TY - JOUR
T1 - Reporting Fewer Than Four Vertebrae
T2 - 2023 Official Positions of the International Society for Clinical Densitometry
AU - Rosen, Harold
AU - Lau, Adrian
AU - Szalat, Auryan
AU - Tanner, S. Bobo
AU - Krueger, Diane
AU - Prout, Tyler
AU - Malabanan, Alan
AU - Shuhart, Christopher
N1 - Publisher Copyright:
© 2023 The International Society for Clinical Densitometry
PY - 2024/1/1
Y1 - 2024/1/1
N2 - 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.
AB - 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.
KW - Bone mineral density
KW - Degenerative changes
KW - DXA
KW - Least significant changes
KW - Official positions
KW - Reporting
KW - Vertebrae
UR - http://www.scopus.com/inward/record.url?scp=85177067425&partnerID=8YFLogxK
U2 - 10.1016/j.jocd.2023.101436
DO - 10.1016/j.jocd.2023.101436
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C2 - 37985274
AN - SCOPUS:85177067425
SN - 1094-6950
VL - 27
JO - Journal of Clinical Densitometry
JF - Journal of Clinical Densitometry
IS - 1
M1 - 101436
ER -