Bone Density at the Entry Point Correlates With the Trabecular Bone of the Thoracolumbar Vertebral Bodies – Quantitative Computed Tomography Study
Purpose: To evaluate the relationship between cortical Bone Mineral Density (BMD) at pedicle entry points with trabecular BMD of the vertebral body in a spinal fracture. Methods: Quantitative computed tomography of the thoracolumbar spine was analyzed using dedicated software – QCT Pro (Mindways, Austin, TX). Results:Forty-six patients were evaluated. Among them 36 females were diagnosed with osteoporosis; the remaining 10 randomly selected from the database both males and females served as a control group. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 24, 2018 Category: Radiology Authors: Wojciech M. Glinkowski, Jerzy Narloch Source Type: research

Analysis of the Increase in Bone Mineral Density After Surgical Treatment of Primary Hyperparathyroidism
Aim: To analyze the effect of the surgery in bone mineral density (BMD) and to study the value of preoperative clinical and analytical factors as predictors of bone increase. Material and Methods: Prospective observational study. Postmenopausal women who were operated for primary hyperparathyroidism were included. A bone densitometry of the lumbar spine and femoral neck and analytical determinations (parathyroid hormone [PTH], alkaline phosphatase, albumin, phosphate, creatinine, 25-hydroxy-vitamin D3, creatinine clearance, and calciuria) were performed previous to the intervention and after 12 months from surgery. (Source...
Source: Journal of Clinical Densitometry - November 24, 2018 Category: Radiology Authors: Fernando Mendoza-Moreno, Manuel D íez-Alonso, Enrique Ovejero-Merino, Ana Sánchez-Gollarte, Ricardo Alvarado-Hurtado, Belén Matías-García, Ángel Rodríguez-Pascual, Carlos Medina-Reinoso, Tomás Ratia-Jiménez, Francisco Hernández-Merlo, Javier Gra Tags: Review Article Source Type: research

Reliability and Agreement of Various InBody Body Composition Analyzers as Compared to Dual-Energy X-Ray Absorptiometry in Healthy Men and Women
Background: Bioelectrical impedance analysis has evolved over the years to include the use of multiple frequencies and impedance measurements to improve the accuracy and reliability of body composition estimates. The purpose of this investigation was to evaluate the reliability of the InBody230, InBody720, and InBody770 to measure body fat percent (BF%), fat mass (FM), and fat-free mass (FFM) in the general population and to compare results to dual-energy X-ray absorptiometry (DXA). Methods: A total of 31 males and 36 females participated in 2 d of testing separated by 24 –72 h. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 21, 2018 Category: Radiology Authors: Cherilyn N. McLester, Brett S. Nickerson, Brian M. Kliszczewicz, John R. McLester Source Type: research

Same-Day Vs Consecutive-Day Precision Error of Dual-Energy X-Ray Absorptiometry for Interpreting Body Composition Change in Resistance-Trained Athletes
The application of dual-energy X-ray absorptiometry (DXA) in sport science settings is gaining popularity due to its ability to assess body composition. The International Society for Clinical Densitometry (ISCD) recommends application of the least significant change (LSC) to interpret meaningful and true change. This is calculated from same-day consecutive scans, thus accounting for technical error. However, this approach does not capture biological variation, which is pertinent when interpreting longitudinal measurements, and could be captured from consecutive-day scans. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 16, 2018 Category: Radiology Authors: Adam J. Zemski, Karen Hind, Shelley E. Keating, Elizabeth M. Broad, Damian J. Marsh, Gary J. Slater Source Type: research

The Impact of Ultrasound Probe Tilt on Muscle Thickness and Echo-Intensity: A Cross-Sectional Study
Introduction/background: To determine the influence of ultrasound probe tilt on reliability and overall changes in muscle thickness and echo-intensity. Materials and Methods: Thirty-six individuals had a total of 15 images taken on both the biceps brachii and tibialis anterior muscles. These images were taken in 2 ° increments with the probe tilted either upward (U) or downward (D) from perpendicular (0°) to the muscle (U6°, U4°, U2°, 0°, D2°, D4°, and D6°). All images were then saved, stored, and analyzed using Image-J software for echo-intensity and muscle thickness measures. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 16, 2018 Category: Radiology Authors: Scott J. Dankel, Takashi Abe, Zachary W. Bell, Matthew B. Jessee, Samuel L. Buckner, Kevin T. Mattocks, J. Grant Mouser, Jeremy P. Loenneke Source Type: research

Lumbar Vertebrae Morphological Analysis and an Additional Approach for Vertebrae Identification in Lumbar Spine DXA Images
Introduction: Bone mineral density measured by dual-energy X-ray absorptiometry (DXA) is the gold standard for diagnosis of osteoporosis. However, DXA interpretation can be influenced by analytic errors which can, in turn, interfere with diagnostic accuracy. One such source of potential error is the accurate identification of specific lumbar vertebrae on lumbar spine DXA images. Although the International Society for Clinical Densitometry has introduced several approaches to aid with this process, there remain individuals whose lumbar vertebrae cannot be labeled with certainty using these approaches. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 10, 2018 Category: Radiology Authors: Wenmin Guan, Wei Yu, Qiang Lin, Zaizhu Zhang, Guiying Du, Junping Tian, Ying Xu, Evelyn Hsieh Source Type: research

Assessment of Bone and Muscle Measurements by Peripheral Quantitative Computed Tomography in Geriatric Patients
The loss of bone and muscle mass increases the risk of osteoporotic fractures. Dual energy X-ray absorptiometry (DXA) loses sensitivity in older age. The purpose of this study was to evaluate bone and muscle measurements of peripheral quantitative computed tomography (pQCT) in a geriatric cohort with osteoporosis. Bone mineral density and muscle area of 168 patients aged 65 years and older (76.3 ± 6.5) were measured with pQCT at distal forearm additionally to an osteoporosis assessment consisting of anamnesis, blood test and DXA of lumbar spine and hip. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 10, 2018 Category: Radiology Authors: M. Drey, M. Henkel, S. Petermeise, S. Wei ß, U. Ferrari, M. Rottenkolber, R. Schmidmaier Source Type: research

Greater Visceral Fat but No Difference in Measures of Total Body Fat in Ambulatory Children With Spastic Cerebral Palsy Compared to Typically Developing Children
The objective of this study was to determine if ambulatory children with spastic CP have greater central adiposity compared to typically developing children. Methodology: Eighteen ambulatory children with spastic CP (n  = 5 girls; 8.6 ± 2.9 yr) and 18 age-, sex-, and race-matched typically developing children (controls; 8.9 ± 2.1 yr) participated in this cross-sectional study. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 10, 2018 Category: Radiology Authors: Daniel G. Whitney, Harshvardhan Singh, Chuan Zhang, Freeman Miller, Christopher M. Modlesky Source Type: research

Association Between 25-Hydroxyvitamin D and Bone Mineral Density in People With Obstructive Sleep Apnea Syndrome
This study was designed as a cross-sectional and observational study. Patients who underwent polysomnography evaluation were classified as normal, mild, moderate, severe, or position-dependent OSAS, and OSAS  + obesity hypoventilation syndrome (OHS). BMD was measured with the dual-energy X-ray absorptiometry method at the femur and lumbar spine. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - November 2, 2018 Category: Radiology Authors: Ahmet Cemal Pazarli, Timur Ekiz, Handan İnönü Köseoğlu Tags: Original Article Source Type: research

Proceedings of the 2018 Santa Fe Bone Symposium: Advances in the Management of Osteoporosis
The Santa Fe Bone Symposium is an annual meeting devoted to clinical applications of recent advances in skeletal research. The 19th Santa Fe Bone Symposium convened August 3 –4, 2018, in Santa Fe, New Mexico, USA. Attendees included physicians of many specialties, fellows in training, advanced practice providers, clinical researchers, and bone density technologists. The format consisted of lectures, case presentations by endocrinology fellows, and panel discussions, w ith all involving extensive interactive discussions. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - October 23, 2018 Category: Radiology Authors: E. Michael Lewiecki, John P. Bilezikian, Lora Giangregorio, Susan L. Greenspan, Sundeep Khosla, Paul Kostenuik, Kelly Krohn, Michael R. McClung, Paul D. Miller, Roberto Pacifici Tags: Review Article Source Type: research

A Valid and Precise Semiautomated Method for Quantifying INTERmuscular Fat INTRAmuscular Fat in Lower Leg Magnetic Resonance Images
The accumulation of INTERmuscular fat and INTRAmuscular fat (IMF) has been a hallmark of individuals with diabetes, those with mobility impairments such as spinal cord injuries and is known to increase with aging. An elevated amount of IMF has been associated with fractures and frailty, but the imprecision of IMF measurement has so far limited the ability to observe more consistent clinical associations. Magnetic resonance imaging has been recognized as the gold standard for portraying these features, yet reliable methods for quantifying IMF on magnetic resonance imaging is far from standardized. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - October 20, 2018 Category: Radiology Authors: Andy K.O. Wong, Eva Szabo, Marta Erlandson, Marshall S. Sussman, Sravani Duggina, Anny Song, Shannon Reitsma, Hana Gillick, Jonathan D. Adachi, Angela M. Cheung Source Type: research

Physical Performance Variables and Bone Parameters in a Group of Young Overweight and Obese Women
The aim of this study was to explore the relationships between physical performance variables and bone parameters such as bone mineral density (BMD), bone mineral content, hip geometry indices, and trabecular bone score in a group of young overweight and obese adult women. Sixty-eight overweight/obese (body mass index ≥25 kg/m2; 25.5–42.4 kg/m2) young women whose ages range from 18 to 35 yr participated in this study. Body composition and bone outcomes were measured by dual-energy X-ray absorptiometry. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - October 20, 2018 Category: Radiology Authors: Abdel-Jalil Berro, Nathalie Al Rassy, Said Ahmaidi, Patchina Sabbagh, Anthony Khawaja, Ghassan Maalouf, Rawad El Hage Tags: Original Article Source Type: research

Mechanical Vibration Associated With Intermittent PTH Improves Bone Microarchitecture in Ovariectomized Rats
Introduction: Intermittent 1-34 parathyroid hormone (iPTH) administration, a bone-forming treatment, is widely used as a therapy for severe osteoporosis. It can only be used for a maximum of 24 mo and must be followed by an antiresorptive drug to retain the new formed tissue. Mechanical load, in the form of low-intensity and high-frequency vibration, has received considerable attention due to its ability to prevent bone loss. Aim: To investigate the ability of whole body mechanical vibration (MV) to potentiate the anabolic effects of iPTH and to inhibit bone resorption following discontinuation of iPTH treatment in estroge...
Source: Journal of Clinical Densitometry - October 14, 2018 Category: Radiology Authors: Jenifer Freitas Campos, Aline Gomes Hidalgo Mierzwa, Mariana Freitas-Jesus, Marise Lazaretti-Castro, Keico Okino Nonaka, Rejane Daniele Reginato Source Type: research

DXA Errors Are Common and Reduced by Use of a Reporting Template
Objective: High quality dual energy X-ray absorptiometry (DXA) acquisition, analysis, and reporting demands technical and interpretive excellence. We hypothesized that DXA errors are common and of such magnitude that incorrect clinical decisions might result. In this 2-phase study, we evaluated DXA technical and interpretation error rates in a clinical population and subsequently assessed if implementing an interpretation template reduced errors. Methods: In phase 1, DXA scans of 345 osteoporosis clinic referrals were reviewed by International Society for Clinical Densitometry-certified technologists (n  = 3) and physi...
Source: Journal of Clinical Densitometry - October 14, 2018 Category: Radiology Authors: D. Krueger, E. Shives, E. Siglinsky, J. Libber, B. Buehring, K.E. Hansen, N. Binkley Source Type: research

Precision of Dual-Energy X-Ray Absorptiometry Reflection Scans in Muscular Athletes
Background: Offset scanning procedures, such as reflection scanning, allow for dual-energy x-ray absorptiometry (DXA) body composition assessment of individuals who are too broad for standard scanning dimensions. However, limited information is available concerning the precision of this procedure, particularly in athletes. Methodology: Twenty-seven muscular athletes (n  = 17 males, BMI: 28.8 ± 2.0 kg/m2, DXA body fat: 12.5 ± 2.7%; n = 10 females, BMI: 22.8 ± 1.6 kg/m2, DXA body fat: 19.2 ± 3.4%) underwent consecutive DXA scans on a GE Lunar Prodigy scanner using the reflection scanning technique. (Source: Journ...
Source: Journal of Clinical Densitometry - October 13, 2018 Category: Radiology Authors: Grant M. Tinsley, Michael Lane Moore, Austin J. Graybeal Source Type: research