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In
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C
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R
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Den
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ta,
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alter
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b
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f
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1
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.
T
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Fi
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.
So
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th
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[
4
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[
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.
T
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Evaluation Warning : The document was created with Spire.PDF for Python.
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I
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1
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W
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8
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No
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o
n
e
m
i
n
er
al
d
en
s
it
y
b
ec
o
m
e
a
n
i
m
p
o
r
ta
n
t
t
h
i
n
g
f
o
r
d
etec
tin
g
o
s
teo
p
o
r
o
s
is
u
s
i
n
g
r
ad
io
g
r
ap
h
.
As t
h
e
d
en
s
i
t
y
a
n
d
th
e
ato
m
ic
n
u
m
b
er
o
f
t
h
e
m
i
n
er
al,
co
m
b
i
n
ed
w
it
h
th
e
t
h
ick
n
es
s
o
f
t
h
e
p
en
etr
ated
b
o
n
e
d
eter
m
i
n
e
t
h
e
ab
s
o
r
p
tio
n
o
f
X
-
r
a
y
b
y
th
e
t
is
s
u
e.
A
s
t
h
e
B
MD
d
ec
r
ea
s
ed
,
th
e
b
o
n
e
s
tr
u
ct
u
r
e
w
ill
b
e
c
h
a
n
g
e
s
,
s
o
t
h
at
t
h
e
ab
s
o
r
p
tio
n
o
f
x
-
r
a
y
b
ea
m
d
ec
r
ea
s
ed
.
I
t
ca
n
b
e
o
b
s
er
v
ed
b
y
a
r
ad
io
g
r
ap
h
[
1
0
]
.
Du
al
X
-
r
a
y
ab
s
o
r
p
tio
m
etr
y
(
DE
XA
)
is
t
h
e
g
o
ld
s
ta
n
d
ar
d
o
f
b
o
n
e
m
i
n
er
al
d
en
s
i
t
y
ex
a
m
i
n
atio
n
ap
p
r
o
v
ed
b
y
W
HO
[
1
1
]
.
B
ec
a
u
s
e
o
f
th
e
r
elat
iv
el
y
h
i
g
h
co
s
t
an
d
li
m
ited
av
ailab
il
it
y
o
f
DE
XA
eq
u
ip
m
e
n
t,
it i
s
w
o
r
th
lo
o
k
i
n
g
f
o
r
al
ter
n
ati
v
e
d
iag
n
o
s
t
ic
tec
h
n
iq
u
es
f
o
r
b
o
n
e
m
i
n
er
al
d
e
n
s
it
y
e
x
a
m
i
n
atio
n
[
1
2
]
.
I
n
t
h
e
o
th
er
h
an
d
,
s
e
v
er
al
X
-
r
a
y
i
m
a
g
i
n
g
e
q
u
ip
m
e
n
t
f
o
r
b
io
m
e
d
ical
ex
a
m
i
n
atio
n
i
s
m
o
r
e
av
ailab
le
in
h
o
s
p
itals
a
n
d
h
ea
lt
h
ce
n
ter
s
t
h
an
DE
X
A
,
i
n
cl
u
d
in
g
d
en
tal
X
-
r
a
y
i
m
a
g
i
n
g
eq
u
ip
m
en
t f
o
r
o
r
al
an
d
m
a
x
illo
f
ac
ial
r
ad
io
g
r
ap
h
y
.
T
h
e
p
o
s
t
m
en
o
p
au
s
al
w
o
m
an
h
as
a
h
i
g
h
r
is
k
of
o
s
teo
p
o
r
o
s
is
d
u
e
to
t
h
e
d
ec
r
ea
s
ed
o
f
e
s
tr
o
g
en
a
f
ter
th
e
y
ex
p
er
ie
n
ce
m
en
o
p
au
s
e.
T
h
o
s
e
w
h
o
h
a
v
e
al
ter
atio
n
s
o
n
th
e
j
a
w
b
o
n
e
(
m
a
n
d
ib
le
an
d
m
a
x
il
la)
h
a
s
a
p
o
s
s
ib
ilit
y
o
f
h
a
v
in
g
a
r
i
s
k
f
o
r
lo
w
b
o
n
e
d
en
s
it
y
o
r
ev
e
n
s
u
f
f
er
in
g
f
r
o
m
o
s
teo
p
o
r
o
s
is
[
1
3
]
.
T
h
e
p
o
s
s
ib
ilit
y
o
f
a
p
o
s
t
m
en
o
p
au
s
al
w
o
m
a
n
to
v
is
it
th
e
d
en
ti
s
t
to
g
et
d
en
ta
l
tr
ea
t
m
e
n
t
i
s
h
ig
h
er
t
h
an
th
e
ir
p
o
s
s
ib
ilit
y
to
g
o
to
t
h
e
h
o
s
p
ital
to
g
et
o
s
teo
p
o
r
o
s
is
e
x
a
m
i
n
atio
n
.
Den
tal
r
ad
io
g
r
ap
h
y
i
s
a
co
m
m
o
n
e
x
a
m
i
n
atio
n
u
s
ed
b
y
t
h
e
d
e
n
ti
s
t
to
d
eter
m
in
e
th
e
d
ia
g
n
o
s
is
a
n
d
tr
ea
t
m
e
n
t
p
lan
n
i
n
g
[
1
4
]
,
[
1
5
]
.
T
h
er
ef
o
r
e
t
h
e
d
en
tal
r
ad
io
g
r
ap
h
is
h
i
g
h
l
y
p
o
ten
tial
to
b
e
d
ev
elo
p
ed
as a
n
in
s
tr
u
m
en
t f
o
r
o
s
teo
p
o
r
o
s
is
d
etec
tio
n
.
Ost
eo
p
o
r
o
s
is
m
a
n
i
f
e
s
tatio
n
o
n
th
e
m
a
n
d
ib
le
(
lo
w
er
j
a
w
)
an
d
th
e
m
ax
i
lla
(
u
p
p
er
j
aw
)
wh
ich
v
i
s
ib
le
o
n
th
e
d
en
tal
r
ad
io
g
r
ap
h
is
b
ec
o
m
in
g
s
u
ch
i
n
ter
est
in
g
s
t
u
d
ies
in
t
h
e
last
2
d
ec
ad
es.
So
m
e
p
r
ev
io
u
s
s
tu
d
ie
s
s
h
o
w
t
h
at
o
s
teo
p
o
r
o
s
is
s
cr
ee
n
in
g
ca
n
b
e
d
o
n
e
b
y
tr
ain
e
d
d
en
tis
t
s
b
y
u
s
i
n
g
p
an
o
r
a
m
ic
r
ad
io
g
r
ap
h
[
4
]
.
Ost
eo
p
o
r
o
tic
b
o
n
e
alter
atio
n
o
n
th
e
m
a
n
d
ib
u
lar
co
r
tical
b
o
n
e
is
v
is
ib
le
o
n
p
an
o
r
a
m
ic
r
a
d
io
g
r
ap
h
an
d
ca
n
b
e
ea
s
il
y
s
ee
n
b
y
a
d
en
tis
t.
W
h
e
r
ea
s
th
e
m
a
n
d
ib
le
tr
ab
ec
u
lar
b
o
n
e
alter
atio
n
s
r
elate
d
w
ith
o
s
teo
p
o
r
o
s
is
also
v
is
ib
le
o
n
p
er
iap
ical
r
ad
io
g
r
ap
h
s
as
w
ell
as
p
an
o
r
a
m
ic
r
ad
io
g
r
ap
h
s
[
1
2
]
,
[
1
6
]
,
[
1
7
]
.
T
h
e
p
e
r
ia
p
ical
r
ad
io
g
r
ap
h
y
is
a
lo
w
-
co
s
t
ex
a
m
i
n
atio
n
.
X
-
r
a
y
eq
u
ip
m
en
t
f
o
r
th
is
r
ad
io
g
r
ap
h
y
tec
h
n
iq
u
e
is
b
ein
g
m
o
s
tl
y
av
ailab
le
in
d
e
n
tal
cli
n
ic
s
a
n
d
h
o
s
p
ital
s
.
Me
an
w
h
ile,
t
h
e
p
r
o
g
n
o
s
is
o
f
o
s
teo
p
o
r
o
s
is
tr
ea
t
m
en
t
w
il
l
b
e
b
etter
w
h
e
n
it
is
d
etec
ted
e
ar
lier
[
1
5
]
.
Fo
r
th
at
r
ea
s
o
n
,
s
t
u
d
ies
to
d
ev
elo
p
ea
r
l
y
d
etec
t
io
n
of
o
s
teo
p
o
r
o
s
is
is
b
ec
o
m
i
n
g
ch
al
len
g
i
n
g
.
An
d
al
s
o
,
if
th
e
s
y
m
p
to
m
s
o
f
o
s
teo
p
o
r
o
s
is
w
er
e
ab
le
to
b
e
d
etec
ted
ea
r
lier
,
h
o
p
ef
u
ll
y
t
h
e
p
atien
t
w
o
u
ld
g
et
p
r
o
p
er
m
ed
icatio
n
to
p
r
ev
en
t
to
o
s
teo
p
o
r
o
tic
f
r
a
ctu
r
e.
A
co
m
p
u
ter
-
a
id
ed
d
iag
n
o
s
is
(
C
A
D)
s
y
s
te
m
w
a
s
d
ev
elo
p
e
d
in
p
r
ev
io
u
s
s
tu
d
y
[
1
7
]
u
s
in
g
th
e
p
ar
a
m
ete
r
o
f
m
a
n
d
ib
u
lar
co
r
tical
b
o
n
e
er
o
tio
n
o
n
th
e
p
an
o
r
am
ic
r
ad
io
g
r
ap
h
.
Ho
w
e
v
er
,
th
e
r
es
u
lt
o
f
th
e
s
y
s
te
m
m
a
y
b
e
in
f
l
u
en
ce
d
b
y
o
b
s
er
v
er
s
’
d
ia
g
n
o
s
tic
p
er
f
o
r
m
an
ce
[
1
7
]
.
So
m
e
p
r
ev
io
u
s
s
t
u
d
ies
s
h
o
w
ed
th
at
i
m
a
g
e
an
al
y
s
i
s
al
s
o
ca
n
b
e
ap
p
lied
in
p
e
r
iap
ical
r
ad
io
g
r
ap
h
to
p
r
ed
i
ct
th
e
o
s
teo
p
o
r
o
s
is
co
n
d
itio
n
[
1
6
]
-
[
20]
.
T
h
e
co
m
b
in
atio
n
o
f
B
MD
a
n
d
te
x
t
u
r
e
p
ar
am
e
ter
v
al
u
e
s
r
ep
o
r
ted
to
p
r
o
v
id
e
a
b
etter
ass
es
s
m
en
t
o
f
th
e
f
r
ac
t
u
r
e
r
is
k
t
h
a
n
th
at
o
b
tai
n
ab
le
b
y
B
MD
m
ea
s
u
r
e
m
en
t
o
n
l
y
[
2
1
]
.
T
h
er
e
w
er
e
m
a
n
y
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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&
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2085
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d
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o
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i
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i
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icato
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atter
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a
n
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ib
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w
h
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o
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tial
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be
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ev
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p
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p
o
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o
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r
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icto
r
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y
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cr
ee
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tr
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u
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-
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s
y
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f
o
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Fu
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o
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en
s
it
y
m
a
y
in
d
u
ce
p
er
f
o
r
atio
n
o
n
th
e
tr
ab
ec
u
lar
b
o
n
e
o
f
m
a
n
d
ib
le
th
a
t
ca
n
b
e
ch
ar
ac
ter
ized
b
y
t
h
e
i
n
cr
ea
s
e
o
f
s
m
all
ar
ea
s
i
n
th
e
r
ad
io
g
r
ap
h
.
T
h
e
r
es
u
lt
o
f
t
h
is
s
tu
d
y
a
g
r
ee
s
w
i
th
p
r
ev
io
u
s
s
tu
d
ie
s
[
1
6
]
,
[
17]
.
B
o
n
e
p
er
f
o
r
atio
n
ca
n
b
e
i
n
d
icate
d
b
y
t
h
e
d
ec
r
ea
s
e
o
f
co
n
n
ec
ti
v
it
y
i
n
tr
ab
ec
u
lar
b
o
n
e.
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h
e
co
n
n
ec
tiv
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y
o
f
tr
ab
ec
u
l
ar
b
o
n
e
w
ill d
ec
r
ea
s
e
as t
h
e
p
er
f
o
r
ati
o
n
in
cr
ea
s
e.
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ased
o
n
th
e
li
n
ea
r
r
eg
r
e
s
s
io
n
test
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f
ar
ea
p
ar
a
m
eter
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th
i
s
s
tu
d
y
as
s
h
o
w
n
i
n
T
ab
le
3
,
s
ig
n
i
f
ican
t
F
v
alu
e
(
α
<
0
.
0
5
)
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n
l
y
f
o
r
th
e
T
s
co
r
e
o
f
th
e
lu
m
b
ar
s
p
i
n
e
(
F
=
5
.
8
2
2
)
.
Fu
r
th
er
m
o
r
e,
t
h
e
li
n
ea
r
r
eg
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ess
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n
test
s
h
o
w
s
t
h
at
t
h
e
ar
ea
p
ar
a
m
eter
o
n
l
y
p
o
ten
tial
to
p
r
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T
-
s
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e
o
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th
e
l
u
m
b
ar
s
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h
e
n
eg
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s
i
g
n
o
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t
h
e
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e
(
A
)
in
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icate
s
t
h
at
t
h
e
T
-
s
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r
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o
f
lu
m
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ar
s
p
in
e
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l
l
d
ec
r
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e
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n
g
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h
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e
i
n
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ea
s
e
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f
th
e
ar
ea
p
ar
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eter
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W
h
ile
t
h
er
e
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th
er
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ig
n
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f
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n
t
F
a
n
d
t,
m
ea
n
s
t
h
at
t
h
e
ar
ea
p
ar
a
m
ete
r
is
n
o
t
s
u
itab
le
to
p
r
ed
ict
th
e
B
MD
o
f
h
ip
,
T
-
s
co
r
e
o
f
h
ip
,
an
d
t
h
e
B
MD
o
f
t
h
e
l
u
m
b
ar
s
p
i
n
e.
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h
is
ca
n
b
e
ex
p
lain
ed
t
h
at
t
h
e
tr
ab
ec
u
lar
b
o
n
e
o
f
lu
m
b
ar
s
p
i
n
e
h
as a
h
i
g
h
p
er
ce
n
tag
e
t
h
at
i
s
6
6
%.
T
h
e
d
eter
m
i
n
atio
n
co
ef
f
icie
n
t
(
R
-
s
q
u
ar
e)
o
f
ar
ea
p
a
r
a
m
e
ter
w
i
th
T
-
s
co
r
e
o
f
th
e
lu
m
b
ar
s
p
in
e
(
T
a
b
le
3
)
w
a
s
0
.
1
4
6
.
I
t
m
ea
n
s
th
at
th
e
in
f
l
u
e
n
ce
o
f
ar
ea
p
ar
a
m
eter
to
T
-
s
co
r
e
o
f
th
e
lu
m
b
ar
s
p
in
e
w
as
1
4
.
6
%
w
h
ile
t
h
e
r
est
(
8
5
.
4
%)
ar
e
d
et
er
m
in
ed
b
y
a
n
o
th
er
p
ar
a
m
eter
.
T
h
e
co
r
r
elatio
n
s
tr
en
g
t
h
f
o
r
ar
ea
p
ar
am
eter
w
i
t
h
T
-
s
co
r
e
o
f
th
e
lu
m
b
ar
s
p
in
e
w
a
s
o
n
l
y
in
w
ea
k
le
v
el
(
r
=
0
,
3
8
2
)
.
T
h
e
r
esu
lt
o
f
t
h
is
s
t
u
d
y
al
s
o
s
u
itab
le
w
it
h
p
r
ev
io
u
s
s
t
u
d
ies,
w
h
ic
h
s
h
o
wed
th
at
t
h
e
p
ar
a
m
eter
o
f
th
e
p
er
iap
ical
r
ad
io
g
r
ap
h
also
h
as
a
w
ea
k
co
r
r
elatio
n
s
tr
en
g
th
w
it
h
b
o
n
e
m
in
er
al
d
e
n
s
it
y
[
1
7
]
,
[
2
6
]
.
T
h
o
s
e
p
ar
am
eter
s
w
er
e
te
x
t
u
r
e
[
1
7
]
an
d
m
ax
i
m
u
m
v
al
u
e
[
2
6
]
o
f
t
h
e
p
er
iap
ical
r
ad
io
g
r
ap
h
.
So
t
h
at
t
h
o
s
e
p
ar
a
m
eter
s
ca
n
n
o
t
b
e
d
eter
m
i
n
ed
as
a
p
r
ed
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r
f
o
r
th
e
b
o
n
e
m
i
n
er
al
d
en
s
it
y
in
l
u
m
b
ar
s
p
i
n
e
as
w
ell
as
h
ip
.
T
h
is
co
n
d
it
io
n
m
a
y
b
e
in
f
l
u
e
n
ce
d
b
y
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h
e
f
ac
t
th
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t
h
e
b
o
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e
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i
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en
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x
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m
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m
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t
w
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d
o
n
e
in
d
if
f
er
en
t
s
ites
.
T
h
e
D
E
XA
ex
a
m
i
n
atio
n
w
a
s
ap
p
lie
d
f
o
r
b
o
n
e
m
i
n
er
al
d
e
n
s
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e
asu
r
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m
en
t
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n
t
h
e
h
ip
an
d
lu
m
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ar
s
p
i
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e
w
h
i
le
p
er
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r
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r
ap
h
s
w
er
e
u
s
ed
to
o
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th
e
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eter
an
d
th
e
in
teg
r
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en
s
it
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o
f
t
h
e
an
ter
io
r
r
eg
io
n
o
f
m
a
n
d
ib
le
[
1
7
]
,
[
1
9
]
.
T
h
e
Sp
ea
r
m
an
’
s
co
r
r
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n
test
as
s
h
o
w
n
in
T
ab
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1
f
o
r
th
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in
te
g
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ated
d
en
s
it
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p
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m
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ter
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ter
m
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d
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if
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α
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)
n
eg
ati
v
e
co
r
r
elatio
n
w
it
h
T
-
s
co
r
e
o
f
h
ip
(
r
=
-
0
.
3
3
2
)
an
d
T
-
s
co
r
e
o
f
Evaluation Warning : The document was created with Spire.PDF for Python.
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u
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h
as
a
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o
w
s
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ican
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MD
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f
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ip
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d
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MD
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ar
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n
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n
d
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lin
ea
r
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eg
r
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4
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et
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th
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e
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s
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f
th
e
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ip
an
d
lu
m
b
ar
s
p
i
n
e
h
a
v
e
n
o
s
ig
n
i
f
ica
n
t
F
a
n
d
t
(
α
>
0
.
0
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)
.
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t
m
ea
n
s
th
at
th
e
in
teg
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e
n
s
it
y
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s
n
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t
s
u
itab
le
to
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e
m
i
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al
d
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n
eit
h
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MD
n
o
r
th
e
T
-
s
co
r
e
o
f
h
ip
an
d
lu
m
b
ar
s
p
i
n
e.
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h
e
ar
ea
p
ar
am
eter
a
n
d
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n
te
g
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ated
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s
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h
ar
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ized
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e
tr
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lar
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o
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ec
ti
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it
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ic
h
d
eter
m
in
e
s
t
h
e
q
u
alit
y
o
f
b
o
n
e.
B
o
n
e
q
u
ali
t
y
is
a
m
an
if
esta
tio
n
o
f
b
o
n
e
ar
ch
ite
c
tu
r
e
(
b
o
n
e
g
eo
m
e
tr
y
,
m
icr
o
ar
ch
itect
u
r
e,
co
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tical
th
i
ck
n
e
s
s
,
a
n
d
tr
ab
ec
u
lar
co
n
n
e
ctiv
it
y
)
,
b
o
n
e
m
atr
ice
s
,
an
d
b
o
n
e
m
i
n
er
aliza
tio
n
.
B
o
n
e
m
i
n
er
al
d
e
n
s
it
y
h
a
s
a
h
i
g
h
co
r
r
elatio
n
w
i
th
t
h
e
r
is
k
o
f
b
o
n
e
f
r
ac
t
u
r
e,
an
d
it c
a
n
b
e
u
s
ed
b
y
t
h
e
p
h
y
s
icia
n
to
d
eter
m
i
n
e
t
h
e
n
ee
d
s
o
f
p
h
ar
m
ac
o
lo
g
ical
i
n
ter
v
e
n
tio
n
f
o
r
t
h
e
p
atien
t
[
3
]
.
B
o
n
e
d
en
s
it
y
o
f
a
p
ar
ticu
lar
r
eg
io
n
b
ec
o
m
e
s
t
h
e
m
ai
n
p
r
ed
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r
o
f
f
r
ac
tu
r
e
r
is
k
f
o
r
i
ts
s
p
ec
i
f
ic
r
eg
io
n
.
P
atien
t
s
w
it
h
o
s
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p
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t
h
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s
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e
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tain
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p
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s
is
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th
e
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ip
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m
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d
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le.
B
u
t
p
h
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n
a
n
d
d
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tis
t
m
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s
t
b
e
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o
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s
is
is
a
s
y
s
te
m
ic
s
k
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l
d
is
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e
s
o
th
at
s
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d
ie
s
to
o
b
tain
t
h
e
p
r
ed
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r
f
o
r
o
s
teo
p
o
r
o
s
is
u
s
i
n
g
r
a
d
io
g
r
ap
h
o
n
an
o
t
h
er
s
ite
b
e
s
i
d
es
h
ip
an
d
l
u
m
b
ar
s
p
in
e
h
av
e
a
p
r
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b
ab
ilit
y
to
b
e
d
ev
elo
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ed
.
T
h
is
p
r
o
b
ab
ilit
y
is
v
al
u
ab
le
i
n
f
ac
t
th
at
DE
X
A
eq
u
ip
m
e
n
t
n
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d
s
h
ig
h
co
s
t
an
d
it
s
av
ai
lab
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y
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s
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g
li
m
ited
i
n
p
ar
ticu
lar
p
u
b
lic
h
ea
l
th
s
er
v
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s
,
esp
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y
i
n
I
n
d
o
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es
ia.
Fo
r
th
at
r
ea
s
o
n
,
a
co
m
p
u
ter
-
aid
e
d
s
y
s
te
m
w
il
l
b
e
n
ec
ess
ar
y
to
o
v
er
co
m
e
th
e
DE
X
A
li
m
itatio
n
.
T
h
e
ar
ea
p
ar
am
eter
ca
n
b
e
u
s
ed
as
a
p
r
ed
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r
o
r
in
p
u
t
p
ar
a
m
eter
f
o
r
th
e
co
m
p
u
ter
aid
ed
s
y
s
te
m
o
f
o
s
teo
p
o
r
o
s
is
ea
r
ly
d
etec
tio
n
.
B
ased
o
n
p
r
ev
io
u
s
s
tu
d
y
[
2
2
]
,
th
er
e
ar
e
f
o
u
r
s
tep
s
to
b
u
ild
t
h
e
co
m
p
u
ter
aid
ed
s
y
s
te
m
o
f
o
s
teo
p
o
r
o
s
is
ea
r
ly
d
etec
t
io
n
,
i
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r
[
2
2
]
.
T
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ter
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ap
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ar
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.
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WL
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ad
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Yo
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y
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k
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ta,
I
n
d
o
n
esia.
RE
F
E
R
E
NC
E
S
[1
]
J.
E.
A
d
a
m
s,
“
Du
a
l
-
e
n
e
rg
y
X
-
ra
y
a
b
so
rp
ti
o
m
e
tr
y
,
”
M
e
d
.
Ra
d
i
o
l.
Dia
g
n
o
stic
im
a
g
i
n
g
R
a
d
i
a
t.
On
c
o
l.
,
v
o
l
,
2
,
p
p
.
1
0
5
-
1
2
4
,
2
0
0
8
.
[2
]
K.
J.
Je
p
se
n
,
“
S
y
ste
m
s
A
n
a
l
y
sis o
f
Bo
n
e
,
”
W
il
e
y
In
ter
d
isc
ip
Rev
S
y
st B
io
l
M
e
d
,
v
o
l.
1
,
n
o
.
1
,
p
p
.
7
3
-
8
8
,
2
0
1
0
.
[3
]
W
.
T
.
Ay
o
u
b
,
“
Os
teo
p
o
r
o
sis:
Cli
n
ica
l
G
u
id
a
n
c
e
f
o
r
P
re
v
e
n
ti
o
n
,
D
iag
n
o
sis,
a
n
d
M
a
n
a
g
e
m
e
n
t,
”
in
Dia
g
n
o
stic
T
e
s
t
a
n
d
In
ter
p
re
t
a
ti
o
n
,
D.
R
.
G
u
e
ld
n
e
r,
S
.
H
.
,
G
ra
b
o
,
T
.
N.,
Ne
wm
a
n
,
E
.
D.,
a
n
d
Co
o
p
e
r,
Ed
.
Ne
w
Yo
rk
:
S
p
i
n
g
e
r
P
u
b
l
ish
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n
g
Co
m
p
a
n
y
,
2
0
0
8
,
p
p
.
3
3
-
4
0
.
[4
]
A
.
T
a
g
u
c
h
i
e
t
a
l.
,
“
Risk
o
f
v
e
rte
b
ra
l
o
ste
o
p
o
ro
sis
i
n
p
o
st
-
m
e
n
o
p
a
u
sa
l
w
o
m
e
n
w
it
h
a
lt
e
ra
ti
o
n
s
o
f
t
h
e
m
a
n
d
ib
le,
”
De
n
to
ma
x
il
l
o
fa
c
Ra
d
io
l
,
v
o
l.
3
6
,
p
p
.
1
4
3
-
1
4
8
,
2
0
0
8
.
[5
]
M
in
istry
o
f
H
e
a
lt
h
o
f
Re
p
u
b
li
c
In
d
o
n
e
sia
,
“
G
u
id
e
li
n
e
s
f
o
r
Os
teo
p
o
r
o
sis
Co
n
tr
o
l,
”
M
i
n
ist.
He
a
l.
De
c
r
e
e
No
.
1
1
4
2
/M
ENKES
/S
K/
X
II/2
0
0
8
,
2
0
0
8
.
[6
]
Na
ti
o
n
a
l
Os
teo
p
o
r
o
sis F
o
u
n
d
a
ti
o
n
,
Cli
n
icia
n
'
s G
u
id
e
a
n
d
T
re
a
tm
e
n
t
.
W
a
sh
in
g
to
n
DC:
B
o
n
e
S
o
u
rc
e
,
2
0
0
8
.
[7
]
S
.
S
u
sh
m
a
a
n
d
S
.
P
ra
sa
n
n
a
Ku
m
a
r,
“
A
d
v
a
n
c
e
m
e
n
t
in
Re
se
a
rc
h
T
e
c
h
n
iq
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e
s
o
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M
e
d
ica
l
Im
a
g
in
g
P
ro
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e
ss
in
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f
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r
Bre
a
st Can
c
e
r
De
tec
ti
o
n
,
”
In
t.
J
.
El
e
c
tr.
Co
mp
u
t.
E
n
g
.
,
v
o
l
.
6
,
n
o
.
2
,
p
.
7
1
7
,
2
0
1
6
.
[8
]
K.
S
.
Kra
n
e
,
M
o
d
e
rn
P
h
y
sic
s
,
3
rd
e
d
.
USA
:
Jo
h
n
W
il
e
y
&
S
o
n
s,
In
c
,
2
0
1
2
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J
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&
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o
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p
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g
I
SS
N:
2088
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8708
I
ma
g
e
A
n
a
lysi
s
o
f P
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p
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l R
a
d
io
g
r
a
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fo
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Min
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l D
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s
ity
P
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ed
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n
(
R
in
i
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id
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r
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m
)
2089
[9
]
S
.
L
e
sta
ri,
W
.
Nu
g
ro
h
o
,
a
n
d
G
.
B.
S
u
p
a
rta,
“
M
e
t
o
d
e
e
k
stra
k
si
in
f
o
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a
si
f
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m
u
lt
i
-
c
it
ra
r
a
d
io
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ra
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i
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ig
it
a
l,
”
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.
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s.
In
d
o
n
e
s.
,
v
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l
.
1
3
,
p
p
.
4
8
-
5
6
,
2
0
0
9
.
[1
0
]
M
.
Je
rg
a
s,
“
Ra
d
io
lo
g
y
o
f
Os
teo
p
o
ro
sis,”
in
M
e
d
ica
l
Ra
d
i
o
l
o
g
y
Di
a
g
n
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stic
Ima
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R
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ti
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On
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,
2
n
d
e
d
.
,
A.
L
.
Ba
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rt,
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.
W
.
Bra
d
y
,
H.
P.
He
il
ma
n
n
,
M
.
Kn
a
u
th
,
M
.
M
o
ll
s,
C.
Nied
e
r,
a
n
d
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S
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rto
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E
d
s.
Ver
la
g
Ber
li
n
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rg
:
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r
,
2
0
0
8
,
p
p
.
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7
-
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0
4
.
[1
1
]
G
.
M
.
Blak
e
a
n
d
I.
F
o
g
e
lma
n
,
“
T
h
e
ro
le
o
f
DX
A
b
o
n
e
d
e
n
sity
sc
a
n
s
in
th
e
d
iag
n
o
sis
a
n
d
trea
tme
n
t
o
f
o
ste
o
p
o
ro
sis,”
P
o
stg
r.
M
e
d
J
,
v
o
l.
8
3
,
p
p
.
5
0
9
-
5
1
7
,
2
0
0
7
.
[1
2
]
R.
L
ick
s,
V
.
L
ick
s,
F
.
Ou
r
iq
u
e
,
H.
R.
Bit
ten
c
o
u
rt,
a
n
d
V.
F
o
n
ta
n
e
ll
a
,
“
De
v
e
lo
p
m
e
n
t
o
f
a
p
re
d
icti
o
n
to
o
l
f
o
r
l
o
w
b
o
n
e
m
a
ss
b
a
se
d
o
n
c
li
n
ica
l
d
a
t
a
a
n
d
p
e
riap
ica
l
ra
d
i
o
g
ra
p
h
y
,
”
D
e
n
to
ma
x
il
l
o
f
a
c
ia
l
R
a
d
i
o
l.
,
v
o
l.
3
9
,
p
p
.
2
2
4
-
2
3
0
,
2
0
1
0
.
[1
3
]
A
.
T
a
g
u
c
h
i
e
t
a
l.
,
“
Ob
se
rv
e
r
p
e
rf
o
r
m
a
n
c
e
in
d
iag
n
o
sin
g
o
ste
o
p
o
ro
sis
b
y
d
e
n
tal
p
a
n
o
ra
m
ic
ra
d
io
g
ra
p
h
s:
Re
su
lt
s
f
ro
m
th
e
o
ste
o
p
o
ro
sis sc
re
e
n
in
g
p
ro
jec
t
in
d
e
n
ti
stry
(OS
P
D),”
Bo
n
e
,
v
o
l.
4
3
,
n
o
.
1
,
p
p
.
2
0
9
-
2
1
3
,
2
0
0
8
.
[1
4
]
K.
Ish
ii
e
t
a
l.
,
“
Dia
g
n
o
stic
e
f
f
ic
a
c
y
o
f
a
lv
e
o
lar
b
o
n
e
lo
ss
o
f
th
e
m
a
n
d
ib
le
f
o
r
id
e
n
t
ify
in
g
p
o
stm
e
n
o
p
a
u
sa
l
w
o
m
e
n
w
it
h
f
e
m
o
ra
l
o
ste
o
p
o
ro
sis,”
De
n
t
o
ma
x
il
l
o
fa
c
R
a
d
i
o
l
,
v
o
l.
3
6
,
p
p
.
2
8
-
3
3
,
2
0
0
7
.
[1
5
]
P
.
C
.
A
.
W
a
tan
a
b
e
e
t
a
l.
,
“
M
o
r
p
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.
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[1
8
]
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.
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.
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.
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.
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.
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.
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.
[1
9
]
R.
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n
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.
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.
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0
]
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I.
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.
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rtati,
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o
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.
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,
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1
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.
[2
2
]
B.
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.
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.
R.
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T
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3
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.
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4
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[2
5
]
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m
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.
[2
6
]
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.
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ri,
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.
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o
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ter
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ti
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m
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u
t
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e
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d
In
fo
rm
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t
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(
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2
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0
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7
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p
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5
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d
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s
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Re
latio
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ip
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v
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n
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se
Et
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o
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Un
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.
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