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Related Experiment Video

Updated: May 23, 2026

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
07:56

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts

Published on: January 29, 2018

How to improve x-ray scattering techniques to quantify bone mineral density using spectroscopy.

M Krmar1, K Ganezer

  • 1Department of Physics, California State University, Dominguez Hills, Carson, CA 90747, USA.

Medical Physics
|April 10, 2012
PubMed
Summary

This study introduces new methods, forward scattered to backward scattered (FS-BS) and forward scattered to transmitted (FS-T) ratios, to improve bone mineral density (BMD) assessment for osteoporosis. These techniques offer a practical in vivo determination of BMD, overcoming limitations of older methods.

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Last Updated: May 23, 2026

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Area of Science:

  • Medical Physics
  • Diagnostic Imaging
  • Materials Science

Background:

  • Traditional coherent to Compton scattering ratio (CCSR) methods for bone mineral density (BMD) assessment, developed in the 1980s, face limitations including high radiation dosage, cost, and long examination times.
  • Previous CCSR studies utilized high-activity radionuclide sources (e.g., 241Am) and expensive, bulky cryogenic HPGe detectors for both in vivo and in vitro measurements.

Purpose of the Study:

  • To develop a novel diagnostic technique for measuring bone mineral density (BMD) for osteoporosis assessment.
  • To improve upon the existing coherent to Compton scattering ratio (CCSR) method by introducing two new indices: forward scattered to backward scattered (FS-BS) and forward scattered to transmitted (FS-T) ratios.
  • To enable practical in vivo determination of BMD at small angles, overcoming limitations of past CCSR systems.

Main Methods:

  • Investigated the use of a standard diagnostic x-ray tube with a continuous spectrum as an alternative to traditional radionuclide sources.
  • Collected scattered radiation from trabecular bone-simulating phantoms with varying mineral densities.
  • Utilized inexpensive, non-cryogenic CdTe or NaI detectors for measurements.

Main Results:

  • Demonstrated the successful application of a modified CCSR technique using a diagnostic x-ray tube and continuous spectrum for trabecular bone assessment.
  • Two variations, FS-BS and FS-T ratios, were evaluated.
  • FS-T requires integral intensity of scattered and transmitted spectra above 40 keV, while FS-BS requires intensity spectra in forward and backward directions at specific angles (forward ≤ 15°, backward ≥ 165°).

Conclusions:

  • The FS-T ratio shows greater sensitivity to BMD changes compared to transmission or absorption alone.
  • The FS-BS method allows for absolute measurement of the scattering medium's mean atomic number after attenuation correction.
  • FS-T is independent of incident energy over a broad range, enabling its use with inexpensive integral photon detectors for bone densitometry, potentially overcoming CCSR's historical drawbacks.