Bone mineral density (BMD) testing by central dual- energy x-ray absorptiometry (DXA) is the fundamental technology for the diagnosis, treatment, and monitoring of osteoporosis and is a useful adjunct in the manage-ment of other metabolic bone diseases (1–9). The CAR BMD guidelines are issued here as technical standards

In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. In addition to BMD (lowest T-score of hip and lumbar spine), age, gender, fracture history and steroid use are taken into consideration to determine an individual’s 10-year risk of fracture.

In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. In addition to BMD (lowest T-score of hip and lumbar spine), age, gender, fracture history and steroid use are taken into consideration to determine an individual’s 10-year risk of fracture.

The FRAX and related 2010 CAROC risk assessment systems were calibrated for use of femoral neck BMD based upon: (a) the strength of the association of BMD with subsequent fractures (particularly hip fractures), (b) representation among the FRAX derivation cohorts, and (c) availability of a reference standard database for BMD normalization ...

2011年8月15日 · 加拿大版的FRAX工具还不能在BMD测量仪上广泛使用，2010版的CAROC工具是唯一一个根据地域特点制定的标准。 这个局面会随着WHO的FRAX的推广而改变。 临床实践者应该熟悉WHO的FRAX工具，考虑到其在10年骨折风险评估中的作用和部分病人可以使用该网络工具。 部分临床工作者可能更喜欢FRAX，因为他可以不使用BMD来评价骨折风险，并且当病人有多个其他的骨折危险因素时WHO工具更准确。 1. 骨折绝对风险评价应该基于已知因素，包括年 …

2025年1月6日 · 骨质疏松症是一种因骨量下降、骨微结构损坏导致骨脆性增加、骨折风险升高的慢性、全身性的疾病，其典型的临床表现以疼痛、脊柱变形、脆性骨折为主，可发生于任何年龄，多见于老年人群。 随着我国人口老龄化程度加剧，骨质疏松症的患病人数逐年增加，据流行病学资料估算，目前我国骨质疏松症患者约为1.6亿。 然而，由于骨质疏松症早期症状不明显，诊断难度较高，通常患者确诊时已伴有明显临床表征，加之公众对该疾病知晓程度不高，导致我国骨质疏 …

2025年1月11日 · Key updates include the endorsement of both FRAX and CAROC tools for evaluating fracture risk, guidance for analyzing male patients and transgender patients, and provision of clinical management guidance of relevance to BMD reporting harmonized with that of Osteoporosis Canada.

2024年11月5日 · The CAROC score excels in predicting fracture risk by offering a structured evaluation process. It empowers healthcare professionals to customize treatment plans, improving patient outcomes and proactive health management. By utilizing the CAROC score, providers can tailor interventions based on individual risk profiles.

Fracture risk predicted for an individual by this system applies only for a finite period of time, and that risk will change with advancing age or with the development of new clinical risk factors. Based on 2010 CAROC system. Papaioannou, A et al. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary.

In 2005, Osteoporosis Canada, in association with the Canadian Association of Radiologists, launched the 10-year absolute fracture risk assessment – CAROC. In addition to BMD (lowest T-score of hip and lumbar spine), age, gender, fracture history and steroid use are taken into consideration to determine an individual’s 10-year risk of fracture.