные больного при последовательных измерениях в ходе длительного наблюдения, однако проводить оценку результатов исследований в динамике на приборах разных производителей без стандартизации показателей или введения поправочных коэффициентов невозможно. В работе представлен простой способ пересчета Т-критерия, полученного на аппарате Dexxum 3 (OsteoSys, Южная Корея), для возможности его сравнения с аналогичным показателем костного денситометра Lunar Prodigy (GE Healthcare, США).

Dual-energy X-ray absorptiometry is recognized as the ‘gold standard’ for the diagnosis of osteoporosis. This method is used not only for the initial assessment of the state of the IPC, but also for further monitoring of treatment or preventive measures. It allows you to compare the data of a patient with successive measurements during a long observation. However, it is impossible to evaluate the results of studies in dynamics on devices of different manufacturers without standardizing indicators or introducing correction factors. A simple method for recalculating the T-score obtained on a Dexxum 3 apparatus (OsteoSys, South Korea) is presented in order to compare it with a similar indicator of a bone densitometer Lunar Prodigy (GE Healthcare, USA).

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The authors declare that there are no conflicts of interest present.