Bone Loss or a Case of Mistaken Identity?
- Corresponding Author:
- João Lindolfo Cunha Borges
Department of Endocrinology
Universidade Catolica de Brasilia
E-mail: [email protected]
Received date: Mar 01, 2016; Accepted date: Mar 21, 2016; Published date: Mar 28, 2016
Citation: Borges JLC, Lewiecki EM, Pavlik LH (2016) Bone Loss or a Case of Mistaken Identity?. J Osteopor Phys Act 4: 172. doi: 10.4172/2329-9509.1000172
Copyright: © 2016 Borges JLC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The diagnosis of osteoporosis and monitoring of treatment is a challenge due to the use of different technologies for measuring bone mineral density (BMD), with many instrument manufacturers, instrument models, and software versions. Interpreters of bone density tests must be aware of these complexities when evaluating the results, with care to examine the images as well as the numerical data. Dual-energy X-ray absorptiometry (DXA) is the "goldstandard" technology for the diagnosis of osteoporosis and monitoring the skeletal effects of treatment. However, BMD results can sometimes be misleading due to lack of technologist training leading to errors in patient positioning, incorrect analysis, or invalid data. This is a case presentation that illustrates an easily avoidable BMD testing error that could lead to inappropriate treatment decisions, highlighting the importance of quality BMD testing and reporting.