The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position

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

doi:10.1016/j.jocd.2019.07.002

The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position

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

University of Rochester
National Institutes of Health
Boston Children's Hospital
University of Birmingham
Alfred I. duPont Hospital for Children
Harvard University
Sahlgrenska University Hospital
Mayo Clinic College of Medicine and Science
University of Ottawa
Cincinnati Children's Hospital Medical Center
Swedish Medical Group
University of Pennsylvania

Research output: Contribution to journal › Review article › peer-review

131 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	567-589
Number of pages	23
Journal	Journal of Clinical Densitometry
Volume	22
Issue number	4
DOIs	https://doi.org/10.1016/j.jocd.2019.07.002
State	Published - 1 Oct 2019
Externally published	Yes

Keywords

Children
DXA
Forearm
lateral distal femur
proximal femur
vertebral fracture assessment

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10.1016/j.jocd.2019.07.002

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Weber, D. R., Boyce, A., Gordon, C., Högler, W., Kecskemethy, H. H., Misra, M., Swolin-Eide, D., Tebben, P., Ward, L. M., Wasserman, H., Shuhart, C., & Zemel, B. S. (2019). The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position. Journal of Clinical Densitometry, 22(4), 567-589. https://doi.org/10.1016/j.jocd.2019.07.002

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title = "The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position",

abstract = "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.",

keywords = "Children, DXA, Forearm, lateral distal femur, proximal femur, vertebral fracture assessment",

author = "Weber, \{David R.\} and Alison Boyce and Catherine Gordon and Wolfgang H{\"o}gler and Kecskemethy, \{Heidi H.\} and Madhusmita Misra and Diana Swolin-Eide and Peter Tebben and Ward, \{Leanne M.\} and Halley Wasserman and Christopher Shuhart and Zemel, \{Babette S.\}",

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year = "2019",

month = oct,

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doi = "10.1016/j.jocd.2019.07.002",

language = "English",

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Weber, DR, Boyce, A, Gordon, C, Högler, W, Kecskemethy, HH, Misra, M, Swolin-Eide, D, Tebben, P, Ward, LM, Wasserman, H, Shuhart, C & Zemel, BS 2019, 'The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position', Journal of Clinical Densitometry, vol. 22, no. 4, pp. 567-589. https://doi.org/10.1016/j.jocd.2019.07.002

The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position. / Weber, David R.; Boyce, Alison; Gordon, Catherine et al.
In: Journal of Clinical Densitometry, Vol. 22, No. 4, 01.10.2019, p. 567-589.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

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AU - Boyce, Alison

AU - Gordon, Catherine

AU - Högler, Wolfgang

AU - Kecskemethy, Heidi H.

AU - Misra, Madhusmita

AU - Swolin-Eide, Diana

AU - Tebben, Peter

AU - Ward, Leanne M.

AU - Wasserman, Halley

AU - Shuhart, Christopher

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N2 - 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.

AB - 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.

KW - Children

KW - DXA

KW - Forearm

KW - lateral distal femur

KW - proximal femur

KW - vertebral fracture assessment

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IS - 4

ER -

The Utility of DXA Assessment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: 2019 ISCD Official Position

Abstract

Keywords

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