Tuna Filiz, Yavuz Selçuk, Demirbağ Kabayel Derya Demirbağ, Sarıkaya Ali
Department of Physical Therapy and Rehabilitation, Trakya University Faculty of Health Sciences, Edirne, Turkey.
Department of Physical Medicine and Rehabilitation, Medical Faculty of Trakya University, Edirne, Turkey.
Turk J Phys Med Rehabil. 2017 May 16;63(3):201-206. doi: 10.5606/tftrd.2017.595. eCollection 2017 Jun.
This study aims to assess poor positioning rates of patients during X-ray and the accuracy of the analysis.
In this study, we reanalyzed 323 dual energy X-ray absorptiometry (DXA) reports, by evaluating the scan images for proper patient positioning and scan analysis. We reviewed reports, according to a checklist prepared considering the proposals of Watts and The International Society for Clinical Densitometry official positions for 2013 (which were the same as in 2015). At least two remaining vertebrae were used to derive new bone mineral density and new T-scores.
Positioning failures were found in 64.7% of the spine X-rays, 60.5% of the hip X-rays, and 83.9% of X-rays of both regions. A total of 112 (34.7%) spinal DXA images needed new T-score adjustments. T-scores and bone mineral density differed between the first reports and the clinician reanalysis (p<0.001).
The error rate in DXA reports was higher than expected. Clinician analysis of DXA reports are important. To obtain a quality DXA report, all healthcare professionals should be trained and reminded about this topic.
本研究旨在评估患者在X线检查期间的不良体位摆放率以及分析的准确性。
在本研究中，我们重新分析了323份双能X线吸收测定法（DXA）报告，通过评估扫描图像以确定患者体位摆放是否正确以及扫描分析是否准确。我们根据一份考虑了瓦茨的提议以及国际临床骨密度测量学会2013年官方立场（与2015年相同）编制的检查表来审查报告。至少使用两个剩余椎体来得出新的骨矿物质密度和新的T值。
在64.7%的脊柱X线检查、60.5%的髋部X线检查以及83.9%的两个部位的X线检查中发现体位摆放失败。总共112份（34.7%）脊柱DXA图像需要重新调整T值。首次报告与临床医生重新分析之间的T值和骨矿物质密度存在差异（p<0.001）。
DXA报告中的错误率高于预期。临床医生对DXA报告的分析很重要。为了获得高质量的DXA报告，所有医疗保健专业人员都应该接受关于这个主题的培训并得到提醒。
