{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T08:02:17Z","timestamp":1774512137543,"version":"3.50.1"},"reference-count":32,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"am","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>CT pulmonary angiography (CTPA) ordered to confirm or exclude pulmonary embolism (PE) often reveals incidental findings. Its yield in the opportunistic detection of osteoporosis, a prevalent, under-diagnosed condition, is less clear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Evaluate osteoporosis and fragility fractures in CTPAs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective review of consecutive CTPAs, compared to the initial imaging report and previous diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>CTPAs review by a consultant radiologist and pertinent clinical data from patients\u2019 charts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 517 CTPAs (52.6% women, median 70-years-old) were included. PE was identified in 19%. Varied other significant findings were identified, either acute or incidental. Osteoporosis was more than twice as common as PE, found in 211\/517 (41%), but it was previously known in 20\/211 (4%) and treated in 8 (1.5%). One quarter of the patients with osteoporosis had fragility fractures in the thoracic vertebrae (53\/211, 10% of the entire cohort). The primary radiological report named osteoporosis in only 9\/211 (1.5%) and fragility fractures in 3\/53 (5.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CTPA can be routinely applied to include evaluation of the vertebral column for osteoporosis, a prevalent and notoriously underdiagnosed and undertreated serious condition of older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/qjmed\/hcag073","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:50:10Z","timestamp":1772628610000},"source":"Crossref","is-referenced-by-count":0,"title":["Opportunistic diagnosis of osteoporosis through CT pulmonary angiography for suspected pulmonary embolism"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1413-8858","authenticated-orcid":false,"given":"Ami","family":"Schattner","sequence":"first","affiliation":[{"name":"Department of Medicine, Laniado University Hospital, Sanz Medical Center , Netanya,","place":["Israel"]},{"name":"Adelson Medical School, Ariel University , Ariel,","place":["Israel"]},{"name":"The Faculty of Medicine, Hebrew University and Hadassah Medical School , Jerusalem,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yair","family":"Glick","sequence":"additional","affiliation":[{"name":"Adelson Medical School, Ariel University , Ariel,","place":["Israel"]},{"name":"Departments of Imaging, Laniado University Hospital, Sanz Medical Center , Netanya,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeria","family":"Vishnevski","sequence":"additional","affiliation":[{"name":"Department of Medicine, Laniado University Hospital, Sanz Medical Center , Netanya,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ina","family":"Dubin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Laniado University Hospital, Sanz Medical Center , Netanya,","place":["Israel"]},{"name":"Adelson Medical School, Ariel University , Ariel,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"2026032602175877800_hcag073-B1","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1001\/jama.2019.11456","article-title":"Trends in the use of medical imaging in US health care systems and in Ontario, Canada, 2000-2016","volume":"322","author":"Smith-Bindman","year":"2019","journal-title":"JAMA"},{"key":"2026032602175877800_hcag073-B2","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.annemergmed.2022.06.001","article-title":"A systematic review of 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