{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T04:51:36Z","timestamp":1791262296945,"version":"4.1.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"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\/hcag267","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:22:36Z","timestamp":1790594556000},"source":"Crossref","is-referenced-by-count":0,"title":["Opportunistic Diagnosis of Osteoporosis through CT Pulmonary Angiography for Suspected Pulmonary Embolism"],"prefix":"10.1093","author":[{"given":"Ami","family":"Schattner","sequence":"first","affiliation":[{"name":"Laniado University Hospital Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"},{"name":"Sanz Medical Center Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"},{"name":"Ariel University Adelson Medical School, , Ariel (YG, ID, AS)"},{"name":"Hebrew University and Hadassah Medical School (AS) and the Faculty of Medicine, , Jerusalem,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yair","family":"Glick","sequence":"additional","affiliation":[{"name":"Laniado University Hospital Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"},{"name":"Sanz Medical Center Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"},{"name":"Ariel University Adelson Medical School, , Ariel (YG, ID, AS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Vishnevski","sequence":"additional","affiliation":[{"name":"Laniado University Hospital Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"},{"name":"Sanz Medical Center Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ina","family":"Dubin","sequence":"additional","affiliation":[{"name":"Laniado University Hospital Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"},{"name":"Sanz Medical Center Departments of Medicine (VK, ID, AS), and Imaging (YG), , , Netanya"},{"name":"Ariel University Adelson Medical School, , Ariel (YG, ID, AS)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,5]]},"container-title":["QJM: An International Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/qjmed\/advance-article-pdf\/doi\/10.1093\/qjmed\/hcag267\/71610711\/hcag267.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/qjmed\/advance-article-pdf\/doi\/10.1093\/qjmed\/hcag267\/71610711\/hcag267.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T04:07:28Z","timestamp":1791259648000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/qjmed\/advance-article\/doi\/10.1093\/qjmed\/hcag267\/8866652"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/qjmed\/hcag267","relation":{},"ISSN":["1460-2725","1460-2393"],"issn-type":[{"value":"1460-2725","type":"print"},{"value":"1460-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]},"article-number":"hcag267"}}