Best Practices for Dual-Energy X-ray Absorptiometry Measurement and Reporting: International Society for Clinical Densitometry Guidance

被引:216
作者
Lewiecki, E. Michael [1 ]
Binkley, Neil [2 ,3 ]
Morgan, Sarah L. [4 ]
Shuhart, Christopher R. [5 ]
Camargos, Bruno Muzzi [6 ]
Carey, John J. [7 ]
Gordon, Catherine M. [8 ]
Jankowski, Lawrence G. [9 ]
Lee, Joon-Kiong [10 ]
Leslie, William D. [11 ]
机构
[1] New Mexico Clin Res & Osteoporosis Ctr, 300 Oak St NE, Albuquerque, NM 87106 USA
[2] Univ Wisconsin, Osteoporosis Clin Ctr, Madison, WI USA
[3] Univ Wisconsin, Res Program, Madison, WI USA
[4] Univ Alabama Birmingham, Dept Med, UAB Osteoporosis Prevent & Treatment Clin, Div Clin Immunol & Rheumatol, Birmingham, AL 35294 USA
[5] Swedish Med Grp, Seattle, WA USA
[6] Rede Mater Dei Saude Densimater, Belo Horizonte, MG, Brazil
[7] Natl Univ Ireland, Galway Univ Hosp, Galway, Ireland
[8] Univ Cincinnati, Coll Med, Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH USA
[9] Illinois Bone & Joint Inst, Morton Grove, IL USA
[10] JK Lee Orthopaed & Traumatol, Petaling Jaya, Malaysia
[11] Univ Manitoba, Winnipeg, MB, Canada
关键词
Accreditation; certification; DXA; osteoporosis; quality; BONE-MINERAL DENSITY; POSITION DEVELOPMENT CONFERENCE; FRACTURE RISK PREDICTION; BMD DXA MEASURES; OFFICIAL POSITIONS; OSTEOPOROSIS; ISCD; MANAGEMENT; PRECISION; STANDARDS;
D O I
10.1016/j.jocd.2016.03.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dual-energy X-ray absorptiometry (DXA) is a technology that is widely used to diagnose osteoporosis, assess fracture risk, and monitor changes in bone mineral density (BMD). The clinical utility of DXA is highly dependent on the quality of the scan acquisition, analysis, and interpretatidn. Clinicians are best equipped to manage patients when BMD measurements are correct and interpretation follows well-established standards. Poor-quality acquisition, analysis, or interpretation of DXA data may mislead referring clinicians, resulting in unnecessary diagnostic evaluations, failure to evaluate when needed, inappropriate treatment, or failure to provide medical treatment, with potentially ineffective, harmful, or costly consequences. Misallocation of limited healthcare resources and poor treatment decisions can be minimized, and patient care optimized, through meticulous attention to DXA instrument calibration, data acquisition and analysis, interpretation, and reporting. This document from the International Society for Clinical Densitometry describes quality standards for BMD testing at DXA facilities worldwide to provide guidance for DXA supervisors, technologists, interpreters, and clinicians. High-quality DXA testing is necessary for correct diagnostic classification and optimal fracture risk assessment, and is essential for BMD monitoring.
引用
收藏
页码:127 / 140
页数:14
相关论文
共 70 条
[1]  
American National Standards Institute, 2016, ACCR SERV
[2]  
Associacdo Brasileira de Avaliagdo Ossea e Osteometabolismo, 2005, PROGR CONTR QUAL DEN
[3]   Precision assessment and radiation safety for dual-energy X-ray absorptiometry [J].
Baim, S ;
Wilson, CR ;
Lewiecki, EM ;
Luckey, MM ;
Downs, RW ;
Lentle, BC .
JOURNAL OF CLINICAL DENSITOMETRY, 2005, 8 (04) :371-378
[4]   Official positions of the International Society for Clinical Densitometry and executive summary of the 2007 ISCD Position Development Conference [J].
Baim, Sanford ;
Binkley, Neil ;
Bilezikian, John R. ;
Kendler, David L. ;
Hans, Didier B. ;
Lewiecki, E. Michael ;
Silverman, Stuart .
JOURNAL OF CLINICAL DENSITOMETRY, 2008, 11 (01) :75-91
[5]   Standards and measurements for assessing bone health - Workshop report co-sponsored by the International Society for Clinical Densitometry (ISCD) and the National Institute of Standards and Technology (NIST) [J].
Bennett, Herbert S. ;
Dienstfrey, Andrew ;
Hudson, Lawrence T. ;
Oreskovic, Tammy ;
Fuerst, Thomas ;
Shepherd, John .
JOURNAL OF CLINICAL DENSITOMETRY, 2006, 9 (04) :399-405
[6]   Official positions of the International Society for Clinical Densitometry and executive summary of the 2005 Position Development Conference [J].
Binkley, Neil ;
Bilezikian, John P. ;
Kendler, David L. ;
Leib, Edward S. ;
Lewiecki, E. Michael ;
Petak, Steven M. .
JOURNAL OF CLINICAL DENSITOMETRY, 2006, 9 (01) :4-14
[7]   What Should DXA Reports Contain? Preferences of Ordering Health Care Providers [J].
Binkley, Neil ;
Krueger, Diane .
JOURNAL OF CLINICAL DENSITOMETRY, 2009, 12 (01) :5-10
[8]  
Bonnick S.L., 2013, Bone Densitometry for Technologists, V3rd ed., DOI 10.1007/978-1-4614-3625-6
[9]  
Bonnick SL, 2010, CURR CLIN PRACT, P1, DOI 10.1007/978-1-60327-499-9
[10]   Patient assessment using standardized bone mineral density values and a national reference database: implementing uniform thresholds for the reimbursement of osteoporosis treatments in Belgium [J].
Boonen, S ;
Kaufman, JM ;
Reginster, JY ;
Devogelaer, JP .
OSTEOPOROSIS INTERNATIONAL, 2003, 14 (02) :110-115