Hologic Flex Horizon Bone Densitometry System ユーザーガイド
- タイプ
- ユーザーガイド
Horizon®骨密度测定系统用户指南
MAN-04871-402 修订版 013
Horizon®
骨密度测定系统
用户指南
部件号： MAN-04871-402
修订版 013
八月 2020
注意：美国联邦法律规定，本设备只能由医生 （或正确持证的从业者）销售或凭处方
销售。
客户支持
美国境内的免费电话： 1.800.321.4659
电子邮箱：SkeletalHealth.S[email protected]
欧洲、南美洲或亚洲的客户，请联系您当地的经销商或分销商。
© 2016‐2020Hologic,Inc. 美国印刷。本手册原始语言为英语。
Hologic,AdvancedBodyComposition,APEX,Horizon,QDR 和相关徽标是 Hologic,Inc. 和/或其子公司在美国和 /或其他
国家 /地区的商标和 /或注册商标。本文档内提到的任何其他产品和公司名称均为其各自所有者的商标。
本产品受 www.Hologic.com/patent-information 列出的一项或多项美国或外国专利保护。
Horizon Bone Densitometry System User Guide
目录
MAN-04871-402 修订版 013 i
目录
1 概览............................................................................................................................... 1
1.1适用范围 .............................................................................................................................................. 1
1.1.1APEX 适用范围......................................................................................................................... 1
1.1.2IVA 适用范围 ............................................................................................................................ 1
1.1.3身体组分适用范围 .................................................................................................................... 1
1.1.4内脏脂肪软件 ............................................................................................................................ 2
1.1.510 年骨折风险适用范围 ........................................................................................................... 2
1.1.6髋结构分析适用范围 ................................................................................................................ 2
1.1.7单能 (SE) 股骨检查适用范围 ................................................................................................... 2
1.2使用禁忌 .............................................................................................................................................. 2
1.3IEC 法规 .............................................................................................................................................. 2
1.4警告和小心 .......................................................................................................................................... 3
1.4.1EMI............................................................................................................................................. 3
1.4.2附件 ............................................................................................................................................ 3
1.4.3小心 ............................................................................................................................................ 3
1.5标签 ...................................................................................................................................................... 3
1.6符号 ...................................................................................................................................... 6
1.7支持材料 .............................................................................................................................................. 6
1.7.1QDR 参考手册........................................................................................................................... 6
1.7.2在线帮助 .................................................................................................................................... 7
1.7.3QDR 系列技术规格手册........................................................................................................... 7
1.7.4QDR 网络安全信息................................................................................................................... 7
1.8主窗口.................................................................................................................................................. 7
1.8.1主窗口功能 ................................................................................................................................7
2 系统启动和关闭............................................................................................................. 8
2.1系统启动 .............................................................................................................................................. 8
2.2系统关闭 .............................................................................................................................................. 8
3 质量控制程序 ................................................................................................................ 9
3.1系统测试 .............................................................................................................................................. 9
3.2自动质控 .............................................................................................................................................. 9
3.3自动身体组分校准 .............................................................................................................................. 9
4 病人记录...................................................................................................................... 10
4.1检索病人记录 .................................................................................................................................... 10
4.2创建病人记录 .................................................................................................................................... 10
4.3编辑病人记录 .................................................................................................................................... 10
4.4使用工作表检索病人记录................................................................................................................ 11
Horizon Bone Densitometry System User Guide
目录
ii MAN-04871-402 修订版 013
4.5确认病人信息 .................................................................................................................................... 11
4.5.1病史信息 .................................................................................................................................. 11
4.5.2检查信息 .................................................................................................................................. 11
5 执行检查...................................................................................................................... 12
5.1病人会面 ............................................................................................................................................ 12
5.2病人准备 ............................................................................................................................................ 12
5.3病人选择 ............................................................................................................................................ 13
5.4选择扫描类型 .................................................................................................................................... 13
5.5执行扫描 ............................................................................................................................................ 13
6 手动扫描分析 .............................................................................................................. 13
6.1分析步骤按钮 .................................................................................................................................... 13
6.2工具箱................................................................................................................................................ 15
6.2.1骨结构图工具箱 ...................................................................................................................... 15
6.2.2线工具箱 （脊柱）.................................................................................................................. 15
6.2.3颈部工具箱 （髋关节）.......................................................................................................... 15
6.2.4结果工具箱 （全身）.............................................................................................................. 16
6.2.5子区域工具箱 .......................................................................................................................... 16
6.2.6工具箱控件 .............................................................................................................................. 16
6.3亮度 /对比度控件............................................................................................................................. 17
7 前后位腰椎检查........................................................................................................... 18
7.1定位病人 ............................................................................................................................................ 18
7.2定位 C形臂 ....................................................................................................................................... 18
7.3开始前后位腰椎扫描 ........................................................................................................................ 19
7.3.1重新定位扫描 （如有必要）.................................................................................................. 20
7.4分析扫描 ............................................................................................................................................ 20
7.4.1One‐Time™自动分析............................................................................................................. 21
7.5退出分析 ............................................................................................................................................ 21
7.6生成和打印报告 ................................................................................................................................21
8 髋关节检查.................................................................................................................. 22
8.1定位病人以进行左髋、右髋和双髋检查........................................................................................ 22
8.2定位 C形臂 ....................................................................................................................................... 23
8.2.1识别大转子的提示 .................................................................................................................. 23
8.2.2左髋或右髋，不使用髋关节扫描自动定位功能 .................................................................. 24
8.2.3左髋或右髋，使用髋关节扫描自动定位功能 ...................................................................... 24
8.2.4双髋 .......................................................................................................................................... 25
8.3开始髋关节扫描 ................................................................................................................................26
8.3.1重新定位扫描 .......................................................................................................................... 26
8.3.2重新定位病人 .......................................................................................................................... 26
8.3.3双髋扫描的附加步骤 .............................................................................................................. 27
Horizon Bone Densitometry System User Guide
目录
MAN-04871-402 修订版 013 iii
8.4分析扫描 ............................................................................................................................................ 27
8.4.1One‐Time 自动分析................................................................................................................ 27
8.5SE （单能量）股骨检查 .................................................................................................................. 28
8.5.1SE 股骨扫描的定位................................................................................................................. 29
8.5.2髋关节扫描后的 SE 股骨扫描定位........................................................................................ 30
8.5.3开始 SE 股骨扫描.................................................................................................................... 30
8.5.4SE 股骨扫描分析..................................................................................................................... 30
8.5.5视觉评估 .................................................................................................................................. 30
8.5.6图像工具箱 .............................................................................................................................. 31
8.5.7分析工具控件选项卡 .............................................................................................................. 31
8.5.8评估 .......................................................................................................................................... 31
8.6参考资料 ............................................................................................................................................ 33
8.6.1双髋扫描 .................................................................................................................................. 34
8.7生成和打印报告 ................................................................................................................................34
9 前臂检查...................................................................................................................... 34
9.1测量病人的前臂 ................................................................................................................................34
9.2定位病人 ............................................................................................................................................ 35
9.2.1定位病人以进行仰卧位前臂检查 .......................................................................................... 36
9.3定位 C形臂 ....................................................................................................................................... 38
9.4开始前臂扫描 .................................................................................................................................... 38
9.4.1重新定位扫描 （如有必要）.................................................................................................. 39
9.4.2重新定位病人 （如有必要）.................................................................................................. 39
9.5分析扫描 ............................................................................................................................................ 40
9.5.1输入前臂长度 .......................................................................................................................... 40
9.5.2定义全局 ROI。....................................................................................................................... 40
9.5.3查看骨结构图 .......................................................................................................................... 41
9.5.4检查 MID/UD 区域................................................................................................................. 41
9.6查看结果 ............................................................................................................................................ 42
9.7退出分析 ............................................................................................................................................ 42
9.8生成和打印报告 ................................................................................................................................42
10 全身检查.................................................................................................................... 43
10.1身体组分分析 .................................................................................................................................. 43
10.2定位病人 .......................................................................................................................................... 43
10.3开始全身扫描 .................................................................................................................................. 44
10.4全身扇型束分析 .............................................................................................................................. 44
10.5分析扫描 .......................................................................................................................................... 45
10.5.1身体组分分析 ........................................................................................................................ 45
10.5.2全身区域的默认放置方法 .................................................................................................... 45
10.5.3调整 A/G 区域 （必要时）................................................................................................... 48
Horizon Bone Densitometry System User Guide
目录
iv MAN-04871-402 修订版 013
10.5.4内脏脂肪组织 ........................................................................................................................ 49
10.5.5调整 VAT 区域 （必要时）.................................................................................................. 49
10.5.6VAT 参考资料....................................................................................................................... 51
10.6查看结果 .......................................................................................................................................... 52
10.6.1标尺 ........................................................................................................................................ 52
10.7退出分析 .......................................................................................................................................... 53
10.8用户定义的子区域 .......................................................................................................................... 53
10.9利用映像解决结果不对称问题...................................................................................................... 53
10.10启用 NHANESBCA.................................................................................................................... 54
10.11生成和打印报告 ............................................................................................................................ 54
11 仰卧前后位 /侧位脊柱骨密度检查 (Horizon A) ........................................................ 55
11.1扫描床安全功能 .............................................................................................................................. 55
11.2前后位 /侧位扫描定位................................................................................................................... 55
11.3开始前后位扫描 .............................................................................................................................. 56
11.4分析前后位扫描 .............................................................................................................................. 56
11.5开始侧位扫描 .................................................................................................................................. 56
11.6分析侧位扫描 .................................................................................................................................. 57
11.6.1定义全局 ROI ........................................................................................................................ 57
11.6.2调整脊椎界线 ........................................................................................................................ 57
11.6.3调整椎体 ................................................................................................................................58
11.6.4查看骨结构图 ........................................................................................................................ 59
11.6.5调整中间区域 ........................................................................................................................ 59
11.7查看结果 .......................................................................................................................................... 59
11.8退出分析 .......................................................................................................................................... 59
11.9生成和打印报告 .............................................................................................................................. 59
12 卧侧位脊柱骨密度检查 .............................................................................................. 60
12.1执行并分析前后位扫描 .................................................................................................................. 60
12.2卧侧位扫描的病人定位 .................................................................................................................. 60
12.3卧侧位扫描的 C形臂定位 ............................................................................................................. 61
12.4开始卧侧位扫描 .............................................................................................................................. 61
12.4.1重新定位扫描 （如有必要）................................................................................................ 62
12.5分析扫描 .......................................................................................................................................... 63
12.5.1定义全局 ROI ........................................................................................................................ 63
12.5.2调整脊椎界线 ........................................................................................................................ 63
12.5.3调整椎体 ................................................................................................................................64
12.5.4查看骨结构图 ........................................................................................................................ 65
Horizon Bone Densitometry System User Guide
目录
MAN-04871-402 修订版 013 v
12.6查看结果 .......................................................................................................................................... 65
12.7退出分析 .......................................................................................................................................... 65
12.8生成和打印报告 .............................................................................................................................. 65
13 Horizon C、W上的 IVA、IVA HD 成像；
Horizon Ci、Wi 上的 IVA 成像 ..................................................................................... 66
13.1选择扫描类型 .................................................................................................................................. 66
13.2前后位 IVA 扫描的病人定位......................................................................................................... 66
13.3开始前后位 IVA 扫描..................................................................................................................... 67
13.4侧位 IVA 扫描的病人和 C形臂定位............................................................................................ 67
13.5开始侧位 IVA 扫描......................................................................................................................... 68
13.6侧位 IVA 扫描的 IVA 分析 ........................................................................................................... 68
14 Horizon A 系统上的 IVA 和IVA HD 成像 ................................................................. 69
14.1定位病人 .......................................................................................................................................... 69
14.2选择扫描类型 .................................................................................................................................. 69
14.3开始前后位 IVA 扫描..................................................................................................................... 70
14.4开始侧位 IVA 扫描......................................................................................................................... 71
14.5侧位 IVA 扫描的 IVA 分析 ........................................................................................................... 71
15 附带 BMD 检查的 IVA ............................................................................................... 71
15.1定位病人 .......................................................................................................................................... 71
15.2选择扫描类型 .................................................................................................................................. 71
15.3执行前后位 IVA 扫描..................................................................................................................... 72
15.4执行并分析前后位 BMD 扫描....................................................................................................... 72
15.5执行侧位 BMD 扫描....................................................................................................................... 72
15.6执行侧位 IVA 扫描......................................................................................................................... 72
15.7IVA 分析.......................................................................................................................................... 72
16 IVA 分析.................................................................................................................... 73
16.1浏览器窗口，左侧面板 .................................................................................................................. 73
16.2浏览器窗口，中间面板 .................................................................................................................. 74
16.3浏览器窗口，右侧面板 .................................................................................................................. 74
16.4浏览器窗口，左侧面板， VisualTools （视觉工具）选项卡.................................................. 74
16.5浏览器窗口，左侧面板， AnalysisTools （分析工具）选项卡.............................................. 75
16.6图像控件 .......................................................................................................................................... 76
16.7DE 扫描 ........................................................................................................................................... 77
17 解读 IVA 图像............................................................................................................ 78
18 标记........................................................................................................................... 79
18.1使用标记 .......................................................................................................................................... 80
18.1.1翻转图像 ................................................................................................................................80
18.1.2添加标记 ................................................................................................................................80
Horizon Bone Densitometry System User Guide
目录
vi MAN-04871-402 修订版 013
18.1.3选择标记 ................................................................................................................................81
18.2结果块 .............................................................................................................................................. 81
18.2.1侧位 IVA 扫描的结果块 ....................................................................................................... 81
18.2.2前后位 IVA 扫描的结果块 ................................................................................................... 82
18.3打印中 .............................................................................................................................................. 83
18.3.1打印报告 ................................................................................................................................83
18.3.2打印图像 ................................................................................................................................83
19 比较和跟踪 ................................................................................................................ 84
19.1恢复基线或先前扫描 ...................................................................................................................... 84
19.2评估基线或先前扫描 ...................................................................................................................... 84
19.3执行跟踪扫描 .................................................................................................................................. 84
19.4使用对照分析法分析跟踪扫描...................................................................................................... 84
19.5使用旧版图像样式选项 .................................................................................................................. 85
19.6生成变化率报告 .............................................................................................................................. 85
20 报告........................................................................................................................... 85
20.1报告信息块 ...................................................................................................................................... 86
20.2编辑备注 .......................................................................................................................................... 86
20.3变化率报告 ...................................................................................................................................... 87
20.3.1删除报告中的星号 (*) 和井号 (#)......................................................................................... 87
20.3.2为双髋变化率报告创建髋关节对 ........................................................................................ 87
20.4身体组分报告 .................................................................................................................................. 88
20.4.1BCA 结果 ............................................................................................................................... 88
20.4.2BCA 变化率结果 ................................................................................................................... 89
20.4.3身体组分报告和参考数据对照 ............................................................................................ 90
20.5儿科报告 .......................................................................................................................................... 91
20.6DICOM 报告................................................................................................................................... 92
20.6.1输入登录号和用户定义条目 ................................................................................................ 93
20.6.2预览 DICOM 报告 ................................................................................................................ 93
20.6.3打印 DICOM 报告 ................................................................................................................ 93
20.6.4保存 DICOM 报告 ................................................................................................................ 93
20.6.5发送 DICOM 报告 ................................................................................................................ 93
20.6.6排列扫描列表 ........................................................................................................................ 93
20.6.7查看队列 ................................................................................................................................94
20.6.8关闭 DICOM 报告 ................................................................................................................ 94
20.7Dx 报告............................................................................................................................................ 94
20.7.1创建 Dx 报告 ......................................................................................................................... 94
21 解读结果.................................................................................................................... 94
21.0.1AboutFRAX.......................................................................................................................... 96
21.0.2FRAX 限制条件..................................................................................................................... 96
Horizon Bone Densitometry System User Guide
目录
MAN-04871-402 修订版 013 vii
21.0.3关于 10 年骨折风险‐所有国家和地区 ............................................................................... 97
21.0.4FRAX 风险因素..................................................................................................................... 98
21.0.5参考资料 ................................................................................................................................98
22 存档扫描.................................................................................................................... 99
23 定位扫描.................................................................................................................... 99
24 恢复扫描.................................................................................................................... 99
25 复制扫描.................................................................................................................... 99
26 查询 /检索扫描........................................................................................................ 100
27 执行系统备份 .......................................................................................................... 100
28 清洁系统.................................................................................................................. 100
28.1清洁 QDR 和计算机组件 ............................................................................................................. 100
28.2清洁扫描床垫 ................................................................................................................................ 101
28.3扫描床垫灭菌 ................................................................................................................................ 101
28.4清除意外的溅出物 ........................................................................................................................ 101
29 紧急程序.................................................................................................................. 101
29.1停电 ................................................................................................................................................ 101
29.1.1关机 ...................................................................................................................................... 101
29.2运行中发生故障 ............................................................................................................................ 102
29.3断电 ................................................................................................................................................ 103
30 剂量面积乘积计量表................................................................................................ 103
30.1打开和关闭 DAP 计量表 ............................................................................................................. 103
31 实用程序.................................................................................................................. 103
31.1系统配置 ........................................................................................................................................ 103
31.2使用 ................................................................................................................................................ 103
31.3数据库工具 .................................................................................................................................... 103
31.3.1病人管理 .............................................................................................................................. 103
31.3.2导出 ...................................................................................................................................... 104
31.3.3导入 ...................................................................................................................................... 104
31.3.4调和 ...................................................................................................................................... 104
31.3.5病人复诊 .............................................................................................................................. 104
31.3.6自动基线实用程序 .............................................................................................................. 104
31.4查找扫描文件 ................................................................................................................................ 104
31.5扫描文件图 .................................................................................................................................... 104
31.6紧急运动 ........................................................................................................................................ 104
31.7前后位重新定位 ............................................................................................................................ 104
31.8出厂实用程序 ................................................................................................................................ 104
31.9服务实用程序 ................................................................................................................................ 104
Horizon Bone Densitometry System User Guide
目录
viii MAN-04871-402 修订版 013
31.10参考曲线 ...................................................................................................................................... 104
31.10.1编辑器 ................................................................................................................................ 105
31.10.2添加种族 ............................................................................................................................ 105
31.10.3恢复 .................................................................................................................................... 105
31.11重建存档索引 .............................................................................................................................. 105
31.12安装选项 ...................................................................................................................................... 105
32 参考曲线.................................................................................................................. 106
32.1启动参考曲线编辑器 .................................................................................................................... 106
32.2查看参考曲线数据 ........................................................................................................................ 106
32.3创建新参考曲线记录 .................................................................................................................... 107
32.4复制参考曲线记录 ........................................................................................................................ 109
32.5编辑参考曲线记录 ........................................................................................................................ 109
32.6删除参考曲线记录 ........................................................................................................................ 110
32.7添加新种族分组 ............................................................................................................................ 110
32.8恢复参考曲线数据库 .................................................................................................................... 110
33 DICOM 选件............................................................................................................ 112
34 配置 DICOM 选件.................................................................................................... 112
34.1DICOM 配置选项卡..................................................................................................................... 112
34.2设备工作表 .................................................................................................................................... 112
34.2.1配置设备工作表 .................................................................................................................. 112
34.3查询参数 ........................................................................................................................................ 113
34.4自动查询间隔 ................................................................................................................................ 114
34.5查询重试参数 ................................................................................................................................ 114
34.6PurgeInterval （清除间隔）....................................................................................................... 115
34.7InputFromFile （自文件输入）................................................................................................ 116
34.8工作表提供者 ................................................................................................................................ 116
34.8.1工作表提供者界面 .............................................................................................................. 116
34.8.2工作表提供者控件 .............................................................................................................. 116
34.9映射工作表字段 ............................................................................................................................ 118
34.10DICOM 发送目的地................................................................................................................... 118
34.10.1Add/EditDICOMSendDestination （添加 /编辑 DICOM 发送目的地）对话框 ..
121
34.10.2配置 DICOM 发送 ............................................................................................................ 123
34.11DICOM 存储约定目的地........................................................................................................... 123
Horizon Bone Densitometry System User Guide
目录
MAN-04871-402 修订版 013 ix
34.11.1配置 DICOM 发送目的地 ................................................................................................ 124
34.11.2Add/EditStorageCommitmentDestination （添加 /编辑存储约定目的地）对话框
126
34.11.3配置存储约定 .................................................................................................................... 126
34.12DICOM 查询 /检索目的地 ....................................................................................................... 127
34.12.1Add/EditDICOMQuery/RetrieveDestination （添加 /编辑 DICOM 查询 /检索目
的地）对话框 ................................................................................................................................. 129
34.12.2配置查询 /检索 ................................................................................................................. 129
34.13主机 .............................................................................................................................................. 130
35 FRAX 常见问题解答................................................................................................ 131
Horizon Bone Densitometry System User Guide
目录
xMAN-04871-402 修订版 013
Horizon Bone Densitometry System User Guide
图形列表
xMAN-04871-402 修订版 013
图形列表
图1:Horizon 主窗口 ......................................................... 7
图2:脊柱模体位置 ........................................................... 9
图3:前后位腰椎定位............................................................................................................... 18
图4:腿部位置 .............................................................. 19
图5:前后位腰椎 ............................................................ 19
图6:脊柱重新定位 ..........................................................20
图7:前后位腰椎分析 ........................................................ 21
图8:左髋定位，不使用髋关节自动定位功能 .................................... 22
图9:右髋定位，不使用髋关节自动定位功能 .................................... 23
图10:足部定位 （双髋）..................................................... 23
图11:左髋定位，使用髋关节自动定位功能 ..................................... 25
图12:髋关节重新定位 ....................................................... 26
图13:正确分析的髋关节扫描 ................................................. 28
图14:左SE 股骨定位........................................................ 29
图15:测量左前臂 ...........................................................35
图16:左前臂定位 ...........................................................35
图17:左臂上的激光位置......................................................................................................... 36
图18:右前臂定位 ...........................................................36
图19:右臂上的激光位置 ..................................................... 36
图20:仰卧位左前臂检查的病人开启 /关闭位置 ................................. 37
图21:仰卧位左前臂检查的病人位置 ........................................... 37
图22:仰卧位右前臂检查的病人位置 ........................................... 38
图23:前臂重新定位 ......................................................... 39
图24:前臂 ROI .......................................................................................................................... 40
图25:前臂骨结构图 ......................................................... 41
图26:前臂 MID/UD................................................................................................................. 42
图27:全身定位 ............................................................. 44
图28:全身分配 （水平和下骨盆分界线）....................................... 46
图29:全身分析 （垂直线条）................................................. 47
图30:A/G 区域 ............................................................. 48
Horizon Bone Densitometry System User Guide
图形列表
MAN-04871-402 修订版 013 xi
图31:CT 断层拍摄的 VAT 区域............................................... 49
图32:腹腔组织功能 ......................................................... 50
图33:VAT 区域 ............................................................ 51
图34:不对称结果警告 ....................................................... 53
图35:前后位 /侧位脊柱定位 ................................................. 55
图36:侧位脊柱 ............................................................. 56
图37:侧位 ROI .......................................................................................................................... 57
图38:脊椎界线 ............................................................. 58
图39:椎体 ................................................................. 58
图40:侧位骨结构图 ......................................................... 59
图41:卧侧位定位 ...........................................................60
图42:脊柱位置......................................................................................................................... 61
图43:卧位脊柱 ............................................................. 62
图44:卧位重新定位 ......................................................... 62
图45:侧位 ROI .......................................................................................................................... 63
图46:脊椎界线 ............................................................. 64
图47:椎体 ................................................................. 64
图48:侧位骨结构图 ......................................................... 65
图49:前后位 IVA 定位 ...................................................... 67
图50:侧位 IVA 定位................................................................................................................ 68
图51:脊柱位置......................................................................................................................... 68
图52:前后位 IVA 定位 ...................................................... 69
图53:侧位 IVA 定位 ........................................................ 70
图54:IVA 浏览器窗口 ....................................................... 73
图55:人类脊柱 ............................................................. 78
图56:椎骨变形 ............................................................. 79
图57:标记放置 ............................................................. 79
图58:添加标记 ............................................................. 80
图59:选择标记 ............................................................. 81
图60:结果块中的标记数据 ................................................... 81
图61:结果块 ............................................................... 82
图62:报告块 ............................................................... 86
Horizon Bone Densitometry System User Guide
图形列表
xii MAN-04871-402 修订版 013
图63:高级身体组分报告 ..................................................... 88
图64:高级身体组分变化率报告 ............................................... 89
图65:儿科脊柱报告 ......................................................... 92
图66:创建和发送 DICOM 报告 ............................................... 92
图67:断路器和指示器 ...................................................... 102
Horizon Bone Densitometry System User Guide
表格列表
MAN-04871-402 修订版 013 xiii
表格列表
表1:符号.......................................................................................................................................6
表2:分析步骤按钮.....................................................................................................................13
表3:全局 ROI 工具箱................................................................................................................15
表4:骨结构图工具箱.................................................................................................................15
表5:颈部工具箱 （髋关节）.....................................................................................................15
表6:颈部工具箱 （髋关节）.....................................................................................................16
表7:子区域工具箱.....................................................................................................................16
表8:工具箱控件.........................................................................................................................16
表9:图像工具箱.........................................................................................................................31
表10:评估...................................................................................................................................31
表11:添加和编辑标尺...............................................................................................................32
表12:显示选项...........................................................................................................................32
表13:更改注释...........................................................................................................................33
表14:非典型股骨骨折评估.......................................................................................................33
表15:尺骨茎突...........................................................................................................................40
表16:浏览器窗口，左侧面板...................................................................................................73
表17:浏览器窗口，中间面板...................................................................................................74
表18:浏览器窗口，右侧面板...................................................................................................74
表19:浏览器窗口，左侧面板， VisualTools （视觉工具）选项卡...................................74
表20:评估区...............................................................................................................................75
表21:显示选项区.......................................................................................................................75
表22:更改注释区.......................................................................................................................76
表23:图像控件...........................................................................................................................76
表24:结果块标签.......................................................................................................................82
表25:前后位 IVA 扫描的结果块..............................................................................................82
表26:跟踪扫描程序...................................................................................................................84
表27:高级身体组分报告字段...................................................................................................88
表28:高级身体组分图表字段...................................................................................................89
表29:高级身体组分变化率报告字段.......................................................................................90
表30:高级身体组分变化率图表字段.......................................................................................90
Horizon Bone Densitometry System User Guide
表格列表
xiv MAN-04871-402 修订版 013
表31:FRAX 风险因素................................................................................................................98
表32:参考曲线说明字段.........................................................................................................108
表33:查询参数.........................................................................................................................113
表34:自动查询间隔.................................................................................................................114
表35:查询重试参数.................................................................................................................115
表36:清除间隔.........................................................................................................................115
表37:InputFromFile （自文件输入）..................................................................................116
表38:工作表提供者功能.........................................................................................................116
表39:工作表提供者.................................................................................................................117
表40:执行的检查项目步骤.....................................................................................................117
表41:提供者.............................................................................................................................117
表42:DICOM 发送目的地......................................................................................................119
表43:DICOM 发送目的地......................................................................................................121
表44:DICOM 发送配置..........................................................................................................123
表45:DICOM 存储约定目的地..............................................................................................124
表46:存储约定目的地编辑.....................................................................................................126
表47:“存储约定 ”配置..........................................................................................................126
表48:DICOM 查询 /检索目的地...........................................................................................127
表49:添加 /编辑 DICOM 查询 /检索目的地.......................................................................129
表50:查询 /检索配置..............................................................................................................129
表51:主机配置.........................................................................................................................130
Horizon Bone Densitometry System User Guide
1. 概览
MAN-04871-402 修订版 013 1
1 概览
1.1 适用范围
1.1.1 APEX适用范围
适用于QDR™X射线骨密度仪的APEX™可用于进行骨密度(BMD)估测、
对比从指定QDR扫描中获得的测量变量与参考数据库中的值、骨折风险估
测、脊柱变形评估、身体组分分析以及在修复术中使用Hologic®QDRX射
线骨密度仪的骨辨别。
1.1.2 IVA适用范围
IVA扫描适用于显示或定量评估脊椎骨变形。IVA还可用于直观地显示腹主
动脉钙化，如果存在钙化，还可提出临床相关性建议，因为腹主动脉钙化
可能与心血管疾病有关。
1.1.3 身体组分适用范围
在HologicQDR骨密度仪上使用的Hologic全身DXA参考数据库软件用于测
定：
•局部和全身骨密度
•“脂肪”和“瘦”组织质量
•计算下列项的派生值：
这些值可显示为用户定义的统计格式以及使用彩色图像变换指示的趋势，
并根据专业医护人员的独自判断与参考人群进行对比。
这些身体组分值在专业医护人员诊治某些疾病本身或其治疗方法可影响脂
肪和瘦组织相对量的疾病时非常有用。Hologic全身DXA参考数据库软件不
用于诊断疾病、推荐治疗方案或量化治疗效果。只有专业医护人员才能进
行这些调整。部分可利用身体组分值的疾病 （和病症）包括慢性肾衰竭、
神经性厌食症、肥胖、 AIDS/HIV和囊性纤维化。DXA身体组分也可作为
液体称重和皮肤皱襞测量的有效替代方法。
•骨矿含量 •局部脂肪百分比
•区域 •全身脂肪百分比
•软组织质量 •Android区域脂肪百分比
•局部软组织质量 •Gynoid区域脂肪百分比
•整个软组织质量 •脂肪百分比，android/
gynoid比率
•不含脂肪的质量
•局部和全身软组织质量比率 •身体质量指数
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
ページが読み込まれています...
-
1
-
2
-
3
-
4
-
5
-
6
-
7
-
8
-
9
-
10
-
11
-
12
-
13
-
14
-
15
-
16
-
17
-
18
-
19
-
20
-
21
-
22
-
23
-
24
-
25
-
26
-
27
-
28
-
29
-
30
-
31
-
32
-
33
-
34
-
35
-
36
-
37
-
38
-
39
-
40
-
41
-
42
-
43
-
44
-
45
-
46
-
47
-
48
-
49
-
50
-
51
-
52
-
53
-
54
-
55
-
56
-
57
-
58
-
59
-
60
-
61
-
62
-
63
-
64
-
65
-
66
-
67
-
68
-
69
-
70
-
71
-
72
-
73
-
74
-
75
-
76
-
77
-
78
-
79
-
80
-
81
-
82
-
83
-
84
-
85
-
86
-
87
-
88
-
89
-
90
-
91
-
92
-
93
-
94
-
95
-
96
-
97
-
98
-
99
-
100
-
101
-
102
-
103
-
104
-
105
-
106
-
107
-
108
-
109
-
110
-
111
-
112
-
113
-
114
-
115
-
116
-
117
-
118
-
119
-
120
-
121
-
122
-
123
-
124
-
125
-
126
-
127
-
128
-
129
-
130
-
131
-
132
-
133
-
134
-
135
-
136
-
137
-
138
-
139
-
140
-
141
-
142
-
143
-
144
-
145
-
146
-
147
-
148
-
149
-
150
-
151
-
152
Hologic Flex Horizon Bone Densitometry System ユーザーガイド
- タイプ
- ユーザーガイド
関連論文
-
Hologic Horizon Bone Densitometry System ユーザーガイド
-
Hologic Horizon Bone Densitometry System ユーザーガイド
-
Hologic Discovery Bone Densitometry System ユーザーガイド
-
Hologic Flex Horizon Bone Densitometry System ユーザーガイド
-
Hologic Discovery Bone Densitometry System ユーザーガイド
-
Hologic Flex Horizon Bone Densitometry System ユーザーガイド
-
Hologic Horizon Bone Densitometry System ユーザーガイド
-
Hologic Flex Insight FD Mini C-arm ユーザーガイド
-
Hologic Insight FD Mini C-arm Imaging System ユーザーガイド
-
Hologic 3Dimensions System 取扱説明書
