Inaccuracies inherent in dual-energy X-ray absorptiometry in vivo bone mineral densitometry may flaw osteopenic/osteoporotic interpretations and mislead assessment of antiresorptive therapy effectiveness

The bone mineral density (BMD) of retrieved cancellous bone samples is compared to the BMD measuredin vivoin the respective osteoarthritic patients. Furthermore, mechanical properties, in terms of structural modulus (Es) and ultimate compression strength (σmax) of the bone samples, are correlated to BMD data. Human femoral heads were retrieved from 13 osteoarthritic patients undergoing total hip replacement. Subsequently, the BMD of each bone sample was analysed using dual energy X-ray absorptiometry (DXA) as well as ashing. Furthermore, BMDs of the proximal femur were analysed preoperatively in the respective patients by DXA. BMDs of the femoral neck and head showed a wide variation, from1016±166 mg/cm2to1376±404 mg/cm2. BMDs of the bone samples measured by DXA and ashing yielded values of315±199 mg/cm2and347±113 mg/cm3, respectively.Esandσmaxamounted to232±151 N/mm2and6.4±3.7 N/mm2. Significant correlation was found between the DXA and ashing data on the bone samples and the DXA data from the patients at the femoral head (r=0.85and 0.79, resp.).Escorrelated significantly with BMD in the patients and bone samples as well as the ashing data (r=0.79,r=0.82, andr=0.8, resp.).

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Studies on the development of the claws in new born calves of different breeds and crossbreds using Dual Energy X-Ray Absorptiometry (DXA)

Archives Animal Breeding ◽

10.5194/aab-48-305-2005 ◽

2005 ◽

Vol 48 (4) ◽

pp. 305-317

Author(s):

S. Nüske ◽

J. Hampe ◽

A. M. Scholz ◽

M. Förster

Keyword(s):

Birth Weight ◽

Bone Mineral ◽

Dual Energy ◽

Whole Body ◽

Multiple Birth ◽

Mineral Density ◽

X Ray ◽

Body Regions ◽

Different Genetic Background

Abstract. This study evaluated claw development in 199 calves of different genetic background during the first 70 days of life. Dual Energy X-Ray Absorptiometry (DXA) was found to be a useful tool for this purpose. By the means of DXA, in humans as in animals, body constitution and composition can be examined in vivo. Thus, the whole body or body regions can be analyzed for the content of fat tissue, lean tissue, bone mineral content and bone mineral density. Large differences in claw parameters were observed, depending on the position of the claws, sex and breed, including interaction effects between gender and breeds. In all four pairs of claws, the medial claws had significantly higher contents of bone mineral than the lateral claws. All fore claws had a higher density than hind claws. Male calves showed significantly higher values than females in all measured parameters. Comparing breeds and crossbreds, pure German Holsteins had the lowest values in all parameters with exception of the R-value. Within breeds/crossbreds and gender various interactions could be found. Calves of first lactation cows had lower values than calves of elder cows. Calves with a small birth weight and calves originating of a multiple birth had significantly lower values of the scanned parameters than calves with higher birth weight or monoparous calves.

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Bone Mineral Densitometry Reporting: Pearls and Pitfalls

Canadian Association of Radiologists Journal ◽

10.1177/0846537120919627 ◽

2020 ◽

pp. 084653712091962

Author(s):

Patrick Martineau ◽

Sarah L. Morgan ◽

William D. Leslie

Keyword(s):

Bone Mineral Density ◽

Clinical Practice ◽

Bone Mineral ◽

Dual Energy ◽

Mineral Density ◽

X Ray ◽

Diagnosis And Management ◽

Bone Mineral Densitometry

Dual-energy X-ray absorptiometry (DXA) is the method of choice for assessing bone mineral density (BMD). Unfortunately, the performance and interpretation of DXA can be challenging and errors are common. In fact, it has been reported that up to 90% of BMD reports contain at least 1 error. Errors can be the result of technique or interpretative in nature or both and can result in inappropriate diagnosis and management. In this article, we review the various types of pitfalls frequently encountered by physicians interpreting DXA studies. Being aware of these pitfalls will help readers recognize and avoid them when encountered in clinical practice.

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Comparison of a GE Lunar DPX-IQ and a Norland XR-26 dual energy X-ray absorptiometry scanner for body composition measurements in pigs – <i>in vivo</i>

Archives Animal Breeding ◽

10.5194/aab-53-162-2010 ◽

2010 ◽

Vol 53 (2) ◽

pp. 162-175 ◽

Cited By ~ 5

Author(s):

D. Lösel ◽

P. Kremer ◽

E. Albrecht ◽

A. M. Scholz

Keyword(s):

Body Composition ◽

Bone Mineral ◽

Performance Testing ◽

Dual Energy ◽

The Body ◽

Fat Percentage ◽

Mineral Density ◽

X Ray ◽

And Performance

Abstract. In the context of future growth and performance testing, this study compares corresponding body composition results measured by two dual energy X-ray absorptiometry systems. To test the capability of each device to detect differences among experimental groups widely varying in body composition, 77 pigs from 6 purebred/crossbred groups were used for the experiment. Each pig was scanned consecutively on a Norland XR-26 and on a GE Lunar DPX-IQ. Coefficients of determination were: R²=0.92 for bone mineral content (BMC), R²=0.90 for bone mineral density (BMD), R²=0.94 for lean mass (LEAN), R²=0.92 for fat mass (FAT), R²=0.88 for lean percentage (%LEAN) and fat percentage (%FAT). However, Norland yielded larger values for %FAT and smaller values for %LEAN, BMC, and BMD than Lunar (P<0.001) with the extent of deviation depending on the specific trait and on the breeding group. The deviation in BMC was greater than the deviation in BMD, suggesting different bone detecting algorithms. Both systems revealed similar differences among the breeding groups, and ranked them in the same order based on numerical values. Differences in calibration, bone detection, and software algorithms, however, require a prior crosscalibration to make the body composition data from both systems directly comparable. Finally, they can be used across research centres for the determination of relative and absolute body composition differences among animal groups and individuals.

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