TY - JOUR
T1 - ACR Appropriateness Criteria® Osteoporosis and Bone Mineral Density
AU - Expert Panel on Musculoskeletal Imaging
AU - Ward, Robert J.
AU - Roberts, Catherine C.
AU - Bencardino, Jenny T.
AU - Arnold, Erin
AU - Baccei, Steven J.
AU - Cassidy, R. Carter
AU - Chang, Eric Y.
AU - Fox, Michael G.
AU - Greenspan, Bennett S.
AU - Greenspan, Bennett Steven
AU - Hochman, Mary G.
AU - Mintz, Douglas N.
AU - Newman, Joel S.
AU - Reitman, Charles
AU - Rosenberg, Zehava S.
AU - Shah, Nehal A.
AU - Small, Kirstin M.
AU - Weissman, Barbara N.
N1 - Publisher Copyright:
© 2017 American College of Radiology
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Osteoporosis is a considerable public health risk, with 50% of women and 20% of men >50 years of age experiencing fracture, with mortality rates of 20% within the first year. Dual x-ray absorptiometry (DXA) is the primary diagnostic modality by which to screen women >65 years of age and men >70 years of age for osteoporosis. In postmenopausal women <65 years of age with additional risk factors for fracture, DXA is recommended. Some patients with bone mineral density above the threshold for treatment may qualify for treatment on the basis of vertebral body fractures detected through a vertebral fracture assessment scan, a lateral spine equivalent generated from a commercial DXA machine. Quantitative CT is useful in patients with advanced degenerative bony changes in their spines. New technologies such as trabecular bone score represent an emerging role for qualitative assessment of bone in clinical practice. It is critical that both radiologists and referring providers consider osteoporosis in their patients, thereby reducing substantial morbidity, mortality, and cost to the health care system. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
AB - Osteoporosis is a considerable public health risk, with 50% of women and 20% of men >50 years of age experiencing fracture, with mortality rates of 20% within the first year. Dual x-ray absorptiometry (DXA) is the primary diagnostic modality by which to screen women >65 years of age and men >70 years of age for osteoporosis. In postmenopausal women <65 years of age with additional risk factors for fracture, DXA is recommended. Some patients with bone mineral density above the threshold for treatment may qualify for treatment on the basis of vertebral body fractures detected through a vertebral fracture assessment scan, a lateral spine equivalent generated from a commercial DXA machine. Quantitative CT is useful in patients with advanced degenerative bony changes in their spines. New technologies such as trabecular bone score represent an emerging role for qualitative assessment of bone in clinical practice. It is critical that both radiologists and referring providers consider osteoporosis in their patients, thereby reducing substantial morbidity, mortality, and cost to the health care system. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
KW - AUC
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - DXA
KW - fracture
KW - osteoporosis
KW - screening
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U2 - 10.1016/j.jacr.2017.02.018
DO - 10.1016/j.jacr.2017.02.018
M3 - Article
C2 - 28473075
AN - SCOPUS:85018410490
SN - 1546-1440
VL - 14
SP - S189-S202
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 5
ER -