Clinical Use of Quantitative Computed Tomography (QCT) of the Hip in the Management of Osteoporosis in Adults: the 2015 ISCD Official Positions-Part I

J Clin Densitom. Jul-Sep 2015;18(3):338-58. doi: 10.1016/j.jocd.2015.06.012.

Abstract

The International Society for Clinical Densitometry (ISCD) has developed new official positions for the clinical use of quantitative computed tomography of the hip. The ISCD task force for quantitative computed tomography reviewed the evidence for clinical applications and presented a report with recommendations at the 2015 ISCD Position Development Conference. Here, we discuss the agreed on ISCD official positions with supporting medical evidence, rationale, controversy, and suggestions for further study. Parts II and III address the advanced techniques of finite element analysis applied to computed tomography scans and the clinical feasibility of existing techniques for opportunistic screening of osteoporosis using computed tomography scans obtained for other diagnosis such as colonography was addressed.

Keywords: Bone mineral density (BMD); Osteoporosis; Position; Proximal femur; Quantitative computed tomography (QCT).

MeSH terms

  • Absorptiometry, Photon
  • Acetabulum / diagnostic imaging*
  • Adult
  • Bone Density
  • Consensus
  • Femur / diagnostic imaging*
  • Fractures, Bone / etiology*
  • Humans
  • Osteoporosis / complications
  • Osteoporosis / diagnosis*
  • Practice Guidelines as Topic
  • Risk Assessment
  • Societies, Medical
  • Tomography, X-Ray Computed*