中国定量CT(QCT)骨质疏松症诊断指南(2018)

·指南与共识·

*通信作者：程晓光，Email ：xiao65@263．net ；王亮，Email ：wangl309@sina．com ；曾强，Email ：zq301@126．com ；吴静，Email ：wujingcdc@163．com

中国定量CT （QCT ）骨质疏松症诊断指南（2018）

《中国定量CT （QCT ）骨质疏松症诊断指南》工作组

程晓光

1

王亮

2

曾强

3

吴静

4

1．北京积水潭医院放射科，北京100035

2．中国人民解放军总医院第八医学中心骨内科，北京1000913．中国人民解放军总医院健康管理研究院，北京100853

4．中国疾病预防控制中心慢性非传染性疾病预防控制中心，北京100050中图分类号：Ｒ589.5

文献标识码：A

文章编号：1006-

7108（2019）06-0733-05摘要：骨密度测量在骨质疏松症防治中具有重要作用，定量CT （quantitative computed tomography ，QCT ）因其成像技术优势，近年来在骨质疏松症的临床和科研以及健康管理中的应用越来越广。为了更好地规范QCT 在骨质疏松症诊疗和健康管理中的应用，中国老年学和老年医学学会、中华医学会健康管理学分会联合11个学术团体，组织全国著名的专家对近年来国内外QCT 的研究进展和临床文献进行认真复习，并重点结合中国国内研究的最新数据和研究成果，参考国际临床骨密度学会、美国放射学院和中国老年学和老年医学学会骨质疏松分会已经发布的相关指南，制定了本QCT 诊断指南。为临床医务工作者在QCT 临床应用方面提供科学、具体的指导，促进骨质疏松症的规范诊疗。关键词：骨质疏松；骨密度；定量CT ；诊断标准

The China guideline for the diagnosis criteria of osteoporosis with quantitative computed tomography （QCT ）（2018）

The committee for the China guideline for the diagnosis criteria of osteoporosis with quantitative computed tomography CHENG Xiaoguang 1，WANG Liang 2，ZENG Qiang 3，WU Jing 4

1．Department of Ｒadiology ，Beijing Jishuitan Hospital ，Beijing 100035

2．Department of Osteopathic Internal Medicine ，Eighth Medical Center ，General Hospital of the Chinese People＇s Liberation Army ，Beijing 100091

3．Health Management Center of PLA General Hospital ，Beijing 100853

4．Center for the Prevention and Control of Chronic Non －communicable Diseases ，China Center for Disease Control and Prevention ，Beijing 100050，China *Corresponding author ：

CHENG Xiaoguang ，Email ：

xiao65@263．net ；

WANG Liang ，Email ：wangl309@sina．com ；

ZENG Qiang ，Email ：zq301@126．com ；WU Jing ，Email ：wujingcdc@163．com

Abstract ：The measurement of bone mineral density （BMD ）plays a very important role in the management of osteoporosis．Due to its technical superiority ，quantitative computed tomography （QCT ）gained increasing application in the clinical practice and research of osteoporosis ，as well as in the health management．In order to standardize the good practice of QCT in the management of osteoporosis and health check －up ，the Osteoporosis Society of Chinese Geriatric （OSCG ）Society and Chinese Society of Health Management ，along with 11societies and organizations ，conducted a nationwide ，multi-center big data study ，and set up a committee consisted of well-known experts across China．Members of this committee reviewed the literatures on QCT application and research ，in particular the newest data and research performed in China ，based on the QCT guidelines by the International Society of Clinical Densitometry （ISCD ），American College of Ｒadiology （ACＲ）and OSCG ，developed this QCT diagnosis criteria guideline ，with the aim of providing scientific and detailed guidance for the medical professionals to follow in their clinical practice ，and to promote the standardized diagnosis of osteoporosis．

3

37中国骨质疏松杂志2019年6月第25卷第6期Chin J Osteoporos ，June 2019，

Vol 25，No．6Published online www．wanfangdate．com．cn doi ：10.3969/j．issn．1006－7108.2019.06.001