Peripheral Dual-Energy X-ray Absorptiometry in the Management of Osteoporosis: The 2007 ISCD Official Positions

Hans, Didier B.; Shepherd, John A.; Schwartz, Elliott N.; Reid, David M.; Blake, Glen M.; Fordham, John N.; Fuerst, Thomas; Hadji, Peyman; Itabashi, Akira; Krieg, Marc-Antoine; Lewiecki, E. Michael

doi:10.1016/j.jocd.2007.12.012

« Previous Next »Journal of Clinical Densitometry
Volume 11, Issue 1 , Pages 188-206, January 2008

Peripheral Dual-Energy X-ray Absorptiometry in the Management of Osteoporosis: The 2007 ISCD Official Positions

Didier B. Hans
- Geneva University Hospital, Geneva, Switzerland
- Task Force Liaison.
- Address correspondence to: Didier B. Hans, Lausanne University Hospital, Center for Bone Diseases – DAL 1011 Lausanne, Switzerland.
John A. Shepherd
- University of California at San Francisco, San Francisco, CA, USA
- Task Force Member.
Elliott N. Schwartz
- Northern California Institute for Bone Health, Oakland, CA, USA
- Task Force Chair.
David M. Reid
- University of Aberdeen, Aberdeen, UK
- Task Force Chair.
Glen M. Blake
- Guy's Hospital, London, UK
- Task Force Member.
John N. Fordham
- The James Cook University Hospital, Middleborough, UK
- Task Force Member.
Thomas Fuerst
- Synarc, Inc., San Francisco, CA, USA
- Task Force Member.
Peyman Hadji
- Phillipps-Universitat Marburg, Marburg, Germany
- Task Force Member.
Akira Itabashi
- Saitama Medical School, Moroyama, Saitama, Japan
- Task Force Member.
Marc-Antoine Krieg
- University Hospital, Lausanne, Switzerland
- Task Force Member.
E. Michael Lewiecki
- New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, USA
- Task Force Liaison.

Received 5 December 2007; accepted 5 December 2007.

Abstract

Peripheral assessment of bone density using photon absorptiometry techniques has been available for over 40yr. The initial use of radio-isotopes as the photon source has been replaced by the use of X-ray technology. A wide variety of models of single- or dual-energy X-ray measurement tools have been made available for purchase, although not all are still commercially available. The Official Positions of the International Society for Clinical Densitometry (ISCD) have been developed following a systematic review of the literature by an ISCD task force and a subsequent Position Development Conference. These cover the technological diversity among peripheral dual-energy X-ray absorptiometry (pDXA) devices; define whether pDXA can be used for fracture risk assessment and/or to diagnose osteoporosis; examine whether pDXA can be used to initiate treatment and/or monitor treatment; provide recommendations for pDXA reporting; and review quality assurance and quality control necessary for effective use of pDXA.