Journal of Clinical Densitometry
Volume 11, Issue 2 , Pages 243-249 , April 2008

The Effect of Common Artifacts Lateral to the Spine on Bone Mineral Density in the Lumbar Spine

  • Sarah L. Morgan

      Affiliations

    • Department of Nutrition Sciences, UAB, Birmingham, AL, USA
    • Department of Medicine, School of Medicine, Health Professions, and Dentistry, UAB, Birmingham, AL, USA
    • Corresponding Author InformationAddress correspondence to: Dr. Sarah L. Morgan, MD, RD, CCD, Departments of Nutrition Sciences and Medicine, University of Alabama at Birmingham, 354A Learning Resources Center, 1714 9th Avenue South, Birmingham, AL 35294-1270.
    • ,
  • Robert Lopez-Ben

      Affiliations

    • Department of Radiology, School of Medicine, UAB Osteoporosis Prevention and Treatment Clinic, UAB, Birmingham, AL, USA
    • ,
  • Nancy Nunnally

      Affiliations

    • The Kirklin Clinic, UAB Osteoporosis Prevention and Treatment Clinic, UAB, Birmingham, AL, USA
    • ,
  • Leandria Burroughs

      Affiliations

    • The Kirklin Clinic, UAB Osteoporosis Prevention and Treatment Clinic, UAB, Birmingham, AL, USA
    • ,
  • Naomi Fineberg

      Affiliations

    • Department of Biostatistics, School of Public Health, UAB, Birmingham, AL, USA
    • ,
  • R. Shane Tubbs

      Affiliations

    • Department of Cell Biology/Division of Neurosurgery, UAB, Birmingham, AL, USA
    • ,
  • Michael V. Yester

      Affiliations

    • Department of Radiology, School of Medicine, UAB Osteoporosis Prevention and Treatment Clinic, UAB, Birmingham, AL, USA

Received 5 July 2007 ,Revised 20 November 2007 ,Accepted 20 November 2007.

References 

  1. Binkley N, Bilezikian JP, Kendler DL, et al. Official positions of the International Society for Clinical Densitometry and Executive Summary of the 2005 Position Development Conference. J Clin Densitom. 2006;9(1):4–14
  2. Jacobson JA, Jamadar DA, Hayes CW. Dual x-ray absorptiometry: recognizing image artifacts and pathology. AJR Am J Roentgenol. 2000;174:1699–1705
  3. Agarwal M, Camacho P. Bone densitometry. Postgrad Med. 2006;119:17–23
  4. Schneider DL. A case study. Pitfalls in interpretation: calcium that's not bone. J Clin Densitom. 1998;1:405–406
  5. Bohdiewicz PJ, Khan AM. A dual-energy X-ray absorptiometry artifact and potential pitfall: the nonremovable umbilical ring. Clin Nucl Med. 2002;27:911–912
  6. Kirac FS, Yüksel D, Yaylali OT. Pitfalls in the measurement of bone mineral density by the dual-energy X-ray absorptiometric method. Clin Nucl Med. 2001;26:874–875
  7. Andrich MP, Cawley M, Chen CC. Artifacts caused by nonionic contrast media and a portacath on a dual-energy X-ray absorptiometry whole-body composition study. Clin Nucl Med. 1996;21:407–408
  8. Watts NB. Fundamentals and pitfalls of bone densitometry using dual-energy X-ray absorptiometry (DXA). Osteoporos Int. 2004;15:847–854
  9. Madsen OR, Egsmose C, Lorentzen JS, et al. Influence of orthopaedic metal and high-density detection on body composition as assessed by dual-energy X-ray absorptiometry. Clin Physiol. 1999;19(3):238–245
  10. Theodorou DJ, Theodorou SJ. Dual-energy X-ray absorptiometry in clinical practice: application and interpretation of scans beyond the numbers. Clin Imaging. 2002;26:43–49
  11. Chan PS, Binkley NC, Lalande BM, et al. Artifactual reduction in bone density as a result of technetium-9 MDP for bone scanning. J Clin Densitom. 2004;7:457–458
  12. Kendler DL, Kiebzak GM, Ambrose GC, et al. Effect of calcium tablets on interpretation of lumbar spine DXA scans. J Clin Densitom. 2006;9:97–104
  13. Krueger D, Checovich M, Gemar D, et al. Calcium supplement ingestion may alter lumbar spine bone mineral density measurement. J Clin Densitom. 2006;9:159–163
  14. Campbell A, McCarthy M, Blake M, et al. Effect of 99mTc-MDP administration on dual-energy x-ray absorptiometry bone mineral density measurements. J Clin Densitom. 2005;8:14–17
  15. Sherman MC, Shepherd J, Frassetto L, et al. Discrepancy in results between spine and hip scans of a woman with end stage renal disease. J Clin Densitom. 2002;5:95–98
  16. Bolotin HH. 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. Bone. 2001;28:548–555

PII: S1094-6950(07)00248-X

doi: 10.1016/j.jocd.2007.11.004

Journal of Clinical Densitometry
Volume 11, Issue 2 , Pages 243-249 , April 2008

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