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Radiologists miss many vertebral fractures. (Equivocal Language also a Problem).
PHOENIX--One-third of vertebral fractures evident on lateral x-ray are missed by radiologists or reported in an ambiguous manner to the primary care physician, according to the results of a multinational study.
The rate of missed findings and spurious reports was even higher, at 41%, when the analysis was limited to data from the United States.
Those fractures go undiagnosed when the patients should be properly evaluated and considered for bisphosphonate treatment or calcium-vitamin D supplementation, Dr. Pierre D. Delmas said at the annual meeting of the American Society for Bone and Mineral Research.
Vertebral fractures, even when they are not clinically apparent, are important, said Dr. Delmas, a professor of medicine at the University of Lyon (France).
Vertebral fractures are the most common fracture in osteoporosis. They put patients at risk of a second fracture, regardless of their bone mineral density measurements, and are associated with excess mortality.
Dr. Delmas' study looked at ...
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