Table 4.7.1
Techniques for the noninvasive measurement of bone mass
Technique Site Comments

Single (or dual) energy X-ray absorptiometry

Forearm and heel

Inexpensive, precise, uses low doses of radiation, measures sites unresponsive to therapy

Dual-energy X-ray absorptiometry

Lumbar spine

Fairly expensive, precise, uses low doses of radiation, measures site responsive to therapy, needs skilled operator, subject to artefacts (spondylosis)

Proximal femur

Fairly expensive, less precise, uses low doses of radiation, measures site best for fracture prediction, needs skilled operator

Total body

Expensive, precise, uses low doses of radiation, measures sites unresponsive to therapy, needs skilled operator, allows assessment of body composition

Quantitative computed tomography

Spine

Expensive, less precise, uses high doses of radiation, measures sites responsive to therapy, needs skilled operator, allows assessment of trabecular bone alone

Forearm and ankle

Inexpensive, precise, uses low doses of radiation, measures sites unresponsive to therapy, does not need skilled operator

Ultrasonometry

Heel, fingers, etc.

Inexpensive, less precise, uses no radiation, measures sites unresponsive to therapy, does not need skilled operator, fairly portable

Technique Site Comments

Single (or dual) energy X-ray absorptiometry

Forearm and heel

Inexpensive, precise, uses low doses of radiation, measures sites unresponsive to therapy

Dual-energy X-ray absorptiometry

Lumbar spine

Fairly expensive, precise, uses low doses of radiation, measures site responsive to therapy, needs skilled operator, subject to artefacts (spondylosis)

Proximal femur

Fairly expensive, less precise, uses low doses of radiation, measures site best for fracture prediction, needs skilled operator

Total body

Expensive, precise, uses low doses of radiation, measures sites unresponsive to therapy, needs skilled operator, allows assessment of body composition

Quantitative computed tomography

Spine

Expensive, less precise, uses high doses of radiation, measures sites responsive to therapy, needs skilled operator, allows assessment of trabecular bone alone

Forearm and ankle

Inexpensive, precise, uses low doses of radiation, measures sites unresponsive to therapy, does not need skilled operator

Ultrasonometry

Heel, fingers, etc.

Inexpensive, less precise, uses no radiation, measures sites unresponsive to therapy, does not need skilled operator, fairly portable

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