Common Mistakes in the Dual-Energy X-ray Absorptiometry (DXA) in Turkey. A Retrospective Descriptive Multicenter Study
| Autor: | Zekiye Hasbek, Ömer Nas, Savas Karpuz, Banu Ordahan, Banu Kuran, Ahmet Yildirim, Ali Yavuz Karahan, Gozde Turkoglu, Turgay Altınbilek, Murat Çubukçu, Sinan Bağçacı, Umit Sarp, Aynur Başaran, Ufuk Yucel, Selcuk Yesilyurt, Buğra Kaya, Ender Salbaş, Serpil Tuna, Ercan Kaydok, Emel Güler, Pelin Yildirim, Ahmet Karadağ, Tuba Güler, Almula Demir Polat, Ozan Yasar, Seher Kucuksarac, Ozlem Altindag, Sena Tolu, Kemal Erol, Sevil Ceyhan Doğan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Turkey Osteoporosis lcsh:Medicine 030209 endocrinology & metabolism Lumbar vertebrae Dual Energy X-ray Absorptiometry Education Metabolic bone disease Technician 03 medical and health sciences Absorptiometry Photon 0302 clinical medicine Diagnosis Humans Medicine Femur 030212 general & internal medicine Dual-energy X-ray absorptiometry Retrospective Studies Bone mineral Medical Audit Lumbar Vertebrae Medical Errors medicine.diagnostic_test business.industry lcsh:R Retrospective cohort study General Medicine musculoskeletal system medicine.disease medicine.anatomical_structure Multicenter study Radiology business |
| Zdroj: | Acta Medica, Vol 59, Iss 4, Pp 117-123 (2017) |
| ISSN: | 1805-9694 1211-4286 |
| Popis: | Background: Osteoporosis is a widespread metabolic bone disease representing a global public health problem currently affecting more than two hundred million people worldwide. The World Health Organization states that dual-energy X-ray absorptiometry (DXA) is the best densitometric technique for assessing bone mineral density (BMD). DXA provides an accurate diagnosis of osteoporosis, a good estimation of fracture risk, and is a useful tool for monitoring patients undergoing treatment. Common mistakes in BMD testing can be divided into four principal categories: 1) indication errors, 2) lack of quality control and calibration, 3) analysis and interpretation errors, and 4) inappropriate acquisition techniques. The aim of this retrospective multicenter descriptive study is to identify the common errors in the application of the DXA technique in Turkey. Methods: All DXA scans performed during the observation period were included in the study if the measurements of both, the lumbar spine and proximal femur were recorded. Forearm measurement, total body measurements, and measurements performed on children were excluded. Each examination was surveyed by 30 consultants from 20 different centers each informed and trained in the principles of and the standards for DXA scanning before the study. Results: A total of 3,212 DXA scan results from 20 different centers in 15 different Turkish cities were collected. The percentage of the discovered erroneous measurements varied from 10.5% to 65.5% in the lumbar spine and from 21.3% to 74.2% in the proximal femur. The overall error rate was found to be 31.8% (n = 1021) for the lumbar spine and 49.0% (n = 1576) for the proximal femur. Conclusion: In Turkey, DXA measurements of BMD have been in use for over 20 years, and examination processes continue to improve. There is no educational standard for operator training, and a lack of knowledge can lead to significant errors in the acquisition, analysis, and interpretation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|