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Additional resources for Bone Densitometry in Clinical Practice Application and Interpretation
In: Avioli LV, ed. The osteoporotic syndrome. New York: Grune & Stratton, 1983:13–44. 8. Shimmins J, Anderson JB, Smith DA, et al. ” (a) The measurement of metacarpal mineralisation using an X-ray generator. Clin Radiol 1972;23:42–46. 9. Exton-Smith AN, Millard PH, Payne PR, Wheeler EF. Method for measuring quantify of bone. Lancet 1969;2:1153–1154. 10. Dequeker J. Precision of the radiogrammetric evaluation of bone mass at the metacarpal bones. In: Dequeker J, Johnston CC, eds. Non-invasive bone measurements: methodological problems.
An early Lunar DP3 dual-photon absorptiometer. This device utilized 153Gd to generate photon energy. Photo courtesy of GE Medical Systems, Madison, WI. DPA studies of the spine required approximately 30 minutes to complete. Studies of the proximal femur took 30 to 45 minutes to perform. Total body bone density studies with DPA required 1 hour. Skin radiation dose was low during spine or proximal femur studies at 15 mrem. Accuracy of DPA measurements of the spine ranged from 3 to 6% and for the proximal femur, 3 to 4% (48).
8% (25). The authors of this study noted that very thick soft tissue that might be seen in very obese subjects could potentially result in an underestimation of RA values. The correlation between the RA values and the ashed 01/Bonn/001-028/F 7 7/30/03, 1:35 PM 8 Bone Densitometry in Clinical Practice, Second Edition Fig. 1-5. A radiographic absorptiometry hand film. The small aluminum wedge, originally known as the Fel’s wedge, is seen next to the index finger. 983. 6%. The ability to predict bone density at other skeletal sites from hand RA is as good as that seen with other techniques such as SPA, DPA, DXA, or quantitative computed tomography (QCT) of the spine (23,26).