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Updated practice guideline for dual-energy X-ray absorptiometry (DXA)

Title: Updated practice guideline for dual-energy X-ray absorptiometry (DXA)
Authors: Slart, Riemer H.J.A.; Punda, Marija; Ali, Dalal S.; Bazzocchi, Alberto; Bock, Oliver; Camacho, Pauline; Carey, John J.; Colquhoun, Anita; Compston, Juliet; Engelke, Klaus; Erba, Paola A.; Harvey, Nicholas C.; Krueger, Diane; Lems, Willem F.; Lewiecki, E. Michael; Morgan, Sarah; Moseley, Kendall F.; O'Brien, Christopher; Probyn, Linda; Rhee, Yumie; Richmond, Bradford; Schousboe, John T.; Shuhart, Christopher; Ward, Kate A.; van den Wyngaert, Tim; Zhang-Yin, Jules; Khan, Aliya A.
Contributors: International Working Group on DXA Best Practices
Source: 1619-7070 ; European journal of nuclear medicine and molecular imaging
Publication Year: 2025
Collection: IRUA - Institutional Repository van de Universiteit Antwerpen
Subject Terms: Human medicine; Computer. Automation
Description: The introduction of dual-energy X-ray absorptiometry (DXA) technology in the 1980s revolutionized the diagnosis, management and monitoring of osteoporosis, providing a clinical tool which is now available worldwide. However, DXA measurements are influenced by many technical factors, including the quality control procedures for the instrument, positioning of the patient, and approach to analysis. Reporting of DXA results may be confounded by factors such as selection of reference ranges for T-scores and Z-scores, as well as inadequate knowledge of current standards for interpretation. These points are addressed at length in many international guidelines but are not always easily assimilated by practising clinicians and technicians. Our aim in this report is to identify key elements pertaining to the use of DXA in clinical practice, considering both technical and clinical aspects. Here, we discuss technical aspects of DXA procedures, approaches to interpretation and integration into clinical practice, and the use of non-bone mineral density measurements, such as a vertebral fracture assessment, in clinical risk assessment.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/isi/001320909700001
Availability: https://hdl.handle.net/10067/2095160151162165141; https://repository.uantwerpen.be/docstore/d:irua:26230
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.9E5C5906
Database: BASE