A woman who has been received pelvic radiation therapy for cervical cancer is at risk for pelvic insufficiency fracture. Park et al identified risk factors for this complication. The authors are from Kyungpook National University in Daegu, South Korea.
Patient selection: history of pelvic radiation therapy for cervical cancer
Outcome: pelvic insufficiency fracture
Risk factors for pelvic insufficiency fracture:
(1) age > 75 years
(2) body mass index < 23 kg per square meter
(3) bone mineral density T score < -3.5
(4) performance of PET/CT within a year of completing radiotherapy
where:
• PET/CT is sensitive for the detection of insufficiency fracture. It can detect an asymptomatic fracture.
• The reasons for ordering a PET/CT scan are not stated.
• The radiation dose in Grays was not significant for fracture.
To read more or access our algorithms and calculators, please log in or register.
