Application Value of Vertebral CT Values in Fresh and Old Fractures Vertebral Bodies of Patients with Osteoporotic Vertebral Compression Fractures
10.13241/j.cnki.pmb.2025.19.019
- VernacularTitle:椎体CT值在骨质疏松性椎体压缩骨折患者新鲜与陈旧性骨折椎体中的应用价值
- Author:
Feng WANG
1
;
Wei-sheng PENG
1
;
Gui-liu CHEN
1
;
Na DENG
1
;
Xiao-bing HAN
1
;
Hui-liang CAI
1
;
Qiu-xiang CHEN
1
Author Information
1. 中国人民解放军联勤保障部队第九一○医院放射诊断科 福建泉州 362000
- Publication Type:Journal Article
- Keywords:
Osteoporotic vertebral compression fractures;
Fresh fractures;
Old fractures;
CT value
- From:
Progress in Modern Biomedicine
2025;25(19):3179-3185
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of using computed tomography(CT)values to distinguish fresh and old fractures vertebral bodies in osteoporotic vertebral compression fractures(OVCF).Methods:Retrospective analysis of clinical data of 101 OVCF patients in our hospital from September 2022 to September 2023.Kappa test for consistency between magnetic resonance imaging(MRI)and vertebral CT values in distinguished fresh or old OVCF.The difference of CT values between fresh,old fractures and adjacent normal vertebral bodies were compared.The diagnostic efficiency was analyed by receiver operating characteristic(ROC)curve.Results:There was a high consistency between vertebral CT values and MRI in the diagnosis of OVCF in fresh and old fractures(Kappa value=0.934).There was a difference in difference of CT values between adjacent normal vertebral bodies and fresh fractures vertebral bodies(P＜0.05).There was a difference in difference of CT values of fresh fractures vertebral bodies and old fractures vertebral bodies(P＜0.05).The ROC curve analysis results showed that,the combined measurement of CT values of fresh and old fractured vertebral bodies has an area under the curve(AUC)of 0.723,which was higher than alone measurement of the CT values of fresh fractured vertebral bodies and old fractured vertebral bodies of 0.536 and 0.610(Z=2.548,2.605,2.841,P＜0.05).Conclusion:CT values of vertebral bodies show high consistency in distinguish fresh and old fractures of OVCF compared to MRI findings,and the diagnostic efficiency of combine detection is relatively high.
