Vertebral Compression Deformities in Patients with Normal Bone Mineral Densities
Introduction: Last year our 1259 patient study showing that adding VFA to DXA identified many additional patients at increased Fracture Risk. Some patients with Normal BMD had Genant grade 2 or 3 vertebral compression deformity. Were the deformities truly acute fractures, or Normal Kyphosis of Age? (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Jay Ginther, Ann Ginther Source Type: research
Efficacy of Routine Biopsy at Vertebral Augmentation for Compression Fracture Repair in the Early Detection of Malignancy in Presumed Benign Vertebral Compression Fracture
Objective: To assess the utility of routine biopsy at vertebral augmentation for compression fracture as a tool in the early detection of malignancy in presumed benign vertebral compression fracture. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Avery M. Jackson, Kimberly Barber Source Type: research
Leg Elevation Does Not Substantially Affect TBS Results
Objective: Lumbar spine dual energy X-ray absorptiometry (DXA) scans are typically acquired with the patient's legs elevated on a positioning block thereby flattening the normal lumbar lordosis. With GE densitometers it is also possible to acquire lumbar spine scans with the legs down. BMD values obtained with legs down vs. legs elevated does minimally differ, however it is unknown if leg elevation affects trabecular bone score (TBS) results. The purpose of this study is to assess the effect of leg position on TBS. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: D. Krueger, E. Siglinsky, D. Tran, L. Del Rio, N. Binkley Source Type: research
Inpatient HiROC Program Analysis 2013 –2015
Introduction: FLS programs use case-finding strategies, see patients who fracture, determine treatment necessity, reduce care gaps, and use data registries to track performance. In our 2014 OI publication, we reported treating 81% of high-risk patients in HiROC versus 32% in Geisinger Health System (GHS) primary care (PCP). We sought to reassess the performance of our Inpatient HiROC program. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Thomas Olenginski, Philip Dunn Source Type: research
Outpatient HiROC Program Analysis 2014
Introduction: We previously published the development of a “separate” outpatient HiROC pathway in Geisinger Health System (GHS), reporting a 200 patient random sample with clinical variables, demographics and treatments. This current analysis aimed to better understand and identify areas for improvement in outpatient HiROC pathway. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Thomas Olenginski, Philip Dunn Source Type: research
Progress Report for 15 Months of Bone Health TeleECHO Clinic: A Strategy to Improve Osteoporosis Care in Underserved Areas
Background: Bone Health TeleECHO Clinic was developed at the University of New Mexico Health Sciences Center through collaboration of the ECHO Institute and the Osteoporosis Foundation of New Mexico. It is a strategy for telementoring healthcare professionals in underserved communities to achieve advanced levels of knowledge in the care of skeletal diseases. ECHO uses videoconferencing technology for case-based interactive learning, with brief didactic presentations on topics of interest. The ECHO model of learning aims to transform the care of osteoporosis and reduce the osteoporosis treatment gap. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: E. Michael Lewiecki, Natalie Weiss, Matthew F. Bouchonville, David H. Chafey, Sanjeev Arora Source Type: research
Association of Visceral Adipose Tissue (VAT) Measured on Dual-Energy X-Ray Absorptiometry (DXA) with Incident Atherosclerotic Cardiovascular Disease (ASCVD) Events in Older Men
Purposes/Aims: To estimate the associations of DXA-VAT and the proportion of central vs peripheral adipose tissue (measured as Android-Gynoid fat mass ratio on DXA) with incident ASCVD (myocardial infarction, coronary heart disease death, or fatal or non-fatal stroke) among older men. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: John T. Schousboe, Allyson Kats, Lisa Langsetmo, Brent Taylor, Tien Vo, Kristine Ensrud Source Type: research
Assessing the Need for a Fracture Liaison Service for Osteoporosis in a Family Health Center
Osteoporotic fractures increase the risk of morbidity, mortality, and healthcare costs. National guidelines recommend that health systems adopt population health approaches for patients who fracture; however, many patients do not receive appropriate post-fracture care. An osteoporosis clinic managed by a physician and pharmacist team was established in a family medicine clinic in 2006. Because the vast majority of patients seen in this clinic are primary prevention patients, a retrospective evaluation of post-fracture care in the practice was undertaken. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Mollie A. Scott, Jon Crissman, Tosha Woodall, Lisa LaVallee Source Type: research
Bone Mineral Density Levels and Osteoporosis-Related Behaviors among Middle Aged Women Two Years Following a Theory-Based Intervention
Background: Osteoporosis is a crippling disease that often results in premature mortality and significant morbidity and manifests itself in the forms of fractures, bone deformity and pain. Patient and public education efforts to promote osteoprotective behaviors are often delivered through theory-based programs. Purpose: The purpose of this study was to compare bone density levels and osteoporosis behaviors of middle-aged women immediately after an intervention and two years later at follow up. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Lori W. Turner, Jereme Wilory Source Type: research
Inter- and Intra-Observer Variability in Image Analysis of Dual Energy X-Ray Absorptiometry in a Large Hospital
Introduction: A large hospital having several dual-energy X-ray absorptiometry (DXA) scanners and many technologists is usually expected to show an increase in the precision error because technologists may position the patient and analyze the image in a different manner. Assessment of inter- and intra-observer variability as well as training the skills of the technologist is important for quality assurance of DXA. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Min K. Cha, Jae S. Kim, Eun H. Kim, Chang K. Namgung, Jong S. Choi, Soon K. Park Source Type: research
Type 1 Diabetes and Bone Microarchitecture Assessment with Trabecular Bone Score (TBS): A Descriptive Study
Introduction: Type 1 Diabetes Mellitus (T1DM) is associated with increased risk of fragility fracture (FF), which is in excess of what is expected based on bone mineral density (BMD) alone. Impairment in bone quality may contribute to this excess risk. Trabecular bone score (TBS), a tool to assess bone quality at the lumbar spine (LS), has been shown to predict fracture risk independent of BMD. There are limited studies exploring TBS in T1DM. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Julie Gilmour, Anita Colquhoun, Wei Wu, Sandra Kim Source Type: research
Secondary Fracture Prevention Programs: Experiences From the Field
Introduction: Establishment of a Fracture Liaison Service (FLS) results in significant improvement in fragility fracture patients receiving appropriate bone health counseling and treatment. Three clinicians: a RN, a NP, and a PA, share their perspectives and strategies for creating a successful FLS. Through their presentations, they examine their programs, including initiation, incremental growth over years, and current status, while also identifying implementation challenges and best practices. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Lynette R. Judy, Judy Boineau, Amanda Brown Source Type: research
Effects of Abaloparatide-SC on Fractures and Bone Mineral Density in Subgroups of Postmenopausal Women with Osteoporosis and Varying Baseline Risk Factors
Introduction: Abaloparatide-SC is an investigational, novel, selective activator of the parathyroid hormone type 1 receptor signaling pathway. In the global, phase 3 ACTIVE (Abaloparatide Comparator Trial in Vertebral Endpoints) trial of 2463 postmenopausal women with osteoporosis, abaloparatide-SC significantly reduced the risk of vertebral and nonvertebral fractures compared to placebo, and significantly reduced the risk of major osteoporotic fractures compared to teriparatide. Abaloparatide-SC also significantly increased bone mineral density (BMD) at the total hip, femoral neck, and lumbar spine at 18 months compared t...
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: F. Cosman, G. Hattersley, M.Y. Hu, G.C. Williams, L.A. Fitzpatrick, D. Black Source Type: research
An Interpretation Template Reduces DXA Reporting Errors
Objective: High-quality DXA performance requires excellence in acquisition, analysis and interpretation. However, DXA errors in clinical practice are common and may lead to incorrect clinical decisions. Approaches to improve clinical DXA quality are needed. To this end, we evaluated the effect of implementing a DXA reporting template (adapted from an ISCD model) on DXA error rates at 2 medical centers. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: N. Binkley, D. Krueger, E. Siglinsky, E. Shives, B. Buehring, K.E. Hansen Source Type: research
Mirror Scans are Not an Accurate Reflection of a Total Body Composition Study
This study examines the effectiveness of a mirror scan analysis attempting to estimate full body bone, lean and fat in individual subjects. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2018 Category: Radiology Authors: Tom V. Sanchez, Patrick Cunniff, Chad A. Dudzek, Joe Joyce, Jingmei Wang Source Type: research
