Top

Published in:

01-08-2004 | Musculoskeletal

Differences between the right and the left foot in calcaneal quantitative ultrasound measurements

Authors: Aydan Oral, Ayşe Yalıman, Dilşad Sindel

Published in: European Radiology | Issue 8/2004

Abstract

A total of 621 women, aged 30–80 years, who were grouped according to having single (group 1) or duplicate measurements of their both calcanei with quantitative ultrasound (QUS) on the same day (group 2) or on a different day than the first measurement (group 3) were evaluated for differences between the right and left foot. Despite similar mean values of QUS indices on both sides, individual percentage differences were found varying from 7.3 to 9.5% in the quantitative ultrasound index (QUI), from 11.1 to 12.5% in broadband ultrasound attenuation (BUA), from 0.62 to 0.86% in speed of sound (SOS) and from 8.9 to 10.9% in estimated heel bone mineral density as measured using the Sahara Clinical Bone Sonometer in three groups of subjects. The percentage of subjects with a proportional difference exceeding the coefficient of variation of duplicate measurements of the same heel was the highest for BUA, varying from 63 to 76.7%, and ranged between 43.1 and 76.7% in other QUS indices. We conclude that there is a real inter-individual difference between the right and left foot in QUS parameters, whether measured once or twice or on different occasions. We recommend measuring both sides when using QUS to avoid misleading implications regarding a subject’s bone status.

Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporos Int 7:7–22PubMed

van Rijn RR, van der Sluis IM, Link TM, Grampp S, Guglielmi G, Imhof H, Glüer C, Adams JE, van Kuijk J (2003) Bone densitometry in children: a critical appraisal. Eur Radiol 13:700–710PubMed

Langton CM, Langton DK (1997) Male and female reference data for ultrasound measurement of the calcaneus within the UK adult population. Br J Radiol 70:580–585PubMed

Ingle BM, Sherwood KE, Eastell R (2001) Comparison of two methods for measuring ultrasound properties of the heel in postmenopausal women. Osteoporos Int 12:500–505CrossRefPubMed

Hans D, Rizzoli R, Thiebaud D, Lippuner K, Allaoua S, Genton L, Luzuy F, Krieg MA, Jaeger P, Slosman DO (2001) Reference data in a Swiss population. J Clin Densitom 4:291–298CrossRefPubMed

Louis O, Kaufman L, Osteaux M (2000) Quantitative ultrasound of the calcaneus with parametric imaging: correlation with bone mineral density at different sites and with anthropometric data in menopausal women. Eur J Radiol 35:65–69CrossRefPubMed

Grigorian M, Shepherd JA, Cheng XG, Njeh CF, Toschke JO, Genant HK (2002) Does osteoporosis classification using heel BMD agree across manufacturers? Osteoporos Int 13:613–617CrossRef

Hamdy RC, Petak SM, Lenchik L (2002) Which central dual X-ray absorptiometry skeletal sites and regions of interest should be used to determine the diagnosis of osteoporosis? J Clin Densitom 5:S11–S18CrossRefPubMed

Rao AD, Reddy S, Rao DS (2000) Is there a difference between right and left femoral bone density? J Clin Densitom 3:57–62

10.

Dretakis E, Damilakis J, Kontakis G, Gourtsoyiannis N (1994) Variation between os calces as measured by broadband ultrasound attenuation. Br J Radiol 67:636–638PubMed

11.

Kolthoff N, Eiken P, Barenholdt O, Nielsen SP (1995) Ultrasound measurements of the os calcis. Side differences and prediction of bone density in 39 persons. Acta Orthop Scand 66:278–282PubMed

12.

Bayer M, Kutilek S (1997) Ultrasound transmission through the os calcis in children: which side should we measure? Calcif Tissue Int 61:441–442CrossRefPubMed

13.

Howard GM, Nguyen TV, Pocock NA, Kelly PJ, Eisman JA (1997) Influence of handedness on calcaneal ultrasound: implications for assessment of osteoporosis and study design. Osteoporos Int 7:190–194PubMed

14.

Drysdale IP, Hinkley HJ, Walters NJ, Shale ML, Bird D (2001) Bilateral variation in calcaneal broadband ultrasound attenuation. Part I. J Clin Densitom 4:37–42PubMed

15.

Drysdale IP, Hinkley HJ, Shale M, Bird D, Walters NJ (2001) Bilateral variation in calcaneal broadband ultrasound attenuation. Part II. As measured by three bone densitometers employing ultrasound or X-ray. J Clin Densitom 4:337–342CrossRefPubMed

16.

Glüer CC, Blake G, Lu Y, Blunt BA, Jergas M, Genant HK (1995) Accurate assessment of precision errors: how to measure the reproducibility of bone densitometry techniques. Osteoporos Int 5:262–270PubMed

17.

Kung AWC, Tang GWK, Luk KDK, Chu LW (1999) Evaluation of a new calcaneal quantitative ultrasound system and determination of normative ultrasound values in southern Chinese women. Osteoporos Int 9:312–317CrossRefPubMed

18.

He YQ, Fan B, Hans D, Li J, Wu CY, Njeh CF, Zhao S, Lu Y, Tsuda-Futami E, Fuerst T, Genant HK (2000) Assessment of a new quantitative ultrasound calcaneus measurement: precision and discrimination of hip fractures in elderly women compared with dual X-ray absorptiometry. Osteoporos Int 11:354–360PubMed

19.

Lippuner K, Fuchs G, Ruetsche AG, Perrelet R, Casez JP, Neto I (2000) How well do radiographic absorptiometry and quantitative ultrasound predict osteoporosis at spine or hip? A cost-effectiveness analysis. J Clin Densitom 3:241–249PubMed

20.

Njeh CF, Hans D, Li J, Fan B, Fuerst T, He YQ, Tsuda-Futami E, Lu Y, Wu CY, Genant HK (2000) Comparison of six calcaneal quantitative ultrasound devices: precision and hip fracture discrimination. Osteoporos Int 11:1051–1062CrossRefPubMed

21.

Hartl F, Tyndall A, Kraenzlin M, Bachmeier C, Gückel C, Senn U, Hans D, Theiler R (2002) Discriminatory ability of quantitative ultrasound parameters and bone mineral density in a population-based sample of postmenopausal women with vertebral fractures: results of the Basel Osteoporosis Study. J Bone Miner Res 17:321–330

22.

Vrahoriti H, Damilakis H, Papadokostakis G, Hadjipavlou A, Gourtsoyiannis N (2003) Bilateral variation in radial bone speed of sound. Eur Radiol (in press). DOI 10.1007/s00330-003-2133-z

23.

Stewart A, Reid DM, Porter RW (1994) Broadband ultrasound attenuation and dual energy X-ray absorptiometry in patients with hip fractures: which technique discriminates fracture risk. Calcif Tissue Int 54:466–469PubMed

24.

Schott AM, Weill Engerer S, Hans D, Duboeuf F, Delmas PD, Meunier PJ (1995) Ultrasound discriminates patients with hip fracture equally as well as dual energy X-ray absorptiometry and independently of bone mineral density. J Bone Miner Res 10:243–249PubMed

25.

Hans D, Dargent-Molina P, Schott AM, Sebert JL, Cormier C, Kotzki PO, Delmas PD, Pouilles JM, Breart G, Meunier PJ (1996) Ultrasonographic heel measurement to predict hip fracture in elderly women: the EPIDOS prospective study. Lancet 348:511–514PubMed

26.

Bauer DC, Glüer CC, Cauley JA, Vogt TM, Ensrud KE, Genant HK, Black DM (1997) Broadband ultrasound attenuation predicts fractures strongly and independently of densitometry in older women: a prospective study. Arch Intern Med 157:629–634PubMed

27.

Lin JC, Amling M, Newit DC, Selby K, Srivastav SK, Delling G, Genant HK, Majumdar S (1998) Heterogeneity of trabecular bone structure in the calcaneus using magnetic resonance imaging. Osteoporos Int 8:16–24CrossRefPubMed

28.

Damilakis J, Papadakis A, Perisinakis K, Gourtsoyiannis N (2001) Broadband ultrasound attenuation imaging: influence of location of region of measurement. Eur Radiol 11:1117–1122CrossRefPubMed

Title: Differences between the right and the left foot in calcaneal quantitative ultrasound measurements
Authors: Aydan Oral
Ayşe Yalıman
Dilşad Sindel
Publication date: 01-08-2004
Publisher: Springer-Verlag
Published in: European Radiology / Issue 8/2004
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-004-2273-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Differences between the right and the left foot in calcaneal quantitative ultrasound measurements

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2004

MR imaging of compartment syndrome of the lower leg: a case control study

Whole-body MR screening of muscles in the evaluation of neuromuscular diseases

Radiofrequency ablation of renal tumors

MRI of pelvic organ prolapse

Non-invasive assessment of coronary artery bypass graft with retrospectively ECG-gated four-row multi-detector spiral computed tomography

The anterior glenohumeral joint capsule: macroscopic and MRI anatomy of the fasciculus obliquus or so-called ligamentum glenohumerale spirale