Reporting Fewer Than Four Vertebrae: 2023 Official Positions of the International Society for Clinical Densitometry

被引:5
|
作者
Rosen, Harold [1 ]
Lau, Adrian [2 ]
Szalat, Auryan [3 ]
Tanner, S. Bobo [4 ]
Krueger, Diane [5 ]
Prout, Tyler [6 ]
Malabanan, Alan [7 ]
Shuhart, Christopher [8 ]
机构
[1] Beth Israel Deaconess Med Ctr, Osteoporosis Prevent & Treatment Ctr, 330 Brookline Ave, Boston, MA 02215 USA
[2] Univ Toronto, Womens Coll Hosp, Dept Med, Div Endocrinol & Metab, Toronto, ON, Canada
[3] Hebrew Univ Jerusalem, Fac Med, Osteoporosis Ctr, Hadassah Med Ctr,Internal Med Ward, Jerusalem, Israel
[4] Vanderbilt Univ, Med Ctr, Div Rheumatol Allergy & Immunol, Nashville, TN 37235 USA
[5] Univ Wisconsin, Sch Med & Publ Hlth, Osteoporosis Clin Res Program, Madison, WI USA
[6] Univ Wisconsin, Radiol Dept, Madison, WI USA
[7] Boston Med Ctr, Bone Hlth Clin, Boston, MA USA
[8] Swedish Med Grp, Bone Hlth & Osteoporosis Ctr, Seattle, WA USA
关键词
Official positions; DXA; Reporting; Bone mineral density; Vertebrae; Least significant changes; Degenerative changes; X-RAY ABSORPTIOMETRY; HOLOGIC HORIZON MODEL; LUMBAR SPINE; PRECISION; PREDICTION; DXA;
D O I
10.1016/j.jocd.2023.101436
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The precision for spine bone mineral density (BMD) worsens as vertebrae are excluded, so recommendations are needed for least significant change (LSC) for spine BMDs based on fewer than 4 vertebrae. The task force recommends re -analysis of each facility's L1 -L4 in-house precision study to determine the precision in order to calculate the LSC for each combination of 2 or 3 reported vertebrae. The task force recommended not reporting spine BMDs based on single vertebral bodies for either the diagnosis or monitoring of osteoporosis. Specific data for studies assessing the precision of two non-contiguous vertebrae are mixed, but ultimately the task force recommended that spine BMD based on 2 non-contiguous vertebrae can be used for the diagnosis and monitoring of osteoporosis.
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页数:9
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