Effects of clinical reanalysis in dual energy X-ray absorptiometry reports

被引:4
作者
Tuna, Filiz [1 ]
Yavuz, Selcuk [2 ]
Kabayel, Derya Demirbag [2 ]
Sarikaya, Ali [3 ]
机构
[1] Trakya Univ, Dept Phys Therapy & Rehabil, Fac Hlth Sci, Edirne, Turkey
[2] Trakya Univ, Dept Phys Med & Rehabil, Med Fac, Edirne, Turkey
[3] Trakya Univ, Dept Nucl Med, Med Fac, Edirne, Turkey
关键词
Analysis; dual energy X-ray absorptiometry; errors; positioning; BONE-MINERAL DENSITY; DXA; OSTEOPOROSIS; DENSITOMETRY; HIP;
D O I
10.5606/tftrd.2017.595
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objectives: This study aims to assess poor positioning rates of patients during X-ray and the accuracy of the analysis. Patients and methods: In this study, we reanalyzed 323 dual energy X-ray absorptiometry (DXA) reports, by evaluating the scan images for proper patient positioning and scan analysis. We reviewed reports, according to a checklist prepared considering the proposals of Watts and The International Society for Clinical Densitometry official positions for 2013 (which were the same as in 2015). At least two remaining vertebrae were used to derive new bone mineral density and new T-scores. Results: Positioning failures were found in 64.7% of the spine X-rays, 60.5% of the hip X-rays, and 83.9% of X-rays of both regions. A total of 112 (34.7%) spinal DXA images needed new T-score adjustments. T-scores and bone mineral density differed between the first reports and the clinician reanalysis (p<0.001). Conclusion: The error rate in DXA reports was higher than expected. Clinician analysis of DXA reports are important. To obtain a quality DXA report, all healthcare professionals should be trained and reminded about this topic.
引用
收藏
页码:201 / 206
页数:6
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