Plain radiographs can be useful in estimating lumbar bone density

B. A. Michel, Nancy E Lane, H. H. Jones, J. F. Fries, D. A. Bloch

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

On standard lateral roentgenograms of the lumbar spine, a decrease in bone density is said to be detectable only after a bone loss of about 40%. To evaluate this view, we compared findings on plain films with bone mineral content of L1 determined by quantitative computed tomography in 80 healthy subjects with a mean age of 60 years. The highest correlations with bone mineral content were found for the criteria 'vertebral density versus soft tissue' (r = 0.5, p < 0.0001), the 'amount of trabeculations' (r = 0.49, p < 0.0001), and for the 'overall' estimate of osteopenia in the vertebra (r = 0.55, p < 0.0001). Surprisingly, these three radiographic criteria proved to be most helpful in subjects with bone mineral content above 110 mg/cm3 (nonosteoporotic range). We conclude that lateral radiographs of the lumbar spine can provide a rough estimate of bone density in nonosteoporotic subjects which may be helpful in determining when further analysis with more precise methods is appropriate.

Original languageEnglish (US)
Pages (from-to)528-531
Number of pages4
JournalJournal of Rheumatology
Volume17
Issue number4
StatePublished - 1990
Externally publishedYes

Fingerprint

Bone Density
Spine
Metabolic Bone Diseases
Motion Pictures
Healthy Volunteers
Tomography
Bone and Bones

Keywords

  • bone density
  • osteoporosis
  • radiography

ASJC Scopus subject areas

  • Immunology
  • Rheumatology

Cite this

Michel, B. A., Lane, N. E., Jones, H. H., Fries, J. F., & Bloch, D. A. (1990). Plain radiographs can be useful in estimating lumbar bone density. Journal of Rheumatology, 17(4), 528-531.

Plain radiographs can be useful in estimating lumbar bone density. / Michel, B. A.; Lane, Nancy E; Jones, H. H.; Fries, J. F.; Bloch, D. A.

In: Journal of Rheumatology, Vol. 17, No. 4, 1990, p. 528-531.

Research output: Contribution to journalArticle

Michel, BA, Lane, NE, Jones, HH, Fries, JF & Bloch, DA 1990, 'Plain radiographs can be useful in estimating lumbar bone density', Journal of Rheumatology, vol. 17, no. 4, pp. 528-531.
Michel, B. A. ; Lane, Nancy E ; Jones, H. H. ; Fries, J. F. ; Bloch, D. A. / Plain radiographs can be useful in estimating lumbar bone density. In: Journal of Rheumatology. 1990 ; Vol. 17, No. 4. pp. 528-531.
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