porozendoОстеопороз и остеопатииOsteoporosis and Bone Diseases2072-26802311-0716Endocrinology Research Centre10.14341/osteo13221porozendo-13221Research ArticleНАУЧНЫЕ ОБЗОРЫREVIEWSКлиническое значение высокой минеральной плотности кости (часть II). Артефакты, искусственно повышающие костную массуClinical meaning of high bone mineral density (Part II). Artifacts that artificially increase bone masshttps://orcid.org/0000-0002-1389-0271ПоляковаЕ. Ю.PolyakovaE. Yu.

Полякова Елена Юрьевна, к.м.н., научный сотрудник отделения терапевтической эндокринологии, научный сотрудник отдела лучевой диагностики 

Scopus Author ID: 57212507055

Elena Yu. Polyakova, MD, PhD

polyakova_eu@mail.ruhttps://orcid.org/0000-0002-1763-0725СкрипниковаИ. А.SkripnikovaI. A.

Скрипникова Ирина Анатольевна, д.м.н., руководитель отдела профилактики остеопороза и коморбидных состояний 

Scopus Author ID: 6602554529

Irina A. Skripnikova, MD, PhD

iskripnikova@gnicpm.ruhttps://orcid.org/0000-0001-9074-2291ЦориевТ. Т.TsorievT. T.

Цориев Тимур Тамерланович, к.м.н., научный сотрудник отдела профилактики остеопороза и коморбидных состояний 

101990, Москва, Петроверигский пер., 10, стр. 3 

Timur T. Tsoriev, MD, PhD

10 Petroverigsky lane, building 3, 101990 Moscow

timur.tsoriev@gmail.comГБУЗ "Московский областной научно-исследовательский клинический институт имени М.Ф. Владимирского"РоссияMoscow Regional Research and Clinical Institute («MONIKI»)Russian FederationФГБУ "Национальный медицинский исследовательский центр терапии и профилактической медицины" Минздрава РоссииРоссияNational Medical Research Center for Therapy and Preventive MedicineRussian Federation2026090820262911523Copyright © Полякова Е.Ю., Скрипникова И.А., Цориев Т.Т., 20262026Полякова Е.Ю., Скрипникова И.А., Цориев Т.Т.Polyakova E.Y., Skripnikova I.A., Tsoriev T.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.osteo-endojournals.ru/jour/article/view/13221

В клинической практике при проведении двухэнергетической рентгеновской абсорбциометрии (ДРА, dual-energy X-ray absorptiometry) случаи обнаружения высоких показателей минеральной плотности кости (МПК) нередки. К заболеваниям, которые приводят к очевидным костным структурным изменениям, искажающим показатели МПК, относят дегенеративные заболевания позвоночника, анкилозирующий спондилит, диффузный идиопатический гиперостоз скелета, переломы тел позвонков. Другими причинами завышения показателей МПК могут быть внешние артефакты, такие как кальцификация брюшного отдела аорты, металлоконструкции в области тел позвонков или тазобедренного сустава, кифопластика и вертебропластика, эктопические кальцификаты в брюшной полости, попадающие в зону исследования, пассаж бария в кишечнике.

In clinical practice, the cases of high bone mineral density (BMD), detected during dual-energy X-ray absorptiometry (DXA), are rather frequent. Conditions that lead to obvious structural bone changes, distorting BMD values, include degenerative spinal diseases, ankylosing spondylitis, diffuse idiopathic skeletal hyperostosis, and vertebral fractures. Other causes of elevated BMD values may include external artifacts, such as calcification of the abdominal aorta, metal structures in the vertebral bodies or hip joint, kyphoplasty and vertebroplasty, ectopic calcifications in the abdominal cavity within the examination region of interest, and barium passage in the intestines.

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The authors declare that there are no conflicts of interest present.