Heel bone densitometry: device specific thresholds for the assessment of osteoporosis.

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  • Additional Information
    • Source:
      Publisher: British Institute of Radiology Country of Publication: England NLM ID: 0373125 Publication Model: Print Cited Medium: Print ISSN: 0007-1285 (Print) Linking ISSN: 00071285 NLM ISO Abbreviation: Br J Radiol Subsets: MEDLINE
    • Publication Information:
      Original Publication: London, British Institute of Radiology.
    • Subject Terms:
      Absorptiometry, Photon/*standards ; Bone Density/*physiology ; Calcaneus/*diagnostic imaging ; Osteoporosis/*diagnostic imaging; Aged ; Calcaneus/physiology ; Female ; Humans ; Middle Aged ; Osteoporosis/physiopathology ; Sensitivity and Specificity
    • Abstract:
      A diagnosis of osteoporosis is facilitated by bone mineral density (BMD) measurement of the lumbar spine and hip using dual energy X-ray absorptiometry (DXA), interpreted in accordance with criteria published by the World Health Organization (WHO). The use of peripheral DXA is growing in primary care and guidance on its use has recently been published by the National Osteoporosis Society (NOS), recommending a triage approach using thresholds specific to each type of peripheral device. However, no data currently exist for the Norland Apollo heel densitometer (Cooper Surgical, Trumbull, USA). 215 women between 50 years and 75 years of age (mean age 64.6 years) referred for hip and spine BMD measurements also had a heel BMD measurement. Device specific upper and lower thresholds were calculated for the Norland Apollo heel densitometer to give a 90% sensitivity and 90% specificity for osteoporosis at the hip or spine. Patients with a heel T-score of above -1.2 are very likely to have normal bone density on axial densitometry, whilst patients with heel T-score of below -2.2 are very likely to have osteoporosis at the hip or spine. Patients whose measurements lie between the thresholds should be referred for axial DXA.
    • Publication Date:
      Date Created: 20060523 Date Completed: 20060713 Latest Revision: 20191210
    • Publication Date:
      20240829
    • Accession Number:
      10.1259/bjr/47352663
    • Accession Number:
      16714746