я не эндокринолог, не занимался никогда лечением остеопороза...но вот, что нашел
Цитата:
WHO-1
The World Health Organization first convened a group of experts in 1994 to assess fracture risk and its application to screening for postmenopausal osteoporosis. The scientific group defined osteoporosis based on bone mineral density (BMD). A standardized score, called T-score, comparing BMD to average values for young healthy women is used to define the categories.
The categories for diagnosis are:
normal (T-score -1.0 and above)
low bone mass, referred to as osteopenia (T-score between -1.0 and -2.5)
osteoporosis (T-score -2.5 and below)
severe osteoporosis (T-score -2.5 and below with history of a fracture)
These criterion applied only to white postmenopausal women since the research data was primarily limited to this group. In addition, diagnosis could only be based on three skeletal sites of measurement: lumbar spine, hip, or forearm.
WHO-2
Advances in research demonstrated limitations in the original definition. Defining fracture risk by BMD alone did not capture the majority of people at risk for breaking a bone. In addition, studies of men and nonwhite women provided estimates of fracture risk in these populations.
In 2004, another scientific group met to reevaluate the assessment of osteoporosis. After rigorous scientific study and debate, a revised description of osteopenia and assessment of osteoporosis was released in 2008.
The revised assessment includes BMD with selected risk factors for fracture along with height and weight. A fracture risk score, called FRAX, is calculated to determine your 10-year probability of fracture. Two scores are given: probability of hip fracture and the other for a major osteoporotic fracture, defined as wrist, shoulder, hip, or painful spine fractures.
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Да и в других ссылках, которые находил. везде указано. что диагностическим критерием является T-критерий (для тех, к кому он применим), определенный по результатам денситометрии. Нигде не видел , что бы считалось допустимым оценивать на основании других лучевых исследований