CAR Practice Guideline on Bone Mineral Densitometry Reporting: 2024 Update.

Area of Science:

• Radiology
• Endocrinology
• Geriatrics

Background:

• The Canadian Association of Radiologists' 2013 Technical Standards for Bone Mineral Densitometry Reporting required an update to reflect current clinical practices.
• Existing guidelines from Osteoporosis Canada and the International Society for Clinical Densitometry needed harmonization with Canadian reporting standards.

Purpose of the Study:

• To update the Canadian practice guideline for bone mineral density (BMD) testing and reporting.
• To align Canadian BMD practices with international standards and clinical best practices.
• To provide comprehensive guidance for healthcare professionals involved in BMD assessment and management.

Main Methods:

• Review and synthesis of current international guidelines and evidence.
• Inclusion of updated fracture risk assessment tools, specifically FRAX and CAROC.
• Development of specific guidance for analyzing male and transgender patients.
• Harmonization of clinical management recommendations with Osteoporosis Canada guidelines.

Main Results:

• Endorsement of both FRAX and CAROC tools for fracture risk evaluation.
• Provision of tailored guidance for male and transgender patient analysis.
• Integration of clinical management strategies relevant to BMD reporting.
• Recommendations for accurate data collection, reporting of fracture risk, T-scores, and reassessment timelines.

Conclusions:

• The updated guideline facilitates accurate bone mineral density assessment and reporting in Canada.
• It supports improved patient management and bone health outcomes through standardized practices.
• Healthcare professionals are equipped with current best practices for optimal patient care in BMD testing.