Recommendations from the canadian panel of the iscd for bone density reporting

Although there is no widespread consensus on the essential elements that should be found in a densitometry report, the Canadian Panel of the ISCD (4) issued guidelines for reporting of densitometry studies in 2002. The panel noted that a report should contain the following five elements:

1. Comments on technical issues potentially affecting the accuracy of the study such as artifacts, degenerative changes, fractures, etc.

2. T-score and the corresponding WHO diagnosis.

3. Z-score, if relevant, such as a z-score of -2 or less accompanied by recommendations for aggressive evaluation of secondary causes of bone loss.

4. Qualitative assessment of fracture risk.

5. When relevant, serial BMD changes, stating the in vivo precision in the units of the densitometer and the statistical significance of the change in BMD.

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