{"id":1601,"date":"2023-12-19T15:20:00","date_gmt":"2023-12-19T13:20:00","guid":{"rendered":"https:\/\/pediatria-spisanie.eu\/2023\/12\/19\/digitalna-rentgenova-radiogrammetria\/"},"modified":"2025-05-18T23:24:26","modified_gmt":"2025-05-18T20:24:26","slug":"digitalna-rentgenova-radiogrammetria","status":"publish","type":"post","link":"https:\/\/pediatria-spisanie.eu\/en\/2023\/12\/19\/digitalna-rentgenova-radiogrammetria\/","title":{"rendered":"Digital X-ray Radiogrammetry (DXR) \u2013 a New and Accessible Method for Bone Health Screening in Pediatric Patients"},"content":{"rendered":"\n\n\t\t
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O. Slavcheva – Prodanova <\/h3>\n

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Abstract<\/h2>\n\n\n\n

Childhood and adolescence are periods of active bone turnover and time for peak bone mass
acquisition. Peak bone mass is an important determining factor for bone health and future osteoporosis.
That\u2019s why optimizing peak bone mass accrual is of great importance. Many chronic conditions in childhood and adolescence, e.g. type 1 diabetes mellitus, cystic fibrosis, oncologic diseases etc. and\/or their treatment lead to impaired bone health Finding \u0430 sensitive, accessible, non-invasive and last but not least – inexpensive method for early screening of these disturbances is very important for the pediatric practice. Digital X-ray radiogrammetry is a comparatively new method, based on a well-known old one –
conventional radiogrammetry. Computer software provides information about bone density by determination of cortical thickness of three metcarpal bones. Data obtained by this method is very well correlated with the gold standard for bone density assessment, both in adults and children – dual energy X-ray absorptiometry.
Unlike it, the data from digital X-ray radiogrammetry do not need further adjustment for the pediatric patients. The result is compared to big data base of healthy children and can be used as indication for starting treatment and\/or further monitoring of that treatment. The method of digital X-ray radiogrammetry was used for the first time in Bulgaria in children and adolescents with type 1diabetes and shows promising results so far.
Key words:<\/strong> bone health, screening, digital X-ray radio-grammetry<\/p>\n\n\n

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    <\/div>\n\n\n\n

    Address for correspondence:<\/strong><\/p>\n\n\n\n

    <\/p>\n\n\n\n

    Clinic for Pediatric Endocrinology and metabolic diseases
    University Children\u2019s Hospital \u201cProf. I. Mitev\u201d, Sofia
    11,\u201dAcad. I. Geshov\u201d, Blvd.
    1431, Sofia, Bulgaria
    e-mail:     olga.slavcheva@yahoo.com<\/a><\/p>\n\n\n\n

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