Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Skip to main content

Advertisement

Springer Nature Link
Log in

Use of cone beam computed tomography in identifying postmenopausal women with osteoporosis

  • Original Article
  • Published:
Archives of Osteoporosis Aims and scope Submit manuscript

Abstract

Summary

The aim of this study is to correlate radiometric indices from cone beam computed tomography (CBCT) images and bone mineral density (BMD) in postmenopausal women. Quantitative CBCT indices can be used to screen for women with low BMD.

Purpose

Osteoporosis is a disease characterized by the deterioration of bone tissue and the consequent decrease in BMD and increase in bone fragility. Several studies have been performed to assess radiometric indices in panoramic images as low-BMD predictors. The aim of this study is to correlate radiometric indices from CBCT images and BMD in postmenopausal women.

Methods

Sixty postmenopausal women with indications for dental implants and CBCT evaluation were selected. Dual-energy X-ray absorptiometry (DXA) was performed, and the patients were divided into normal, osteopenia, and osteoporosis groups, according to the World Health Organization (WHO) criteria. Cross-sectional images were used to evaluate the computed tomography mandibular index (CTMI), the computed tomography index (inferior) (CTI (I)) and computed tomography index (superior) (CTI (S)). Student’s t test was used to compare the differences between the indices of the groups’ intraclass correlation coefficient (ICC).

Results

Statistical analysis showed a high degree of interobserver and intraobserver agreement for all measurements (ICC > 0.80). The mean values of CTMI, CTI (S), and CTI (I) were lower in the osteoporosis group than in osteopenia and normal patients (p < 0.05). In comparing normal patients and women with osteopenia, there was no statistically significant difference in the mean value of CTI (I) (p = 0.075).

Conclusions

Quantitative CBCT indices may help dentists to screen for women with low spinal and femoral bone mineral density so that they can refer postmenopausal women for bone densitometry.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Consensus Development Panel on Osteoporosis Prevention, Diagnosis and Therapy (2001) Osteoporosis prevention, diagnosis, and therapy. JAMA 285:785–795

    Article  Google Scholar 

  2. Marinho BC, Guerra LP, Drummond JB, Silva BC, Soares MM (2014) The burden of osteoporosis in Brazil. Arq NIH Bras Endocrinol Metabol 58:434–443. doi:10.1590/0004-2730000003203

    Article  Google Scholar 

  3. Instituto Brasileiro de Geociências e Estatística (IBGE) (2010). Censo 2010. Distribuição da população por sexo, segundo os grupos de idade. http://www.ibge.gov.br/home/estatistica/populacao/censo2000/. Acessed 14 August 2016

  4. Rehman DS, Qureshi S, Haq AA (2014) Early detection of osteoporosis from incisure depth of human mandible in an orthopantomogram. J Pak Med Assoc 64:766–769

    PubMed  Google Scholar 

  5. Baccaro LF, Conde DM, Costa-Paiva L, Pinto-Neto AM (2015) The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil. Clin Interv Aging 10:583–591. doi:10.2147/CIA.S54614

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Instituto Brasileiro de Geociências e Estatística (IBGE) (2009) Indicadores Sócio demográficos e de Saúde no Brasil. http://www.ibge.gov.br/home/estatistica/pesquisas/pesquisa_resultados.php?id_pesquisa=108. Acessed 25 July 2016

  7. Klemetti E, Kolmakov S, Kroger H (1994) Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res 102:68–72. doi:10.1111/j.1600-0722.1994.tb01156.x

    CAS  PubMed  Google Scholar 

  8. Khojastehpour L, Afsa M, Dabbaghmanesh MH (2011) Evaluation of correlation between width and morphology of mandibular inferior cortex in digital panoramic radiography and postmenopausal osteoporosis. Iran Red Crescent Med J 13:181–186

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Renvert S, Berglund J, Persson RE, Persson GR (2011) Osteoporosis and periodontitis in older subjects participating in the Swedish National Survey on Aging and Care (SNAC-Blekinge). Acta Odontol Scand 69:201–207. doi:10.3109/00016357.2010.549501

    Article  PubMed  Google Scholar 

  10. Bhatnagar S, Krishnamurthy V, Pagare SS (2013) Diagnostic efficacy of panoramic radiography in detection of osteoporosis in post-menopausal women with low bone mineral density. J Clin Imaging Sci 3:1–7. doi:10.4103/2156-7514.113140

    Article  Google Scholar 

  11. Gaur B, Chaudhary A, Wanjari PV, Sunil M, Basavaraj P (2013) Evaluation of panoramic radiographs as a screening tool of osteoporosis in post menopausal women: a cross sectional study. J Clin Diagn Res 7:2051–2055

    PubMed  PubMed Central  Google Scholar 

  12. Mansour S, AlGhamdi AS, Javed F, Marzouk H, Khan EA (2013) Panoramic radiomorphometric indices as reliable parameters in predicting osteoporosis. Am J Med Sci 346:473–478. doi:10.1097/MAJ.0b013e3182972148

    Article  PubMed  Google Scholar 

  13. Valerio CS, Trindade AM, Mazzieiro ET, Amaral TP, Manzi FR (2013) Use of digital panoramic radiography as an auxiliary means of low bone mineral density detection in post-menopausal women. Dentomaxillofac Radiol 42:1–6. doi:10.1259/dmfr.20120059

    Article  Google Scholar 

  14. Kim OS, Shin MH, Song IH, Lim IG, Yoon SJ, Kim OJ, Lee YH, Kim YJ, Chung HJ (2014) Digital panoramic radiographs are useful for diagnosis of osteoporosis in Korean postmenopausal women. Gerodontology 33:185–192. doi:10.1111/ger.12134

    Article  PubMed  Google Scholar 

  15. Ledgerton D, Horner K, Devlin H, Worthington H (1997) Panoramic mandibular index as a radiomorphometric tool: an assessment of precision. Dentomaxillofac Radiol 26:95–100. doi:10.1038/sj.dmfr.4600215

    Article  CAS  PubMed  Google Scholar 

  16. Benson BW, Prihoda TJ, Glass BJ (1991) Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol 71:349–356. doi:10.1016/0030-4220(91)90314-3

    Article  CAS  PubMed  Google Scholar 

  17. Bajoria AA, Ml A, Kamath G, Babshet M, Patil P, Sukhija P (2015) Evaluation of radiomorphometric indices in panoramic radiograph—a screening tool. Open Dent J 31:303–310. doi:10.2174/1874210601509010303

    Article  Google Scholar 

  18. Vijay G, Chitroda PK, Katti G, Shahbaz S, Baba I, Bhuvaneshwari (2015) Prediction of osteoporosis using dental radiographs and age in females. J Midlife Health 6:70–75. doi:10.4103/0976-7800.158952

    PubMed  PubMed Central  Google Scholar 

  19. Shakeel MK, Daniel MJ, Srinivasan SV, Koliyan R, Kumar JV (2015) Comparative analysis of linear and angular measurements on digital orthopantomogram with calcaneus bone mineral density. J Clin Diagn Res 9:ZC12–ZC16. doi:10.7860/JCDR/2015/13606.6163

    PubMed  PubMed Central  Google Scholar 

  20. Gomes CC, de Rezende Barbosa GL, Bello RP, Bóscolo FN, de Almeida SM (2014) A comparison of the mandibular index on panoramic and cross-sectional images from CBCT exams from osteoporosis risk group. Osteoporos Int 25:m1885–m1890. doi:10.1007/s00198-014-2696-3

    Google Scholar 

  21. Koh KJ, Kim KA (2011) Utility of the computed tomography indices on cone beam computed tomography images in the diagnosis of osteoporosis in women. Imaging Sci Dent 41:101–106. doi:10.5624/isd.2011.41.3.101

    Article  PubMed  PubMed Central  Google Scholar 

  22. Gungor E, Yildirim D, Cevik R (2016) Evaluation of osteoporosis in jaw bonés using cone beam CT and dual-energy X-ray absorptiometry. J Oral Sci 58:185–194. doi:10.2334/josnusd. 15-0609

    Article  PubMed  Google Scholar 

  23. WHO Scientific Group on the Assessment of Osteoporosis at Primary Health Care Level. Summary Meeting Report 2004 (2007). World Health Organization. 7http://www.who.int/chp/topics/Osteoporosis.pdf. Accessed 21 June 2016

  24. Nagi R, Devi BKY, Rakesh N, Reddy SS, Santana N, Shetty N (2014) Relationship between femur bone mineral density, body mass index and dental panoramic mandibular cortical width in diagnosis of elderly postmenopausal women with osteoporosis. J Clin Diagn Res 8:ZC36–ZC40. doi:10.7860/JCDR/2014/9210.4748

    PubMed  PubMed Central  Google Scholar 

  25. Passos JS, Gomes Filho IS, Sarmento VA, Sampaio DS, Gonçalves FP, Coelho JM, Cruz SS, Trindade SC, Cerqueira EM (2012) Women with low bone mineral density and dental panoramic radiography. Menopause 19:704–709. doi:10.1097/gme.0b013e318240f938

    Article  PubMed  Google Scholar 

  26. Hekmatin E, Ahmadi SS, Ataiekhorasgani M, Feizianfard M, Jafaripozve S, Jafaripozve N (2013) Prediction of lumbar spine bone mineral density from the mandibular cortical width in postmenopausal women. J Res Med Sci 18:951–955

    PubMed  PubMed Central  Google Scholar 

  27. Horner K, Devlin H, Harvey L (2002) Detecting patients with low skeletal bone mass. J Dent 30:171–175. doi:10.1016/S0300-5712(02)00010-6

    Article  PubMed  Google Scholar 

  28. Taguchi A, Tsuda M, Ohtsuka M, Kodama I, Sanada M, Nakamoto T, Inagaki K, Noguchi T, Kudo Y, Suei Y, Tanimoto K, Bollen AM et al (2006) Use of dental panoramic radiographs in identifying younger postmenopausal women with osteoporosis. Osteoporos Int 17:387–394. doi:10.1007/s00198-005-2029-7

    Article  PubMed  Google Scholar 

  29. Muramatsu C, Matsumoto T, Hayashi T, Hara T, Katsumata A, Zhou X, Lida Y, Matsuoka M, Wakisaka T, Fujita H (2013) Automated measurement of mandibular cortical width on dental panoramic radiographs. Int J Comput Assist Radiol Surg 8:877–885. doi:10.1007/s11548-012-0800-8

    Article  PubMed  Google Scholar 

  30. Singh SV, Aggarwal H, Gupta V, Kumar P, Tripathi A (2015) Measurements in mandibular pantomographic X-rays and relation to skeletal mineral densitometric values. J Clin Densitom 19:255–261. doi:10.1016/j.jocd.2015.03.00

    Article  PubMed  Google Scholar 

  31. Damilakis J, Vlasiadis K (2011) Have panoramic indices the power to identify women with low BMD at the axial skeleton? Phys Med 27:39–43. doi:10.1016/j.ejmp.2010.03.002

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by the Research Support Foundation of the State of Minas Gerais (FAPEMIG, #CDS-BPD-00178-14) and the National Council of Technological and Scientific Development (CNPq, # 309322/2015-4), Brazil.

Author information

Authors and Affiliations

  1. Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, 31270-901, Brazil

    C. B. Brasileiro, I. D Barreiros, T. M. P. Amaral & R. A. Mesquita

  2. Department of Community and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, 31270-901, Brazil

    L. L. F. H. Chalub & M. H. N. G. Abreu

  3. Department of Locomotor System, School of Medicine, Federal University of Minas Gerais, Av. Alfredo Balena, 190/291, Santa Efigênia, Belo Horizonte, Minas Gerais, 30130-100, Brazil

    A. M. Kakehasi

Authors
  1. C. B. Brasileiro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. L. F. H. Chalub
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. H. N. G. Abreu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. I. D Barreiros
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. T. M. P. Amaral
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. M. Kakehasi
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. R. A. Mesquita
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. B. Brasileiro.

Ethics declarations

This study was approved by the Ethics Committee of Federal University of Minas Gerais (35869714.5.0000.5149). Written informed consent was obtained from all patients.

Conflicts of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Brasileiro, C.B., Chalub, L.L.F.H., Abreu, M.H.N.G. et al. Use of cone beam computed tomography in identifying postmenopausal women with osteoporosis. Arch Osteoporos 12, 26 (2017). https://doi.org/10.1007/s11657-017-0314-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11657-017-0314-7

Keywords

Search

Navigation