Chinese expert consensus on the diagnosis of osteoporosis by imaging and bone mineral density

Xiaoguang Cheng; Huishu Yuan; Jingliang Cheng; Xisheng Weng; Hao Xu; Jianbo Gao; Mingqian Huang; Yì Xiáng J Wáng; Yan Wu; Wenjian Xu; Li Liu; Hua Liu; Chen Huang; Zhengyu Jin; Wei Tian; Bone and Joint Group of Chinese Society of Radiology, Chinese Medical Association (CMA), Musculoskeletal Radiology Society of Chinese Medical Doctors Association, Osteoporosis Group of Chinese Orthopedic Association, Bone Density Group of Chinese Society of Imaging Technology, CMA*

doi:10.21037/qims-2020-16

Chinese expert consensus on the diagnosis of osteoporosis by imaging and bone mineral density

Quant Imaging Med Surg. 2020 Oct;10(10):2066-2077. doi: 10.21037/qims-2020-16.

Authors

Xiaoguang Cheng¹, Huishu Yuan², Jingliang Cheng³, Xisheng Weng⁴, Hao Xu⁵, Jianbo Gao⁶, Mingqian Huang⁷, Yì Xiáng J Wáng⁸, Yan Wu⁶, Wenjian Xu⁹, Li Liu¹⁰, Hua Liu¹⁰, Chen Huang¹¹, Zhengyu Jin¹², Wei Tian¹³; Bone and Joint Group of Chinese Society of Radiology, Chinese Medical Association (CMA), Musculoskeletal Radiology Society of Chinese Medical Doctors Association, Osteoporosis Group of Chinese Orthopedic Association, Bone Density Group of Chinese Society of Imaging Technology, CMA*

Affiliations

¹ Department of Radiology, Beijing Jishuitan Hospital, Beijing, China.
² Department of Radiology, Peking University Third Hospital, Beijing, China.
³ Department of MRI, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
⁴ Department of Orthopedics, Peking Union Medical College Hospital, Beijing, China.
⁵ Department of Nuclear Medicine, First Affiliated Hospital, Jinan University, Guangzhou, China.
⁶ Department of Radiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
⁷ Department of Radiology, Mount Sinai Hospital, New York, USA.
⁸ Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.
⁹ Department of Radiology, The Affiliated hospital of Qingdao University, Qingdao, China.
¹⁰ Forensic Medical Examination Center of Beijing Public Security Bureau, Beijing, China.
¹¹ Department of orthopedics, Yantaishan Hospital, Yantai, China.
¹² Department of Radiology, Peking Union Medical College Hospital, Beijing, China.
¹³ Department of Spine Surgery, Beijing Jishuitan Hospital, Beijing, China.

Abstract

With an aging society, osteoporosis is one of the most common diseases threatening the health of China's elderly population and is an issue that is raising increasing concern. Osteoporosis is characterized by bone loss and increased susceptibility to fragility fractures. Various imaging modalities such as X-ray, CT, MRI and nuclear medicine along with assessment of bone mineral density (BMD) play an important role in its diagnosis and management, and the treatment requires multidisciplinary teamwork. A lack of consensus in the approach to imaging and BMD measurement is hampering the quality of service and patient care in China. Therefore a panel of Chinese experts from the fields of radiology, orthopedics, endocrinology and nuclear medicine reviewed the international guidelines, consensus and literature with the most recent data from China and, taking account of current clinical practice in China, the panel reached this consensus to help guide the diagnosis of osteoporosis using imaging and BMD. This consensus report provides guidelines and standards for the imaging and BMD assessment of osteoporosis and criteria for the diagnosis of osteoporosis in China.

Keywords: Osteoporosis; bone mineral density (BMD); consensus; imaging.