Osteoporosis x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Raviteja Guddeti, M.B.B.S.[3]

Overview

The main radiographic features of generalized osteoporosis are cortical thinning and increased radiolucency.

Indications for X-ray

Conventional radiography is useful, both by itself and in conjunction with CT or MRI, for

• Detecting complications of osteopenia, such as fractures
• For differential diagnosis of osteopenia
• For follow-up examinations in specific clinical settings, such as soft tissue calcifications, secondary

hyperparathyroidism, or osteomalacia in renal osteodystrophy.

Findings on X-ray

• The main radiographic features of generalized osteoporosis are cortical thinning and increased radiolucency.
• Fractures
• Kyphosis

Radiography is relatively insensitive to detection of early disease and requires a substantial amount of bone loss (about

30%) to be apparent on x-ray images.