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When? |
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Where? |
(IP) |
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Questionnaire |
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SIR Data bank |
Medici rec/table 20 (I1QCT) |
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Literature: Reischies & Lindenberger (1996); Steinhagen-Thiessen & Borchelt (1996).
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Time 1 |
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1. |
ST ID |
Participant ID |
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2. |
FTA |
FTA |
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3. |
Untersuchungsdatum (Monat) 1 = Januar |
Date of examination (month) 1 = January |
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4. |
Untersuchungsdatum (Tag) |
Date of examination (day) |
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5. |
Untersuchungsdatum (Jahr) |
Date of examination (year) |
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6. |
Dichte: Single Energy, Spongiosa, gesamt |
Density: Single Energy, Spongiosa, total |
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7. |
Dichte: Single Energy, Spongiosa, L1 |
Density: Single Energy, Spongiosa, L1 |
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8. |
Dichte: Single Energy, Spongiosa, L2 |
Density: Single Energy, Spongiosa, L2 |
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9. |
Dichte: Single Energy, Spongiosa, L3 |
Density: Single Energy, Spongiosa, L3 |
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10. |
Dichte: Dual Energy, Spongiosa, gesamt |
Density: Dual Energy, Spongiosa, total |
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11. |
Dichte: Dual Energy, Spongiosa, L1 |
Density: Dual Energy, Spongiosa, L1 |
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12. |
Dichte: Dual Energy, Spongiosa, L2 |
Density: Dual Energy, Spongiosa, L2 |
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13. |
Dichte: Dual Energy, Spongiosa, L3 |
Density: Dual Energy, Spongiosa, L3 |
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14. |
Dichte: erwartete mg HA/ml Spongiosa |
Density: expected mg HA/ml Spongiosa |
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15. |
Dichte: Single Energy, Kortikal, gesamt |
Density: Single Energy, cortical, total |
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16. |
Dichte: Single Energy, Kortikal, L1 |
Density: Single Energy, cortical, L1 |
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17. |
Dichte: Single Energy, Kortikal, L2 |
Density: Single Energy, cortical, L2 |
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18. |
Dichte: Single Energy, Kortikal, L3 |
Density: Single Energy, cortical, L3 |
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19. |
Dichte: Dual Energy, Kortikal, gesamt |
Density: Dual Energy, cortical, total |
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20. |
Dichte: Dual Energy, Kortikal, L1 |
Density: Dual Energy, cortical, L1 |
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21. |
Dichte: Dual Energy, Kortikal, L2 |
Density: Dual Energy, cortical, L2 |
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22. |
Dichte: Dual Energy, Kortikal, L3 |
Density: Dual Energy, cortical, L3 |
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23. |
Dichte: Dual Energy |
Density: Dual Energy |
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24. |
Dichte: erwartete mg HA/ml, Kortikal |
Density: expected mg HA/ml, cortical |
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25. |
Frakturen LWK 1 |
Fracture lumbar vertebra 1 |
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26. |
Frakturen LWK 2 |
Fracture lumbar vertebra 2 |
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27. |
Frakturen LWK 3 |
Fracture lumbar vertebra 3 |
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28. |
Frakturen LWK 4 |
Fracture lumbar vertebra 4 |
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29. |
Frakturen LWK 5 |
Fracture lumbar vertebra 5 |
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30. |
Anz. Frakturgrad I (Keil) |
Number of fractures level I (cuneus) |
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31. |
Anz. Frakturgrad II (Kompression) |
Number of fractures level II (compression) |
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32. |
Anz. Frakturgrad III (Crush) |
Number of fractures level III (crush) |
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33. |
Kleerekoper Index |
Kleerekopers Index |
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34. |
Spondylosis L1 1 = Grad I |
Spondylosis L1 1 = level I |
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35. |
Spondylosis L2 1 = Grad I |
Spondylosis L2 1 = level I |
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36. |
Spondylosis L3 1 = Grad I |
Spondylosis L3 1 = level I |
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37. |
Spondylosis L4 1 = Grad I |
Spondylosis L4 1 = level I |
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8. |
Spondylosis L5 1 = Grad I |
Spondylosis L5 1 = level I |
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39. |
Diskopathie L1/2 0 = keine |
interverteral disc damage L1/2 0 = none |
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40. |
Diskopathie L2/3 0 = keine |
intervertebral disc damage L2/3 0 = none |
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41. |
Diskopathie L3/4 0 = keine |
intervertebral disc damage L3/4 0 = none |
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42. |
Diskopathie L4/5 0 = keine |
intervertebral disc damage L4/5 0 = none |
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43. |
Diskopathie L5/S1 0 = keine |
intervertebral disc damage L5/S1 0 = none |
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44. |
Spondylolisthesis Schweregrad |
Spondylolisthesis severity level |
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45. |
Spondylolisthesis Lokalisation |
Spondylolisthesis localization |
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46. |
cm Fettschicht links |
fat layer thickness, left (cm) |
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47. |
cm Fettschicht rechts |
fat layer thickness, right (cm) |
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48. |
qcm M. multifidus re. |
sq.cm M. multifidus right |
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49. |
qcm M. multifidus li. |
sq.cm M. multifidus left |
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50. |
qcm M. quadr.lum. re. |
sq.cm M. quadr.lum. right |
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51. |
qcm M. quadr.lum. li. |
sq.cm M. quadr.lum. left |
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52. |
qcm M. psoas re. |
sq.cm M. psoas right |
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53. |
qcm M. psoas li. |
sq.cm M. psoas left |
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54. |
qcm Gesamtquerschnitt |
sq.cm total transection |
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55. |
% Circumferenz Aortenverkalkung |
% circumference aortosclerosis |
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56. |
Dichtewerte nachberechnet? 1 = ja, nachberechnet |
Density values checked? 1 = yes, checked |
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57. |
Nebenbefunde / Kommentare |
Other findings / comments |
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