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Dual-energy X-ray absorptiometry bone densitometry in pediatrics: a practical review and update
Hedieh Khalatbari1, Larry A Binkovitz2, Marguerite T Parisi3,4
1Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA, 98105, USA. hedieh.khalatbari@seattlechildrens.org.
Pediatric Radiology
|August 29, 2020
Summary
Assessing pediatric bone mineral density using dual-energy X-ray absorptiometry (DXA) is evolving. This review updates DXA interpretation in children, incorporating the 2019 International Society of Clinical Densitometry (ISCD) guidelines.
Area of Science:
- Pediatric Endocrinology
- Radiology
- Bone Densitometry
Background:
- Pediatric bone mineral content and density assessment is a dynamic field.
- Accurate interpretation of bone densitometry in children requires updated knowledge.
- Dual-energy X-ray absorptiometry (DXA) is a key imaging modality.
Purpose of the Study:
- To provide a practical review and update on DXA interpretation in pediatrics.
- To discuss the historical context of pediatric bone densitometry.
- To integrate the 2019 International Society of Clinical Densitometry (ISCD) Official Position Statements for children.
Main Methods:
- Review of existing literature on pediatric DXA.
- Analysis of historical trends in bone densitometry.
- Synthesis of the 2019 ISCD Official Position Statements relevant to pediatric populations.
Main Results:
- The manuscript offers a comprehensive overview of DXA interpretation in pediatric patients.
- It highlights the evolution of pediatric bone densitometry assessment.
- Key updates from the 2019 ISCD guidelines for children are presented.
Conclusions:
- This review serves as a practical guide for clinicians interpreting pediatric DXA scans.
- Understanding updated guidelines is crucial for accurate pediatric bone health assessment.
- The 2019 ISCD statements provide essential recommendations for pediatric DXA interpretation.
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