Enhanced precision with dual-energy x-ray absorptiometry

Calcified Tissue International - Tập 51 - Trang 14-17 - 1992
Richard Mazess1, Charles H. Chesnut2, Michael McClung3, Harry Genant4
1LUNAR Corporation, Madison, USA
2Department of Medicine and Radiology, Division of Nuclear Medicine, University of Washington, School of Medicine, Seattle, USA
3Center for Metabolic Bone Disorders, Providence Medical Center, Portland, USA
4Department of Radiology, University of California, San Francisco, USA

Tóm tắt

Repeat spine and femur measurements (5 per case) were done on 19 subjects with the DPX-L densitometer operating at 3 mA giving a radiation flux fourfold higher than the earlier DPX model. The precision for spine bone mineral density (BMD) was about 0.55% (L2–L4) and 0.48% (L1–L4) for 2-minute scans (2.4 mrem). The precision was only slightly lower (0.4–0.5%) for 4-minute scans (5 mrem) in a subset of 11 subjects. There was a slight precision advantage for the larger L1–L4 area compared with L2–L4 for 2-minute scans, but no advantage for 4-minute scans. The precision for femoral neck BMD was 1.00 and 0.85% for 2- and 4-minute scans, respectively, with proper positioning. The corresponding values for the Ward's triangle region of the femur were 2.6 and 1.5%. The precision of spine scans was influenced chiefly by variable region location. The precision of femur scans was affected by both patient positioning and location of the region. The 4-minute scans minimized the number of operator changes necessary for analysis. Precision errors can be reduced by up to 50% with utilization of the higher flux, but this does not obviate the need for care in patient positioning and scan analysis.

Tài liệu tham khảo

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