However, the presence of vertebral fractures even in such patients significantly increases the risk profile, which would seem Selleckchem HSP990 worthwhile to know. We therefore propose to consider VFA in all patients referred for a first BMD test. In daily clinical practice requests for VFA with BMD in new patients are already frequently observed. In conclusion, VFA combined with bone mineral density assessment is a simple, patient friendly procedure that provides important additional information
in a large proportion of patients at low cost. The method detects previously unknown vertebral fractures in nearly one out of each six patients. In similar populations, we therefore suggest that this method should be considered in Selleck NU7026 every new patient that is referred for
BMD assessment. Funding This study was partly sponsored by the Innovation Foundation of the University Medical Center Groningen, The Netherlands (grant 179.320/JA). A grant of 145,000 Euros was provided to finance 70,000 Euros as part of the purchase of the Hologic Discovery A densitometer which was a replacement for an older version, and to provide with 2 years of 0.5 FTE nuclear medicine technologist (75,000 Euros) to perform and process the studies and to manage the data. Conflicts of interest None. Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided
the original author(s) and source are credited. References 1. Delmas PD, Genant HK, Crans GG, Stock JL, Wong M, Siris E, Adachi JD (2003) Severity of prevalent vertebral fractures and the risk of subsequent vertebral and nonvertebral fractures: results from the MORE trial. Bone 33:522–532PubMedCrossRef 2. Lindsay R, Silverman SL, Cooper C, Hanley DA, Barton I, Broy SB, Licata A, Benhamou L, Geusens P, Flowers K, Stracke H, Seeman E (2001) Risk of new vertebral fracture in the year following a fracture. Tenoxicam JAMA 285:320–323PubMedCrossRef 3. Melton LJ III, Atkinson EJ, Cooper C, O’Fallon WM, Riggs BL (1999) Vertebral fractures predict subsequent fractures. Osteoporos Int 10:214–221PubMedCrossRef 4. Kanis JA, Johnell O, Oden A, Johansson H, McCloskey E (2008) FRAX and the assessment of fracture probability in men and women from the UK. Osteoporos Int 19:385–397PubMedCrossRef 5. Bartalena T, Giannelli G, Rinaldi MF, Rimondi E, Rinaldi G, Sverzellati N, Gavelli G (2007) Prevalence of thoracolumbar vertebral fractures on multidetector CT: underreporting by radiologists. Eur J Radiol 69(3):555–559PubMedCrossRef 6. Kim N, Rowe BH, Luminespib concentration Raymond G, Jen H, Colman I, Jackson SA, Siminoski KG, Chahal AM, Folk D, Majumdar SR (2004) Underreporting of vertebral fractures on routine chest radiography. AJR Am J Roentgenol 182:297–300PubMed 7.