Review Article

Report of the International Society for Clinical Densitometry 2007 Adult Position Development Conference and Official Positions

Authors: E Michael Lewiecki MD, Sanford Baim MD, Neil Binkley MD, John P. Bilezikian MD, David L. Kendler MD, Didier B. Hans PhD, Stuart Silverman MD

Abstract

The International Society for Clinical Densitometry (ISCD) periodically holds Position Development Conferences (PDCs) for the purpose of establishing standards and guidelines for the assessment of skeletal health—the nomenclature, indications, acquisition, analysis, quality control, interpretation, and reporting of bone density tests. Topics are selected for consideration according to criteria that include clinical relevancy, uncertainty in the application of medical evidence to clinical practice, and the likelihood of the expert panel achieving agreement. The most recent Adult PDC was held July 20 to 22, 2007, in Lansdowne, Virginia. Topics included technical and clinical issues relevant to dual-energy x-ray absorptiometry (DXA), vertebral fracture assessment, and bone densitometry technologies other than central DXA. This report describes the methodology and presents the results of this PDC. The first ISCD Pediatric PDC was held June 20 to 21, 2007 in Montreal, Quebec, Canada, and is reported separately.


Key Points


* The assessment of skeletal health has evolved with different technologies and methods that may confound scientific advances and patient management.


* The ISCD periodically reviews the medical evidence for clinically relevant issues in the assessment of skeletal health and makes recommendations in the form of Official Positions.


* The ISCD Official Positions provide a reference for technologists and clinicians to assure high quality in the assessment of skeletal health.

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