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Review

Uses and misuses of quantitative ultrasonography in managing osteoporosis

E. Michael Lewiecki, MD, Bradford Richmond, MD and Paul D. Miller, MD
Cleveland Clinic Journal of Medicine August 2006, 73 (8) 742-752;
E. Michael Lewiecki
Osteoporosis Director, New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM
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Bradford Richmond
Department of Radiology, Cleveland Clinic; certification instructor, International Society for Clinical Densitometry
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Paul D. Miller
Medical Director, Colorado Center for Bone Research, Lakewood, CO
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ABSTRACT

Quantitative ultrasonography is attractive as a test for osteoporosis, being precise, radiation-free, portable, and inexpensive, but it is still no substitute for the gold-standard test, dual-energy x-ray absorptiometry (DXA). At present, it cannot be used to diagnose osteoporosis or to monitor the effects of medications on bone density. As more data become available, however, it may play a larger role. A thorough understanding of the utility and limitations of this test is necessary for using it effectively in clinical practice.

Footnotes

  • ↵* Dr. Lewiecki has indicated that he has received grant or research support from the Amgen, Aventis, Eli Lilly, GlaxoSmithKline, Merck, Novartis, Pfizer, Procter and Gamble, Roche, and Wyeth-Ayerst corporations; has served as a consultant, on the advisory board, speakers’ bureau, or at sponsored speaking events for the Amgen, Aventis, Eli Lilly, GlaxoSmithKline, Merck, Novartis, Procter and Gamble, Roche, Servier, and Wyeth-Ayerst corporations; and is a direct stock shareholder in the General Electric corporation.

  • ↵† Dr. Richmond has indicated that he has received grant or research support from the Aventis corporation and served as a consultant or on the speakers’ bureau of the Merck and Procter and Gamble corporations.

  • ↵‡ Dr. Miller has indicated that he has received scientific grants from the Amgen, Aventis, Eli Lilly, Merck, Novartis, Pfizer, Pharmacia, Procter and Gamble, and Roche corporations and has served on the speakers’ bureau, advisory board, or as a consultant for the Amgen, Aventis, Eli Lilly, GlaxoSmithKline, Merck, Novartis, NPS, Procter and Gamble, and Roche corporations.

  • © 2006 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 73 (8)
Cleveland Clinic Journal of Medicine
Vol. 73, Issue 8
1 Aug 2006
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Uses and misuses of quantitative ultrasonography in managing osteoporosis
E. Michael Lewiecki, Bradford Richmond, Paul D. Miller
Cleveland Clinic Journal of Medicine Aug 2006, 73 (8) 742-752;

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Uses and misuses of quantitative ultrasonography in managing osteoporosis
E. Michael Lewiecki, Bradford Richmond, Paul D. Miller
Cleveland Clinic Journal of Medicine Aug 2006, 73 (8) 742-752;
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