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

DEMİRBAĞ KABAYEL, Derya; SARIKAYA, Ali; Tuna, Filiz; YAVUZ, Selçuk

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

Filiz TUNA, (Department of Physical Therapy and Rehabilitation, Trakya University Faculty of Health Sciences, Edirne, Turkey)

Selçuk YAVUZ, (Department of Physical Therapy and Rehabilitation, Trakya University Faculty of Health Sciences, Edirne, Turkey)

Derya Demirbağ KABAYEL, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Trakya University, Edirne, Turkey)

Ali SARIKAYA (Department of Physical Medicine and Rehabilitation, Medical Faculty of Trakya University, Edirne, Turkey)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

2 0

Yıl: 2017 Cilt: 63 Sayı: 3 Sayfa Aralığı: 201 - 206 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

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

Öz:

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

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Blake GM, Fogelman I. Role of dual-energy X-ray absorptiometry in the diagnosis and treatment of osteoporosis. J Clin Densitom 2007;10:102-10.
2. Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S, et al. Erratum to: Clinician’s guide to prevention and treatment of osteoporosis. Osteoporosis International: a Journal Established as Result of Cooperation Between the European Foundation For Osteoporosis and the National Osteoporosis Foundation of the USA. 2014;25:2359-81.
3. Schousboe JT, Shepherd JA, Bilezikian JP, Baim S. Executive summary of the 2013 International Society for Clinical Densitometry Position Development Conference on bone densitometry. J Clin Densitom 2013;16:455-66.
4. Watts NB. Fundamentals and pitfalls of bone densitometry using dual-energy X-ray absorptiometry (DXA). Osteoporos Int 2004;15:847-54.
5. Lenchik L, Rochmis P, Sartoris DJ. Optimized interpretation and reporting of dual X-ray absorptiometry (DXA) scans. AJR Am J Roentgenol 1998;171:1509-20.
6. Baniak N, Grzybowski S, Olszynski WP. Dual-energy X-ray absorptiometry scan autoanalysis vs manual analysis. J Clin Densitom 2014;17:97-103.
7. Lewiecki EM, Lane NE. Common mistakes in the clinical use of bone mineral density testing. Nat Clin Pract Rheumatol 2008;4:667-74.
8. Lewiecki EM, Binkley N, Petak SM. DXA quality matters. J Clin Densitom 2006;9:388-92.
9. Cetin A, Ozgüçlü E, Ozçakar L, Akinci A. Evaluation of the patient positioning during DXA measurements in daily clinical practice. Clin Rheumatol 2008;27:713-5.
10. ISCD 2015 Official Positions - Adult. Available from: http://www.iscd.org/official-positions/2015-iscd-officialpositions-adult/ 11. Sindel D, Gula G. Osteoporozda kemik mineral yoğunluğunun değerlendirilmesi. Türk Osteoporoz Dergisi 2015;21:23-9.
12. Choplin RH, Lenchik L, Wuertzer S. A Practical Approach to Interpretation of Dual-Energy X-ray Absorptiometry (DXA) for Assessment of Bone Density. Curr Radiol Rep 2014;2:1-12.
13. El Maghraoui A, Roux C. DXA scanning in clinical practice. QJM 2008;101:605-17.
14. Lekamwasam S, Lenora RS. Effect of leg rotation on hip bone mineral density measurements. J Clin Densitom 2003;6:331-6.
15. Libber J, Binkley N, Krueger D. Clinical observations in total body DXA: technical aspects of positioning and analysis. J Clin Densitom 2012;15:282-9.
16. Hart NH, Nimphius S, Spiteri T, Cochrane JL, Newton RU. Segmental Musculoskeletal Examinations using DualEnergy X-Ray Absorptiometry (DXA): Positioning and Analysis Considerations. J Sports Sci Med 2015;14:620-6.
17. McKiernan F, Washington W. Effect of subtle positioning flaws on measured bone mineral density of the hip. J Clin Densitom 2005;8:330-4.
18. Ozer BH, Krueger D, Binkley N. Slight abduction/ adduction deviations in femur positioning for dual-energy X-ray absorptiometry are inconsequential. J Clin Densitom 2010;13:10-7.
19. Yu W, Glüer CC, Fuerst T, Grampp S, Li J, Lu Y, et al. Influence of degenerative joint disease on spinal bone mineral measurements in postmenopausal women. Calcif Tissue Int 1995;57:169-74.
20. Kline GA, Hanley DA. Differences of vertebral area in serial bone density measurements: a common source of potential error in interpretation of BMD change. J Clin Densitom 2006;9:419-24.

APA	Tuna F, YAVUZ S, DEMİRBAĞ KABAYEL D, SARIKAYA A (2017). Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. , 201 - 206.
Chicago	Tuna Filiz,YAVUZ Selçuk,DEMİRBAĞ KABAYEL Derya,SARIKAYA Ali Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. (2017): 201 - 206.
MLA	Tuna Filiz,YAVUZ Selçuk,DEMİRBAĞ KABAYEL Derya,SARIKAYA Ali Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. , 2017, ss.201 - 206.
AMA	Tuna F,YAVUZ S,DEMİRBAĞ KABAYEL D,SARIKAYA A Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. . 2017; 201 - 206.
Vancouver	Tuna F,YAVUZ S,DEMİRBAĞ KABAYEL D,SARIKAYA A Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. . 2017; 201 - 206.
IEEE	Tuna F,YAVUZ S,DEMİRBAĞ KABAYEL D,SARIKAYA A "Effects of clinical reanalysis in dual energy X-ray absorptiometry reports." , ss.201 - 206, 2017.
ISNAD	Tuna, Filiz vd. "Effects of clinical reanalysis in dual energy X-ray absorptiometry reports". (2017), 201-206.

APA	Tuna F, YAVUZ S, DEMİRBAĞ KABAYEL D, SARIKAYA A (2017). Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63(3), 201 - 206.
Chicago	Tuna Filiz,YAVUZ Selçuk,DEMİRBAĞ KABAYEL Derya,SARIKAYA Ali Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63, no.3 (2017): 201 - 206.
MLA	Tuna Filiz,YAVUZ Selçuk,DEMİRBAĞ KABAYEL Derya,SARIKAYA Ali Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.63, no.3, 2017, ss.201 - 206.
AMA	Tuna F,YAVUZ S,DEMİRBAĞ KABAYEL D,SARIKAYA A Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(3): 201 - 206.
Vancouver	Tuna F,YAVUZ S,DEMİRBAĞ KABAYEL D,SARIKAYA A Effects of clinical reanalysis in dual energy X-ray absorptiometry reports. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(3): 201 - 206.
IEEE	Tuna F,YAVUZ S,DEMİRBAĞ KABAYEL D,SARIKAYA A "Effects of clinical reanalysis in dual energy X-ray absorptiometry reports." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63, ss.201 - 206, 2017.
ISNAD	Tuna, Filiz vd. "Effects of clinical reanalysis in dual energy X-ray absorptiometry reports". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63/3 (2017), 201-206.