Unique ID issued by UMIN | UMIN000058939 |
---|---|
Receipt number | R000067332 |
Scientific Title | Prospective and Retrospective Research for the Diagnosis of Osteoporosis: Validation and Establishment of Vertebral Hounsfield Unit |
Date of disclosure of the study information | 2025/08/30 |
Last modified on | 2025/08/30 16:19:51 |
Prospective and Retrospective Research for the Diagnosis of Osteoporosis: Validation and Establishment of Vertebral Hounsfield Unit
HU-PROVE study
Prospective and Retrospective Research for the Diagnosis of Osteoporosis: Validation and Establishment of Vertebral Hounsfield Unit
HU-PROVE study
Japan |
Ostoporosis
Medicine in general | Orthopedics |
Others
NO
In this study, following the same approach used when establishing the DXA reference values (Looker A et al. Osteoporosis International 1998), bone mineral density in young adults (20 - 44 years) is calculated and used as the reference, with osteoporosis defined as -2.5 SD or below and osteopenia as between -2.5 and -1 SD. Furthermore, by prospectively following patients with lumbar CT data for four years and evaluating their fracture risk, we aim to validate the appropriateness of the cutoff values determined from these reference standards.
Efficacy
Exploratory
Calculate the reference values of bone mineral density.
Compare the incidence of vertebral fractures according to the presence or absence of osteoporosis.
Non-vertebral fractures (proximal humerus, proximal femur, pelvis)
Observational
20 | years-old | <= |
100 | years-old | >= |
Male and Female
Selection Criteria 1
Patients aged 20-44 years at the time of lumbar CT imaging.
Patients with CT scans that include the lumbar spine between L1-4.
Selection Criteria 2
Patients aged 50 years or older at the time of lumbar CT imaging for lumbar disease diagnosis.
Patients who underwent CT examinations including the lumbar spine between L1-L4.
Patients with DXA data obtained within 6 months of the lumbar CT imaging date at the time of lumbar disease diagnosis.
Patients with spinal X-rays available at the 2-year point within 6 months and 4-year point within 1 year from the lumbar CT imaging date at the time of lumbar disease diagnosis.
Patients suspected of having scoliosis 10 or more degrees or secondary osteoporosis such as long-term steroid use, hyperparathyroidism, hyperthyroidism, hypogonadism, Cushing syndrome, diabetes, chronic kidney disease, chronic obstructive pulmonary disease, etc.
Patients who have undergone spinal fusion surgery.
Patients suspected of having infection or tumor.
2800
1st name | Shinji |
Middle name | |
Last name | Takahashi |
Osaka Metropolitan University
Orthopaedic Surgery
5458585
1-4-3 Asahimachi, Abenoku, Osaka city
06-6645-3851
stakahashi@omu.ac.jp
1st name | Hiroshi |
Middle name | |
Last name | Taniwaki |
Osaka Metropolitan University
Orthopaedic Surgery
5458585
1-4-3 Asahimachi, Abenoku, Osaka city
06-6645-3851
tanishi517@gmail.com
Osaka Metropolitan University
Other
Other
Ethical Committee of Osaka Metropolitan University Graduate School of Medicine
1-2-7 Asahimachi, Abeno-ku, Osaka city, Osaka, Japan
06-6645-3456
gr-a-knky-ethics@omu.ac.jp
NO
2025 | Year | 08 | Month | 30 | Day |
Unpublished
Preinitiation
2025 | Year | 07 | Month | 10 | Day |
2025 | Year | 08 | Month | 31 | Day |
2029 | Year | 03 | Month | 31 | Day |
1. Establishing Reference Values in Young Adults (20-44 years)
Cross-sectional study
The following items are routinely collected in daily clinical practice.
(In this study, information will be collected from April 2010 until the date of research approval by the head of the institution.)
Patient demographics: age, sex, diagnosis, medical history (rheumatoid arthritis, steroid use, secondary osteoporosis, renal failure, diabetes mellitus)
Physical findings: height, weight
Imaging: lumbar CT
Observation and examination schedule (for young adults):
Time point Patient demographics & physical findings Lumbar CT (L1-L4)
At diagnosis of lumbar disease / CT imaging date
2 years
4 years
2. Verification of the Impact of Osteoporosis (HU-based) in Spinal Patients
Prospective and retrospective longitudinal study
The following items are routinely collected in daily clinical practice.
(In this study, information will be collected from April 2010 to March 2029.)
Patient demographics: age, sex, diagnosis, medical history (rheumatoid arthritis, steroid use, secondary osteoporosis, renal failure, diabetes mellitus), family history (parental history of proximal femoral fracture), lifestyle history (smoking, alcohol consumption 3 or more units/day)
Physical findings: height, weight
Imaging: DXA, spinal radiographs, lumbar CT
Other: fracture information, medication history for osteoporosis treatment
2025 | Year | 08 | Month | 30 | Day |
2025 | Year | 08 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067332