Abstract
Acquisition and accurate interpretation of bone densitometry scans in the pediatric patient are necessary first steps toward any clinical assessment process. The dual-energy x-ray absorptiometry (DXA) report fulfills the role of transmitting data clearly to the clinician. A timely, concise, and informative report is essential to relay the DXA findings and to avoid costly and potentially dangerous misinterpretations by physicians unfamiliar with pediatric densitometry data.
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References
World Health Organization. Assessment of fracture risk and its application to screening for post-menopausal osteoporosis. WHO technical report series. World Health Organ Tech Rep Ser 1994;843:1–129.
Brown JP, Josse RG, Scientific Advisory Council of the Osteoporosis Society of Canada. 2002 Clinical Practice Guidelines for the diagnosis and management of osteoporosis in Canada. CMAJ 2002;167:(10 Suppl):S1–S34.
Cadarette SM, Jaglal SB, Murray TM, McIsaac WJ, Brown JL. Evaluation of decision rules for referring women for bone densitometry by dual energy x-ray absorptiometry. JAMA 2001; 286:1:57–63.
Diez F. Guidelines for the diagnosis of osteoporosis by densitometric methods. J Manipulative Physiol Ther 2002;25:403–415.
Kanis JA, Gluer CC. An update on the diagnosis and assessment of osteoporosis with densitometry. Osteoporos Int 2000;11:192–202.
Bonnick SL. Bone Densitometry in Clinical Practice: Application and Interpretation, 2nded. Totowa, NJ: Humana, 2004:287–300.
National Osteoporosis Society. Position statement on the reporting of dual energy x-ray absorptiometry (DXA) bone mineral density scans. Bath, UK: National Osteoporosis Society, 2002.
Writing Group for the ISCD Position Development Conference. Indications and reporting for dualenergy x-ray absorptiometry. J Clin Densitom 2004;7:1:37–44.
Fewtrell MS, British Paediatric & Adolescent Bone Group. Bone densitometry in children assessed by dual x-ray absorptiometry: uses and pitfalls. Arch Dis Child 2003;88:795–798.
Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC growth charts for the United States: Methods and development. Vital Health Stat 2002;11:1–190.
Chinn S, Cole TJ, Preece MA, Rona RJ. Growth charts for ethnic populations in UK. Lancet 1996;347:839–40.
Wright CM, Booth IW, Buckler JM, et al. Growth reference charts for use in the United Kingdom. Arch Dis Child 2002;86:11–14.
Fewtrell MS, Gordon I, Biassoni L, Cole TJ. Dual x-ray absorptiometry (DXA) of the lumbar spine in a clinical pediatric setting: does the method of size adjustment matter? Bone 2005;37:413–419.
Heaney RP. BMD: The problem. Osteoporos Int 2005;16:1013–1015.
Bailey DA, McKay HA, Mirwald RL, Crocker PRE, Faulkner RA. A six-year longitudinal study of the relationship of physical activity to bone mineral accrual in growing children: The University of Saskatchewan Bone Mineral Accrual Study. J Bone Miner Res 1999;14:1672–1679.
Leonard MB, Propert KJ, Zemel BS, Stallings VA, Feldman HI. Discrepancies in pediatric bone mineral density reference data: potential for misdiagnosis of osteopenia. J Pediatr 1999;135:182–188.
Zemel BS, Leonard MB, Kalkwarf HJ, et al. Reference data for the whole body, lumbar spine, and proximal femur for American children relative to age, gender, and body size. J Bone Mineral Research 2004;19:suppl 1:SU112 abst.
Kanis JA, Seeman E, Johnell O, Rizzoli R, Delmas P. The perspective of the International Osteoporosis Foundation on the official positions of the International Society for Clinical Densitometry. J Clin Densitom 2005;8:145–147.
Lewiecki EM, Miller PD, Leib ES, Bilezikian JP. Response to the “Perspective of the International Osteoporosis Foundation on the official positions of the International Society for Clinical Densitometry” by John A. Kanis et al. J Clin Densitom 2005;8:143–144.
Khan AA, Bachrach L, Brown JP, et al., Canadian Panel of the International Society of Clinical Densitometry. Standards and guidelines for performing central dual energy x-ray absorptiometry in premenopausal women, men, and children. J Clin Densitom 2004;7:51–64.
Khan AA, Brown J, Faulkner K, et al., International Society for Clinical Densitometry. Standards and guidelines for performing central dual x-ray densitometry from the Canadian Panel of International Society for Clinical Densitometry. J Clin Densitom 2002;5:247–257.
Writing Group for the ISCD Position Development Conference. Diagnosis of osteoporosis in men, premenopausal women, and children. J Clin Densitom 2004;7:17–26.
Writing Group for the ISCD Position Development Conference. Nomenclature and decimal places in bone densitometry. J Clin Densitom 2004;7:45–49.
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© 2007 Humana Press Inc., Totowa, NJ
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Fung, E.B., Bachrach, L.K., Briody, J.N., Cowell, C.T. (2007). Reporting DXA Results. In: Sawyer, A.J., Bachrach, L.K., Fung, E.B. (eds) Bone Densitometry in Growing Patients. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-211-3_8
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DOI: https://doi.org/10.1007/978-1-59745-211-3_8
Publisher Name: Humana Press
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