Pediatric dual-energy X-ray absorptiometry in clinical practice: What the clinicians need to know

Carmelo Messina, Giulia Lastella, Salvatore Sorce, Luca Petruccio Piodi, Giulia Rodari, Claudia Giavoli, Daniele Marchelli, Giuseppe Guglielmi, Fabio Massimo Ulivieri

Research output: Contribution to journalReview article

Abstract

The importance of childhood and adolescence for bone development and mineral accrual is increasingly accepted, leading to a need of suitable methods for monitoring bone health even in pediatric setting. Among the several different imaging methods available for clinical measurement of bone mineral density (BMD) in children, dual-energy X-ray absorptiometry (DXA) is the most widely available and commonly used due to its reproducibility, negligible radiation dose and reliable pediatric reference data. Nevertheless, DXA in children has some technical specific features that should be known by those physicians who interpret and report this examination. We provide recommendations for optimal DXA scan reporting in pediatric setting, including indications, skeletal sites to be examined, parameters to be measured, timing of follow-up BMD measurements. Adequate report and analysis of DXA examinations are essential to prevent over- and underdiagnosis of bone mineral impairment in pediatric patients. In conclusion, a complete and exhaustive DXA report in children and adolescents is mandatory for an accurate diagnosis and a precise monitoring of pediatric bone status.

Original languageEnglish
Pages (from-to)153-161
Number of pages9
JournalEuropean Journal of Radiology
Volume105
DOIs
Publication statusPublished - Aug 1 2018

Keywords

  • Adolescent
  • BMAD
  • BMD
  • Children
  • DXA
  • Pediatric
  • Report
  • TBS

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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