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Mandibular cortical...
Mandibular cortical index for osteoporosis diagnosis : the OSTEODENT project
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- Lindh, Christina (författare)
- Malmö högskola,Odontologiska fakulteten (OD)
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Karayianni, K (författare)
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Horner, K (författare)
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visa fler...
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Tsiklakis, K (författare)
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Mitsea, A (författare)
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Mastoris, M (författare)
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Berkas, L (författare)
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Jacobs, R (författare)
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van der Stelt, P (författare)
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Harisson, E (författare)
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Adams, Judith (författare)
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Pavitt, S (författare)
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Devlin, H (författare)
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visa färre...
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(creator_code:org_t)
- 2006
- 2006
- Engelska.
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- Objectives: to determine the diagnostic validity of the mandibular cortical index (MCI) for the diagnosis of osteoporosis in peri- and post-menopausal women. Methods: Volunteer female subjects in the 45 to 70 year age band, recruited from four European centres, underwent dual x-ray energy absorptiometry of the hip and lumbar spine, to provide a gold standard diagnosis of osteoporosis, and a DPR examination. Five observers, all oral radiologists but of different experience, made an assessment of porosity of the cortex of the lower border of the mandible using MCI. Results: Data of 661 subjects (mean age 54.8y; sd = 6.19y) were available for analysis, with 140 (21.2%) being classified as having osteoporosis. MCI data for each observer were dichotomosed so that MCI grade 3 indicated a positive test result and grades 1 and 2 a negative test result. The sensitivities and specificties of MCI for osteoporosis diagnosis were determined: Osteoporosis at any site Osteoporosis at femoral neck Observer Sensitivity (%) Specificity (%) Sensitivity (%) Specificity (%) 1 24.8 93.3 27.3 91.3 2 23.4 93.2 24.2 91.3 3 23.4 91.5 24.2 89.8 4 20.6 99.8 22.7 91.8 5 19.1 91.1 22.7 90.3 Interobserver repeatability (using weighted Kappa) showed a range of 0.183 to 0.780, with a median value of 0.467. This median indicated moderate agreement. Conclusions: MCI had low sensitivity but high specificity for diagnosis of osteoporosis. This high specificity might prove to be more appropriate for use in primary dental care than using a different diagnostic threshold. This work was supported by a research and technological development project grant from the European Commission FP5 'Quality of Life and Management of Living Resources' (QLK6-2002-02243).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- kon (ämneskategori)
- Av författaren/redakt...
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Lindh, Christina
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Karayianni, K
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Horner, K
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Tsiklakis, K
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Mitsea, A
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Mastoris, M
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visa fler...
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Berkas, L
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Jacobs, R
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van der Stelt, P
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Harisson, E
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Adams, Judith
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Pavitt, S
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Devlin, H
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Odontologi
- Av lärosätet
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Malmö universitet