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

Harold Rosen; Adrian Lau; Auryan Szalat; S. Bobo Tanner; Diane Krueger; Tyler Prout; Alan Malabanan; Christopher Shuhart

doi:10.1016/j.jocd.2023.101436

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

Harold Rosen, Adrian Lau, Auryan Szalat, S. Bobo Tanner, Diane Krueger, Tyler Prout, Alan Malabanan, Christopher Shuhart

Institute for Medical Research Israel-Canada (IMRIC)

The Hebrew University of Jerusalem

Research output: Contribution to journal › Review article › peer-review

Abstract

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.

Original language	English
Article number	101436
Journal	Journal of Clinical Densitometry
Volume	27
Issue number	1
DOIs	https://doi.org/10.1016/j.jocd.2023.101436
State	Published - 1 Jan 2024

Keywords

Bone mineral density
DXA
Degenerative changes
Least significant changes
Official positions
Reporting
Vertebrae

All Science Journal Classification (ASJC) codes

Endocrinology, Diabetes and Metabolism
Orthopedics and Sports Medicine
Radiology Nuclear Medicine and imaging

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10.1016/j.jocd.2023.101436

Cite this

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

abstract = "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.",

keywords = "Bone mineral density, DXA, Degenerative changes, Least significant changes, Official positions, Reporting, Vertebrae",

author = "Harold Rosen and Adrian Lau and Auryan Szalat and Tanner, \{S. Bobo\} and Diane Krueger and Tyler Prout and Alan Malabanan and Christopher Shuhart",

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AU - Lau, Adrian

AU - Szalat, Auryan

AU - Tanner, S. Bobo

AU - Krueger, Diane

AU - Prout, Tyler

AU - Malabanan, Alan

AU - Shuhart, Christopher

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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 - DXA

KW - Degenerative changes

KW - Least significant changes

KW - Official positions

KW - Reporting

KW - Vertebrae

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

Abstract

Keywords

All Science Journal Classification (ASJC) codes

Access to Document

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