Yıl: 2018 Cilt: 24 Sayı: 1 Sayfa Aralığı: 21 - 25 Metin Dili: İngilizce DOI: 10.4274/tod.13008 İndeks Tarihi: 20-12-2018

Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?

Öz:
Objective: Patient positioning during dual energy X-ray absorptiometry examination is important in assessing bone mineral density. While therole of the technician is considered important on correct positioning, the effect of the patient characteristics on positioning is not adequatelyexplained. The aim of this study is investigate whether postmenopausal women’s characteristics such as age, weight, height, and body massindex affect the positioning errors.Materials and Methods: Dual energy X-ray absorptiometry reports and files of postmenopausal women were reviewed retrospectively.According to the values of body mass index three groups were formed; normal, overweight and obese. Forty one patients were includedin each group. Only the images of the Hologic dual energy X-ray absorptiometry device were participated to assessment. Patients withpositioning error were identified using the lumbar and hip region images in the dual energy X-ray absorptiometry output reports. Thedifference in positioning error rates between the body mass index groups was determined by Pearson’s chi-square test. The effect of age,height, weight, and body mass index of patients on positioning errors was examined by simple linear regression analysis.Results: Distribution of positioning errors between normal, overweight and obese groups were determined as 35.3% (36), 29.4% (30),and 35.3% (36), respectively. The distribution of correctly positioned patients in the same groups were; 23.8% (5), 52.4% (11), and 23.8%(5), respectively. No statistically significant difference was found between the groups in terms of positioning errors (Pearson’s chi-square,p=0.127).Conclusion: Patient characteristics such as age, height, weight, and body mass index do not affect positioning errors statistically significantlevel.
Anahtar Kelime:

Konular: Ortopedi

Hastanın Yaşı, Ağırlığı, Boyu ve Vücut Kitle İndeksi Dual X-ray Tetkiki Esnasında Oluşan Pozisyonlama Hatalarına Etkili Mi?

Öz:
Amaç: Dual enerji X-ışını absorbsiyometri tetkiki esnasında hastanın pozisyonlaması, kemik mineral yoğunluğu değerlendirmesinde önemlidir. Doğru pozisyonlama üzerine teknisyenin rolü önemli kabul edilirken, hastaya ait özelliklerin bu pozisyonlamaya etkisi yeterince açıklanmamaktadır. Bu araştırmadaki amacımız; postmenopozal kadınların yaş, boy, kilo ve vücut kitle indeksi gibi özelliklerinin pozisyonlama hatalarına etkileri olup olmadığını araştırmaktır. Gereç ve Yöntem: Post-menopozal kadınlara ait dual enerji X-ışını absorbsiyometri raporları ve dosyaları retrospektif olarak incelendi. Beden kitle indeksi değerlerine göre 3 grup oluşturuldu; normal, fazla kilolu ve obez. Her bir gruba 41 hasta dahil edildi. Yalnızca Hologic cihazına ait görüntüler değerlendirmeye katıldı. Dual enerji X-ışını absorbsiyometri çıktı raporlarındaki bel ve kalça bölgesi görüntüleri kullanılarak, pozisyonlama hatası olan hastalar tanımlandı. Vücut kitle indeksi grupları arasında pozisyonlama hata oranları arasındaki fark Pearson ki-kare testi ile belirlendi. Yaş, boy, ağırlık ve vücut kitle indeksinin pozisyonlama hataları üzerine etkisi basit doğrusal regresyon analizi ile incelendi. Bulgular: Normal, aşırı kilolu ve obez gruplar arasındaki pozisyonlama hataları dağılımı sırasıyla %35,3 (36), %29,4 (30) ve %35,3 (36) saptandı. Aynı gruplarda doğru pozisyonlanmış hastaların dağılımı sırasıyla; %23,8 (5), %52,4 (11) ve %23,8 (5) idi. Pozisyonlama hataları açısından gruplar arasında istatistiksel olarak anlamlı fark saptanmadı (Pearson ki-kare, p=0,127). Sonuç: Yaş, boy, ağırlık ve beden kütle indeksi gibi hastaya ait özellikler pozisyonlama hatalarını istatistiksel olarak anlamlı düzeyde etkilemez.
Anahtar Kelime:

Konular: Ortopedi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Wosje KS, Knipstein BL, Kalkwarf HJ. Measurement error of DXA: interpretation of fat and lean mass changes in obese and nonobese children. J Clin Densitom 2006;9:335-40.
  • Xu W, Chafi H, Guo B, Heymsfield SB, Murray KB, Zheng J, et al. Quantitative Comparison of 2 Dual-Energy X-ray Absorptiometry Systems in Assessing Body Composition and Bone Mineral Measurements. J Clin Densitom 2016;19:298-304.
  • Knapp KM, Welsman JR, Hopkins SJ, Shallcross A, Fogelman I, Blake GM. Obesity Increases Precision Errors in Total Body DualEnergy X-Ray Absorptiometry Measurements. J Clin Densitom 2015;18:209-16.
  • Ikegami S, Kamimura M, Uchiyama S, Nakamura Y, Mukaiyama K, Kato H. Clinical Implications of Hip Flexion in the Measurement of Spinal Bone Mineral Density. J Clin Densitom 2016;19:270-6.
  • Izadyar S, Golbarg S, Takavar A, Zakariaee SS. The Effect of the Lumbar Vertebral Malpositioning on Bone Mineral Density Measurements of the Lumbar Spine by Dual-Energy X-Ray Absorptiometry. J Clin Densitom 2016;19:277-81.
  • Frimeth J, Galiano E, Webster D. Some physical and clinical factors influencing the measurement of precision error, least significant change, and bone mineral density in dual-energy x-ray absorptiometry. J Clin Densitom 2010;13:29-35.
  • 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.
  • van Schooten KS, Pijnappels M, Rispens SM, Elders PJ, Lips P, van Dieën JH. Ambulatory fall-risk assessment: amount and quality of daily-life gait predict falls in older adults. J Gerontol A Biol Sci Med 2015;70:608-15.
  • Wu SF, Du XJ. Body Mass Index May Positively Correlate with Bone Mineral Density of Lumbar Vertebra and Femoral Neck in Postmenopausal Females. Med Sci Monit 2016;22:145-51.
  • Watts NB. Fundamentals and pitfalls of bone densitometry using dual-energy X-ray absorptiometry (DXA). Osteoporo Int 2004;15:847-54.
  • International Society for Clinical Densitometry. ISCD 2015 Official Positions Brochure. [Available from: https://iscd.app.box.com/v/ op-iscd-2015-adult. Accessed February 18, 2018.
  • Tuna F, Yavuz S, Demirbağ Kabayel D, Sarıkaya A. Effects of clinical reanalysis in dual-energy X-ray absorptiometry reports. Turk J Phys Med Rehab 2017;63:201-6.
  • Messina C, Bandirali M, Sconfienza LM, D’Alonzo NK, Di Leo G, Papini GD, et al. Prevalence and type of errors in dual-energy X-ray absorptiometry. Eur Radiol 2015;25:1504-11.
  • 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.
  • Cetin A, Özgüçlü E, Özçakar L, Akinci A. Evaluation of the patient positioning during DXA measurements in daily clinical practice. Clinical Rheumatol 2008;27:713-5.
  • Lewiecki EM, Lane NE. Common mistakes in the clinical use of bone mineral density testing. Nat Clin Pract Rheumatol 2008;4:667-74.
  • Lewiecki EM, Binkley N, Morgan SL, Shuhart CR, Camargos BM, Carey JJ, et al. Best Practices for Dual-Energy X-ray Absorptiometry Measurement and Reporting: International Society for Clinical Densitometry Guidance. J Clin Densitom 2016;19:127-40.
  • Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S, et al. Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int 2014;25:2359-81.
APA Tuna F, DEMİRBAĞ KABAYEL D (2018). Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. , 21 - 25. 10.4274/tod.13008
Chicago Tuna Filiz,DEMİRBAĞ KABAYEL Derya Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. (2018): 21 - 25. 10.4274/tod.13008
MLA Tuna Filiz,DEMİRBAĞ KABAYEL Derya Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. , 2018, ss.21 - 25. 10.4274/tod.13008
AMA Tuna F,DEMİRBAĞ KABAYEL D Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. . 2018; 21 - 25. 10.4274/tod.13008
Vancouver Tuna F,DEMİRBAĞ KABAYEL D Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. . 2018; 21 - 25. 10.4274/tod.13008
IEEE Tuna F,DEMİRBAĞ KABAYEL D "Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?." , ss.21 - 25, 2018. 10.4274/tod.13008
ISNAD Tuna, Filiz - DEMİRBAĞ KABAYEL, Derya. "Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?". (2018), 21-25. https://doi.org/10.4274/tod.13008
APA Tuna F, DEMİRBAĞ KABAYEL D (2018). Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. Türk Osteoporoz Dergisi, 24(1), 21 - 25. 10.4274/tod.13008
Chicago Tuna Filiz,DEMİRBAĞ KABAYEL Derya Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. Türk Osteoporoz Dergisi 24, no.1 (2018): 21 - 25. 10.4274/tod.13008
MLA Tuna Filiz,DEMİRBAĞ KABAYEL Derya Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. Türk Osteoporoz Dergisi, vol.24, no.1, 2018, ss.21 - 25. 10.4274/tod.13008
AMA Tuna F,DEMİRBAĞ KABAYEL D Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. Türk Osteoporoz Dergisi. 2018; 24(1): 21 - 25. 10.4274/tod.13008
Vancouver Tuna F,DEMİRBAĞ KABAYEL D Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?. Türk Osteoporoz Dergisi. 2018; 24(1): 21 - 25. 10.4274/tod.13008
IEEE Tuna F,DEMİRBAĞ KABAYEL D "Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?." Türk Osteoporoz Dergisi, 24, ss.21 - 25, 2018. 10.4274/tod.13008
ISNAD Tuna, Filiz - DEMİRBAĞ KABAYEL, Derya. "Is There an Effect of Patient’s Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?". Türk Osteoporoz Dergisi 24/1 (2018), 21-25. https://doi.org/10.4274/tod.13008