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Bone Mineral Density Correlation against Bone Radiograph Texture Analysis: An Alternative Approach

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TLDR
A solution that aids early diagnosis of osteoporosis using x-ray radiographs only is suggested and the use of T-score and Z-score reference values that are not based on the local population are suggested.
Abstract
Osteoporosis is the “Silent disease” in which the microarchitecture of bones becomes weak due to the low bone mass density. This common public health problem has lack of symptoms, and at the moment can only be diagnosed using a technique called dual-energy x-ray absorptiometry (DEXA). The DEXA scan of a bone provides bone mineral density (BMD), which is compared against the standard BMD values for diagnoses. The availability of DEXA machine in a third world country like Pakistan is an issue because of its high cost and the high percentage of population living in rural areas with limited health care facilities. The aim of this paper is to review the published work on this subject and suggest a solution that aids early diagnosis of osteoporosis using x-ray radiographs only. An associated problem is the use of T-score and Z-score reference values that are not based on the local population.

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Citations
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References
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Journal ArticleDOI

The diagnosis of osteoporosis

TL;DR: This paper summarizes issues and proposes diagnostic criteria for osteoporosis for practical use and addresses a number of problems which need to be addressed in adapting a conceptual definition for clinical use.
Journal ArticleDOI

Changes in Trabecular Pattern of the Upper End of the Femur as an Index of Osteoporosis

TL;DR: Roentgenograms of the hip region, in a series of thirty-five patients above the age of fifty years, were studied with particular reference to the trabecular pattern of the upper end of the femur, suggesting that these patterns can be utilized as a roentgenographic scale for the diagnosis and grading of osteoporosis.

Texture Analysis Methods - A Review

TL;DR: Methods for digital-image texture analysis are reviewed based on available literature and research work either carried out or supervised by the authors.
Journal Article

Osteoporosis in Indians.

TL;DR: The peak bone mass of the population can be increased significantly by appropriate and timely intervention in children, and the high prevalence of vitamin D deficiency is a major factor in the low BMD and poor bone health of Indians.
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