Common mistakes in the dual-energy x-ray absorptiometry (dxa) in turkey. A retrospective descriptive multicenter study

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dc.authorid0000-0002-1111-3110
dc.contributor.authorKarahan, Ali Yavuz
dc.contributor.authorKaya, Buğra
dc.contributor.authorKuran, Banu
dc.contributor.authorAltındağ, Özlem
dc.contributor.authorYıldırım, Pelin
dc.contributor.authorDoğan, Sevil Ceyhan
dc.contributor.authorBaşaran, Aynur
dc.contributor.authorSalbaş, Ender
dc.contributor.authorAltınbilek, Turgay
dc.contributor.authorGüler, Tuba
dc.contributor.authorTolu, Sena
dc.contributor.authorHasbek, Zekiye
dc.contributor.authorOrdahan, Banu
dc.contributor.authorKaydok, Ercan
dc.contributor.authorYücel, Ufuk
dc.contributor.authorYeşilyurt, Selçuk
dc.contributor.authorDemir Polat, Almula
dc.contributor.authorÇubukçu, Murat
dc.contributor.authorNas, Ömer
dc.contributor.authorSarp, Ümit
dc.contributor.authorYaşar, Ozan
dc.contributor.authorKüçüksaraç, Seher
dc.contributor.authorTürkoğlu, Gözde
dc.contributor.authorKaradağ, Ahmet
dc.contributor.authorBağcacı, Sinan
dc.contributor.authorErol, Kemal
dc.contributor.authorGüler, Emel
dc.contributor.authorTuna, Serpil
dc.contributor.authorYıldırım, Ahmet
dc.contributor.authorKarpuz, Savaş
dc.date.accessioned2020-08-11T11:24:39Z
dc.date.available2020-08-11T11:24:39Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı
dc.description.abstractBackground: 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.
dc.identifier.citationKarahan, A. Y., Kuran, B., Kuran, B., Altındağ, Ö., Yıldırım, P., Doğan, S. C. ... Karpuz, S. (2016). Common mistakes in the dual-energy x-ray absorptiometry (dxa) in turkey. A retrospective descriptive multicenter study. Acta Medica (Hradec Kralove), 59(4), 117-123. https://dx.doi.org/10.14712/18059694.2017.38
dc.identifier.doi10.14712/18059694.2017.38
dc.identifier.endpage123
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage117
dc.identifier.urihttps://dx.doi.org/10.14712/18059694.2017.38
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5690
dc.identifier.volume59
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCharles University
dc.relation.ispartofActa Medica (Hradec Kralove)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectOsteoporosis
dc.subjectDiagnosis
dc.subjectDual Energy X-ray Absorptiometry
dc.subjectTechnician
dc.subjectEducation
dc.titleCommon mistakes in the dual-energy x-ray absorptiometry (dxa) in turkey. A retrospective descriptive multicenter study
dc.typeArticle

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