David R Weber, Alison Boyce, Catherine Gordon, Wolfgang Högler, Heidi H Kecskemethy, Madhusmita Misra, Diana Swolin-Eide, Peter Tebben, Leanne M Ward, Halley Wasserman, Christopher Shuhart, Babette S Zemel
Journal: Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry 2020;22(4):567-589
PMID: 31421951
Dual-energy X-ray absorptiometry (DXA) is widely used in the evaluation of bone fragility in children. Previous recommendations emphasized total body less head and lumbar spine DXA scans for clinical bone health assessment. However, these scan sites may not be possible or optimal for all groups of children with conditions that threaten bone health. The utility of DXA scans of the proximal femur, forearm, and radius were evaluated for adequacy of reference data, precision, ability of predict fracture, and applicability to all, or select groups of children. In addition, the strengths and limitations of vertebral fracture assessment by DXA were evaluated. The new Pediatric Positions provide guidelines on the use of these additional measures in the assessment of skeletal health in children.
Copyright © 2019. Published by Elsevier Inc.
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