Bone loss in unclassified polyarthritis and early rheumatoid arthritis is better detected by digital x ray radiogrammetry than dual x ray absorptiometry: relationship with disease activity and radiographic outcome

DEFF Research Database (Denmark)

Jensen, T; Klarlund, Mette; Hansen, M

2004-01-01

OBJECTIVE: To compare changes in regional bone mineral density (BMD) of the metacarpal joints measured by dual x ray absorptiometry (DXA) and digital x ray radiogrammetry (DXR) in relation to disease activity and radiographic outcome in a two year follow up study of patients with early RA...... polyarthritis. The patients with RA were divided into groups according to mean disease activity, average glucocorticoid dose, and MRI and x ray detected bone erosions in the hands. Clinical and biochemical measurements were made every month and an x ray examination of the hands and BMD of the metacarpal joints...

Comparison of bioimpedance analysis and dual-energy x-ray absorptiometry in peritoneal diaysis patients according to edema

OpenAIRE

Seok Hui Kang; Kyu Hyang Cho; Jong Won Park; Kyung Woo Yoon; Jun Young Do

2012-01-01

The change in difference between bioimpedance analysis (BIA) and dual-energy X-ray absorptiometry (DEXA) according to edema is an important issue for peritoneal dialysis (PD) patients. We reviewed all adults who received PD. Patients had undergone two body composition measurements. 1108 cases were measured simultaneously by BIA and DEXA. Measurements were divided into four quartiles based on edema index. There were significant correlations and intraclass correlations between the two methods f...

Use of dual energy X-ray absorptiometry in pediatric patients.

Science.gov (United States)

Wasserman, Halley; O'Donnell, Jennifer M; Gordon, Catherine M

2017-11-01

Dual Energy X-ray Absorptiometry (DXA) is a vital tool for assessing bone health in patients at risk for fragility fractures. In pediatric patients, this technology is used in conjunction with clinical fracture history to diagnosis osteoporosis and monitor treatment response. Childhood and adolescence is characterized by linear growth and bone mass accrual; thus there are important differences in the interpretation of bone measurements obtained by DXA in these young patients. This review aims to explore the current indications for DXA use and interpretation of DXA in the pediatric age group using currently available reference databases. Limitations of DXA in pediatric patients, specifically in children with short stature, will be explored. We will review several pathophysiologic mechanisms that may lead to low bone density in children, discussing representative diseases and the recommendations for monitoring bone health with DXA in these conditions. Finally, we will highlight new methods by which DXA imaging can gather additional information on bone health in children and may improve our ability to predict fractures and osteoporosis. Copyright © 2016 Elsevier Inc. All rights reserved.

Improvements in the management of rheumatic patients from vertebral image obtained through dual-energy X-ray absorptiometry

Directory of Open Access Journals (Sweden)

D. Gatti

2011-09-01

Full Text Available The diagnosis of asymptomatic vertebral fracture is clinically useful and the identification of new fractures may influences the choice of appropriate therapeutic measures. In order to identify moderate and asymptomatic vertebral deformities in an objective and reproducible manner, vertebral morphometry is performed. This method measures the vertebral body’s anterior, middle and posterior heights at the dorsal and lumbar level. Currently this technique is performed on lateral images of the spine obtained through the traditional X-ray method (radiological morphometry or morphometric X-ray radiography, MRX and, more recently from images obtained through dual-energy X-ray absorptiometry (DXA machines (visual assessment of x-ray absoptiometry scans or morphometric X-ray absorptiometry, MXA, commonly used to measure bone mineral density. The main advantage of MXA relative to MRX is the lower radiation dose to which the patient is exposed during the exam. In addition, MXA scans offers the advantage of acquiring a single image of thoracic and lumbar spine, without any distortion (e.g.: coning. The most obvious advantage of MXA is the opportunity of obtaining during the same session a bone mineral density evaluation, and digital images that are easily processable, manageable, recordable and comparable for the patient’s follow up. A limitation of the MXA technique is the inferior quality of the images, that make often impossible the detection of the vertebral edges, and the impossibility to visualize the upper thoracic vertebral bodies. MXA, despite its intrinsic limitations, when carried out by trained personnel may provide substantial improvements in the management (diagnosis and follow-up of rheumatic patients.

Dual-energy X-ray absorptiometry in the lumbar spine, proximal femur and distal radius in children

International Nuclear Information System (INIS)

Tsukahara, H.; Sudo, M.; Umezaki, M.; Hiraoka, M.; Yamamoto, K.; Ishii, Y.; Haruki, S.

1992-01-01

Dual-energy X-ray absorptiometry was used to measure bone mineral density (BMD) in the lumbar spine, proximal femur and distal radius in 48 Japanese children aged 3-18 years. In the normal children (n=32), BMD increased with age in all locations, with a nearly twofold increase from preschool age to adolescence. Most of the children with chronic diseases known to affect bone metabolism (e.g., steroid osteoporosis) (n=16) had low BMD in every region, indicating that these disease states probably affect multiple sites of the skeleton in children. (orig.)

Bone mineral density in renal osteodystrophy: Comparison of dual energy X-ray absorptiometry and quantitative computed tomography

International Nuclear Information System (INIS)

Funke, M.; Maeurer, J.; Grabbe, E.; Scheler, F.

1992-01-01

Measurements of bone density were carried out in 25 patients on dialysis for terminal renal insufficiency, using quantitative computed tomography (QCT) and dual energy X-ray absorptiometry (DXA). Unlike in subjects with normal kidneys, there was no significant correlation between these methods in this series. Ten patients showed an increase in bone density of the vertebral spongiosa on QCT measurements, which was interpreted as due to osteosclerotic bone changes in renal osteopathy. QCT showed advantages over DXA in demonstrating these changes. (orig.) [de

A status report on dual energy x-ray absorptiometry quality control in Korea

International Nuclear Information System (INIS)

Kim, Jung Su; Ro, Young Hoon; Lee, In Ju; Kim, Jung Min; Kim, Sung Su; Kim, Kyoung Ah

2016-01-01

Dual-energy X-ray absorptiometry (DEXA) is the most widely used technical instrument for evaluating bone mineral content (BMC) and density (BMD) in patients of all ages. In 2016, DEXA devices operating is 5617 in Korea. In this study we investigated the quality of management practices survey for DEXA equipment and we analyzed it. We got a survey response rate of 12.6%. Accurate bone densitometry test is used data for estimation a patient's risk of fracture. However, improper bone densitometry will increase the possibility of causing a false positive. Therefore. it is essential to use the proper aids accurate bone densitomenty to be performed, and the quality control of the device to reduce the error factor of the tester through the training to reduce error for the device and the attitude

A status report on dual energy x-ray absorptiometry quality control in Korea

Energy Technology Data Exchange (ETDEWEB)

Kim, Jung Su [Dept. of Radiogic Technology, Chungbuk Health and Science University, Cheongju (Korea, Republic of); Ro, Young Hoon; Lee, In Ju; Kim, Jung Min [Dept. of Bio-convergence Engineering, Korea University Graduate School, Seoul (Korea, Republic of); Kim, Sung Su [Dept. of Healthcare Management, Cheongju University, Cheongju (Korea, Republic of); Kim, Kyoung Ah [Dept. of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, Sungnam (Korea, Republic of)

2016-12-15

Dual-energy X-ray absorptiometry (DEXA) is the most widely used technical instrument for evaluating bone mineral content (BMC) and density (BMD) in patients of all ages. In 2016, DEXA devices operating is 5617 in Korea. In this study we investigated the quality of management practices survey for DEXA equipment and we analyzed it. We got a survey response rate of 12.6%. Accurate bone densitometry test is used data for estimation a patient's risk of fracture. However, improper bone densitometry will increase the possibility of causing a false positive. Therefore. it is essential to use the proper aids accurate bone densitomenty to be performed, and the quality control of the device to reduce the error factor of the tester through the training to reduce error for the device and the attitude.

Validity of dual X-ray absorptiometry scanning for determination of body composition in IDDM patients

DEFF Research Database (Denmark)

Rosenfalck, A M; Almdal, T; Gotfredsen, A

1995-01-01

Data on body composition in patients with insulin-dependent diabetes mellitus (IDDM) are scarce. Dual X-ray absorptiometry (DXA) scanning has proved useful for this purpose in other groups of patients. We tested the validity of the DXA scanner for the determination of fat-free mass (FFM) and fat......, 5 males and 8 females, aged 34.2 years +/- SD 10.4, and 11 IDDM patients, 5 males, 6 females, aged 28.1 years +/- 7.3, diabetes duration 4.2 +/- 2.9 (1.0-9.9), were examined. The patients had no long-term diabetic complications and they had normal ophthalmoscopy and urine albumin excretion...

Assessment of adiposity in psoriatic patients by dual energy X-ray absorptiometry compared to conventional methods*

Science.gov (United States)

Diniz, Michelle dos Santos; Bavoso, Nádia Couto; Kakehasi, Adriana Maria; Lauria, Márcio Weissheimer; Soares, Maria Marta Sarquis; Machado-Pinto, Jackson

2016-01-01

BACKGROUND Obesity is considered a chronic low-grade inflammatory disease that shares mediators of inflammation with psoriasis, such as TNF-α and IL-6. The relationship between these two conditions involves factors such as predisposition and response to therapy, in addition to an association with cardiovascular disease. OBJECTIVES The aim of the present study was to investigate the prevalence of adiposity as determined by body mass index (BMI), waist circumference (WC), and dual energy X-ray absorptiometry (DXA) evaluation in patients with psoriasis. METHODS BMI, WC and body composition by DXA were measured in 42 psoriatic patients without joint complaints and in 41 control patients using standard procedures. In the comparison between cases and controls, we used Pearson’s Χ2 test or Fisher’s exact test, and the nonparametric Mann-Whitney test. The difference between the diverse classification methods for obesity was evaluated using McNemar’s test. To test the level of agreement between those variables, we used the weighted kappa coefficient. RESULTS There was no difference in the prevalence of obesity among cases and controls. Both BMI and WC had low agreement with measures of body fat evaluated by DXA. With the use of DXA scanning, prevalence of overweight and obesity in patients with psoriasis was 83.3%, which constitutes a strong evidence of the need for intervention on this metabolic parameter. CONCLUSION Dual energy X-ray absorptiometry was more capable of identifying obesity compared with BMI and WC both in psoriatic and control patients. PMID:27192512

Stature estimation based on vertebral morphometry by dual energy X-rays absorptiometry imaging in Italian females

Directory of Open Access Journals (Sweden)

Chantal Milani

2017-02-01

Full Text Available Anthropological profile in forensic context includes the assessment of parameters as ancestry, sex, age and stature of an individual by the analysis of skeletal remains. Stature can be estimated from decomposed and fully or partially skeletonized remains by means of anatomical or mathematical methods applied on the whole skeleton or single bones. Many authors calculated regression formulae for the living stature estimation by these methods, in particular based on a population similar to the remains recovered. Long bones are commonly used for stature estimation, but, when they are missing, methods involving different parts of the skeleton are needed. In this preliminary study we measured heights of the vertebral bodies in a female Caucasian Italian population, evaluated by images of morphometric X-ray absorptiometry based on dual-energy X-ray absorptiometry in living subjects investigated for routine diagnostic purposes. Thoracic and lumbar segments of the spine were measured and statistical analysis was performed, thus obtaining regression formulae for estimated living stature from thoraco-lumbar spine segments (T6-T12, L1-L4 and T6-L4. We propose this method for stature evaluation in physical or forensic anthropology when the spine is available and long bones are missing.

Whole body dual X-ray absorptiometry for bone mineral density and body composition using a flat panel detector

International Nuclear Information System (INIS)

Dinten, J.M.; Robert-Coutant, C.; Gonon, G.; Bordy, T.

2003-01-01

Whole-body dual-energy X-ray absorptiometry (DXA) systems are used for the determination of bone mineral density (BMD) but also for body composition estimates (lean mass and fat mass). The calculation is based on the difference in attenuation of body tissues for a low-energy of about 50 KeV and a high-energy of about 80-100 KeV. The measurement of dual-energy projections allows first to compute to the body composition in the non-bone area, and then to extrapolate the fat / lean ratio of soft tissue into the bone area in order to compute the BMD. Since detectors have limited area, a whole body examination requires a scan of the patient and a reconstruction process in order to build up a large field image from smaller radiographs. This reconstruction process must keep the quantitative value of the radiographs, and avoid any distortion which could be a consequence of the conic acquisition geometry. The cone angle is low (6 at maximum) and the large overlap between radiographs helps to reconstruct an image equivalent with a parallel-beam geometry. Scatter is corrected from the radiographs before reconstruction, as described in a previous paper ('Dual-energy X-rays absorptiometry using a 2D digital radiography detector. Application to bone densitometry', SPIE Medical Imaging 2001, Medical Physics). We have developed an original reconstruction method dedicated to whole-body examinations which will be described. Thanks to the quasi-radiologic quality of the detector, reconstructed images are of very good quality and this makes the measurement of BMD and fat / lean masses easier. (author)

Errors due to non-uniform distribution of fat in dual X-ray absorptiometry of the lumbar spine

International Nuclear Information System (INIS)

Tothill, P.; Pye, D.W.

1992-01-01

Errors in spinal dual X-ray absorptiometry (DXA) were studied by analysing X-ray CT scans taken for diagnostic purposes on 20 patients representing a wide range of fat content. The mean difference between the fat thickness over the vertebral bodies and that over a background area in antero-posterior (AP) scanning was 6.7 ± 8.1 mm for men and 13.4 ± 4.7 mm for women. For AP scanning a non-uniform fat distribution leads to a mean overestimate of 0.029 g/cm 2 for men and 0.057 g/cm 2 for women. The error exceeded 0.1 g/cm 2 in 10% of slices. For lateral scanning the error exceeded 0.1 g/cm 2 (about 15% of normal) in a quarter of slices. (author)

Change in fat-free mass assessed by bioelectrical impedance, total body potassium and dual energy X-ray absorptiometry during prolonged weight loss

DEFF Research Database (Denmark)

Hendel, H W; Gotfredsen, A; Højgaard, L

1996-01-01

A total of 16 obese women (body mass index (BMI) 30-43 kg m(-2)) participated in a weight reduction study. Before and after a weight loss of 11.7 +/- 7.4 kg (mean +/- SD), body composition was assessed by dual energy X-ray absorptiometry (DXA), and total body potassium counting (TBK). These measu...

Validity of dual X-ray absorptiometry scanning for determination of body composition in IDDM patients

DEFF Research Database (Denmark)

Rosenfalck, A M; Almdal, Thomas Peter; Gotfredsen, A

1995-01-01

Data on body composition in patients with insulin-dependent diabetes mellitus (IDDM) are scarce. Dual X-ray absorptiometry (DXA) scanning has proved useful for this purpose in other groups of patients. We tested the validity of the DXA scanner for the determination of fat-free mass (FFM) and fat....... The agreement between FFM estimated by DXA and the other methods, expressed as mean difference +/- 2 SD was; for DXA vs. TBK, 0.09 +/- 6.26 and 0.50 +/- 5.26 kg for controls and IDDM patients respectively; DXA vs. TBW, -2.07 +/- 2.56 and -1.07 +/- 4.58 kg; DXA vs. Ucrea, -2.62 +/- 8.02 and 2.00 +/- 10.0 kg; DXA...

Dual Energy X Ray Absorptiometry for Bone Mineral Density and Body Composition Assessment

International Nuclear Information System (INIS)

2010-01-01

The IAEA assists Member States in their efforts to develop effective evidence based interventions to combat malnutrition in all its forms using nuclear techniques. The unique characteristics of nuclear techniques in nutrition, in particular stable isotope techniques and dual energy X ray absorptiometry (DXA), make these methods highly suitable for development and evaluation of interventions to address the double burden of malnutrition, i.e. 'undernutrition' and 'overnutrition', globally. This publication provides information on the theoretical background and practical application of state of the art methodology for bone mineral density (BMD) measurements and body composition assessment by DXA. The IAEA has contributed to the development and transfer of technical expertise in the use of DXA in Member States through support to national and regional nutrition projects via the technical cooperation programme and coordinated research projects addressing priority areas in nutrition. This book will be an important part of the IAEA's efforts to transfer technology and to contribute to capacity building in this field

Assessment of bone mineral density with dual energy X-ray absorptiometry in pre-and post-menopausal women

International Nuclear Information System (INIS)

Salamat, M. R.; Rostampour, N.; Shanehsazzadeh, S.; Tavakoli, M. B.; Siavash, M.; Almasi, T.

2008-01-01

Osteoporosis is a chronic disease that contributes substantially to decrease physical activity and decline in the quality of life. Osteoporosis can be diagnosed easily with the use of dual-energy X-ray absorptiometry equipment. The aim of this study was to investigate the magnitude of bone loss on proximal femur and lumbar spine in pre-and post-menopausal women from Isfahan Osteoporosis Diagnosis Center since 2005. Materials and Methods: Bone mineral density measurements using dual-energy X-ray absorptiometry have been performed at Isfahan Osteoporosis Diagnosis Center. 185 pre-menopausal and 174 early post-menopausal women were selected randomly. A Norland XR46 system was used for the investigations. The student t-lest was done to find the difference between the T-scores of the femoral neck and lumbar spine in pre-and post-menopausal women. Results: Mean Bone mineral density for the femoral neck and lumbar spine in pre-menopausal women were 0.859 ± 0.136 and 1.012 ± 0.161 and in post-menopausal women were 0.816 ± 0.119 and 0.919 ± 0.140, respectively. Long-term Bone mineral density CVs of 1.0% and 1.2% for the lumbar spine and femoral neck were found, respectively. The differences between the femoral neck and lumbar spine for pre-and post-menopausal women were t = -9.02, P < 0.05 and t = -3.50, P < 0.05, respectively. Conclusion: In spite of, the reported lower Bone mineral density T-scores for the lumbar spine compared With the femoral neck for women, we found that the femoral neck had significantly lower T-score than lumbar spine for both pre-and post-menopausal women.

The influence of body composition assessed by dual-energy x-ray absorptiometry on functional capacity of patients with chronic obstructive pulmonary disease

Directory of Open Access Journals (Sweden)

Gualberto Ruas

Full Text Available INTRODUCTION: The individual with chronic obstructive pulmonary disease (COPD can experience a significant reduction of body composition, peripheral muscle dysfunction, resulting in a negative influence on functional capacity. OBJECTIVES: To analyze the influence of body composition assessed by dual-energy x-ray absorptiometry on functional capacity of patients with chronic obstructive pulmonary disease (COPD. MATERIALS AND METHODS: Eleven male patients with COPD (COPDG, seven presenting moderate obstruction and four severe, and 11 sedentary male subjects (CG were evaluated by dual-energy x-ray absorptiometry to assess their body composition. All subjects also performed the 6-minute walk test (6MWT and Step Test (6MST to assess their functional capacity. RESULTS: No significant differences were found between groups for anthropometric data such as age, weight, height and body mass index (BMI. However, the COPDG presented Forced Vital Capacity (FVC, Forced Expiratory Volume in one second (FEV1, FEV1/FVC ratio, Maximal Voluntary Ventilation (MVV, Walked Distance (WD and Number of Steps (NS significantly lower than the CG (p < 0.05, Student's t-test. The Body Bone Mass (BBM, BBM%, Lean Mass (LM, LM%, and Right Lower Limb (RLL and Left Lower Limb (LLL were significantly lower in the COPDG when compared with the CG, presenting statistically significant positive correlations with 6MWT's WD and 6MST's NS (p < 0.05, Pearson's test. CONCLUSION: We conclude that body composition is an important prognostic factor for patients with COPD, which reinforces the importance of assessing body composition by dual-energy absorptiometry since it has demonstrated with satisfactory accuracy in clinical practice. Moreover, it is a useful parameter for evaluation and reassessment in pulmonary rehabilitation programs.

Prevalence and type of errors in dual-energy X-ray absorptiometry

Energy Technology Data Exchange (ETDEWEB)

Messina, Carmelo; Bandirali, Michele; D' Alonzo, Nathascja Katia [Universita degli Studi di Milano, Scuola di Specializzazione in Radiodiagnostica, Milano (Italy); Sconfienza, Luca Maria; Sardanelli, Francesco [IRCCS Policlinico San Donato, Unita di Radiologia, San Donato Milanese (Italy); Universita degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, San Donato Milanese (Italy); Di Leo, Giovanni; Papini, Giacomo Davide Edoardo [IRCCS Policlinico San Donato, Unita di Radiologia, San Donato Milanese (Italy); Ulivieri, Fabio Massimo [IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Mineralometria Ossea Computerizzata e Ambulatorio Malattie Metabolismo Minerale e Osseo, Servizio di Medicina Nucleare, Milano (Italy)

2015-05-01

Pitfalls in dual-energy x-ray absorptiometry (DXA) are common. Our aim was to assess rate and type of errors in DXA examinations/reports, evaluating a consecutive series of DXA images of patients examined elsewhere and later presenting to our institution for a follow-up DXA. After ethics committee approval, a radiologist retrospectively reviewed all DXA images provided by patients presenting at our institution for a new DXA. Errors were categorized as patient positioning (PP), data analysis (DA), artefacts and/or demographics. Of 2,476 patients, 1,198 had no previous DXA, while 793 had a previous DXA performed in our institution. The remaining 485 (20 %) patients entered the study (38 men and 447 women; mean age ± standard deviation, 68 ± 9 years). Previous DXA examinations were performed at a total of 37 centres. Of 485 reports, 451 (93 %) had at least one error out of a total of 558 errors distributed as follows: 441 (79 %) were DA, 66 (12 %) PP, 39 (7 %) artefacts and 12 (2 %) demographics. About 20 % of patients did not undergo DXA at the same institution as previously. More than 90 % of DXA presented at least one error, mainly of DA. International Society for Clinical Densitometry guidelines are very poorly adopted. (orig.)

Dual energy X-Ray absorptiometry body composition reference values from NHANES.

Directory of Open Access Journals (Sweden)

Thomas L Kelly

Full Text Available In 2008 the National Center for Health Statistics released a dual energy x-ray absorptiometry (DXA whole body dataset from the NHANES population-based sample acquired with modern fan beam scanners in 15 counties across the United States from 1999 through 2004. The NHANES dataset was partitioned by gender and ethnicity and DXA whole body measures of %fat, fat mass/height(2, lean mass/height(2, appendicular lean mass/height(2, %fat trunk/%fat legs ratio, trunk/limb fat mass ratio of fat, bone mineral content (BMC and bone mineral density (BMD were analyzed to provide reference values for subjects 8 to 85 years old. DXA reference values for adults were normalized to age; reference values for children included total and sub-total whole body results and were normalized to age, height, or lean mass. We developed an obesity classification scheme by using estabbody mass index (BMI classification thresholds and prevalences in young adults to generate matching classification thresholds for Fat Mass Index (FMI; fat mass/height(2. These reference values should be helpful in the evaluation of a variety of adult and childhood abnormalities involving fat, lean, and bone, for establishing entry criteria into clinical trials, and for other medical, research, and epidemiological uses.

Lumbar spine and total-body dual-energy X-ray absorptiometry in children with severe neurological impairment and intellectual disability: a pilot study of artefacts and disrupting factors

NARCIS (Netherlands)

Mergler, S.; Rieken, R.; Tibboel, D.; Evenhuis, H. M.; van Rijn, R. R.; Penning, C.

2012-01-01

Children with severe neurological impairment and intellectual disability (ID) are susceptible for developing low bone mineral density (BMD) and fractures. BMD is generally measured with dual-energy X-ray absorptiometry (DXA). To describe the occurrence of factors that may influence the feasibility

Change in fat-free mass assessed by bioelectrical impedance, total body potassium and dual energy X-ray absorptiometry during prolonged weight loss

DEFF Research Database (Denmark)

Hendel, H W; Gotfredsen, A; Højgaard, L

1996-01-01

A total of 16 obese women (body mass index (BMI) 30-43 kg m(-2)) participated in a weight reduction study. Before and after a weight loss of 11.7 +/- 7.4 kg (mean +/- SD), body composition was assessed by dual energy X-ray absorptiometry (DXA), and total body potassium counting (TBK). These measu......A total of 16 obese women (body mass index (BMI) 30-43 kg m(-2)) participated in a weight reduction study. Before and after a weight loss of 11.7 +/- 7.4 kg (mean +/- SD), body composition was assessed by dual energy X-ray absorptiometry (DXA), and total body potassium counting (TBK......). These measurements were compared with bioimpedance analysis (BIA) by applying 11 predictive BIA equations published in the literature. Predictive equations for the present study population were developed, with the use of fat-free mass (FFM) as assessed by TBK and DXA as references in multiple regression analysis....... The results of the BIA equations varied widely; FFM was generally overestimated by BIA as compared with DXA and TBK before and after weight loss. During weight loss, the FFM did not change, as estimated by DXA (1.3 +/- 2.3 kg, p > 0.05) and TBK (0.9 +/- 2.9 kg, p > 0.05). The recorded change in impedance (R...

Comparison of dual photon and dual energy X-ray bone densitometers in a clinic setting

International Nuclear Information System (INIS)

Nelson, D.A.; Shaffer, S.; Brown, E.B.; Flynn, M.J.; Cody, D.D.

1991-01-01

Two separate studies were conducted. We evaluated the relationships between results of lumbar spine measurements using two dual photon absorptiometry (DPA1 and DPA2) instruments and one dual energy X-ray (DXA) instrument with the same subject (49 volunteers), and also in 65 patients who were measured on the DPA1 and DXA machines. Second, we measured the lumbar spine and the proximal femur in three groups of 12 female volunteers three times on one instrument within 1 week. We purposely simulated a busy clinic setting with different technologists, older radioactive sources, and a heterogeneous patient group. The comparison study indicated a significant difference between the mean bone density values reported by the machines, but the results were highly correlated (R 2 = 0.89-0.96). This study emphasizes the differences between instruments, the potential for greater error in busy clinic environments, and the apparent superiority of dual energy X-ray absorptiometry under these less than ideal conditions. (orig./GDG)

Neutron activation analysis. Criterion method for evaluation of dual-energy x-ray absorptiometry measurements in infants

International Nuclear Information System (INIS)

Ellis, K.J.; Shypailo, R.J.; Schoknecht, P.; Pond, W.G.

1995-01-01

Total body neutron activation analysis (NAA) was used to examine the elemental composition of 22 piglets in the weight range 0.7 kg to 3.4 kg. The accuracy of the NAA technique, compared to direct chemical carcass analysis, established it as an equivalent chemical criterion (reference) method. The body composition of 14 human infant cadavers was also examined by NAA and by dual-energy x-ray absorptiometry (DXA). The DXA-derived lean, fat, and bone compartments were compared with an NAA chemical model of composition. Each of the three compartments was significantly correlated (r=0.85-0.95.p<0.001) for the two independent assay, although there were substantial differences for the estimated size of the compartments for individual infants. (author). 11 refs., 2 figs., 2 tabs

Clinical usefulness of calcaneal measurements using dual energy x-ray absorptiometry

International Nuclear Information System (INIS)

Kohno, Jun; Nakata, Tomoko; Ito, Masako

1999-01-01

To investigate the clinical usefulness of calcaneal measurement using dual-energy x-ray absorptiometry (DXA), the ability to detect bone loss and fracture risk were evaluated in comparison with spinal bone mineral density (BMD) measured using DXA and quantitative CT (QCT) and with calcaneal quantitative ultrasound (QUS). Furthermore, to investigate the region in calcaneus in which to detect bone change sensitively, the ability to detect bone loss and fracture risk were also evaluated using new regions of interest (ROIs) that were manually defined. The subjects were 165 healthy women, and 188 female patients with fracture, estrogen deficiency, and steroid-induced osteoporosis. Calcaneal BMD with some manually defined ROIs showed lower precision and less sensitivity in detecting bone loss than BMD measured with automatically defined ROIs. Calcaneal DXA, spinal DXA, and QCT demonstrated significant age-related bone loss, and all measurements could discriminate fracture cases from non-fracture cases. Calcaneal DXA could discriminate the bone loss associated with estrogen deficiency as well as spinal DXA. Furthermore, calcaneal measurements showed a greater ability to detect steroid-induced bone loss than spinal DXA, probably because this group included subjects of advanced age with spondylosis. In conclusion, calcaneal DXA is useful to assess BMD in subjects who are not suitable for spinal measurement, although the ability to detect age-related bone loss in calcaneal DXA is less than in spinal measurements. (author)

Neonatal anthropometrics and body composition in obese children investigated by dual energy X-ray absorptiometry

DEFF Research Database (Denmark)

Lausten-Thomsen, Ulrik; Nielsen, Tenna Ruest Haarmark; Thagaard, Ida Näslund

2014-01-01

index (BFMI), and fat free mass index (FFMI) in obese children and the preceding in utero conditions expressed by birth weight, birth length, and birth weight for gestational age. The study cohort consisted of 776 obese Danish children (median age 11.6 years, range 3.6-17.9) with a mean Body Mass Index......UNLABELLED: Epidemiological and animal studies have suggested an effect of the intrauterine milieu upon the development of childhood obesity. This study investigates the relationship between body composition measured by dual energy X-ray absorptiometry expressed as body fat percent, body fat mass...... Standard Deviation Score (BMI SDS) of 2.86 (range 1.64-5.48) treated in our national referral centre. In a linear general regression model adjusted for age, gender, socioeconomic status, and duration of breastfeeding, we found the body fat percent, FFMI, and BFMI at the time of enrolment in childhood...

Fundamental evaluation of bone densitometry using dual energy X-ray absorptiometry (DEXA)

Energy Technology Data Exchange (ETDEWEB)

Koizumi, Kiyoshi; Uchiyama, Guio; Araki, Tsutomu (Yamanashi Medical Coll., Tamaho (Japan)) (and others)

1990-02-01

A newly developed instrument based on dual energy X-ray absorptiometry (DEXA), Hologic QDR-1000, was evaluated fundamentally and clinically. Image quality was quite satisfactory though radiation exposure was minimal, 780.2 nC/kg (3.024 mR) for lumbar measurement. Reproducibility of the repeated measurement of a phantom was fairly good; 0.343 CV% in a same day and 0.520 CV% in a long period. Accuracy determined by measurement of potassium phosphate solution was also satisfactory. Bone mineral densities measured by this instrument were fairly correlated with those measured by single energy quantitative CT; coefficient was 0.740 for 17 patients. Mix-DP plates of more than 10 cm thick overestimated the bone mineral densities of a phantom. Bone mineral densities of Japanese normal volunteers were in the normal range (mean {plus minus} 2SD) of the Americans though mostly lower than the mean. In patients with spondylosis deformans or prominent aortic calcification, bone mineral densities might be overestimated. Lateral view was obtainable though its reproducibility was not good. Positioning especially for measuring femoral neck was quite critical for reproducible measurement. In conclusion, this new instrument is quite accurate and satisfactory for clinical application to measuring bone mineral densities. (author).

Fundamental evaluation of bone densitometry using dual energy X-ray absorptiometry (DEXA)

International Nuclear Information System (INIS)

Koizumi, Kiyoshi; Uchiyama, Guio; Araki, Tsutomu

1990-01-01

A newly developed instrument based on dual energy X-ray absorptiometry (DEXA), Hologic QDR-1000, was evaluated fundamentally and clinically. Image quality was quite satisfactory though radiation exposure was minimal, 780.2 nC/kg (3.024 mR) for lumbar measurement. Reproducibility of the repeated measurement of a phantom was fairly good; 0.343 CV% in a same day and 0.520 CV% in a long period. Accuracy determined by measurement of potassium phosphate solution was also satisfactory. Bone mineral densities measured by this instrument were fairly correlated with those measured by single energy quantitative CT; coefficient was 0.740 for 17 patients. Mix-DP plates of more than 10 cm thick overestimated the bone mineral densities of a phantom. Bone mineral densities of Japanese normal volunteers were in the normal range (mean ± 2SD) of the Americans though mostly lower than the mean. In patients with spondylosis deformans or prominent aortic calcification, bone mineral densities might be overestimated. Lateral view was obtainable though its reproducibility was not good. Positioning especially for measuring femoral neck was quite critical for reproducible measurement. In conclusion, this new instrument is quite accurate and satisfactory for clinical application to measuring bone mineral densities. (author)

Measuring body composition in overweight individuals by dual energy x-ray absorptiometry

International Nuclear Information System (INIS)

Brownbill, Rhonda A; Ilich, Jasminka Z

2005-01-01

Dual energy x-ray absorptiometry (DXA) is widely used for body composition measurements in normal-weight and overweight/obese individuals. The limitations of bone densitometers have been frequently addressed. However, the possible errors in assessing body composition in overweight individuals due to incorrect positioning or limitations of DXA to accurately assess both bone mineral density and body composition in obese individuals have not received much attention and are the focus of this report. We discuss proper ways of measuring overweight individuals and point to some studies where that might not have been the case. It appears that currently, the most prudent approach to assess body composition of large individuals who cannot fit under the scanning area would be to estimate regional fat, namely the regions of thigh and/or abdomen. Additionally, using two-half body scans, although time consuming, may provide a relatively accurate measurement of total body fat, however, more studies using this technique are needed to validate it. Researchers using bone densitometers for body composition measurements need to have an understanding of its limitations in overweight individuals and address them appropriately when interpreting their results. Studies on accuracy and precision in measurements of both bone and soft tissue composition in overweight individuals using available densitometers are needed

The cut-off point of dual energy X-ray and laser of calcaneus osteoporosis diagnosis in postmenopausal women

International Nuclear Information System (INIS)

Salimzadeh, A.; Forough, B.; Olia, B.; Alishiri, G. H.; Ghasemzadeh, A.

2005-01-01

Dual X-Ray Absorptiometry is a method which can extensively be used for bone mineral densitometry . Another more recent method is dual energy X-ray and laser, which associate with dual X ray absorptiometry, assisted by laser measure heel thickness. In this study the cut off points for dual energy X-ray and laser of calcaneus in the diagnosis of osteoporosis in different bone regions in postmenopausal women had been determined. Materials and Methods: In 268 postmenopausal women, BMD of the spinal and femoral regions was measured by DM, and the value for the calcaneous was measured by dual energy X-ray and laser. The agreement of the two methods in the diagnosis of osteoporosis and optimal cut-off point for dual energy X-ray and laser in defining osteoporosis was obtained. What obtained was the agreement of the two methods in the diagnosis of osteoporosis, as well as the optimal cut-off point for dual energy X-ray and laser in defining osteoporosis. Results: Dual X-Ray Absorptiometry showed osteoporosis in 40.7% of cases with 35.2% in L2-L4, 16.2% in the femoral neck, and 11.7% for the femoral total region. The dual energy X-ray and laser found osteoporosis, considering -2.5 SD as a threshold, in 26.1% of cases. Agreement of the two methods in the diagnosis of osteoporosis (Kappa score) was 0.443 for the lumbar region, 0.464 for the neck, and, 0.421 for total femur regions (all P values were significant). Using Receiver Operating Characteristic curves, it was found that a T-score of -2.1, -2.6 and -2.4 as the optimal cut-off point of dual energy X-ray and laser in the diagnosis of osteoporosis in the lumbar spine, the neck and total region of femur, respectively. Conclusion: The results of this study showed a moderate agreement between the two methods in the diagnosis of osteoporosis. It seems that the dual energy X-ray and laser cannot be used as a substitute for the DM method, but it can be used as a screening method to find (to diagnose) osteoporosis

Comparison of Dual Energy X-ray Absorptiometry and Bioimpedance in Assessing Body Composition and Nutrition in Peritoneal Dialysis Patients

DEFF Research Database (Denmark)

Popovic, Velena; Zerahn, Bo; Heaf, James Goya

2017-01-01

OBJECTIVE: Peritoneal dialysis (PD) patients are characterized by protein malnutrition and muscle wasting. Reliable, easy, and cheap methods for evaluating nutrition are desirable. Three methods are commonly available: dual-energy X-ray absorptiometry (DXA), bioimpedance (BI), and subjective global...... assessment (SGA).The objective of the study was to compare the previously mentioned methods for assessment of body composition and nutritional status in PD patients. DESIGN: The study is cross-sectional and consisted of 72 PD patients from a single center PD ambulatorium. METHODS: Participants were measured...... in this population. OH might reduce DXA accuracy in PD patients. LTI and ICW may be useful measures to supplement SGA in assessing nutrition....

Validity of dual X-ray absorptiometry scanning for determination of body composition in IDDM patients

DEFF Research Database (Denmark)

Rosenfalck, A M; Almdal, Thomas Peter; Gotfredsen, A

1995-01-01

Data on body composition in patients with insulin-dependent diabetes mellitus (IDDM) are scarce. Dual X-ray absorptiometry (DXA) scanning has proved useful for this purpose in other groups of patients. We tested the validity of the DXA scanner for the determination of fat-free mass (FFM) and fat...... mass in IDDM patients and control subjects, as compared to other reference methods, i.e. total body potassium by 40K whole body counting (TBK), total body water by tritiated water (TBW), bioelectrical impedance analysis (BIA) and 24-h urinary creatinine excretion (Ucrea). A total of 13 healthy controls....... The agreement between FFM estimated by DXA and the other methods, expressed as mean difference +/- 2 SD was; for DXA vs. TBK, 0.09 +/- 6.26 and 0.50 +/- 5.26 kg for controls and IDDM patients respectively; DXA vs. TBW, -2.07 +/- 2.56 and -1.07 +/- 4.58 kg; DXA vs. Ucrea, -2.62 +/- 8.02 and 2.00 +/- 10.0 kg; DXA...

Dual-energy X-ray absorptiometry applied to the assessment of tibial subchondral bone mineral density in osteoarthritis of the knee

International Nuclear Information System (INIS)

Clarke, S.; Duddy, J.; Nickols, G.; Kirwan, J.R.; Wakeley, C.; Watt, I.; Ellingham, K.; Sharif, M.; Elson, C.J.

2004-01-01

Plain X-ray is an imprecise tool for monitoring the subchondral bony changes associated with the development of knee osteoarthritis (OA). Our objective was to develop and validate a technique for assessing tibial subchondral bone density (BMD) in knee OA using dual energy X-ray absorptiometry (DXA). Patients with OA of at least one knee underwent DXA scanning of both knees. Regions of interest (ROI) were placed in the lateral and medial compartments of tibial subchondral bone. Weight-bearing plain X-rays and Te 99m scintiscans of both knees were obtained and scored. One hundred and twelve patients (223 knees) underwent DXA and radiography. Intra-observer CV% was 2.4% and 1.0% for the medial and lateral ROI respectively. Definite OA (Kellgren and Lawrence Grade 2, 3 or 4) was correlated with age-related preservation of subchondral BMD compared to radiographically normal knees. Raised BMD was also associated with subchondral sclerosis, and positive scintigraphy. DXA may provide a safe, rapid and reliable means of assessing knee OA. Cross-sectional age-related subchondral tibial BMD loss is attenuated by knee OA. (orig.)

Direct X-ray radiogrammetry versus dual-energy X-ray absorptiometry: assessment of bone density in children treated for acute lymphoblastic leukaemia and growth hormone deficiency

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Rijn, Rick R. van; Wittenberg, Rianne [Academic Medical Centre Amsterdam, Department of Radiology, Amsterdam Zuid-Oost (Netherlands); Boot, Annemieke; Sluis, Inge M. van der; MuinckKeizer-Schrama, Sabine M.P.F. de [Erasmus MC-Sophia Children' s Hospital, Department of Paediatric Endocrinology, Rotterdam (Netherlands); Heuvel-Eibrink, Marry M. van den [Erasmus MC-Sophia Children' s Hospital, Department of Paediatric Haematology/Oncology, Rotterdam (Netherlands); Lequin, Maarten H. [Erasmus MC-Sophia Children' s Hospital, Department of Paediatric Radiology, Rotterdam (Netherlands); Kuijk, Cornelis Van [University Medical Centre ' Radboud' , Department of Radiology, Nijmegen (Netherlands)

2006-03-15

In recent years interest in bone densitometry in children has increased. To evaluate the clinical application of digital X-ray radiogrammetry (DXR) and compare the results with those of dual-energy X-ray absorptiometry (DXA). A total of 41 children with acute lymphoblastic leukaemia (ALL) and 26 children with growth hormone deficiency (GHD) were included in this longitudinal study. Radiographs of the left hand were obtained and used for DXR. DXA of the total body and of the lumbar spine was performed. In both study populations significant correlations between DXR and DXA were found, and, with the exception of the correlation between DXR bone mineral density (DXR-BMD) and bone mineral apparent density in the GHD population, all correlations had a P-value of <0.001. During treatment a change in DXR-BMD was found in children with GHD. Our study showed that DXR in a paediatric population shows a strong correlation with DXA of the lumbar spine and total body and that it is able to detect a change in BMD during treatment. (orig.)

Direct X-ray radiogrammetry versus dual-energy X-ray absorptiometry: assessment of bone density in children treated for acute lymphoblastic leukaemia and growth hormone deficiency

International Nuclear Information System (INIS)

Rijn, Rick R. van; Wittenberg, Rianne; Boot, Annemieke; Sluis, Inge M. van der; MuinckKeizer-Schrama, Sabine M.P.F. de; Heuvel-Eibrink, Marry M. van den; Lequin, Maarten H.; Kuijk, Cornelis Van

2006-01-01

In recent years interest in bone densitometry in children has increased. To evaluate the clinical application of digital X-ray radiogrammetry (DXR) and compare the results with those of dual-energy X-ray absorptiometry (DXA). A total of 41 children with acute lymphoblastic leukaemia (ALL) and 26 children with growth hormone deficiency (GHD) were included in this longitudinal study. Radiographs of the left hand were obtained and used for DXR. DXA of the total body and of the lumbar spine was performed. In both study populations significant correlations between DXR and DXA were found, and, with the exception of the correlation between DXR bone mineral density (DXR-BMD) and bone mineral apparent density in the GHD population, all correlations had a P-value of <0.001. During treatment a change in DXR-BMD was found in children with GHD. Our study showed that DXR in a paediatric population shows a strong correlation with DXA of the lumbar spine and total body and that it is able to detect a change in BMD during treatment. (orig.)

Agreement Between Bioelectrical Impedance and Dual-Energy X-Ray Absorptiometry to Track Changes in Fat-Free Mass After Resistance Training in Older Women.

Science.gov (United States)

Nascimento, Matheus A; Silva, Danilo R P; Ribeiro, Alex S; Pina, Fábio L C; Gerage, Aline M; Gobbo, Luís A; Mayhew, Jerry L; Cyrino, Edilson S

2018-05-23

Nascimento, MA, Silva, DRP, Ribeiro, AS, Pina, FLC, Gerage, AM, Gobbo, LA, Mayhew, JL, and Cyrino, ES. Agreement between bioelectrical impedance and dual-energy x-ray absorptiometry to track changes in fat-free mass after resistance training in older women. J Strength Cond Res XX(X): 000-000, 2018-The aim of our study was to compare the agreement between bioelectrical impedance (BIA) and dual-energy X-ray absorptiometry (DXA) to track changes on fat-free mass (FFM) after a resistance training (RT) program in older women. Forty-three older women (65.2 ± 4.6 years, 59.5 ± 9.2 kg, 156.4 ± 6.0 cm, 24.3 ± 3.3 kg·m) participated in a RT intervention (12 weeks, 8 exercises, 2 sets, 10-15 repetitions, 3 nonconsecutive days per week). Fat-free mass changes were determined by a single-frequency BIA device (EQ1), 6 BIA prediction equations for older women (EQ2, EQ3, EQ4, EQ5, EQ6, and EQ7), and DXA. At pretraining, 3 equations overpredicted, and 3 underpredicted DXA FFM (F = 244.63, p FFM (F = 176.25, p FFM (0.65 ± 0.82 kg; p FFM. Low correlations between FFM and equation change values suggest that single-frequency BIA-derived equations may not provide sufficient accuracy to track changes in FFM after 12 weeks of RT in older women.

Body Fat Percentages by Dual-energy X-ray Absorptiometry Corresponding to Body Mass Index Cutoffs for Overweight and Obesity in Indian Children

Directory of Open Access Journals (Sweden)

Deepa Pandit

2009-01-01

Full Text Available Background Indians are suspected to have higher body fat percent at a given body mass index (BMI than their western counterparts. Objective To estimate percent body fat in apparently healthy Indian children and adolescents by dual-energy X-ray absorptiometry (DXA and explore linkages of BMI with body fat percent for better health risk assessment. Methods Age, weight, height of 316 boys and 250 girls (6–17 years were recorded. Body composition was measured by dual-energy X-ray absorptiometry (DXA. High adiposity was defined as body fat percent (BF% > McCarthy's 85th percentile of body fat reference data. Receiver operating characteristic analysis (ROC was carried out for CDC BMI Z score for it's ability to judge excess fatness. Results High BF% was seen in 38.5% boys and 54.0% girls (p < 0.05. Percentage of obese children as defined by the BMI cutoffs of International Obesity Task Force (IOTF (2.1% for boys and 6.9% for girls was lower than that using Indian (13.7% for boys and 20.9% for girls and CDC (14.1% for boys and 20.9% for girls cutoffs. The point closest to one on the ROC curves of CDC BMI Z-scores indicated high adiposity at BMI cutoff of 22 at the age of 17 yr in both the genders. Conclusions Higher body fat percentage is associated with lower BMI values in Indian children.

Percentage body fat by dual-energy X-ray absorptiometry is associated with menstrual recovery in adolescents with anorexia nervosa.

Science.gov (United States)

Pitts, Sarah; Blood, Emily; Divasta, Amy; Gordon, Catherine M

2014-06-01

To evaluate mediators of resumption of menses (ROM) in adolescents with anorexia nervosa (AN). Anthropometrics, body composition by dual-energy X-ray absorptiometry, hormonal studies, and responses to mental health screens were obtained at 6-month intervals for 18 months in 37 adolescents with AN randomized to the placebo arm of a double-blind treatment trial. Outcomes were compared between subjects with menstrual recovery and those without. Twenty-four subjects (65%) had ROM. Higher percentage body fat was associated with ROM (odds ratio, 1.19; 95% confidence interval, 1.06, 1.33; p adolescents with AN. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Pediatric dual-energy X-ray absorptiometry: interpretation and clinical and research application

Directory of Open Access Journals (Sweden)

Jung Sub Lim

2010-03-01

Full Text Available Peak bone mass is established predominately during childhood and adolescence. It is an important determinant of future resistance to osteoporosis and fractures to gain bone mass during growth. The issue of low bone density in children and adolescents has recently attracted much attention and the use of pediatric dual-energy X-ray absorptiometry (DXA is increasing. The process of interpretation of pediatric DXA results is different from that of adults because normal bone mineral density (BMD of children varies by age, body size, pubertal stage, skeletal maturation, sex, and ethnicity. Thus, an appropriate normal BMD Z-score reference value with Z-score should be used to detect and manage low BMD. Z-scores below -2.0 are generally considered a low BMD to pediatrician even though diagnoses of osteoporosis in children and adolescents are usually only made in the presence of at least one fragility fracture. This article will review the basic knowledge and practical guidelines on pediatric DXA based on the International Society for Clinical Densitometry (ISCD Pediatric Official Positions. Also discussed are the characteristics of normal Korean children and adolescents with respect to BMD development. The objective of this review is to help pediatricians to understand when DXA will be useful and how to interpret pediatric DXA reports in the clinical practice for management of children with the potential to develop osteoporosis in adulthood.

Bone mineral analysis through dual energy X-ray absorptiometry in laboratory animals

International Nuclear Information System (INIS)

Tsujio, Masashi; Mizorogi, Toshihiro; Kitamura, Itsuko

2009-01-01

To determine how to eliminate species difference in animal bone experiment, bone mineral content (BMC) was measured using dual energy X-ray absorptiometry (DXA) on the femurs of laboratory mice (Mus musculus) and rats (Rattus norvegicus), and common marmosets (Callithrix jacchus). Measures were taken on femurs in situ, detached from the body, skinned and defleshed, or dried completely. When the BMC of the bone measured in the intact limb attached to the trunk was set at 100%, the actual BMC of the dry bone was 58.7±11.5% in mice and 103.2±3.2% in rats. Similarly, the bone area (Area) and bone mineral density (BMD) of the dried femur was significantly lower in the mouse femurs than intact limb. Thus, soft limb tissue such as skin and muscle modified the BMC, Area, and BMD only in mouse but not in those from rats or marmosets. The bone mineral ratio (BMR; BMC divided by dry bone weight) was nearest to the human bone value in the rat femurs, whereas the mouse femur BMR was the most different. The BMR was proved to be a practical index in evaluating bone characteristics in laboratory animals, but the mouse femur might not be suitable as an animal model for research into the aging of human bone. (author)

Point-of-Care Phalangeal Bone Mineral Density Measurement Can Reduce the Need of Dual-Energy X-Ray Absorptiometry Scanning in Danish Women at Risk of Fracture

DEFF Research Database (Denmark)

Holmberg, Teresa; Bech, Mickael; Gram, Jeppe

2016-01-01

Identifying persons with a high risk of osteoporotic fractures remains a challenge. DXA uptake in women with elevated risk of osteoporosis seems to be depending on distance to scanning facilities. This study aimed to investigate the ability of a small portable scanner in identifying women...... with reduced bone mineral density (BMD), and to define triage thresholds for pre-selection. Total hip and lumbar spine BMD was measured by dual-energy X-ray absorptiometry and phalangeal BMD by radiographic absorptiometry in 121 Danish women with intermediate or high 10-year fracture probability (aged 61...... and only 6 % of women in the low-risk group would be false negatives....

A study of percentage body fat in children via dual energy X-ray absorptiometry (DEXA)

International Nuclear Information System (INIS)

Kawano, Shoji; Yagi, Shinichi; Fujino, Mitsuyoshi; Tanaka, Hiroyuki; Morita, Tetsuro; Fukunaga, Masao

1994-01-01

Percentage body fat was measured using dual energy X-ray absorptiometry (DEXA), bioelectrical impedance analysis (BIA) and skin fold calipers on 26 children (nine in obesity group, 12 in healthy group and 5 in steroid treated group). Mean percent body fat did not differ significantly between methods in the whole subjects as well as the healthy group and the steroid treated group. However, the mean percent body fat using skin fold caliper was higher for the obesity group than the other two. The measurements of all cases in the obesity group by DEXA were higher than those of BIA. There were high correlations among the percent body fat obtained by each technique. According to the analysis of mean regional percent fat, the percent fat of legs was the highest in the healthy and steroid treated group, while there was no regional difference in the obesity group. It should be possible to classify each case in the obesity group into upper segment and lower segment obesity by DEXA. (author)

Volume and Tissue Composition Changes Measured with Dual-Energy X-Ray Absorptiometry in Melanoma-Related Limb Lymphedema

DEFF Research Database (Denmark)

Gjorup, Caroline A; Hendel, Helle W; Zerahn, Bo

2017-01-01

Abstracts Background: The aim of this cross-sectional study was to investigate the volume, fat mass, and lean mass in both upper and lower limbs measured with dual-energy X-ray absorptiometry (DXA) in melanoma patients with melanoma-related limb lymphedema. METHODS AND RESULTS: Four hundred thirty...... lymphedema was diagnosed on the basis of history and characteristic physical findings on the clinical examination. The inter-limb differences in volume, fat mass, and lean mass measured with DXA were categorized as none/mild, moderate, or severe according to reference values (taking handedness into account......, and the majority of lymphedemas were categorized as mild. The increase in the volume of limbs with lymphedema was primarily due to an increase in fat mass. CONCLUSION: There is a high prevalence of melanoma-related limb lymphedema. The increase in volume in the limb with lymphedema is primarily due to an increase...

Bone densitometry by dual-energy X-ray absorptiometry (DXA in preterm newborns compared with full-term peers in the first six months of life

Directory of Open Access Journals (Sweden)

Virginia S. Quintal

2014-12-01

Full Text Available OBJECTIVES: To longitudinally assess bone mineral content (BMC, bone mineral density (BMD, and whole-body lean mass obtained through bone densitometry by dual-energy X-ray absorptiometry (DXA in preterm newborns (PTNs and compare them with full-term newborns (FTNs from birth to 6 months of corrected postnatal age. METHODS: A total of 28 adequate for gestational age (AGA newborns were studied: 14 preterm and 14 full-term newborns. DXA was used to determine BMC, BMD, and lean mass in three moments: 40 weeks corrected post-conceptual age, as well as 3 and 6 months of corrected postnatal age. PTNs had gestational age ≤ 32 weeks at birth and were fed their mother's own milk or milk from the human milk bank. RESULTS: All infants had an increase in BMC, BMD, and lean body mass values during the study. PTNs had lower BMC, BMD, and lean mass at 40 weeks of corrected post-conceptual age in relation to FTNs (p < 0.001, p < 0.001, p = 0.047, respectively. However, there was an acceleration in the mineralization process of PTNs, which was sufficient to achieve the normal values of FTNs at 6 months of corrected age. CONCLUSIONS: This study suggests that bone densitometry by dual-energy X-ray absorptiometry is a good method for the assessment of body composition parameters at baseline, and at the follow-up of these PTNs.

Measuring body composition in dogs using multifrequency bioelectrical impedance analysis and dual energy X-ray absorptiometry.

Science.gov (United States)

Rae, L S; Vankan, D M; Rand, J S; Flickinger, E A; Ward, L C

2016-06-01

Thirty-five healthy, neutered, mixed breed dogs were used to determine the ability of multifrequency bioelectrical impedance analysis (MFBIA) to predict accurately fat-free mass (FFM) in dogs using dual energy X-ray absorptiometry (DXA)-measured FFM as reference. A second aim was to compare MFBIA predictions with morphometric predictions. MFBIA-based predictors provided an accurate measure of FFM, within 1.5% when compared to DXA-derived FFM, in normal weight dogs. FFM estimates were most highly correlated with DXA-measured FFM when the prediction equation included resistance quotient, bodyweight, and body condition score. At the population level, the inclusion of impedance as a predictor variable did not add substantially to the predictive power achieved with morphometric variables alone; in individual dogs, impedance predictors were more valuable than morphometric predictors. These results indicate that, following further validation, MFBIA could provide a useful tool in clinical practice to objectively measure FFM in canine patients and help improve compliance with prevention and treatment programs for obesity in dogs. Copyright © 2016. Published by Elsevier Ltd.

Dual Energy X Ray Absorptiometry for Bone Mineral Density and Body Composition Assessment (Arabic Edition)

International Nuclear Information System (INIS)

2013-01-01

The IAEA assists Member States in their efforts to develop effective evidence based interventions to combat malnutrition in all its forms using nuclear techniques. The unique characteristics of nuclear techniques in nutrition, in particular stable isotope techniques and dual energy X ray absorptiometry (DXA), make these methods highly suitable for development and evaluation of interventions to address the double burden of malnutrition, i.e. 'undernutrition' and 'overnutrition', globally. This publication provides information on the theoretical background and practical application of state of the art methodology for bone mineral density (BMD) measurements and body composition assessment by DXA. The IAEA has contributed to the development and transfer of technical expertise in the use of DXA in Member States through support to national and regional nutrition projects via the technical cooperation programme and coordinated research projects addressing priority areas in nutrition. This book will be an important part of the IAEA's efforts to transfer technology and to contribute to capacity building in this field. The publication was developed by an international group of experts and is intended for nutritionists, radiation technologists, researchers and health professionals using DXA for BMD measurements and body composition assessment.

Fat to muscle ratio measurements with dual energy x-ray absorbtiometry

Energy Technology Data Exchange (ETDEWEB)

Chen, A. [Shenzhen College of International Education, 1st HuangGang Park St., Shenzhen, GuangDong (China); Luo, J. [Department of Biomedical Engineering, University at Buffalo, 332 Bonner Hall, Buffalo, NY 14260-1920 (United States); Wang, A. [Department of Computer Science, Carnegie Mellon University, Pittsburgh, PA 15213 (United States); Broadbent, C. [School of Engineering, Columbia University, 1130 Amsterdam Av., New York, NY 10027 (United States); Zhong, J. [Department of English, Dartmouth College, 6032 Sanborn House, Hanover, NH 03755 (United States); Dilmanian, F.A. [Departments of Radiation Oncology, Neurology, and Radiology, Stony Brook University, Stony Brook, NY 11794 (United States); Zafonte, F.; Zhong, Z. [National Synchrotron Light Source II, Brookhaven National Laboratory, Bldg. 743, Upton, NY 11973 (United States)

2015-07-11

Accurate measurement of the fat-to-muscle ratio in animal model is important for obesity research. An efficient way to measure the fat to muscle ratio in animal model using dual-energy absorptiometry is presented in this paper. A radioactive source exciting x-ray fluorescence from a target material is used to provide the two x-ray energies needed. The x-rays, after transmitting through the sample, are measured with an energy-sensitive Ge detector. Phantoms and specimens were measured. The results showed that the method was sensitive to the fat to muscle ratios with good linearity. A standard deviation of a few percent in the fat to muscle ratio could be observed with the x-ray dose of 0.001 mGy.

Preliminary research on dual-energy X-ray phase-contrast imaging

Science.gov (United States)

Han, Hua-Jie; Wang, Sheng-Hao; Gao, Kun; Wang, Zhi-Li; Zhang, Can; Yang, Meng; Zhang, Kai; Zhu, Pei-Ping

2016-04-01

Dual-energy X-ray absorptiometry (DEXA) has been widely applied to measure the bone mineral density (BMD) and soft-tissue composition of the human body. However, the use of DEXA is greatly limited for low-Z materials such as soft tissues due to their weak absorption, while X-ray phase-contrast imaging (XPCI) shows significantly improved contrast in comparison with the conventional standard absorption-based X-ray imaging for soft tissues. In this paper, we propose a novel X-ray phase-contrast method to measure the area density of low-Z materials, including a single-energy method and a dual-energy method. The single-energy method is for the area density calculation of one low-Z material, while the dual-energy method aims to calculate the area densities of two low-Z materials simultaneously. Comparing the experimental and simulation results with the theoretical ones, the new method proves to have the potential to replace DEXA in area density measurement. The new method sets the prerequisites for a future precise and low-dose area density calculation method for low-Z materials. Supported by Major State Basic Research Development Program (2012CB825800), Science Fund for Creative Research Groups (11321503) and National Natural Science Foundation of China (11179004, 10979055, 11205189, 11205157)

Total and Segmental Body Composition Examination in Collegiate Football Players Using Multifrequency Bioelectrical Impedance Analysis and Dual X-ray Absorptiometry.

Science.gov (United States)

Raymond, Christiana J; Dengel, Donald R; Bosch, Tyler A

2018-03-01

Raymond, CJ, Dengel, DR, and Bosch, TA. Total and segmental body composition examination in collegiate football players using multifrequency bioelectrical impedance analysis and dual X-ray absorptiometry. J Strength Cond Res 32(3): 772-782, 2018-The current study examined the influence of player position on the agreement between multifrequency bioelectrical impedance analysis (MfBIA) and dual X-ray absorptiometry (DXA) when assessing total and segmental percent body fat (BF%), fat mass (FM), and fat-free mass (FFM) in National Collegiate Athletic Association Division I collegiate football athletes. Forty-four male collegiate athletes (age = 19 ± 1 year; height = 1.9 ± 1.0 m; and body mass = 106.4 ± 18.8 kg) participated. Player positions included: offensive linemen (OL; n = 7), tight ends (TE; n = 4), wide receivers (WR; n = 9), defensive linemen (DL; n = 6), defensive backs (DB; n = 8), linebackers (LB; n = 6), and running backs (RB; n = 4). Total and segmental body composition measured using MfBIA were compared with values obtained using DXA. Compared with DXA, MfBIA underestimated BF% (3.0 ± 3.8%), total FM (2.5 ± 4.3 kg), arm FM (0.4 ± 0.8 kg), arm FFM (1.4 ± 0.9 kg), leg FM (2.8 ± 2.0 kg), and leg FFM (5.4 ± 2.4 kg) (all p FFM (-2.4 ± 4.5 kg) (p FFM), ±3.83 kg (leg FM), ±4.62 kg (leg FFM), and ±8.83 kg (total FFM). No significant differences were observed between devices for trunk FM (-0.3 ± 3.0 kg; p = 0.565) and trunk FFM (0.4 ± 2.4 kg; p = 0.278), with LOAs of ±5.92 and ±4.69 kg, respectively. Player position significantly affected all between-device mean body composition measurement differences (adjusted p ≤ 0.05), with OL demonstrating the greatest effect on each variable. Therefore, MfBIA does not seem accurate in examining between-player body composition in college football players.

Comparison of Circumference Measures and Height-Weight Tables With Dual-Energy X-Ray Absorptiometry Assessment of Body Composition in R.O.T.C. Cadets.

Science.gov (United States)

Mitchell, Katherine M; Pritchett, Robert C; Gee, David L; Pritchett, Kelly L

2017-09-01

Mitchell, KM, Pritchett, RC, Gee, DL, and Pritchett, KL. Comparison of circumference measures and height-weight tables with dual-energy X-ray absorptiometry assessment of body composition in R.O.T.C. cadets. J Strength Cond Res 31(9): 2552-2556, 2017-Height-weight tables and circumference measures are used by the U.S. Army to predict body composition because they require little equipment or expertise. However, agreement between the Army's new 2002 circumference equation and an established laboratory technique has not been determined. The purpose of this study was to quantify agreement in body fat percentages between the Army's circumference measures (taping) and dual-energy X-ray absorptiometry (DXA); second to determine categorical agreement between height-weight tables and DXA. Male Reserve Officer Training Corps (R.O.T.C.) cadets (N = 23; 20.6 ± 1.6 years, 179.1 ± 6.6 cm; 81.4 ± 10.3 kg) were taped according to Army protocol to predict body fat. The % body fat prediction was compared with DXA through a Bland-Altman Plot with ±2-4% body fat established as a zone of agreement (ZOA). Thirteen out of 23 cadets fell outside the ZOA. No cadet was over the compliance threshold (20-22% fat) using the tape method, however, with DXA, 7 out of 23 cadets were noncompliant. Height-weight tables provided a moderate level of categorical agreement with DXA. The results depict poor agreement between taping and DXA, as taping generally underestimated % body fat. Compared with taping, height-weight tables were better able to identify excess fat weight.

Dual-energy X-ray absorptiometry body composition in patients with secondary osteoporosis.

Science.gov (United States)

Messina, Carmelo; Monaco, Cristian Giuseppe; Ulivieri, Fabio Massimo; Sardanelli, Francesco; Sconfienza, Luca Maria

2016-08-01

Due to the tight relationship between bone and soft tissues, there has been an increased interest in body composition assessment in patients with secondary osteoporosis as well as other pathological conditions. Dual-energy X-ray absorptiometry (DXA) is primarily devoted to the evaluation of bone mineral status, but continuous scientific advances of body composition software made DXA a rapid and easily available technique to assess body composition in terms of fat mass and lean mass. As a result, the International Society for Clinical Densitometry (ISCD) recently developed Official Positions regarding the use of this technique for body composition analysis. According to ISCD paper, indications are mainly limited to three conditions: HIV patients treated with antiretroviral agents associated with a risk of lipoatrophy; obese patients undergoing treatment for high weight loss; patients with sarcopenia or muscle weakness. Nevertheless, there are several other interesting clinical applications that were not included in the ISCD position paper, such as body composition assessment in patients undergoing organ transplantation, pulmonary disease as well as all those chronic condition that may lead to malnutrition. In conclusion, DXA body composition offers new diagnostic and research possibilities for a variety of diseases; due to its high reproducibility, DXA has also the potential to monitor body composition changes with pharmacological, nutritional or physic therapeutic interventions. ISCD addressed and recommended a list of clinical condition, but the crescent availability of DXA scans and software improvements may open the use of DXA to other indication in the next future. This article provides an overview of DXA body composition indications in the management of secondary osteoporosis and other clinical indications in adults. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Dual-energy X-ray absorptiometry: analysis of pediatric fat estimate errors due to tissue hydration effects.

Science.gov (United States)

Testolin, C G; Gore, R; Rivkin, T; Horlick, M; Arbo, J; Wang, Z; Chiumello, G; Heymsfield, S B

2000-12-01

Dual-energy X-ray absorptiometry (DXA) percent (%) fat estimates may be inaccurate in young children, who typically have high tissue hydration levels. This study was designed to provide a comprehensive analysis of pediatric tissue hydration effects on DXA %fat estimates. Phase 1 was experimental and included three in vitro studies to establish the physical basis of DXA %fat-estimation models. Phase 2 extended phase 1 models and consisted of theoretical calculations to estimate the %fat errors emanating from previously reported pediatric hydration effects. Phase 1 experiments supported the two-compartment DXA soft tissue model and established that pixel ratio of low to high energy (R values) are a predictable function of tissue elemental content. In phase 2, modeling of reference body composition values from birth to age 120 mo revealed that %fat errors will arise if a "constant" adult lean soft tissue R value is applied to the pediatric population; the maximum %fat error, approximately 0.8%, would be present at birth. High tissue hydration, as observed in infants and young children, leads to errors in DXA %fat estimates. The magnitude of these errors based on theoretical calculations is small and may not be of clinical or research significance.

[Body composition by dual-energy x-ray absorptiometry in women with fibromyalgia].

Science.gov (United States)

Lobo, Márcia Maria Marques Teles; Paiva, Eduardo dos Santos; Andretta, Aline; Schieferdecker, Maria Eliana Madalozzo

2014-01-01

To assess body composition in women with fibromyalgia (FM) comparing to the reference value for healthy women. Cross-sectional observational analytical study, with 52 women selected with Fibromyalgia, according American College of Rheumatology (ACR, 1990) criteria. The patients were selected in Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR) and divided into two groups, 28 patients with a BMI (Body Mass Index) equal or higher (≥) than 25kg/m2 and 24 patients with BMI less or equal (≤) 24.99 kg/m2, subjected to physical examination for the count of tender points (TP) and completing the fibromyalgia impact questionnaire (FIQ). The assessment of body composition was performed by the Dual-Energy X-Ray Absorptiometry (DXA). The values of the fat mass percentage (MG %) found in the two groups were compared to the average percentage of MG by age and sex, described by Heward (2004). The mean age of the study groups was 47.8 ± 8.6 years, the FIQ score was 70.5 ± 18.6 and TP 16.2 ± 2.0. The mean BMI was 26.4 ± 4.1 kg/m2, and the amount of MG was 25.2 ± 7.8 kg and 39.5 ± 6.8%, and lean mass (LM) was 37 2 ± 3.7 kg and 60.4 ± 7.3%. In the group with BMI ≤ 25 kg/m2, the MG % was 33.8% (21.5 -42.4) and in the group with BMI ≥ 25 kg/m2 of the MG was 44.4% (37.6 -56.2). Both groups women with FM eutrophic as the overweight and obese group, presented higher reference MG% levels comparing with the standard levels for healthy women. Copyright © 2014 Elsevier Editora Ltda. All rights reserved.

The evaluation of breast tissues removed during reductive mammaplasty with dual energy X-ray absorptiometry

International Nuclear Information System (INIS)

De Lorenzo, Antonino; Gravante, Gianpiero; Sorge, Roberto; Nicoli, Fabio; Caruso, Riccardo; Araco, Antonino; Servidio, Michele; Orlandi, Augusto; Cervelli, Valerio

2009-01-01

Purpose: We conducted a case-control study in which patients were evaluated with dual energy X-ray absorptiometry (DEXA) before and after breast reduction surgery, and results were correlated with the histological examination. Our goal was to confirm the DEXA as a precise technique for the measurement of breast composition, in order to propose it for the preoperative evaluation of plastic surgery patients. Materials and methods: We prospectively recruited all women that underwent reduction mammaplasty and excluded patients with contraindications to the operation or those that previously underwent bariatric surgery to reduce their weight. Patients were evaluated with DEXA 1 week before and after surgery. Results: From February to October 2006 we recruited 25 patients. The statistical analysis found a significant reduction of weight, BMI, regional fat free mass and fat mass after the operation. The comparison between DEXA and the histological analysis produced a correlation r = 0.989 (r 2 = 0.978), with a predictivity of 98% and a percentage of error 8.3% (95% confidence intervals -252.6, 273.7; 95% limits of agreements of Bland and Altman -436.0, 457.1). Similar results were obtained with the analysis of fat. Conclusions: Our study demonstrated that conventional segmental DEXA is a very precise technique to measure the amount of tissue removed in breast reductions and could open future application in the preoperative assessment of patients undergoing such operations.

The evaluation of breast tissues removed during reductive mammaplasty with dual energy X-ray absorptiometry

Energy Technology Data Exchange (ETDEWEB)

De Lorenzo, Antonino [Division of Human Nutrition, University of Tor Vergata in Rome (Italy); Gravante, Gianpiero [Division of Human Nutrition, University of Tor Vergata in Rome (Italy); Department of Surgery, Whipps Cross University Hospital, London (United Kingdom)], E-mail: ggravante@hotmail.com; Sorge, Roberto [Laboratory of Biometry, University of Tor Vergata in Rome (Italy); Nicoli, Fabio; Caruso, Riccardo; Araco, Antonino [Department of Plastic Surgery, University of Tor Vergata in Rome (Italy); Servidio, Michele [Division of Human Nutrition, University of Tor Vergata in Rome (Italy); Orlandi, Augusto [Department of Biopathology, Anatomic Pathology Institute, University of Tor Vergata in Rome (Italy); Cervelli, Valerio [Department of Plastic Surgery, University of Tor Vergata in Rome (Italy)

2009-06-15

Purpose: We conducted a case-control study in which patients were evaluated with dual energy X-ray absorptiometry (DEXA) before and after breast reduction surgery, and results were correlated with the histological examination. Our goal was to confirm the DEXA as a precise technique for the measurement of breast composition, in order to propose it for the preoperative evaluation of plastic surgery patients. Materials and methods: We prospectively recruited all women that underwent reduction mammaplasty and excluded patients with contraindications to the operation or those that previously underwent bariatric surgery to reduce their weight. Patients were evaluated with DEXA 1 week before and after surgery. Results: From February to October 2006 we recruited 25 patients. The statistical analysis found a significant reduction of weight, BMI, regional fat free mass and fat mass after the operation. The comparison between DEXA and the histological analysis produced a correlation r = 0.989 (r{sup 2} = 0.978), with a predictivity of 98% and a percentage of error 8.3% (95% confidence intervals -252.6, 273.7; 95% limits of agreements of Bland and Altman -436.0, 457.1). Similar results were obtained with the analysis of fat. Conclusions: Our study demonstrated that conventional segmental DEXA is a very precise technique to measure the amount of tissue removed in breast reductions and could open future application in the preoperative assessment of patients undergoing such operations.

Dual-energy X-ray absorptiometry is a valid tool for assessing skeletal muscle mass in older women.

Science.gov (United States)

Chen, Zhao; Wang, ZiMian; Lohman, Timothy; Heymsfield, Steven B; Outwater, Eric; Nicholas, Jennifer S; Bassford, Tamsen; LaCroix, Andrea; Sherrill, Duane; Punyanitya, Mark; Wu, Guanglin; Going, Scott

2007-12-01

Assessing skeletal muscle mass (SMM) is critical in studying and detecting sarcopenia. Direct measurements by MRI or computerized tomography are expensive or high in radiation exposure. Dual-energy X-ray absorptiometry (DXA) is promising for body composition assessments, but the validity of DXA for predicting SMM in the elderly is still under investigation. The objective of this study was to assess the relationship between DXA-derived measurements of lean soft tissue mass (LSTM) and SMM in older women. Study participants were postmenopausal women (n = 101) recruited in southern Arizona. Total and regional body composition was measured using MRI and DXA (QDR4500w). The participants' mean age was 70.7 +/- 6.4 y and their mean BMI was 27.4 +/- 5.1 kg/m2. DXA-derived LSTM was highly correlated with MRI-derived SMM for the whole body (r = 0.94; P LSTM assessments for the leg region but not for the total body. In conclusion, although the relationships between DXA measures and MRI-derived SMM vary by region of interest, the overall prediction of SMM by DXA is excellent. We conclude that DXA is a reliable method for cross-sectional assessments of SMM in older women.

Provider Distribution Changes in Dual-Energy X-Ray Absorptiometry in the Medicare Population Over the Past Decade.

Science.gov (United States)

Intenzo, Charles M; Parker, Laurence; Levin, David C; Kim, Sung M; Rao, Vijay M

2016-01-01

Both radiologists as well as nonimaging physicians perform dual-energy X-ray absorptiometry (DXA) imaging in the United States. This study aims to compare provider distribution between these physician groups on the Medicare population, which is the predominant age group of patients evaluated by this imaging procedure. Using the 2 relevant Current Procedural Terminology, Fourth Edition codes for DXA scans, source data were obtained from the CMS Physician Supplier Procedure Summary Master Files from 2003 through 2013. DXA scan procedure volumes for radiologists and nonradiologists on Medicare patients were tabulated. Utilization rates were calculated. From 2003 to 2013, the total number of DXA scans performed on Medicare patients decreased by 2%. However, over the same period, the number of scans performed by radiologists had increased by 25% over nonimaging specialists, whose utilization had declined by approximately the same amount. From 2003 to 2013, the rate of utilization of DXA scans in the Medicare fee-for-service population declined somewhat. However, radiologists continue to gain market share from other specialists and now predominate in this type of imaging by a substantial margin. Copyright © 2016 International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

Magnetic resonance imaging and dual energy X-ray absorptiometry of the lumbar spine in professional wrestlers and untrained men.

Science.gov (United States)

Hu, M; Sheng, J; Kang, Z; Zou, L; Guo, J; Sun, P

2014-08-01

The aim of this study was to examine the relation between bone marrow adipose tissue (BMAT) and bone mineral density (BMD) of lumbar spine in male professional wrestlers and healthy untrained men. A total of 14 wrestlers (22.9±3.4 years) and 11 controls (24.4±1.6 years) were studied cross-sectionally. Body composition and BMD were measured by dual-energy X-ray absorptiometry. Magnetic resonance imaging of the lumbar spine was examined in a sagittal T1-weighted (T1-w) spin-echo (SE) sequence. The averaged bone marrow signal intensity (SI) of L2-L4 was related to the signal of an adjacent nondegenerative disk. Mean SI of T1-w SE in wrestlers was lower than controls (P=0.001), indicating L2-L4 BMAT in wrestlers was lower compared to controls. L2-L4 BMD in wrestlers was higher than controls (PBMAT and BMD was confirmed in this relatively small subject sample with narrow age range, which implies that exercise training is an important determinant of this association.

Total and regional bone mineral content in healthy Spanish subjects by dual-energy X-ray absorptiometry

International Nuclear Information System (INIS)

Aguado Henche, S.; Rodriguez Torres, R.; Clemente de Arriba, C.; Gomez Pellico, L.

2008-01-01

This is an observational cross-sectional study. The aim of the present study was to describe and analyze patterns of change in total and regional bone mineral content in relation to age and gender in a sedentary Spanish sample population (from the Community of Madrid). The age range of the sample population was from birth to 80 years. One thousand one hundred twenty healthy subjects were recruited and divided into 16 groups according to age. Each subject underwent whole-body densitometry using dual-energy X-ray absorptiometry. An analysis was made of the amount of bone mineral content (BMC) in the whole body and in different regions: the head, trunk, upper limbs, and lower limbs. Gender differences in mean values for upper limbs and lower limbs are statistically significant between 16 and 70 years of age. For the head and trunk, the mean BMC values show the most significant gender differences between 16 and 25 years of age (p≤0.001). Total bone mineral content (TBMC) and TBMC-to-height ratio show significant gender differences between 16 and 70 years of age. In females, TBMC values increase up to 20 years of age and in males up to 25 years of age. We have determined an evolutionary normal pattern of bone mineral content in urban Spanish people. (orig.)

Preclinical validation of automated dual-energy X-ray absorptiometry and computed tomography-based body composition measurements

International Nuclear Information System (INIS)

DEVRIESE, Joke; Pottel, Hans; BEELS, Laurence; VAN DE WIELE, Christophe; MAES, Alex; GHEYSENS, Olivier

2016-01-01

The aim of this study was to determine and validate a set of Hounsfield unit (HU) ranges to segment computed tomography (CT) images into tissue types and to test the validity of dual-energy X-ray absorptiometry (DXA) tissue segmentation on pure, unmixed porcine tissues. This preclinical prospective study was approved by the local ethical committee. Different quantities of porcine bone tissue (BT), lean tissue (LT) and adipose tissue (AT) were scanned using DXA and CT. Tissue type segmentation in DXA was performed via the standard clinical protocol and in CT through different sets of HU ranges. Percent coefficients of variation (%CV) were used to assess precision while % differences of observed masses were tested against zero using the Wilcoxon signed-rank Test. Total mass DXA measurements differ little but significantly (P=0.016) from true mass, while total mass CT measurements based on literature values show non-significant (P=0.69) differences of 1.7% and 2.0%. BT mass estimates with DXA differed more from true mass (median -78.2 to -75.8%) than other tissue types (median -11.3 to -8.1%). Tissue mass estimates with CT and literature HU ranges showed small differences from true mass for every tissue type (median -10.4 to 8.8%). The most suited method for automated tissue segmentation is CT and can become a valuable tool in quantitative nuclear medicine.

Dual-energy X-ray absorptiometry diagnostic discordance between Z-scores and T-scores in young adults.

LENUS (Irish Health Repository)

Carey, John J

2009-01-01

Diagnostic criteria for postmenopausal osteoporosis using central dual-energy X-ray absorptiometry (DXA) T-scores have been widely accepted. The validity of these criteria for other populations, including premenopausal women and young men, has not been established. The International Society for Clinical Densitometry (ISCD) recommends using DXA Z-scores, not T-scores, for diagnosis in premenopausal women and men aged 20-49 yr, though studies supporting this position have not been published. We examined diagnostic agreement between DXA-generated T-scores and Z-scores in a cohort of men and women aged 20-49 yr, using 1994 World Health Organization and 2005 ISCD DXA criteria. Four thousand two hundred and seventy-five unique subjects were available for analysis. The agreement between DXA T-scores and Z-scores was moderate (Cohen\\'s kappa: 0.53-0.75). The use of Z-scores resulted in significantly fewer (McNemar\\'s p<0.001) subjects diagnosed with "osteopenia," "low bone mass for age," or "osteoporosis." Thirty-nine percent of Hologic (Hologic, Inc., Bedford, MA) subjects and 30% of Lunar (GE Lunar, GE Madison, WI) subjects diagnosed with "osteoporosis" by T-score were reclassified as either "normal" or "osteopenia" when their Z-score was used. Substitution of DXA Z-scores for T-scores results in significant diagnostic disagreement and significantly fewer persons being diagnosed with low bone mineral density.

Dual-energy X-ray absorptiometry underestimates in vivo lumbar spine bone mineral density in overweight rats.

Science.gov (United States)

Cherif, Rim; Vico, Laurence; Laroche, Norbert; Sakly, Mohsen; Attia, Nebil; Lavet, Cedric

2018-01-01

Dual-energy X-ray absorptiometry (DXA) is currently the most widely used technique for measuring areal bone mineral density (BMD). However, several studies have shown inaccuracy, with either overestimation or underestimation of DXA BMD measurements in the case of overweight or obese individuals. We have designed an overweight rat model based on junk food to compare the effect of obesity on in vivo and ex vivo BMD and bone mineral content measurements. Thirty-eight 6-month old male rats were given a chow diet (n = 13) or a high fat and sucrose diet (n = 25), with the calorie amount being kept the same in the two groups, for 19 weeks. L1 BMD, L1 bone mineral content, amount of abdominal fat, and amount of abdominal lean were obtained from in vivo DXA scan. Ex vivo L1 BMD was also measured. A difference between in vivo and ex vivo DXA BMD measurements (P body weight, perirenal fat, abdominal fat, and abdominal lean. Multiple linear regression analysis shows that body weight, abdominal fat, and abdominal lean were independently related to ex vivo BMD. DXA underestimated lumbar in vivo BMD in overweight rats, and this measurement error is related to body weight and abdominal fat. Therefore, caution must be used when one is interpreting BMD among overweight and obese individuals.

Total and regional bone mineral content in healthy Spanish subjects by dual-energy X-ray absorptiometry

Energy Technology Data Exchange (ETDEWEB)

Aguado Henche, S.; Rodriguez Torres, R.; Clemente de Arriba, C.; Gomez Pellico, L. [Universidad de Alcala, Departamento de Anatomia y Embriologia Humana, Facultad de Medicina, Alcala de Henares, Madrid (Spain)

2008-11-15

This is an observational cross-sectional study. The aim of the present study was to describe and analyze patterns of change in total and regional bone mineral content in relation to age and gender in a sedentary Spanish sample population (from the Community of Madrid). The age range of the sample population was from birth to 80 years. One thousand one hundred twenty healthy subjects were recruited and divided into 16 groups according to age. Each subject underwent whole-body densitometry using dual-energy X-ray absorptiometry. An analysis was made of the amount of bone mineral content (BMC) in the whole body and in different regions: the head, trunk, upper limbs, and lower limbs. Gender differences in mean values for upper limbs and lower limbs are statistically significant between 16 and 70 years of age. For the head and trunk, the mean BMC values show the most significant gender differences between 16 and 25 years of age (p{<=}0.001). Total bone mineral content (TBMC) and TBMC-to-height ratio show significant gender differences between 16 and 70 years of age. In females, TBMC values increase up to 20 years of age and in males up to 25 years of age. We have determined an evolutionary normal pattern of bone mineral content in urban Spanish people. (orig.)

Role of clinical indications of bone mass measurement with bi-photonic X-ray absorptiometry. Interet et indications cliniques des mesures de masse osseuse par absorptiometrie biphotonique a rayons X

Energy Technology Data Exchange (ETDEWEB)

Anon.

Bone densitometry by precise, reliable and non-traumatic methods such as X-ray bi-phonon absorptiometry, is the only way to predict osteoporosis fractures risks. The whole epidemiological studies establish that bone mass loss and osteoporosis risk are directly linked. The measurement of the bone mass is the basis of osteoporosis prevention for elderly women, and of other clinical situations. This paper gives, by a critical analysis of available data, advantages and limits of bone mass measurements by X-ray bi-phonon absorptiometry, and essential clinical indications. (A.B.). 181 refs.

Predicting skeletal muscle mass from dual-energy X-ray absorptiometry in Japanese prepubertal children.

Science.gov (United States)

Midorikawa, T; Ohta, M; Hikihara, Y; Torii, S; Sakamoto, S

2017-10-01

We aimed to develop regression-based prediction equations for estimating total and regional skeletal muscle mass (SMM) from measurements of lean soft tissue mass (LSTM) using dual-energy X-ray absorptiometry (DXA) and investigate the validity of these equations. In total, 144 healthy Japanese prepubertal children aged 6-12 years were divided into 2 groups: the model development group (62 boys and 38 girls) and the validation group (26 boys and 18 girls). Contiguous MRI images with a 1-cm slice thickness were obtained from the first cervical vertebra to the ankle joints as reference data. The SMM was calculated from the summation of the digitized cross-sectional areas. Total and regional LSTM was measured using DXA. Strong significant correlations were observed between the site-matched SMM (total, arms, trunk and legs) measured by MRI and the LSTM obtained by DXA in the model development group for both boys and girls (R 2 adj =0.86-0.97, Pprediction equations were applied to the validation group, the measured total (boys 9.47±2.21 kg; girls 8.18±2.62 kg) and regional SMM were very similar to the predicted values for both boys (total SMM 9.40±2.39 kg) and girls (total SMM 8.17±2.57 kg). The results of the Bland-Altman analysis for the validation group did not indicate any bias for either boys or girls with the exception of the arm region for the girls. These results suggest that the DXA-derived prediction equations are precise and accurate for the estimation of total and regional SMM in Japanese prepubertal boys and girls.

Prediction of appendicular skeletal and fat mass in children: excellent concordance of dual-energy X-ray absorptiometry and magnetic resonance imaging.

Science.gov (United States)

Bridge, Pascale; Pocock, Nicholas A; Nguyen, Tuan; Munns, Craig; Cowell, Christopher T; Thompson, Martin W

2009-09-01

Body composition studies in children have great potential to help understand the aetiology and evolution of acute and chronic. diseases. To validate appendicular lean soft tissue mass (LSTM) and fat mass (FM) measured using dual energy X-ray absorptiometry (DXA), with magnetic resonance imaging (MRI) as the reference standard, in healthy peri-pubertal adolescents. Peri-pubertal Caucasian children (n = 74) aged 11-14 years were evaluated. DXA LSTM and FM of the mid third femur were measured and skeletal muscle mass (SM) and FM of the same region were measured on the same day by MRI. There was a strong correlation between MRI SM and DXA LSTM (r2 = 0.98, index of concordance [C] = 0.91). DXA estimation of LSTM exceeded MRI SM by a mean of 189 g, from 6-371 g (p LSTM measurement in children, confirming its potential in clinical and research roles in paediatric diseases affecting and related to body composition.

Estimation of stature and length of limb segments in children and adolescents from whole-body dual-energy X-ray absorptiometry scans

International Nuclear Information System (INIS)

Abrahamyan, Davit O.; Gazarian, Aram; Braillon, Pierre M.

2008-01-01

Anthropometric standards vary among different populations, and renewal of these reference values is necessary. To produce formulae for the assessment of limb segment lengths. Whole-body dual-energy X-ray absorptiometry scans of 413 Caucasian children and adolescents (170 boys, 243 girls) aged from 6 to 18 years were retrospectively analysed. Body height and the lengths of four long bones (humerus, radius, femur and tibia) were measured. The validity (concurrent validity) and reproducibility (intraobserver reliability) of the measurement technique were tested. High linear correlations (r > 0.9) were found between the mentioned five longitudinal measures. Corresponding linear regression equations for the most important relationships were derived. The tests of validity and reproducibility revealed a good degree of precision of the applied technique. The reference formulae obtained from the analysis of whole-body DEXA scans will be useful for anthropologists, and forensic and nutrition specialists, as well as for prosthetists and paediatric orthopaedic surgeons. (orig.)

How does quantitative ultrasound compare to dual X-ray absorptiometry at various skeletal sites in relation to the WHO diagnosis categories?

DEFF Research Database (Denmark)

Jørgensen, H L; Warming, L; Bjarnason, N H

2001-01-01

group by the investigated parameters is large ranging from 25.9% of the women being diagnosed as osteopenic by BUA at the heel to 43.0% by BMD at the femoral neck. For men, the same range is from 20.5% by BUA to 44.1% by BMD at the femoral neck. For the classification into the osteoporotic group...... with this classification is assessed in terms of sensitivity and specificity. We conclude that there are significant differences in the classification of osteoporosis/osteopenia depending on the site measured and the technique used for the bone mass assessment. Furthermore, we suggest that development of technique...... as either osteopenic or osteoporotic according to these guidelines using dual X-ray absorptiometry (DXA), at the hip, at the spine and at the lower forearm and quantitative ultrasound (QUS), at the heel. A total of 247 men, 209 postmenopausal women and 195 premenopausal women were included in the study...

Fat-free mass prediction equations for bioelectric impedance analysis compared to dual energy X-ray absorptiometry in obese adolescents: a validation study.

Science.gov (United States)

Hofsteenge, Geesje H; Chinapaw, Mai J M; Weijs, Peter J M

2015-10-15

In clinical practice, patient friendly methods to assess body composition in obese adolescents are needed. Therefore, the bioelectrical impedance analysis (BIA) related fat-free mass (FFM) prediction equations (FFM-BIA) were evaluated in obese adolescents (age 11-18 years) compared to FFM measured by dual-energy x-ray absorptiometry (FFM-DXA) and a new population specific FFM-BIA equation is developed. After an overnight fast, the subjects attended the outpatient clinic. After measuring height and weight, a full body scan by dual-energy x-ray absorptiometry (DXA) and a BIA measurement was performed. Thirteen predictive FFM-BIA equations based on weight, height, age, resistance, reactance and/or impedance were systematically selected and compared to FFM-DXA. Accuracy of FFM-BIA equations was evaluated by the percentage adolescents predicted within 5% of FFM-DXA measured, the mean percentage difference between predicted and measured values (bias) and the Root Mean Squared prediction Error (RMSE). Multiple linear regression was conducted to develop a new BIA equation. Validation was based on 103 adolescents (60% girls), age 14.5 (sd1.7) years, weight 94.1 (sd15.6) kg and FFM-DXA of 56.1 (sd9.8) kg. The percentage accurate estimations varied between equations from 0 to 68%; bias ranged from -29.3 to +36.3% and RMSE ranged from 2.8 to 12.4 kg. An alternative prediction equation was developed: FFM = 0.527 * H(cm)(2)/Imp + 0.306 * weight - 1.862 (R(2) = 0.92, SEE = 2.85 kg). Percentage accurate prediction was 76%. Compared to DXA, the Gray equation underestimated the FFM with 0.4 kg (55.7 ± 8.3), had an RMSE of 3.2 kg, 63% accurate prediction and the smallest bias of (-0.1%). When split by sex, the Gray equation had the narrowest range in accurate predictions, bias, and RMSE. For the assessment of FFM with BIA, the Gray-FFM equation appears to be the most accurate, but 63% is still not at an acceptable accuracy level for obese adolescents. The new equation appears to

The reliability of dual-energy X-ray absorptiometry measurements of bone mineral density in the metatarsals

Energy Technology Data Exchange (ETDEWEB)

Fuller, Joel T.; Buckley, Jonathan D.; Tsiros, Margarita D.; Thewlis, Dominic [University of South Australia, Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, GPO Box 2471, Adelaide, South Australia (Australia); Archer, Jane [University of South Australia, Medical Radiation, School of Health Sciences, Adelaide (Australia)

2016-01-15

To investigate the reliability of a simple, efficient technique for measuring bone mineral density (BMD) in the metatarsals using dual-energy X-ray absorptiometry (DXA). BMD of the right foot of 32 trained male distance runners was measured using a DXA scanner with the foot in the plantar position. Separate regions of interest (ROI) were used to assess the BMD of each metatarsal shaft (1st-5th) for each participant. ROI analysis was repeated by the same investigator to determine within-scan intra-rater reliability and by a different investigator to determine within-scan inter-rater reliability. Repeat DXA scans were undertaken for ten participants to assess between-scan intra-rater reliability. Assessment of BMD was consistently most reliable for the first metatarsal across all domains of reliability assessed (intra-class correlation coefficient [ICC] ≥0.97; coefficient of variation [CV] ≤1.5 %; limits of agreement [LOA] ≤4.2 %). Reasonable levels of intra-rater reliability were also achieved for the second and fifth metatarsals (ICC ≥0.90; CV ≤4.2 %; LOA ≤11.9 %). Poorer levels of reliability were demonstrated for the third (ICC ≥0.64; CV ≤8.2 %; LOA ≤23.6 %) and fourth metatarsals (ICC ≥0.67; CV ≤9.6 %; LOA ≤27.5 %). BMD was greatest in the first and second metatarsals (P < 0.01). Reliable measurements of BMD were achieved for the first, second and fifth metatarsals. (orig.)

The reliability of dual-energy X-ray absorptiometry measurements of bone mineral density in the metatarsals

International Nuclear Information System (INIS)

Fuller, Joel T.; Buckley, Jonathan D.; Tsiros, Margarita D.; Thewlis, Dominic; Archer, Jane

2016-01-01

To investigate the reliability of a simple, efficient technique for measuring bone mineral density (BMD) in the metatarsals using dual-energy X-ray absorptiometry (DXA). BMD of the right foot of 32 trained male distance runners was measured using a DXA scanner with the foot in the plantar position. Separate regions of interest (ROI) were used to assess the BMD of each metatarsal shaft (1st-5th) for each participant. ROI analysis was repeated by the same investigator to determine within-scan intra-rater reliability and by a different investigator to determine within-scan inter-rater reliability. Repeat DXA scans were undertaken for ten participants to assess between-scan intra-rater reliability. Assessment of BMD was consistently most reliable for the first metatarsal across all domains of reliability assessed (intra-class correlation coefficient [ICC] ≥0.97; coefficient of variation [CV] ≤1.5 %; limits of agreement [LOA] ≤4.2 %). Reasonable levels of intra-rater reliability were also achieved for the second and fifth metatarsals (ICC ≥0.90; CV ≤4.2 %; LOA ≤11.9 %). Poorer levels of reliability were demonstrated for the third (ICC ≥0.64; CV ≤8.2 %; LOA ≤23.6 %) and fourth metatarsals (ICC ≥0.67; CV ≤9.6 %; LOA ≤27.5 %). BMD was greatest in the first and second metatarsals (P < 0.01). Reliable measurements of BMD were achieved for the first, second and fifth metatarsals. (orig.)

The reliability of dual-energy X-ray absorptiometry measurements of bone mineral density in the metatarsals.

Science.gov (United States)

Fuller, Joel T; Archer, Jane; Buckley, Jonathan D; Tsiros, Margarita D; Thewlis, Dominic

2016-01-01

To investigate the reliability of a simple, efficient technique for measuring bone mineral density (BMD) in the metatarsals using dual-energy X-ray absorptiometry (DXA). BMD of the right foot of 32 trained male distance runners was measured using a DXA scanner with the foot in the plantar position. Separate regions of interest (ROI) were used to assess the BMD of each metatarsal shaft (1st-5th) for each participant. ROI analysis was repeated by the same investigator to determine within-scan intra-rater reliability and by a different investigator to determine within-scan inter-rater reliability. Repeat DXA scans were undertaken for ten participants to assess between-scan intra-rater reliability. Assessment of BMD was consistently most reliable for the first metatarsal across all domains of reliability assessed (intra-class correlation coefficient [ICC] ≥0.97; coefficient of variation [CV] ≤1.5%; limits of agreement [LOA] ≤4.2%). Reasonable levels of intra-rater reliability were also achieved for the second and fifth metatarsals (ICC ≥0.90; CV ≤4.2%; LOA ≤11.9%). Poorer levels of reliability were demonstrated for the third (ICC ≥0.64; CV ≤8.2%; LOA ≤23.6%) and fourth metatarsals (ICC ≥0.67; CV ≤9.6%; LOA ≤27.5%). BMD was greatest in the first and second metatarsals (P Reliable measurements of BMD were achieved for the first, second and fifth metatarsals.

Comparison of bioimpedance analysis and dual-energy x-ray absorptiometry in peritoneal diaysis patients according to edema

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Seok Hui Kang

2012-06-01

Full Text Available The change in difference between bioimpedance analysis (BIA and dual-energy X-ray absorptiometry (DEXA according to edema is an important issue for peritoneal dialysis (PD patients. We reviewed all adults who received PD. Patients had undergone two body composition measurements. 1108 cases were measured simultaneously by BIA and DEXA. Measurements were divided into four quartiles based on edema index. There were significant correlations and intraclass correlations between the two methods for lean mass (LM, fat mass (FM and bone mineral content. On a simple linear regression analysis, non-standardized-βs of total LM decreased as the grade of edema index increased (from 1.008 to 0.949. Those of total FM were increased as the grade of edema index increased (from 1.034 to 1.162. Bias for total LM changed to negative and negative bias increased as the grade of edema index increased (from 0.406 kg to –2.276 kg. There was a positive bias for total FM in first quartile and increased as the grade of edema index increased (from 0.594 kg to 2.863 kg. In conclusion, the present study demonstrates that BIA can measure normal hydrated LM in CAPD patients with edema. However, FM is overestimated in PD patients with edema. The difference between the two measurements increases as the grade of edema increases.

The use of dual X-ray absorptiometry for the determination of skeletal calcium accretion

International Nuclear Information System (INIS)

Ilich, J.Z.; Skugor, M.; Matkovic, V.

1994-01-01

The neutron activation analysis is considered the 'gold standard' method for the measurement of total body calcium (TBCa). The disadvantage of this method is that there are only a few centers that can perform the measurements with good precision, accuracy and relatively low radiation exposure. The measurement of TBCa gives the information about Ca skeletal accretion which is important for the determination of Ca requirements. The purpose of our study was to measure TBCa in adolescent females during different time periods. The TBCa was measured by the use of dual X-ray absorptiometry (DXA), on Lunar DPX-L densitometer (LUNAR Corp., Madison WI). The in-vivo precision of the instrument for TBCa measurements was 0.93%. The study population included 364 healthy, Caucasian females. An average age at baseline was 10.8±0.8 years (mean±SD) and 11.9±0.8 years after 1 year. The subjects underwent pubertal stage (PS) changes of PS 2 to PS 3 in their sexual development. The TBCa was 506±91 g (mean±SD) at baseline and 614±122 g after 1 year, with 21.3% change. Assuming that Ca comprises ∼ 38%% of bone mineral, there was ∼ 108 g of Ca accumulated in 1 year or ∼ 296 mg Ca/day. In addition, we compared Ca accretion measured by DXA (over the 6 months period) and 2 weeks Ca balance study on a subsample of 26 girls. The accumulation of Ca by DXA method was 52g/6 months and the one estimated from balance study was 50g. We conclude that DXA is a suitable noninvasive method for the measurement of TBCa accretion during rapid growth and for clinical intervention trials in adults. (author)

Bone mineral density in healthy Syrian women measured by dual energy X-ray absorptiometry

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Bakir Mohamed Adel

2018-03-01

Full Text Available Assessment of bone mineral density (BMD using dual energy X-ray absorptiometry (DXA technique is considered as a standard technique for diagnosing osteopenia and osteoporosis and evaluating the severity of such diseases. Numerous studies have demonstrated the necessity to establish an ethnic-specific reference data for Bone mineral density measurements. Such data are lacking for the Syrian population. The objectives of this study are (1 to establish BMD reference values in a group of healthy Syrian women using DXA technique, (2 to compare with values from other populations, (3 to study the prevalence of osteopenia and osteoporosis in Syrian women using the manufacturer reference values. A total of 951 healthy Syrian women aged 20-79 years participated in this study. Weight, height, and BMI have been determined. BMD measurements were performed using Lunar Prodigy Advance System (GE. The data were compared with those from other populations. The results have demonstrated the expected decline in BMD with age after peaking at 30-39 years old group. The peak values of the lumbar spine and femur neck were 1.16 (0.12, and 0.95 (0.13 g/cm2, respectively. The results of the Syrian women were compared with those from other populations and the differences were presented. Osteopenia was diagnosed in 35.80% and 60.31% and osteoporosis in 6.23% and 2.72% in lumbar spine and femur neck, respectively, of women 50-59 years of age. These ratios increased to 36.84%, 68.42% and 23.68%, 13.10%, respectively, in the age group more than 59 years. BMD values of the Syrian women were determined for the first time. The results demonstrate the importance of establishing population-specific reference range for BMD values for an accurate assessment of Osteoporosis. High prevalence of osteopenia and osteoporosis was demonstrated in Syrian using the manufacturer reference values.

Age-related proximal femur bone mineral loss in South Indian women: a dual energy X-ray absorptiometry study.

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Anburajan, M; Rethinasabapathi, C; Korath, M P; Ponnappa, B G; Kumar, K S; Panicker, T M; Govindan, A; Jagadeesan, G N

2001-04-01

i) To collect normative data for proximal femur bone mineral density (BMD) in South Indian women using dual energy X-ray absorptiometry (DXA) and ii) to study the rate and significance of hip bone mineral loss with advancing age in this population. Forty five women, whose age ranged from 16 to 84 years were studied. This sample was drawn randomly from general medical practice at KJ Hospital, Chennai, South India during November, 1997 to April, 1998. Of these 45 cases, 21 were pre-menopausal (mean +/- SD age = 30.9+/-8.8 years) and 24 post-menopausal (mean +/- SD age = 62.1+/-11.0 years). Subjects with secondary bone diseases were excluded. Also excluded were those taking any drugs known to affect calcium metabolism e.g., thiazide diuretics, oestrogen and calcium. Subjects were divided into seven decadal age groups from 15-24 years to 75-84 years. BMD of the right proximal femur was evaluated using a QDR-1000 DXA bone densitometer (Hologic Inc., Waltham, Massachusetts, USA). Data analysis was done with SPSS/PC statistical software package. Linear regression analysis showed significant (p India women have been evaluated and it may prove useful for diagnosing osteoporosis in the women of South India.

Impact of hydration status on body composition as measured by dual energy X-ray absorptiometry in normal volunteers and patients on haemodialysis

International Nuclear Information System (INIS)

Horber, F.F.; Thomi, F.; Casez, J.P.; Fonteille, J.; Jaeger, Ph.

1992-01-01

To evaluate the influence of hydration status on the estimation of body composition using dual-energy X-ray absorptiometry (DXA), six normal volunteers and seven patients on maintenance haemodialysis were investigated using two different DXA machines (Lunar DPX, Hologic QDR 1000/W). Normal volunteers were studied (Hologic QDR 1000/W) before and 1 h after ingestion of breakfast, lunch and dinner (drinking various amounts of liquids at each meal, 0.5-2.4 kg). Whereas bone mineral content and body fat mass did not change, lean body mass of the trunk increased as a consequence of the meals. Conversely in patients on haemodialysis (Lunar DPX), lean body mass decreased in all segments of the body as a consequence of removal of 0.9-4.4 kg of salt-containing fluid by haemodialysis (trunk 61%, legs 30%, arms 5.5% and rest of the body 3.5%), whereas bone mineral content and body fat mass remained unchanged. (author)

Detecting meaningful body composition changes in athletes using dual-energy x-ray absorptiometry

International Nuclear Information System (INIS)

Colyer, Steffi L; Roberts, Simon P; Thompson, Dylan; Stokes, Keith A; Bilzon, James L J; Salo, Aki I T; Robinson, Jonathan B

2016-01-01

Dual-energy x-ray absorptiometry (DXA) imaging is considered to provide a valid and reliable estimation of body composition when stringent scanning protocols are adopted. However, applied practitioners are not always able to achieve this level of control and the subsequent impact on measurement precision is not always taken into account when evaluating longitudinal body composition changes. The primary aim of this study was to establish the reliability of DXA in an applied elite sport setting to investigate whether real body composition changes can be detected. Additionally, the performance implications of these changes during the training year were investigated. Forty-eight well-trained athletes (from four diverse sports) underwent two DXA scans using a ‘real-world’ approach (with limited pre-scan controls), typically within 48 h, to quantify typical error of measurement (TEM). Twenty-five athletes underwent further scans, before and after specific training and competition blocks. ‘True’ body composition changes were evaluated using 2  ×  TEM thresholds. Twelve bob skeleton athletes also performed countermovement jump and leg press tests at each time point. Many ‘true’ body composition changes were detected and coincided with the primary training emphases (e.g. lean mass gains during hypertrophy-based training). Clear relationships (r  ±  90% CI) were observed between performance changes (countermovement jump and leg press) and changes in lean mass (0.53  ±  0.26 and 0.35  ±  0.28, respectively) and fat mass (−0.44  ±  0.27 and  −0.37  ±  0.28, respectively). DXA was able to detect real body composition changes without the use of stringent scanning controls. Associations between changes in body composition and performance demonstrated the potential influence of these changes on strength and power indices. (paper)

Morphometric X-ray Absorptiometry: Reference Data for Vertebral Dimensions in a Population-based Sample of Young Danish Men

International Nuclear Information System (INIS)

Wulff, R.; Koch Holst, A.; Nielsen, T.L.; Andersen, M.; Hagen, C.; Brixen, K.

2004-01-01

Purpose: To determine reference values for vertebral heights in healthy young Danish males using morphometric X-ray absorptiometry (MXA). Material and Methods: A population-based study group of 487 males aged between 20 and 30 years (mean 25 years) from the county of Funen, Denmark, were recruited. Using a Hologic QDR 4500 (dual energy X-ray absorptiometry) DXA-scanner, MXA scans covering the vertebrae from T4 to L4 were acquired for each subject. Anterior (Ha), middle (Hm), and posterior (Hp) heights of the thoracic (T4-T12) and lumbar (L1-L4) vertebral bodies were measured. Moreover, wedge, mid-wedge, crush I, and crush II ratios were calculated. Results: No correlation between vertebral dimensions and crush indices on the one hand and age or weight on the other were found. Body height, however, correlated significantly with the cumulated vertebral heights. Reference data for vertebral dimensions, wedge, mid-wedge, crush I, and crush II are tabulated. Conclusion: The anterior, middle, and posterior heights of the vertebral bodies of T4 to L4 can be measured reproducible with MXA. In young men, the cumulative vertebral heights correlated with body height but not with age. Moreover, the wedge and crush indices were unrelated of both age and height

Photon absorptiometry

International Nuclear Information System (INIS)

Valkema, R.; Blokland, J.A.K.; Papapoulos, S.E.; Bijvoet, O.L.M.; Pauwels, E.K.J.

1989-01-01

Osteoporosis is a significant health problem in the western world, with important medical, social and economical consequences. Prevention and treatment require reliable methods for in vivo monitoring of the bone mineral content (BMC) and its change in time. This paper presents an overview of currently used radiological methods, based on photon absorptiometry, and their clinical applications. With recent methods based on dual energy X-ray absorptiometry accurate and precise measurements of axial BMC can be obtained. Whether this improvements allows reliable detection of small changes in BMC remains to be investigated. (Author). 95 refs.; 1 tab

Dual-energy X-ray absorptiometry and force-plate analysis of gait in dogs with healed femora after leg-lengthening plate fixation

International Nuclear Information System (INIS)

Muir, P.; Markel, M.D.; Bogdanske, J.J.; Johnson, K.A.

1995-01-01

Dual-energy x-ray absorptiometry was used to measure bone mineral density of four regions in healed femora of nine dogs after fracture fixation with a leg-lengthening plate. Six to 85 months (mean, 46 months) after surgery, the bone mineral density of healed femora was not significantly different from the contralateral uninjured femora (P > .05; power = 0.8 at delta = 15%). Radiolucencies around the proximal screws, apparently associated with screw loosening, were seen on radiographic views of the healed femora of three dogs. In one of these dogs, one screw in the proximal metaphysis had broken. Force-plate analysis of gait was also performed on dogs at the time of bone mineral density measurement. Peak vertical force was decreased in the pelvic limb with the healed fracture compared with the contralateral unoperated limb (P < 0.05). Clinically apparent lameness in three dogs did not appear to be associated with altered bone mineral density and may have been caused by hip osteoarthritis, a nondisplaced hairline diaphyseal fracture, and screw loosening in conjunction with extensive post-traumatic soft tissue injury

The Influence of Magnetic Resonance Imaging Findings of Degenerative Disease on Dual-Energy X-ray Absorptiometry Measurements in Middle-Aged Men

International Nuclear Information System (INIS)

Donescu, O.S.; Battie, M.C.; Videman, T.

2007-01-01

Purpose: To examine degenerative features based on magnetic resonance imaging (MRI) measurements at the lumbar spine in relation to dual-energy X-ray absorptiometry (DXA), and to investigate whether bone mineral density (BMD) is reflected in the substitution of bone trabecular structure by fat at the vertebral body level indicated by MRI T1 relaxation time, endplate concavity, and hypertrophic (osteophytes and endplate sclerosis) MRI findings. Material and Methods: The sample for this cross-sectional study was composed of 102 subjects, 35-70 years old, from a population-based cohort. Data collection included DXA in the anterior-posterior projection at the L1-L4 vertebrae and right femoral neck, and MRI of the lumbar spine in the midsagittal plane. Results: Age, vertebral signal intensity, osteophytes, and endplate concavity collectively explained 20% of the variance in spine BMD. Conclusion: The study findings suggest that degenerative findings based on MRI measurements at the lumbar spine have an influence on bone assessment using DXA. Therefore, an overall bone assessment such as DXA might not offer an accurate measure of BMD

[Comparison BMC assessed by dual-energy X-ray absorptiometry and multi-frequency bioelectrical impedance in Chinese overweight and obesity adults].

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Wang, Zhenghe; Fu, Lianguo; Yang, Yide; Wang, Shuo; Ma, Jun

2016-05-01

To compare consistency of Body Mineral Content (BMC, kg) assessed by Multi-frequency Bioelectrical Impedance Analysis ( MF-BIA) and Dual Energy X-ray Absorptiometry (DXA) measurement, providing evidence for MF-BIA accurate application in Chinese overweight/obese adults. A total of 1323 overweight/obesity adults aged 22-55 years were recruited voluntarily. All the subjects received the measurement of BMC both using MF-BIA and DXA. To evaluate the agreement of BMC measured by MF-BIA and DXA using interclass correlation coefficients (ICC), then establish correction prediction models. The mean difference of BMC between two methods was significant different with 0, overweight male subgroup was 0.28 kg, and 0.38 kg for obesity male, 0.24 kg for overweight female and 0.36 kg for obesity female, respectively (P BMC between MF-BIA and DXA measurement were statistically significant in all subgroups (P BMC (DXA method) = -0.297 + 1.005 x BMC (MF-BIA method). Obese male population: BMC (DXA method) =0.302 + 0.799 x BMC (MF-BIA method). Overweight female groups: BMC (DXA method) = 0.780 + 0.598 x BMC (MF-BIA method). Obese female group: BMC (DXA method) = 0.755 + 0.597 x BMC (MF-BIA method). Upon examination, correction prediction models were better. Co The correlation and agreement of BMC measured by BIA and DXA are weak in Chinese overweight/obese adults. Therefore, consideration should be given to BMC measured by BIA method in Chinese overweight/obese adults. It should be corrected or adjusted to reduce errors compared with DXA method.

[Particle size determination by radioisotope x-ray absorptiometry with sedimentation method].

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Matsui, Y; Furuta, T; Miyagawa, S

1976-09-01

The possibility of radioisotope X-ray absorptiometry to determine the particle size of powder in conjunction with sedimentation was investigated. The experimental accuracy was primarily determined by Cow and X-ray intensity. where Co'=weight concentration of the particle in the suspension w'=(micron/rho)l/(mu/rho)s-rhol/rhos rho; density micron/rho; mass absorption coefficient, suffix l and s indicate dispersion and particle, respectively. The radiosiotopes, Fe-55, Pu-238 and Cd-109 have high w-values over the wide range of the atomic number. However, a source of high micron value such as Fe-55 is not suitable because the optimal X-ray transmission length, Lopt is decided by the expression, micronlLopt approximately 2/(1+C'ow') by using Cd-109 AgKX-ray source, the weight size distribution of particles from the heavy elements such as PbO2 to light elements such as Al2O3 or flyash was determined.

Cortical thickness estimation of the proximal femur from multi-view dual-energy X-ray absorptiometry (DXA)

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Tsaousis, N.; Gee, A. H.; Treece, G. M.; Poole, K. E. S.

2013-02-01

Hip fracture is the leading cause of acute orthopaedic hospital admission amongst the elderly, with around a third of patients not surviving one year post-fracture. Although various preventative therapies are available, patient selection is difficult. The current state-of-the-art risk assessment tool (FRAX) ignores focal structural defects, such as cortical bone thinning, a critical component in characterizing hip fragility. Cortical thickness can be measured using CT, but this is expensive and involves a significant radiation dose. Instead, Dual-Energy X-ray Absorptiometry (DXA) is currently the preferred imaging modality for assessing hip fracture risk and is used routinely in clinical practice. Our ambition is to develop a tool to measure cortical thickness using multi-view DXA instead of CT. In this initial study, we work with digitally reconstructed radiographs (DRRs) derived from CT data as a surrogate for DXA scans: this enables us to compare directly the thickness estimates with the gold standard CT results. Our approach involves a model-based femoral shape reconstruction followed by a data-driven algorithm to extract numerous cortical thickness point estimates. In a series of experiments on the shaft and trochanteric regions of 48 proximal femurs, we validated our algorithm and established its performance limits using 20 views in the range 0°-171°: estimation errors were 0:19 +/- 0:53mm (mean +/- one standard deviation). In a more clinically viable protocol using four views in the range 0°-51°, where no other bony structures obstruct the projection of the femur, measurement errors were -0:07 +/- 0:79 mm.

Evaluation of mandibular bone mineral density using the dual-energy X-ray absorptiometry technique in edentulous subjects living in an endemic fluorosis region.

Science.gov (United States)

Buyukkaplan, U S; Guldag, M U

2012-07-01

Fluoride is one of the biological trace elements with a strong affinity for osseous, cartilaginous and dental tissue. The dental and skeletal effects of high fluoride intake have already been studied in the literature, but little is known about the effects of high fluoride intake on edentulous mandibles. The purpose of this study was to evaluate the effects of high fluoride intake on mandibular bone mineral density (BMD) measured by the dual-energy X-ray absorptiometry (DXA) technique in edentulous individuals with systemic fluorosis. 32 people who were living in an endemic fluorosis area since birth and 31 people who were living in a non-endemic fluorosis area since birth (control group) participated in this study. Systemic fluorosis was diagnosed in the patients using the sialic acid (NANA)/glycosaminoglycan (GAG) ratio. The BMDs of the mandibles were determined by the DXA technique. The serum NANA/GAG ratios in the fluorosis group were significantly lower than those in the control group (p structures of the stomatognathic system.

Feasibility of cone beam computed tomography radiomorphometric analysis and fractal dimension in assessment of postmenopausal osteoporosis in correlation with dual X-ray absorptiometry.

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Mostafa, Raghdaa A; Arnout, Eman A; Abo El-Fotouh, Mona M

The aim of the present study was to assess the feasibility of using mandibular CBCT radiomorphometric indices and box-counting fractal dimension (FD) to detect osteoporosis in post-menopausal females, compare them with the healthy control group and to correlate the findings with the bone mineral density measured by dual X-ray absorptiometry (DXA). This study consisted of 50 post-menopausal females, with age ranging from 55 to 70 years. Based on their DXA results, they were classified into osteoporotic and control groups. Mandibular CBCT radiomorphomertic indices and FD analysis were measured. Significant differences were found for the CT cortical index scores (CTCI), CT mental index (CTMI) and CT mandibular index (CTI) between the control and osteoporotic groups. The control group showed higher mean values than the osteoporotic group. For FD values, no significant differences were found between the two groups. CBCT radiomorphometric indices could be used as an adjuvant tool to refer patients at risk of osteoporosis for further assessment.

Application of dual-energy X-ray absorptiometry to measure the changes of bone mineral density in 131 healthy women

International Nuclear Information System (INIS)

Sang Shibiao; Wang Dongliang; Wu Yiwei

2002-01-01

131 healthy women aged 31-72 years participated in the study, include 64 sexual maturity women aged 31-52 were enrolled in four groups based on age, and 67 postmenopausal women, the years of menopause from 1 month to 23 years, were also enrolled in four groups based on duration of menopause. The bone mineral density of the lumbar-spine and femur were measured using dual-energy X-rays absorptiometry. At the same time, the serum E 2 , FSH, BGP were detected by radioimmunoassay; the serum AKP, calcium, phosphate were detected using automatic biochemistry instrument. The results were: the BMD of lumbar-spine and right femur were decreased, and associated with increasing age and the duration of menopause, especially after menopause. Significant positive correlation was noted between BMD and E 2 . Serum AKP and BGP levels were higher in postmenopausal women than those of sexual maturity women. The serum calcium level was increased significantly soon after menopause, then decreased to normal level, and maintained in this level. The serum phosphate level had no difference in these groups. Therefore BMD, serum E 2 , BGP and AKP determination have some value for the early diagnosis of postmenopausal osteoporosis and prediction of bone fracture also

Bone X-ray absorptiometry using two energies

International Nuclear Information System (INIS)

Laval-Jeantet, A.M.; Laval-Jeantet, M.; Bloch, J.

1979-01-01

A method of X-ray absorptiometry using two energies (28 and 36 keV) as a means of determining mineralisation of a bone specimen is described. The ratio of coefficients determined at the different energies varies according to the total mineralisation of the bone studied. A model, representing a serie of bone specimens constructed to study this relationship is described. The coefficients of attenuation for a given wavelength were measured. The relation between the coefficients found at two energies for a given specimen of known mineral content was found to vary as a function of the mineralisation. It is possible to determine the coefficient of attenuation characteristic of a bone and hence its mineralisation and thickness by measurements at two different wavelengths using this function. Experimental results show this potential of the method, but also its high sensitivity to small measurements errors [fr

Dual energy X-ray absorptiometry spine scans to determine abdominal fat in post-menopausal women

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Bea, J. W.; Blew, R. M.; Going, S. B.; Hsu, C-H; Lee, M. C.; Lee, V. R.; Caan, B.J.; Kwan, M.L.; Lohman, T. G.

2016-01-01

Body composition may be a better predictor of chronic disease risk than body mass index (BMI) in older populations. Objectives We sought to validate spine fat fraction (%) from dual energy X-ray absorptiometry (DXA) spine scans as a proxy for total abdominal fat. Methods Total body DXA scan abdominal fat regions of interest (ROI) that have been previously validated by magnetic resonance imaging were assessed among healthy, postmenopausal women who also had antero-posterior spine scans (n=103). ROIs were 1) lumbar vertebrae L2-L4 and 2) L2-Iliac Crest (L2-IC), manually selected by two independent raters, and 3) trunk, auto-selected by DXA software. Intra-class correlation coefficients evaluated intra and inter-rater reliability on a random subset (N=25). Linear regression models, validated by bootstrapping, assessed the relationship between spine fat fraction (%) and total abdominal fat (%) ROIs. Results Mean age, BMI and total body fat were: 66.1 ± 4.8y, 25.8 ± 3.8kg/m2 and 40.0 ± 6.6%, respectively. There were no significant differences within or between raters. Linear regression models adjusted for several participant and scan characteristics were equivalent to using only BMI and spine fat fraction. The model predicted L2-L4 (Adj. R2: 0.83) and L2-IC (Adj.R2:0.84) abdominal fat (%) well; the adjusted R2 for trunk fat (%) was 0.78. Model validation demonstrated minimal over-fitting (Adj. R2: 0.82, 0.83, and 0.77 for L2-L4, L2-IC, and trunk fat respectively). Conclusions The strong correlation between spine fat fraction and DXA abdominal fat measures make it suitable for further development in post-menopausal chronic disease risk prediction models. PMID:27416964

Effect of endodontic cement on bone mineral density using serial dual-energy x-ray absorptiometry.

Science.gov (United States)

Saghiri, Mohammad Ali; Orangi, Jafar; Tanideh, Nader; Janghorban, Kamal; Sheibani, Nader

2014-05-01

Materials with new compositions were tested in order to develop dental materials with better properties. Calcium silicate-based cements, including white mineral trioxide aggregate (WMTA), may improve osteopromotion because of their composition. Nano-modified cements may help researchers produce ideal root-end filling materials. Serial dual-energy x-ray absorptiometry measurement was used to evaluate the effects of particle size and the addition of tricalcium aluminate (C3A) to a type of mineral trioxide aggregate-based cement on bone mineral density and the surrounding tissues in the mandible of rabbits. Forty mature male rabbits (N = 40) were anesthetized, and a bone defect measuring 7 × 1 × 1 mm was created on the semimandible. The rabbits were divided into 2 groups, which were subdivided into 5 subgroups with 4 animals each based on the defect filled by the following: Nano-WMTA (patent application #13/211.880), WMTA (as standard), WMTA without C3A, Nano-WMTA + 2% Nano-C3A (Fujindonjnan Industrial Co, Ltd, Fujindonjnan Xiamen, China), and a control group. Twenty and forty days postoperatively, the animals were sacrificed, and the semimandibles were removed for DXA measurement. The Kruskal-Wallis test followed by the Mann-Whitney U test showed significant differences between the groups at a significance level of P density at both intervals and P20 day = .004 and P40 day = .005 for bone mineral content. This study showed that bone regeneration was enhanced by reducing the particle size (nano-modified) and C3A mixture. This may relate to the existence of an external supply of minerals and a larger surface area of nano-modified material, which may lead to faster release rate of Ca(2+), inducing bone formation. Adding Nano-C3A to Nano-WMTA may improve bone regeneration properties. Copyright © 2014 American Association of Endodontists. All rights reserved.

Manipulation of Muscle Creatine and Glycogen Changes Dual X-ray Absorptiometry Estimates of Body Composition.

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Bone, Julia L; Ross, Megan L; Tomcik, Kristyen A; Jeacocke, Nikki A; Hopkins, Will G; Burke, Louise M

2017-05-01

Standardizing a dual x-ray absorptiometry (DXA) protocol is thought to provide a reliable measurement of body composition. We investigated the effects of manipulating muscle glycogen and creatine content independently and additively on DXA estimates of lean mass. Eighteen well-trained male cyclists undertook a parallel group application of creatine loading (n = 9) (20 g·d for 5 d loading; 3 g·d maintenance) or placebo (n = 9) with crossover application of glycogen loading (12 v 6 g·kg BM per day for 48 h) as part of a larger study involving a glycogen-depleting exercise protocol. Body composition, total body water, muscle glycogen and creatine content were assessed via DXA, bioelectrical impedance spectroscopy and standard biopsy techniques. Changes in the mean were assessed using the following effect-size scale: >0.2 small, >0.6, moderate, >1.2 large and compared with the threshold for the smallest worthwhile effect of the treatment. Glycogen loading, both with and without creatine loading, resulted in substantial increases in estimates of lean body mass (mean ± SD; 3.0% ± 0.7% and 2.0% ± 0.9%) and leg lean mass (3.1% ± 1.8% and 2.6% ± 1.0%) respectively. A substantial decrease in leg lean mass was observed after the glycogen depleting condition (-1.4% ± 1.6%). Total body water showed substantial increases after glycogen loading (2.3% ± 2.3%), creatine loading (1.4% ± 1.9%) and the combined treatment (2.3% ± 1.1%). Changes in muscle metabolites and water content alter DXA estimates of lean mass during periods in which minimal change in muscle protein mass is likely. This information needs to be considered in interpreting the results of DXA-derived estimates of body composition in athletes.

Characterization of changes in total body composition for patients with head and neck cancer undergoing chemoradiotherapy using dual-energy x-ray absorptiometry.

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Jackson, William; Alexander, Neil; Schipper, Matthew; Fig, Lorraine; Feng, Felix; Jolly, Shruti

2014-09-01

Patients with head and neck cancer experience significant weight loss secondary to concurrent chemoradiotherapy (CCRT). Using dual-energy X-ray absorptiometry (DEXA) scans, we characterize total body composition changes during and after CCRT in order to develop novel clinical care models that will improve the patient's quality of life (QOL). Sixty DEXA scans were obtained from 12 patients undergoing CCRT for locally advanced squamous cell head and neck cancer. DEXAs were performed at baseline, during treatment, completion of CCRT, and then 1 and 2 months posttreatment. Mean weight loss by treatment end was 9.5 kg (10.2%; p = .0002). On average, lean body mass (LBM) decreased 10.2% (p = .001), and fat body mass (FBM) decreased 11.1% (p = .001) during CCRT. LBM began to normalize after completion of treatment, whereas FBM continued to decline. Substantial loss of muscle and FBM occurs in patients undergoing CCRT for head and neck cancer. To prevent long-term disability and QOL decline after curative CCRT, clinical care interventions incorporating aggressive nutrition/exercise counseling are needed. Copyright © 2013 Wiley Periodicals, Inc.

Dual energy X-ray absorptiometry spine scans to determine abdominal fat in postmenopausal women.

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Bea, J W; Blew, R M; Going, S B; Hsu, C-H; Lee, M C; Lee, V R; Caan, B J; Kwan, M L; Lohman, T G

2016-11-01

Body composition may be a better predictor of chronic disease risk than body mass index (BMI) in older populations. We sought to validate spine fat fraction (%) from dual energy X-ray absorptiometry (DXA) spine scans as a proxy for total abdominal fat. Total body DXA scan abdominal fat regions of interest (ROI) that have been previously validated by magnetic resonance imaging were assessed among healthy, postmenopausal women who also had antero-posterior spine scans (n = 103). ROIs were (1) lumbar vertebrae L2-L4 and (2) L2-Iliac Crest (L2-IC), manually selected by two independent raters, and (3) trunk, auto-selected by DXA software. Intra-class correlation coefficients evaluated intra and inter-rater reliability on a random subset (N = 25). Linear regression models, validated by bootstrapping, assessed the relationship between spine fat fraction (%) and total abdominal fat (%) ROIs. Mean age, BMI, and total body fat were 66.1 ± 4.8 y, 25.8 ± 3.8 kg/m 2 and 40.0 ± 6.6%, respectively. There were no significant differences within or between raters. Linear regression models adjusted for several participant and scan characteristics were equivalent to using only BMI and spine fat fraction. The model predicted L2-L4 (Adj. R 2 : 0.83) and L2-IC (Adj. R 2 : 0.84) abdominal fat (%) well; the adjusted R 2 for trunk fat (%) was 0.78. Model validation demonstrated minimal over-fitting (Adj. R 2 : 0.82, 0.83, and 0.77 for L2-L4, L2-IC, and trunk fat, respectively). The strong correlation between spine fat fraction and DXA abdominal fat measures make it suitable for further development in postmenopausal chronic disease risk prediction models. Am. J. Hum. Biol. 28:918-926, 2016. © 2016Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Reproducibility of trabecular bone score with different scan modes using dual-energy X-ray absorptiometry: a phantom study

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Bandirali, Michele; Messina, Carmelo [Universita degli Studi di Milano, Scuola di Specializzazione in Radiodiagnostica, Milano (Italy); Di Leo, Giovanni [Unita di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese (Italy); Pastor Lopez, Maria Juana; Ulivieri, Fabio M. [Servizio di Medicina Nucleare, Ospedale Maggiore, Mineralometria Ossea Computerizzata e Ambulatorio Malattie Metabolismo Minerale e Osseo, Milano (Italy); Mai, Alessandro [Universita degli Studi di Milano, Tecniche di Radiologia Medica, per Immagini e Radioterapia, Milano (Italy); Sardanelli, Francesco [Unita di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese (Italy); Universita degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, San Donato Milanese (Italy)

2014-08-12

The trabecular bone score (TBS) accounts for the bone microarchitecture and is calculated on dual-energy X-ray absorptiometry (DXA). We estimated the reproducibility of the TBS using different scan modes compared to the reproducibility bone mineral density (BMD). A spine phantom was used with a Hologic QDR-Discovery A densitometer. For each scan mode [fast array, array, high definition (HD)], 25 scans were automatically performed without phantom repositioning; a further 25 scans were performed with phantom repositioning. For each scan, the TBS was obtained. The coefficient of variation (CoV) was calculated as the ratio between standard deviation and mean; percent least significant change (LSC%) as 2.8 x CoV; reproducibility as the complement to 100 % of LSC%. Differences among scan modes were assessed using ANOVA. Without phantom repositioning, the mean TBS (mm{sup -1}) was: 1.352 (fast array), 1.321 (array), and 1.360 (HD); with phantom repositioning, it was 1.345, 1.332, and 1.362, respectively. Reproducibility of the TBS without phantom repositioning was 97.7 % (fast array), 98.3 % (array), and 98.2 % (HD); with phantom repositioning, it was 97.9 %, 98.7 %, and 98.4 %, respectively. LSC% was ≤2.26 %. Differences among scan modes were all statistically significant (p ≤ 0.019). Reproducibility of BMD was 99.1 % with all scan modes, while LSC% was from 0.86 % to 0.91 %. Reproducibility error of the TBS was 2-3-fold higher than that of BMD. Although statistically significant, differences in TBS among scan modes were within the highest LSC%. Thus, the three scan modes can be considered interchangeable. (orig.)

Dual-energy x-ray absorptiometry to measure the effects of a thirteen-week moderate to vigorous aquatic exercise and nutritional education intervention on percent body fat in adults with intellectual disabilities from group home settings.

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Casey, Amanda; Boyd, Colin; Mackenzie, Sasho; Rasmussen, Roy

2012-05-01

People with intellectual disability are more likely to be obese and extremely obese than people without intellectual disability with rates remaining elevated among adults, women and individuals living in community settings. Dual-energy X-ray absorptiometry measured the effects of a 13-week aquatic exercise and nutrition intervention on percent body fat in eight adults with intellectual disabilities (aged 41.0 ± 13.7 yrs) of varying fat levels (15%-39%) from two group homes. A moderate to vigorous aquatic exercise program lasted for the duration of 13 weeks with three, one-hour sessions held at a 25m pool each week. Nutritional assistants educated participants as to the importance of food choice and portion size. A two-tailed Wilcoxon matched-pairs signed-ranks test determined the impact of the combined intervention on body fat percentage and BMI at pre and post test. Median body fat percentage (0.8 %) and BMI (0.3 kg/m(2)) decreased following the exercise intervention, but neither were statistically significant, p = .11 and p = .55, respectively. The combined intervention was ineffective at reducing percent body fat in adults with intellectual disability according to dual-energy X-ray absorptiometry. These results are in agreement with findings from exercise alone interventions and suggest that more stringent nutritional guidelines are needed for this population and especially for individuals living in group home settings. The study did show that adults with intellectual disability may participate in moderate to vigorous physical activity when given the opportunity.

Dual photon absorptiometry and histomorphometry (a comparative study)

International Nuclear Information System (INIS)

Duriez, J.; Guembeker, C. de; Duriez, R.

1988-01-01

Dual photon absorptiometry of the lumbar spine (L2-L3-L4) and histomorphometry on iliac bone biopsy are two means of investigation of the axial skeleton. Each of them is important for the analysis of osteoporosis. The data they give are different but complementary. Dual photon absorptiometry gives only but precisely the amount of calcium in the vertebral bodies. It is a simple and no-invasive technic and easily which can be repeated. Histomorphometry only gives a poor estimation of the bone rarefaction. On the other hand it allows to settle the type of lack of background of the loss of bone mass. This information is important for the therapeutic choice. Unfortunately this investigation cannot be easily repeated. Dual photon absorptiometry of lumbar spine has many causes of mistake. Mono photon densitometry of the radius (midship and distal) is more faithful and it is a good way to screen and assure the follow-up of bone rarefaction. Nevertheless dual photon absorptiometry has some advantages, especially the determination of bone mineral content of a local part of the peripheral skeleton or of the total body calcium [fr

Measurement of bone mineral density in the tunnel regions for anterior cruciate ligament reconstruction by dual-energy X-ray absorptiometry, computed tomography scan, and the immersion technique based on Archimedes' principle.

Science.gov (United States)

Tie, Kai; Wang, Hua; Wang, Xin; Chen, Liaobin

2012-10-01

To determine, for anterior cruciate ligament (ACL) reconstruction, whether the bone mineral density (BMD) of the femoral tunnel was higher than that of the tibial tunnel, to provide objective evidence for choosing the appropriate diameter of interference screws. Two groups were enrolled. One group comprised 30 normal volunteers, and the other comprised 9 patients with ACL rupture. Dual-energy X-ray absorptiometry was used to measure the BMD of the femoral and tibial tunnel regions of the volunteers' right knees by choosing a circular area covering the screw fixation region. The knees were also scanned by spiral computed tomography (CT), and the 3-dimensional reconstruction technique was used to determine the circular sections passing through the longitudinal axis of the femoral and tibial tunnels. Grayscale CT values of the cross-sectional area were measured. Cylindrical cancellous bone blocks were removed from the femoral and tibial tunnels during the ACL reconstruction for the patients. The volumetric BMD of the bone blocks was measured using a standardized immersion technique according to Archimedes' principle. As measured by dual-energy X-ray absorptiometry, the BMD of the femoral and tibial tunnel regions was 1.162 ± 0.034 g/cm(2) and 0.814 ± 0.038 g/cm(2), respectively (P difference in both femoral and tibial tunnel regions. For ACL reconstruction, the BMD of the femoral tunnel is higher than that of the tibial tunnel. This implies that a proportionally larger-diameter interference screw should be used for fixation in the proximal tibia than that used for fixation in the distal femur. Level IV, therapeutic case series. Copyright © 2012 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Discrimination of hip fractures by quantitative ultrasound of the phalanges and the calcaneus and dual X-ray absorptiometry

International Nuclear Information System (INIS)

Damilakis, John; Papadokostakis, George; Perisinakis, Kostas; Maris, Thomas; Dimitriou, P.; Hadjipavlou, Alexander; Gourtsoyiannis, Nicholas

2004-01-01

The aim of the current study was to evaluate the ability of different techniques used for the assessment of bone status to discriminate between postmenopausal women with and without hip fracture. Fifty-one postmenopausal women (mean age 64.5±6.5) who had sustained a low energy hip fracture and 51 age-matched controls (mean age 64.6±6.0) were studied. Quantitative ultrasound (QUS) assessment was carried out using the Ubis 3000 device capable of measuring broadband ultrasound attenuation (BUA) and speed of sound at the calcaneus (SOS C ) and the Sunlight Omnisense device capable of estimating speed of sound at the phalanges (SOS P ). Femoral neck bone mineral density (BMD) was assessed using dual X-ray absorptiometry. Correlations between QUS variables ranged from r=0.35 to 0.72 and between QUS variables and BMD from r=0.30 to 0.36. BMD was the best discriminator of hip fractures (odds ratio = 3.61, area under curve = 0.824). All QUS variables were significant discriminators of hip fractures with odds ratios ranging from 1.88 to 2.63 and areas under the ROC curves ranging from 0.663 to 0.740. Among the QUS variables, the SOS P showed the best odds ratio and area under curve. Comparison between the areas under the ROC curve did not show any significant difference between SOS P , BUA and BMD. On the contrary, the difference between SOS C and BMD was significant (P P , although the difference did not reach statistical significance

Dual photon absorptiometry for bone mineral measurements using a gamma camera

International Nuclear Information System (INIS)

Valkema, R.; Prpic, H.; Blokland, J.A.K.; Camps, J.A.J.; Papapoulos, S.E.; Bijvoet, O.L.M.; Pauwels, E.K.J.

1994-01-01

A gamma camera was equipped with a special collimator and arm assembly for bone mineral measurements with dual photon absorptiometry (DPA). The system was evaluated in vitro and in vivo and compared both with a rectilinear DPA and a dual energy X-ray (DEXA) system. All 3 systems showed a linear response in measurements of 4 vials, containing different amounts of hydroxyapatite. Phantom measurements with the gamma camera system showed a precision of 1.6% to 2.8%. Results obtained in 8 healthy volunteers with rectilinear and gamma camera systems were well correlated (R 2 = 0.78). With the photon beam directed from posterior to anterior, the separation of vertebrae was easy with the gamma camera system. We conclude that bone mineral measurements can be made with a gamma camera for assessment of fracture risk and in the decision process whether a patient needs treatment or not. For follow-up, the precision of DPA with a gamma camera is inadequate. (orig.)

Reproducibility of morphometric X-ray absorptiometry

International Nuclear Information System (INIS)

Culton, N.; Pocock, N.

1999-01-01

Full text: Morphometric X-ray absorptiometry (MXA) using DXA is potentially a useful clinical tool which may provide additional vertebral fracture information with low radiation exposure. While morphometric analysis is semi-automated, operator intervention is crucial for the accurate positioning of the six data points quantifying the vertebral heights at the anterior, middle and posterior positions. Our study evaluated intra-operator reproducibility of MXA in an elderly patient population and assessed the effect of training and experience on vertebral height precision. Ten patients, with a mean lumbar T score of - 2.07, were studied. Images were processed by a trained operator who had initially only limited morphometric experience. The analysis of the data files were repeated at 2 and 6 weeks, during which time the operator had obtained further experience and training. The intra-operator precision of vertebral height measurements was calculated using the three separate combinations of paired analyses, and expressed as the coefficient of variation. This study confirms the importance of adequate training and attention to detail in MXA analysis. The data indicate that the precision of MXA is adequate for its use in the diagnosis of vertebral fractures, based on a 20% deformity criteria. Use of MXA for monitoring would require approximately an 8% change in vertebral heights to achieve statistical significance

Relationship between Weight, Body Mass Index, and Bone Mineral Density in Men Referred for Dual-Energy X-Ray Absorptiometry Scan in Isfahan, Iran.

Science.gov (United States)

Salamat, Mohammad Reza; Salamat, Amir Hossein; Abedi, Iraj; Janghorbani, Mohsen

2013-01-01

Objective. Although several studies have investigated the association between body mass index (BMI) and bone mineral density (BMD), the results are inconsistent. The aim of this study was to further investigate the relation between BMI, weight and BMD in an Iranian men population. Methods. A total of 230 men 50-79 years old were examined. All men underwent a standard BMD scans of hip (total hip, femoral neck, trochanter, and femoral shaft) and lumbar vertebrae (L2-L4) using a Dual-Energy X-ray Absorptiometry (DXA) scan and examination of body size. Participants were categorised in two BMI group: normal weight obese, BMI ≥ 25 kg/m(2). Results. Compared to men with BMI ≥ 25, the age-adjusted odds ratio of osteopenia was 2.2 (95% CI 0.85, 5.93) and for osteoporosis was 4.4 (1.51, 12.87) for men with BMI osteoporosis. Conclusions. These data indicate that both BMI and weight are associated with BMD of hip and vertebrae and overweight and obesity decreased the risk for osteoporosis. The results of this study highlight the need for osteoporosis prevention strategies in elderly men as well as postmenopausal women.

Comparison of bioimpedance and dual-energy x-ray absorptiometry for measurement of fat mass in hemodialysis patients.

Science.gov (United States)

Molfino, Alessio; Don, Burl R; Kaysen, George A

2012-01-01

Fat mass (FM) is measured with dual-energy X-ray absorptiometry (DXA), but is expensive and not portable. Multifrequency bioimpedance spectroscopy (BIS) measures total body water (TBW), intracellular water (ICW) and extracellular water (ECW). FM is calculated by subtracting fat-free mass (FFM) from weight assuming a fractional hydration of FFM of 0.73. Hemodialysis (HD) patients, however, have nonphysiologic expansion of ECW. Our aim was to apply a model to estimate FM in HD patients and controls. We estimated the hydration of FFM in healthy subjects and HD patients with BIS (Impedimed multifrequency) assuming a hydration of 0.73 or using a model allowing ECW and ICW to vary, deriving a value for FM accounting for variances in ECW and ICW. FM was measured by DXA (Hologic Discovery W) in 25 controls and in 11 HD patients. We measured TBW, ECW and ICW with BIS and calculated FM using either weight - TBW/0.73 or with a model accounting for variations in ECW/ICW to estimate FM. ECW/ICW was greater in HD patients than in controls (0.83 ± 0.08 vs. 0.76 ± 0.04; p = 0.001). FM (kg) measured by DXA or estimated from TBW using constant hydration or accounting for variations in ECW/ICW was not significantly different in controls or in HD patients. Values obtained by all methods correlated (p measured by DXA and by BIS in both controls and HD patients combined correlated (r(2) = 0.871). Expansion of ECW in HD patients is statistically significant; however, the effect on hydration of FFM was insufficient to cause significant deviation from values derived using a hydration value of 0.73 within the range of expansion of ECW in the HD patient population studied here. Copyright © 2013 S. Karger AG, Basel.

Impact of beverage consumption, age, and site dependency on dual energy X-ray absorptiometry (DEXA) measurements in perimenopausal women: a prospective study.

Science.gov (United States)

Lo, Huan-Chu; Kuo, Duen-Pang; Chen, Yen-Lin

2017-08-01

The aim of this study was to determine the best site for bone mineral density (BMD) measurements based on T -scores, age, and beverage consumption. In this prospective study, 271 women stratified by age (average age: 61.9 years) underwent dual energy X-ray absorptiometry (DEXA) scanning of their lumbar spine, hips, and forearms. Osteoporosis was defined as a BMD of 2.5 standard deviations or more below the mean peak bone mass based on a reference population of adult women (translated as a T -score ≤ -2.5), as measured by DEXA. Participants were also evaluated regarding alcohol and caffeine consumption by a semiquantitative questionnaire. A significant discrepancy was observed in the classification of osteoporosis at different locations, with hip and forearm showing the best correlation (Pearson's r = 0.627, p consumption. In the group ≤ 50 years of age, lumbar spine and forearm T -scores were only associated with alcohol consumption. In the group over 50 years of age, hip and forearm T -scores were only associated with caffeine consumption. Bone mineral density measurements at the hip and forearm correlated with caffeine consumption in elderly Taiwanese women. This is an important finding since age and caffeine consumption are known risk factors for osteoporosis.

Accuracy of lateral dual energy X-ray absorptiometry for the determination of bone mineral content in the thoracic and lumbar spine: an in vitro study

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Edmondston, S.J. (Curtin Univ., Perth (Australia). Dept. of Physiotherapy); Singer, K.P. (Royal Perth Hospital, WA (Australia) Curtin Univ., Perth (Australia). Dept. of Physiotherapy); Price, R.I. (Sir Charles Gairdner Hospital, Perth (Australia)); Breidahl, P.D. (Royal Perth Hospital, WA (Australia))

1993-04-01

Lateral scanning with dual energy X-ray absorptiometry (DXA) was undertaken on 153 thoracic and lumbar vertebral bodies from nine individuals (mean age 67; range 34-92 years) to establish their bone mineral content (BMC). All specimens were subsequently de-fatted and ashed to compare ash weight with BMC of the T1 to L5 segments. Linear regression analysis indicated a higher correlation between BMC and measured ash weights for each vertebral column (range: r = 0.97-0.99), with error analysis for all vertebrae tested showing a standard error of 0.40 g, or 10.8%. For the L2-4 segments the accuracy error was 0.50 g or 7.9%. In both cases there was a mean trend towards underestimation of ash weight. Mean BMC values of the T1 to T5 segments were similar before a progressive increase caudally. These data affirm the utility of DXA for determining bone mineral content in the vertebral column across wide ranges of age, and segmental and bone density. (Author).

Accuracy of lateral dual energy X-ray absorptiometry for the determination of bone mineral content in the thoracic and lumbar spine: an in vitro study

International Nuclear Information System (INIS)

Edmondston, S.J.; Breidahl, P.D.

1993-01-01

Lateral scanning with dual energy X-ray absorptiometry (DXA) was undertaken on 153 thoracic and lumbar vertebral bodies from nine individuals (mean age 67; range 34-92 years) to establish their bone mineral content (BMC). All specimens were subsequently de-fatted and ashed to compare ash weight with BMC of the T1 to L5 segments. Linear regression analysis indicated a higher correlation between BMC and measured ash weights for each vertebral column (range: r = 0.97-0.99), with error analysis for all vertebrae tested showing a standard error of 0.40 g, or 10.8%. For the L2-4 segments the accuracy error was 0.50 g or 7.9%. In both cases there was a mean trend towards underestimation of ash weight. Mean BMC values of the T1 to T5 segments were similar before a progressive increase caudally. These data affirm the utility of DXA for determining bone mineral content in the vertebral column across wide ranges of age, and segmental and bone density. (Author)

Vertebral fractures assessed with dual-energy X-ray absorptiometry in patients with Addison's disease on glucocorticoid and mineralocorticoid replacement therapy.

Science.gov (United States)

Camozzi, Valentina; Betterle, Corrado; Frigo, Anna Chiara; Zaccariotto, Veronica; Zaninotto, Martina; De Caneva, Erica; Lucato, Paola; Gomiero, Walter; Garelli, Silvia; Sabbadin, Chiara; Salvà, Monica; Costa, Miriam Dalla; Boscaro, Marco; Luisetto, Giovanni

2018-02-01

to assess bone damage and metabolic abnormalities in patients with Addison's disease given replacement doses of glucocorticoids and mineralocorticoids. A total of 87 patients and 81 age-matched and sex-matched healthy controls were studied. The following parameters were measured: urinary cortisol, serum calcium, phosphorus, creatinine, 24-h urinary calcium excretion, bone alkaline phosphatase, parathyroid hormone, serum CrossLaps, 25 hydroxyvitamin D, and 1,25 dihydroxyvitamin D. Clear vertebral images were obtained with dual-energy X-ray absorptiometry in 61 Addison's disease patients and 47 controls and assessed using Genant's classification. Nineteen Addison's disease patients (31.1%) had at least one morphometric vertebral fracture, as opposed to six controls (12.8%, odds ratio 3.09, 95% confidence interval 1.12-8.52). There were no significant differences in bone mineral density parameters at any site between patients and controls. In Addison's disease patients, there was a positive correlation between urinary cortisol and urinary calcium excretion. Patients with fractures had a longer history of disease than those without fractures. Patients taking fludrocortisone had a higher bone mineral density than untreated patients at all sites except the lumbar spine. Addison's disease patients have more fragile bones irrespective of any decrease in bone mineral density. Supra-physiological doses of glucocorticoids and longer-standing disease (with a consequently higher glucocorticoid intake) might be the main causes behind patients' increased bone fragility. Associated mineralocorticoid treatment seems to have a protective effect on bone mineral density.

Evaluation of femur of orchiectomized Guinea pigs by bone densitometry using dual-energy X-ray absorptiometry (DXA) and mechanical testing

International Nuclear Information System (INIS)

Estanislau, Cristiane de Abreu; Rahal, Sheila Canavese; Araujo, Fabio Andre Pinheiro de; Sergio Swain Muller; Louzada, Mario Jefferson Quirino; Estanislau, Caroline de Abreu

2010-01-01

The aim of this study was to evaluate the effects of castration on bones in the male guinea pigs and to observe whether mechanical testing correlates with dual-energy X-ray absorptiometry (DXA). Twelve male guinea pigs (Cavia porcellus), aged 21-27 days, and with average initial weight of 279 grams were used. The animals were equally allocated to two groups: GI - orchiectomized animals and GII - intact control animals. They underwent euthanasia at seven months following surgery. DXA measurement was performed at the mid third of the right femoral diaphysis in the cortical region and at the left femoral neck in order to verify its correlation with results of mechanical testing. Three-point bending test of right femur and axial compression test of left femur were performed. Bone mineral density of GI was significantly lower only at femoral neck. No differences were observed in the maximum load values between GI and GII for both bending and axial compression tests. The bending test revealed lower bone stiffness in GI compared to GII, but in the axial compression test no differences between groups were observed. Only left femur showed positive correlation coefficient between maximum load and bone mineral density according to Pearson's correlation coefficient. The results suggest that hormonal deprivation in guinea pigs induces reduction of bone mineral density, especially in the femoral neck area and reduction of bone stiffness in the mid-femoral diaphysis. (author)

Evaluation of femur of orchiectomized Guinea pigs by bone densitometry using dual-energy X-ray absorptiometry (DXA) and mechanical testing

Energy Technology Data Exchange (ETDEWEB)

Estanislau, Cristiane de Abreu; Rahal, Sheila Canavese; Araujo, Fabio Andre Pinheiro de, E-mail: crisestanislau@hotmail.co, E-mail: sheilacr@fmvz.unesp.b, E-mail: fabioandre@fmvz.unesp.b [Universidade Estadual Paulista (UNESP), Botucatu, SP (Brazil). Faculdade de Medicina, Veterinaria e Zootecnia. Dept. de Cirurgia e Anestesiologia Veterinaria; Sergio Swain Muller, E-mail: diretoria@fmb.unesp.b [Universidade Estadual Paulista (UNESP), Botucatu, SP (Brazil). Faculdade de Medicina, Veterinaria e Zootecnia. Dept. de Cirurgia e Ortopedia; Louzada, Mario Jefferson Quirino, E-mail: louzada@fmva.unesp.b [Universidade Estadual Paulista (UNESP), Aracatuba, SP (Brazil). Faculdade de Medicina Veterinaria; Estanislau, Caroline de Abreu, E-mail: caestanis@hotmail.co

2010-03-15

The aim of this study was to evaluate the effects of castration on bones in the male guinea pigs and to observe whether mechanical testing correlates with dual-energy X-ray absorptiometry (DXA). Twelve male guinea pigs (Cavia porcellus), aged 21-27 days, and with average initial weight of 279 grams were used. The animals were equally allocated to two groups: GI - orchiectomized animals and GII - intact control animals. They underwent euthanasia at seven months following surgery. DXA measurement was performed at the mid third of the right femoral diaphysis in the cortical region and at the left femoral neck in order to verify its correlation with results of mechanical testing. Three-point bending test of right femur and axial compression test of left femur were performed. Bone mineral density of GI was significantly lower only at femoral neck. No differences were observed in the maximum load values between GI and GII for both bending and axial compression tests. The bending test revealed lower bone stiffness in GI compared to GII, but in the axial compression test no differences between groups were observed. Only left femur showed positive correlation coefficient between maximum load and bone mineral density according to Pearson's correlation coefficient. The results suggest that hormonal deprivation in guinea pigs induces reduction of bone mineral density, especially in the femoral neck area and reduction of bone stiffness in the mid-femoral diaphysis. (author)

Correlation between bone mineral density of jaws and skeletal sites in an Iranian population using dual X-ray energy absorptiometry.

Science.gov (United States)

Esfahanizadeh, Nasrin; Davaie, Sotoudeh; Rokn, A R; Daneshparvar, Hamid Reza; Bayat, Noushin; Khondi, Nasrin; Ajvadi, Sara; Ghandi, Mostafa

2013-07-01

The aim of the present study was to evaluate the relationship between the bone density of various regions of jaws and skeletal bones. A total of 110 patients with a mean age of 55.01 ± 10.77 years were selected for the purpose of the present descriptive study. Dual X-ray Energy Absorptiometry (DXA) was carried out to determine bone mineral density (BMD) of the femur and lumbar vertebrae. Then all the subjects underwent DXA of the jaw bones and BMD values were determined at four jaw regions. Data were analyzed by SPSS 16 statistical software, and the correlation between the various BMD values was determined by Pearson's correlation coefficient. The results showed that 42.7% of females had normal BMD values in the femur, and in vertebrae, 20% were osteopenic and 37.3% suffered from osteoporosis, with statistically significant differences in the BMD values of the jaws between the three above-mentioned groups (P < 0.001). There was an increasing tendency toward osteopenia and osteoporosis with age. There was a positive correlation between BMD values of the femur and lumbar vertebrae and those of all the jaw regions under study (P < 0.005). There was a negative correlation (P < 0.01) between age and the BMD values of the femur, lumbar vertebrae and anterior maxilla. The bone density of the maxilla and mandible and presence of osteoporosis or osteopenia in these bones might reflect the same problem in skeletal bones.

Precision of high-resolution dual energy x-ray absorptiometry of bone mineral status and body composition in small animal models

Directory of Open Access Journals (Sweden)

Lochmüller E. M.

2001-01-01

Full Text Available The purpose of this study was to analyze the in situ precision (reproducibility of bone mineral and body composition measurements in mice of different body weights and rats, using a high-resolution DXA (dual energy X-ray absorptiometry scanner. We examined 48 NMRI mice weighing approximately 10 to 60 g, and 10 rats weighing approximately 140 g. Four repeated measurements were obtained on different days. In mice, the standard deviations of repeated measurements ranged from 2.5 to 242 mg for bone mineral content (BMC, from 0.16 to 3.74 g for fat, and from 0.40 to 4.21 g for lean mass. The coefficient of variation in percent (CV% for BMC/BMD (bone mineral density was highest in the 10 g mice (12.8% / 4.9% and lowest in the 40 g mice (3.5% /1.7%. In rats, it was 2.5 /1.2% in the lower extremity, 7.1/3.0 % in the spine, 5.7/2.0 % in the femur, and 3.6%/2.1% in the tibia. The CV% for fat and lean mass in mice was higher than for BMC. The study demonstrates good precision of bone mineral and moderate precision of body composition measure-ments in small animals, using a high-resolution DXA system. The technique can be used for testing the efficacy of drugs in small animal models, for muta-genesis screens, and for the phenotypic characterization of transgenic mice.

Precision of dual energy X-ray absorptiometry for body composition measurements in cats

International Nuclear Information System (INIS)

Borges, N.C.; Vasconcellos, R.S.; Canola, J.C.; Carciofi, A.C.; Pereira, G.T.; Paula, F.J.A.

2008-01-01

A short-term precision error of the individual subject and the DEXA technique, such as the effect of the repositioning of the cat on the examination table, were established. Four neutered adult cats (BW=4342 g) and three females (BW=3459 g) were submitted to five repeated scans with and without repositioning between them. Precision was estimated from the mean of the five measurements and expressed by the individual coefficient of variation (CV). The precision error of the technique was estimated by the variance of scan pool (n=35) and expressed in CV for the technique (CVt). The degrees of freedom and confidence intervals were determined to avoid underestimation of precision errors. Bone mineral content (BMC), lean mass (LM), and fat mass (FM) averages were higher (P<0.05) when animals were repositioned. The CVt was significantly higher (P<0.05) for bone mineral density (BMD), LM, and FM when the animals were repositioned. For short-term precision measurements, the repositioning of the animal was important to establish the precision of the technique. The dual energy xray absorptiometry method provided precision for body composition measurements in adult cats. (author)

How well does dual photon absorptiometry predict osteoporosis

International Nuclear Information System (INIS)

Harrison, J.E.; Krishnan, S.S.; Muller, C.; Strauss, A.; Mukherjee, S.; Sturtridge, W.C.

1993-01-01

The accuracy of dual energy X-ray absorptiometry (DEXA) for measurement of bone mass carried out by quantitative digital radiography (Hologic Inc.) was compared to results with neutron activation analysis (NAA) on 106 subjects. The accuracy with DEXA was further investigated by measurements on aluminium samples of known composition. DEXA measured 4 lumbar vertebrae by spine scan. The central third of the skeleton also was measured by whole body scan to obtain data on the same large part of the skeleton as measured by NAA. Results suggested that DEXA spine scans were more reliable than whole body scans. In addition, the measurement of total mineral content (BMC) was more reliable than the normalization of BMC to bone surface area (BMC/Area) or bone mineral density (BDM). Since the proportion of bone below detection would increase with development of osteoporosis, with osteoporosis the BMC would be increasingly underestimated, but to only a small extent, while the BMD would be more significantly overestimated. (author) 4 refs.; 5 figs.; 2 tabs

Aging and bone. X-ray bone densitometry

Energy Technology Data Exchange (ETDEWEB)

Morita, Rikushi (Shiga Univ. of Medical Sciences, Otsu (Japan))

1994-01-01

Bone mass at all ages of the individuals is the integration of genetic factors, nutrition, physical exercise, hormonal environments, and other factors influencing the bone. It is also a measurable risk factor for osteoporosis which may subsequently cause bone fractures. Thus measuring bone mass is required to predict the probability of developing bone fractures subsequent to osteoporosis, and to diagnose osteoporosis, and to manage the osteoporosis patient. This paper discusses bone mineral measurements according to their characteristics and clinical application. Methodology for measuring bone mass has rapidly progressed during the past 15 years, which covers photodensitometry, photon absorptiometry (single energy X-ray absorptiometry and dual energy X-ray absorptiometry), quantitative CT, and ultrasound. These techniques have allowed noninvasive measurement of bone mineral density in any site of the skeleton with high accuracy and precision, although a single use of the technique cannot satisfy the complete clinical requirements. Thus the most appropriate method for measuring bone mineral density is important to monitor bone mass change and according to the specific site. (N.K.).

Aging and bone. X-ray bone densitometry

International Nuclear Information System (INIS)

Morita, Rikushi

1994-01-01

Bone mass at all ages of the individuals is the integration of genetic factors, nutrition, physical exercise, hormonal environments, and other factors influencing the bone. It is also a measurable risk factor for osteoporosis which may subsequently cause bone fractures. Thus measuring bone mass is required to predict the probability of developing bone fractures subsequent to osteoporosis, and to diagnose osteoporosis, and to manage the osteoporosis patient. This paper discusses bone mineral measurements according to their characteristics and clinical application. Methodology for measuring bone mass has rapidly progressed during the past 15 years, which covers photodensitometry, photon absorptiometry (single energy X-ray absorptiometry and dual energy X-ray absorptiometry), quantitative CT, and ultrasound. These techniques have allowed noninvasive measurement of bone mineral density in any site of the skeleton with high accuracy and precision, although a single use of the technique cannot satisfy the complete clinical requirements. Thus the most appropriate method for measuring bone mineral density is important to monitor bone mass change and according to the specific site. (N.K.)

The relation between dual energy X-ray absorptiometry measurements of body fat composition and plasma ghrelin in patients with end-stage renal disease

International Nuclear Information System (INIS)

Elsayed, Naglaa M.; Hamed, Soha T.; El-Khatib, Mohamed M.; El-Shehaby, Amal M.

2009-01-01

Objective was to clarify the role of ghrelin in malnutrition in uremia and its relationship to fat composition using dual x-ray absorptiometry (DXA). This is a cohort study including Group I: 60 patients with end stage renal disease (30 on hemodialysis [group IA] and 30 pre-dialysis [group IB]) and Group II: 20 controls. This study was carried out in Cairo University Hospital, Kasr Al-Aini, Cairo, Egypt in 2007. Body fat composition (total, differential and lean body mass) was assessed using DXA and plasma ghrelin was measured. Ghrelin was significantly higher in hemodialysis and pre-dialysis groups compared to the control group and higher in hemodialysis group compared to the pre-dialysis group. In hemodialysis, ghrelin was negatively correlated with weight, body mass index (BMI), and truncal fat mass, and positively correlated with serum creatinine, lean body mass. In control, plasma ghrelin showed negative correlation with weight, BMI, truncal fat mass and positive correlation with lean body mass. Ghrelin was markedly elevated in renal failure due to its decrease in excretion. Negative correlation between ghrelin and fat mass composition was detected in dialysis patients. Serial evaluation of body fat mass composition using DXA is recommended for assessment of nutritional status of those patients. (author)

Sex- and age-specific percentiles of body composition indices for Chinese adults using dual-energy X-ray absorptiometry.

Science.gov (United States)

Xiao, Zeyu; Guo, Bin; Gong, Jian; Tang, Yongjin; Shang, Jingjie; Cheng, Yong; Xu, Hao

2017-10-01

The aims of the study were to develop sex- and age-specific percentiles for lean mass index (LMI), appendicular LMI (aLMI), fat mass index (FMI), and body fat distribution indices in Chinese adults using dual-energy X-ray absorptiometry (DXA), and to compare those indices with those of other ethnicities using the US NHANES data. Whole-body and regional lean mass and fat mass (FM) were measured using DXA in 5688 healthy males (n = 1693) and females (n = 3995) aged 20-90 years. Body fat distribution indices were expressed as % fat trunk/% fat legs, trunk/appendicular FM ratio (FMR), and android/gynoid FMR. Percentile curves of LMI, aLMI, FMI, and body fat distribution indices were obtained by the Lambda-Mu-Sigma method. The aLMI and LMI were negatively associated with age, decreasing from the fifth decade for males, but were not associated with age in females. Females had more total FM than males, whereas males had greater central adiposity (% fat trunk/% fat legs ratio, trunk/appendicular FMR, and android/gynoid FMR) than females. Moreover, FMI and body fat distribution indices consistently increased with age in both sexes, especially in women. In comparison with white, black, and Mexican populations in the USA, Chinese adults had lower total FM, but had greater central adiposity (% fat trunk/% fat legs ratio and trunk/appendicular FMR). Additionally, older white and Mexican populations showed greater decreases for aLMI and LMI than their Chinese counterparts. We present the sex- and age-specific percentiles for aLMI, LMI, FMI, and body fat distribution indices by DXA in Chinese adults, which may refine the individual assessment of the nutritional status of Chinese adults.

Estimation of percentage body fat by dual-energy x-ray absorptiometry: evaluation by in vivo human elemental composition

International Nuclear Information System (INIS)

Wang Zimian; Pierson, Richard N; Heymsfield, Steven B; Chen Zhao; Zhu Shankuan

2010-01-01

Dual-energy x-ray absorptiometry (DXA) is widely applied for estimating body fat. The percentage of body mass as fat (%fat) is predicted from a DXA-estimated R ST value defined as the ratio of soft tissue attenuation at two photon energies (e.g., 40 keV and 70 keV). Theoretically, the R ST concept depends on the mass of each major element in the human body. The DXA R ST values, however, have never been fully evaluated by measured human elemental composition. The present investigation evaluated the DXA R ST value by the total body mass of 11 major elements and the DXA %fat by the five-component (5C) model, respectively. Six elements (i.e. C, N, Na, P, Cl and Ca) were measured by in vivo neutron activation analysis, and potassium (i.e. K) by whole-body 40 K counting in 27 healthy adults. Models were developed for predicting the total body mass of four additional elements (i.e. H, O, Mg and S). The elemental content of soft tissue, after correction for bone mineral elements, was used to predict the R ST values. The DXA R ST values were strongly associated with the R ST values predicted from elemental content (r = 0.976, P ST to systematically exceed the DXA-measured R ST (mean ± SD, 1.389 ± 0.024 versus 1.341 ± 0.024). DXA-estimated %fat was strongly associated with 5C %fat (24.4 ± 12.0% versus 24.9 ± 11.1%, r = 0.983, P ST is evaluated by in vivo elemental composition, and the present study supports the underlying physical concept and accuracy of the DXA method for estimating %fat.

Predictive Validity of the Body Adiposity Index in Overweight and Obese Adults Using Dual-Energy X-ray Absorptiometry

Science.gov (United States)

Ramírez-Vélez, Robinson; Correa-Bautista, Jorge Enrique; González-Ruíz, Katherine; Vivas, Andrés; García-Hermoso, Antonio; Triana-Reina, Hector Reynaldo

2016-01-01

The body adiposity index (BAI) is a recent anthropometric measure proven to be valid in predicting body fat percentage (BF%) in some populations. However, the results have been inconsistent across populations. This study was designed to verify the validity of BAI in predicting BF% in a sample of overweight/obese adults, using dual-energy X-ray absorptiometry (DEXA) as the reference method. A cross-sectional study was conducted in 48 participants (54% women, mean age 41.0 ± 7.3 years old). DEXA was used as the “gold standard” to determine BF%. Pearson’s correlation coefficient was used to evaluate the association between BAI and BF%, as assessed by DEXA. A paired sample t-test was used to test differences in mean BF% obtained with BAI and DEXA methods. To evaluate the concordance between BF% as measured by DEXA and as estimated by BAI, we used Lin’s concordance correlation coefficient and Bland–Altman agreement analysis. The correlation between BF% obtained by DEXA and that estimated by BAI was r = 0.844, p < 0.001. Paired t-test showed a significant mean difference in BF% between methods (BAI = 33.3 ± 6.2 vs. DEXA 39.0 ± 6.1; p < 0.001). The bias of the BAI was −6.0 ± 3.0 BF% (95% CI = −12.0 to 1.0), indicating that the BAI method significantly underestimated the BF% compared to the reference method. Lin’s concordance correlation coefficient was considered stronger (ρc = 0.923, 95% CI = 0.862 to 0.957). In obese adults, BAI presented low agreement with BF% measured by DEXA; therefore, BAI is not recommended for BF% prediction in this overweight/obese sample studied. PMID:27916871

Estimation of percentage body fat by dual-energy x-ray absorptiometry: evaluation by in vivo human elemental composition

Energy Technology Data Exchange (ETDEWEB)

Wang Zimian; Pierson, Richard N [Obesity Research Center, St Luke' s-Roosevelt Hospital, Columbia University, College of Physicians and Surgeons, New York, NY (United States); Heymsfield, Steven B [Clinical Research, Metabolism, Merck Research Laboratories, Rahway, NJ (United States); Chen Zhao [Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ (United States); Zhu Shankuan, E-mail: zw28@columbia.ed [Obesity and Body Composition Research Center, Zhejiang University, School of Public Health, Hangzhou (China)

2010-05-07

Dual-energy x-ray absorptiometry (DXA) is widely applied for estimating body fat. The percentage of body mass as fat (%fat) is predicted from a DXA-estimated R{sub ST} value defined as the ratio of soft tissue attenuation at two photon energies (e.g., 40 keV and 70 keV). Theoretically, the R{sub ST} concept depends on the mass of each major element in the human body. The DXA R{sub ST} values, however, have never been fully evaluated by measured human elemental composition. The present investigation evaluated the DXA R{sub ST} value by the total body mass of 11 major elements and the DXA %fat by the five-component (5C) model, respectively. Six elements (i.e. C, N, Na, P, Cl and Ca) were measured by in vivo neutron activation analysis, and potassium (i.e. K) by whole-body {sup 40}K counting in 27 healthy adults. Models were developed for predicting the total body mass of four additional elements (i.e. H, O, Mg and S). The elemental content of soft tissue, after correction for bone mineral elements, was used to predict the R{sub ST} values. The DXA R{sub ST} values were strongly associated with the R{sub ST} values predicted from elemental content (r = 0.976, P < 0.001), although there was a tendency for the elemental-predicted R{sub ST} to systematically exceed the DXA-measured R{sub ST} (mean {+-} SD, 1.389 {+-} 0.024 versus 1.341 {+-} 0.024). DXA-estimated %fat was strongly associated with 5C %fat (24.4 {+-} 12.0% versus 24.9 {+-} 11.1%, r = 0.983, P < 0.001). DXA R{sub ST} is evaluated by in vivo elemental composition, and the present study supports the underlying physical concept and accuracy of the DXA method for estimating %fat.

Single- and multi-frequency bioelectrical impedance analyses to analyse body composition in maintenance haemodialysis patients: comparison with dual-energy x-ray absorptiometry

International Nuclear Information System (INIS)

Donadio, C; Halim, A Ben; Caprio, F; Grassi, G; Khedr, B; Mazzantini, M

2008-01-01

The aim of this study was to evaluate the adequacy of single-frequency (sf-BIA) and multi-frequency bioelectrical impedance analyses (mf-BIA), in comparison with dual-energy x-ray absorptiometry (DXA), to evaluate body composition in maintenance haemodialysis (MHD) patients. Body composition of 27 adult MHD patients (9 f, 18 m), BMI 17.5–34.4 kg m −2 , was examined with DXA and BIA, with two different sf-BIA and 1 mf-BIA analysers. Biochemical markers of nutritional status and adequacy of dialytic treatment were also determined. Fat mass (FM) estimated by the different BIA analysers was found to be slightly but significantly higher than FM measured by DXA. In contrast, fat-free mass (FFM) obtained with BIA was found to be slightly but significantly lower than FFM DXA. No significant differences were found between LBM-DXA (that is FFM-DXA minus bone mass) and the different FFM BIA. The lowest mean prediction error versus DXA values was found with sf1BIA. In any case, a close correlation was found between all BIA values and DXA values, particularly for FFM. Furthermore, FFM and LBM results were significantly correlated with serum creatinine, which in MHD patients is an indicator of muscle mass. These results indicate that BIA can be used to evaluate body composition in MHD patients

Normative values for CT-based texture analysis of vertebral bodies in dual X-ray absorptiometry-confirmed, normally mineralized subjects

International Nuclear Information System (INIS)

Mannil, Manoj; Eberhard, Matthias; Becker, Anton S.; Alkadhi, Hatem; Guggenberger, Roman; Schoenenberg, Denise; Osterhoff, Georg; Frey, Diana P.; Konukoglu, Ender

2017-01-01

To develop age-, gender-, and regional-specific normative values for texture analysis (TA) of spinal computed tomography (CT) in subjects with normal bone mineral density (BMD), as defined by dual X-ray absorptiometry (DXA), and to determine age-, gender-, and regional-specific differences. In this retrospective, IRB-approved study, TA was performed on sagittal CT bone images of the thoracic and lumbar spine using dedicated software (MaZda) in 141 individuals with normal DXA BMD findings. Numbers of female and male subjects were balanced in each of six age decades. Three hundred and five TA features were analyzed in thoracic and lumbar vertebrae using free-hand regions-of-interest. Intraclass correlation (ICC) coefficients were calculated for determining intra- and inter-observer agreement of each feature. Further dimension reduction was performed with correlation analyses. The TA features with an ICC 0.8 with other features were excluded from further analysis for dimension reduction. From the remaining 31 texture features, a significant correlation with age was found for the features mean (r = -0.489, p < 0.001), variance (r = -0.681, p < 0.001), kurtosis (r = 0.273, p < 0.001), and WavEnLL_s4 (r = 0.273, p < 0.001). Significant differences were found between genders for various higher-level texture features (p < 0.001). Regional differences among the thoracic spine, thoracic-lumbar junction, and lumbar spine were found for most TA features (p < 0.021). This study established normative values of TA features on CT images of the spine and showed age-, gender-, and regional-specific differences in individuals with normal BMD as defined by DXA. (orig.)

ADRB2 gene variants, dual-energy x-ray absorptiometry body composition, and hypertension in Tobago men of African descent.

Science.gov (United States)

Beason, Tracey Samantha; Bunker, Clareann H; Zmuda, Joseph M; Wilson, John W; Patrick, Alan L; Wheeler, Victor W; Weissfeld, Joel L

2011-05-01

Classic tissue effects of β(2)-adrenergic receptor activation include skeletal muscle glycogenolysis and vascular smooth muscle relaxation, factors relevant to obesity and hypertension, respectively. In a population-based study, we examined 2 common amino acid substitutions in the β(2)-adrenergic receptor gene (ADRB2) in relation to body composition and blood pressure. A cross-sectional analysis of 1893 African-descent men living in Tobago and participating in a prostate cancer screening study was performed. Body mass index, waist circumference, blood pressure, dual-energy x-ray absorptiometry body composition, and ADRB2 (Arg16Gly; Gln27Glu) genotype were determined. Twenty-six percent were obese (body mass index ≥30 kg/m(2)), and 50% were hypertensive. ADRB2 Arg16Gly and Gln27Glu alleles were in linkage disequilibrium (D' = 0.96, r(2) = 0.15). ADRB2 16Gly-containing and 27Glu-containing genotypes were equally frequent in low, medium, and high tertiles of percentage of body fat mass (16Gly-containing genotypes: 73.4%, 74.4%, and 74.5%, P(trend) = .66; 27Glu-containing genotypes: 27.6%, 23.8%, and 25.4%, P(trend) = .39) and in normal blood pressure, prehypertensive, and hypertensive men (16Gly-containing genotypes: 73.4%, 72.8%, and 74.4%, P(trend) = .61; 27Glu-containing genotypes: 25.6%, 24.1%, and 26.7%, P(trend) = .50). In a high-obesity and high-hypertension risk population with ancestry in common with African Americans, genetic variation defined by 2 common ADRB2 amino acid substitutions was not associated with body composition or hypertension. Copyright © 2011 Elsevier Inc. All rights reserved.

Is whole body bone mineral density measured by the dual energy X-ray absorptiometry applied to evaluate risk of osteoporosis among Japanese adult females?

International Nuclear Information System (INIS)

Sakai, Yumiko; Koike, George; Numata, Makoto; Taneda, Kiyoshi; Jingu, Sumie

2010-01-01

The purpose of this study is to measure whole body fat accurately, the dual energy X-ray absorptiometry (DXA) is widely utilized. Simultaneously, bone mineral density (BMD) of the whole body can also be measured. BMD is one of important information to diagnose osteoporosis. However, it is not established to use whole body BMD for this diagnosis. It is recommended that lumbar and/or hip BMD should be used for diagnosing osteoporosis by the guideline for prevention and treatment of osteoporosis. Although it is possible to measure whole body BMD and lumbar and/or hip BMD separately at the same visit, it is inevitable to expose patients to more X-ray. Therefore, an aim of this study is to elucidate the relationship between whole body BMD and lumbar BMD to find the cut off point of whole body BMD for screening of osteoporosis. Two hundred and thirty six Japanese adult females were ascertained to this study. Whole body BMD and lumbar BMD of each subject were measured with the use of Delphi W (Hologic, USA). One hundred and sixty five subjects were judged as possible osteoporosis (less than 80% of young adult mean (YAM) of lumbar BMD and/or definite fracture of lumbar vertebras). The cut off point of whole body BMD for screening possible osteoporosis was estimated by receiver operated characteristic (ROC) analysis. The cut off point of whole body BMD was 84% of YAM, equivalent to 80% of YAM of lumbar BMD, with the following sensitivity and specificity (0.84 and 0.79, respectively), indicating that whole body BMD could be used for screening osteoporosis. (author)

Correlation between bone mineral density of jaws and skeletal sites in an Iranian population using dual X-ray energy absorptiometry

Directory of Open Access Journals (Sweden)

Nasrin Esfahanizadeh

2013-01-01

Full Text Available Background: The aim of the present study was to evaluate the relationship between the bone density of various regions of jaws and skeletal bones. Materials and Methods: A total of 110 patients with a mean age of 55.01 ± 10.77 years were selected for the purpose of the present descriptive study. Dual X-ray Energy Absorptiometry (DXA was carried out to determine bone mineral density (BMD of the femur and lumbar vertebrae. Then all the subjects underwent DXA of the jaw bones and BMD values were determined at four jaw regions. Data were analyzed by SPSS 16 statistical software, and the correlation between the various BMD values was determined by Pearson′s correlation coefficient. Results: The results showed that 42.7% of females had normal BMD values in the femur, and in vertebrae, 20% were osteopenic and 37.3% suffered from osteoporosis, with statistically significant differences in the BMD values of the jaws between the three above-mentioned groups (P < 0.001. There was an increasing tendency toward osteopenia and osteoporosis with age. There was a positive correlation between BMD values of the femur and lumbar vertebrae and those of all the jaw regions under study (P < 0.005. There was a negative correlation (P < 0.01 between age and the BMD values of the femur, lumbar vertebrae and anterior maxilla. Conclusion: The bone density of the maxilla and mandible and presence of osteoporosis or osteopenia in these bones might reflect the same problem in skeletal bones.

'Real world' imprecision of dual-energy x-ray absorptiometry (DEXA) at L2-4 and femur neck

International Nuclear Information System (INIS)

Phillipov, G.; Sigalas, V.; Seaborn, C.; Phillips, P.; Rowe, C.; Kitchener, M.

1998-01-01

Full text: While measurement of bone density (BMD) by DEXA is routinely used to diagnose osteoporosis and estimate future fracture risk, data on what constitutes a significant change between serial BMD measurements has received much less attention. The use of repeat BMD measurements is particularly important to either assess the rate of bone loss or treatment efficacy for individual patients. However to estimate a statistically significant change between consecutive bone mineral density (BMD) measurements requires an accurate knowledge of dual-energy x-ray absorptiometry (DEXA) imprecision under actual day-to-day working conditions. DEXA imprecision, based on in vitro models, such as manufacturers' phantoms, leads to a marked under-estimation of true imprecision, since significant sources of variance (patient positioning, inter- and intra-operator variability etc) are ignored. In an attempt to provide a robust estimate of imprecision for our Lunar DPXplus, 28 females and one male(age 72.8 + 7.8 yr)were recruited to have multiple DEXA scans at approximately four week intervals. The subjects were handled using exactly the same procedure as that for our referred patients. Initial findings after each subject has had am average of 6.6 DEXA scans showed that the within subject variability (CV w ) associated with the AP lumbar spine (L2-4)and femur-neck was 1.83 and 2.24% respectively. No significant correlation was found between BMD values and CV w at either site. Since instrument variability is about 0.7% (derived from phantom studies), it is apparent that operator variation accounts for the majority of total variability. From the derived imprecision, the percentage difference for a significant change at a predefined probability limit is 5.1 and 6.2% for the spine and femur-neck sites respectively, when the probability of a false alarm is 5% (bi-directional). Knowledge of the critical difference required between successive measurements, combined with the known rate of

Design of parallel dual-energy X-ray beam and its performance for security radiography

International Nuclear Information System (INIS)

Kim, Kwang Hyun; Myoung, Sung Min; Chung, Yong Hyun

2011-01-01

A new concept of dual-energy X-ray beam generation and acquisition of dual-energy security radiography is proposed. Erbium (Er) and rhodium (Rh) with a copper filter were positioned in front of X-ray tube to generate low- and high-energy X-ray spectra. Low- and high-energy X-rays were guided to separately enter into two parallel detectors. Monte Carlo code of MCNPX was used to derive an optimum thickness of each filter for improved dual X-ray image quality. It was desired to provide separation ability between organic and inorganic matters for the condition of 140 kVp/0.8 mA as used in the security application. Acquired dual-energy X-ray beams were evaluated by the dual-energy Z-map yielding enhanced performance compared with a commercial dual-energy detector. A collimator for the parallel dual-energy X-ray beam was designed to minimize X-ray beam interference between low- and high-energy parallel beams for 500 mm source-to-detector distance.

Dual photon absorptiometry in hemodialyzed patients

International Nuclear Information System (INIS)

Viron, B.; Dosquet, P.; Haddoum, F.; Mignon, F.; Talbot, J.N.; Kiffel, T.; Coutris, G.; Milhaud, G.

1988-01-01

Dual photon absorptiometry (DPA) was performed in 25 uremic patients (mean age: 8) undergoing dialysis for 1 month to 10 years. Mean bone mineral content (BMC), expressed as a percentage of normal value, was significantly lower in hemodialyzed patients (-10 ± 17%) than in control subjects (p [fr

A comparison of bone mineral density in osteoporotic fracture of the proximal femur using dual energy X-ray absorptiometry

International Nuclear Information System (INIS)

Lee, Jong Seok; Yoo, Beong Gyu; Kim, Keung Sik

2000-01-01

There were some controversies about direct cause of hip fracture. We attempted to look at 40 osteoporotic proximal femur fractures in women over 50 years between March in 1999 and February in 2000. The bone density of the fracture group and the healthy 85 control group was measured by Dual Energy X-ray absorptiometry (DEXA). The result was compared using age matched paired T test. The results were as follows: The femoral neck fractures were 14 cases and the trochanteric fractures were 26 cases. Mean age at a fracture was 67.1 years in neck fracture group and 76.5 years in trochanteric fracture. In the control group, the bone density of both side of the proximal femur was measured and it showed statistically no difference between both sides in same person. The bone density of neck, Ward's triangle, trochanter (P<0.05) and lumbar spine (P<0.001) was significantly reduced in the proximal femoral fracture group comparing with the control group. The bone density of neck, Ward's triangle, trochanter (P<0.05) was significantly reduced in the proximal femoral neck fracture group comparing with the control group, but there was no statistical difference in lumbar spine comparing with the control group. The bone density of neck, Ward's triangle, trochanter and lumbar spine (P<0.001) was significantly reduced in the proximal femoral neck fracture group comparing with the control group. We concluded that the bone mineral densities (BMD) of proximal femur and lumbar spine had decreased in hip fractures but that the bone mineral density and T-score % of the proximal femur were statistically lower than that of the lumbar spine. We suggest that measuring the bone mineral density of the proximal femur may reflect the weakness of the proximal femur more precisely than measuring the bone mineral density of the lumbar spine

Are adult patients with Laron syndrome osteopenic? A comparison between dual-energy X-ray absorptiometry and volumetric bone densities.

Science.gov (United States)

Benbassat, Carlos A; Eshed, Varda; Kamjin, Moshe; Laron, Zvi

2003-10-01

Severe short stature resulting from a deficiency in IGF-I is a prominent feature of Laron syndrome (LS). Although low bone mineral density (BMD) has been noted in LS patients examined by dual energy x-ray absorptiometry (DEXA), this technique does not take volume into account and may therefore underestimate the true bone density in patients with small bones. The aim of the present study was to evaluate the BMD yielded by DEXA in our LS patients using estimated volumetric values. Volumetric density was calculated with the following formulas: bone mineral apparent density (BMAD) = bone mineral content (BMC)/(area)(3/2) for the lumbar spine and BMAD = BMC/area(2) for the femoral neck. The study sample included 12 patients (mean age, 43.9 yr; mean height, 123.7 cm). Findings were compared with 10 osteopenic subjects without developmental abnormalities (mean age, 56 yr; mean height, 164.8 cm) and 10 healthy control subjects matched for sex and age to the LS patients (mean height, 165.5 cm). BMAD in the LS group was 0.201 +/- 0.02 g/cm(3) at the lumbar spine and 0.201 +/- 0.04 g/cm(3) at the femoral neck; corresponding values for the osteopenic group were 0.130 +/- 0.01 and 0.140 +/- 0.01 g/cm(3), and for the controls, 0.178 +/- 0.03 and 0.192 +/- 0.02 g/cm(3). Although areal BMD was significantly lower in the LS and osteopenic subjects compared with controls (P < 0.02) at both the lumbar spine and femoral neck, BMAD was low (P < 0.01) in the osteopenic group only. In conclusion, DEXA does not seem to be a reliable measure of osteoporosis in patients with LS.

A comparison of bone mineral density in osteoporotic fracture of the proximal femur using dual energy X-ray absorptiometry

Energy Technology Data Exchange (ETDEWEB)

Lee, Jong Seok; Yoo, Beong Gyu [Wonkwang Health Science College, Iksan (Korea, Republic of); Kim, Keung Sik [Yonsei University Yong Dong Severance Hospital, Seoul (Korea, Republic of)

2000-04-15

There were some controversies about direct cause of hip fracture. We attempted to look at 40 osteoporotic proximal femur fractures in women over 50 years between March in 1999 and February in 2000. The bone density of the fracture group and the healthy 85 control group was measured by Dual Energy X-ray absorptiometry (DEXA). The result was compared using age matched paired T test. The results were as follows: The femoral neck fractures were 14 cases and the trochanteric fractures were 26 cases. Mean age at a fracture was 67.1 years in neck fracture group and 76.5 years in trochanteric fracture. In the control group, the bone density of both side of the proximal femur was measured and it showed statistically no difference between both sides in same person. The bone density of neck, Ward's triangle, trochanter (P<0.05) and lumbar spine (P<0.001) was significantly reduced in the proximal femoral fracture group comparing with the control group. The bone density of neck, Ward's triangle, trochanter (P<0.05) was significantly reduced in the proximal femoral neck fracture group comparing with the control group, but there was no statistical difference in lumbar spine comparing with the control group. The bone density of neck, Ward's triangle, trochanter and lumbar spine (P<0.001) was significantly reduced in the proximal femoral neck fracture group comparing with the control group. We concluded that the bone mineral densities (BMD) of proximal femur and lumbar spine had decreased in hip fractures but that the bone mineral density and T-score % of the proximal femur were statistically lower than that of the lumbar spine. We suggest that measuring the bone mineral density of the proximal femur may reflect the weakness of the proximal femur more precisely than measuring the bone mineral density of the lumbar spine.

Normative values for CT-based texture analysis of vertebral bodies in dual X-ray absorptiometry-confirmed, normally mineralized subjects

Energy Technology Data Exchange (ETDEWEB)

Mannil, Manoj; Eberhard, Matthias; Becker, Anton S.; Alkadhi, Hatem; Guggenberger, Roman [University Hospital Zurich, Institute of Diagnostic and Interventional Radiology, Zurich (Switzerland); Schoenenberg, Denise; Osterhoff, Georg [University Hospital Zurich, Division of Trauma Surgery, Zurich (Switzerland); Frey, Diana P. [University Hospital Zurich, Department of Rheumatology, Zurich (Switzerland); Konukoglu, Ender [Computer Vision Laboratory, Department of Information Technology and Electrical Engineering, Zurich (Switzerland)

2017-11-15

To develop age-, gender-, and regional-specific normative values for texture analysis (TA) of spinal computed tomography (CT) in subjects with normal bone mineral density (BMD), as defined by dual X-ray absorptiometry (DXA), and to determine age-, gender-, and regional-specific differences. In this retrospective, IRB-approved study, TA was performed on sagittal CT bone images of the thoracic and lumbar spine using dedicated software (MaZda) in 141 individuals with normal DXA BMD findings. Numbers of female and male subjects were balanced in each of six age decades. Three hundred and five TA features were analyzed in thoracic and lumbar vertebrae using free-hand regions-of-interest. Intraclass correlation (ICC) coefficients were calculated for determining intra- and inter-observer agreement of each feature. Further dimension reduction was performed with correlation analyses. The TA features with an ICC < 0.81 indicating compromised intra- and inter-observer agreement and with Pearson correlation scores r > 0.8 with other features were excluded from further analysis for dimension reduction. From the remaining 31 texture features, a significant correlation with age was found for the features mean (r = -0.489, p < 0.001), variance (r = -0.681, p < 0.001), kurtosis (r = 0.273, p < 0.001), and WavEnLL{sub s}4 (r = 0.273, p < 0.001). Significant differences were found between genders for various higher-level texture features (p < 0.001). Regional differences among the thoracic spine, thoracic-lumbar junction, and lumbar spine were found for most TA features (p < 0.021). This study established normative values of TA features on CT images of the spine and showed age-, gender-, and regional-specific differences in individuals with normal BMD as defined by DXA. (orig.)

Normative values for CT-based texture analysis of vertebral bodies in dual X-ray absorptiometry-confirmed, normally mineralized subjects.

Science.gov (United States)

Mannil, Manoj; Eberhard, Matthias; Becker, Anton S; Schönenberg, Denise; Osterhoff, Georg; Frey, Diana P; Konukoglu, Ender; Alkadhi, Hatem; Guggenberger, Roman

2017-11-01

To develop age-, gender-, and regional-specific normative values for texture analysis (TA) of spinal computed tomography (CT) in subjects with normal bone mineral density (BMD), as defined by dual X-ray absorptiometry (DXA), and to determine age-, gender-, and regional-specific differences. In this retrospective, IRB-approved study, TA was performed on sagittal CT bone images of the thoracic and lumbar spine using dedicated software (MaZda) in 141 individuals with normal DXA BMD findings. Numbers of female and male subjects were balanced in each of six age decades. Three hundred and five TA features were analyzed in thoracic and lumbar vertebrae using free-hand regions-of-interest. Intraclass correlation (ICC) coefficients were calculated for determining intra- and inter-observer agreement of each feature. Further dimension reduction was performed with correlation analyses. The TA features with an ICC  0.8 with other features were excluded from further analysis for dimension reduction. From the remaining 31 texture features, a significant correlation with age was found for the features mean (r = -0.489, p < 0.001), variance (r = -0.681, p < 0.001), kurtosis (r = 0.273, p < 0.001), and WavEnLL_s4 (r = 0.273, p < 0.001). Significant differences were found between genders for various higher-level texture features (p < 0.001). Regional differences among the thoracic spine, thoracic-lumbar junction, and lumbar spine were found for most TA features (p < 0.021). This study established normative values of TA features on CT images of the spine and showed age-, gender-, and regional-specific differences in individuals with normal BMD as defined by DXA.

Relationship between Weight, Body Mass Index, and Bone Mineral Density in Men Referred for Dual-Energy X-Ray Absorptiometry Scan in Isfahan, Iran

Directory of Open Access Journals (Sweden)

Mohammad Reza Salamat

2013-01-01

Full Text Available Objective. Although several studies have investigated the association between body mass index (BMI and bone mineral density (BMD, the results are inconsistent. The aim of this study was to further investigate the relation between BMI, weight and BMD in an Iranian men population. Methods. A total of 230 men 50-79 years old were examined. All men underwent a standard BMD scans of hip (total hip, femoral neck, trochanter, and femoral shaft and lumbar vertebrae (L2-L4 using a Dual-Energy X-ray Absorptiometry (DXA scan and examination of body size. Participants were categorised in two BMI group: normal weight <25.0 kg/m2 and overweight and obese, BMI ≥ 25 kg/m2. Results. Compared to men with BMI ≥ 25, the age-adjusted odds ratio of osteopenia was 2.2 (95% CI 0.85, 5.93 and for osteoporosis was 4.4 (1.51, 12.87 for men with BMI < 25. It was noted that BMI and weight was associated with a high BMD, compatible with a diagnosis of osteoporosis. Conclusions. These data indicate that both BMI and weight are associated with BMD of hip and vertebrae and overweight and obesity decreased the risk for osteoporosis. The results of this study highlight the need for osteoporosis prevention strategies in elderly men as well as postmenopausal women.

Quantification of trunk and android lean mass using dual energy x-ray absorptiometry compared to magnetic resonance imaging after spinal cord injury.

Science.gov (United States)

Rankin, Kathleen C; O'Brien, Laura C; Gorgey, Ashraf S

2018-02-20

To determine whether dual energy x-ray absorptiometry (DXA) compared to magnetic resonance imaging (MRI) may accurately quantify trunk lean mass (LM) after chronic spinal cord injury (SCI) and to investigate the relationships between trunk LM, visceral adiposity, trunk fat mass and basal metabolic rate (BMR). Cross-sectional design and correlational analysis. Research setting in a medical center. Twenty-two men with motor complete paraplegia (n = 14; T4-T11) and tetraplegia (n = 8; C5-C7) were recruited as part of a clinical trial. Not applicable. Trunk and android LM were measured using DXA. The volume of six trunk muscle groups were then measured using MRI to quantify trunk LM-MRI. Subcutaneous and visceral adipose tissue (VAT) cross-sectional areas were also measured using MRI. After overnight fast, BMR was evaluated using indirect calorimetry. Trunk LM-DXA (24 ± 3.3 kg) and android LM-DXA (3.6 ± 0.7 kg) overestimated (P android LM-DXA + 0.126; r 2 =0.26, SEE= 0.21 kg, P = 0.018. Percentage trunk LM-MRI was inversely related to VAT (r=-0.79, P android LM-DXA overestimated trunk LM-MRI. Percentage trunk LM-MRI, but not LM-DXA, was inversely related to trunk central adiposity. The findings highlight the importance of exercising trunk LM to attenuate cardio-metabolic disorders after SCI.

Effect of ¹⁸F-FDG administration on measurements of bone mineral density and body composition by dual-energy X-ray absorptiometry.

Science.gov (United States)

Kim, Dae-Weung; Kim, Woo Hyoung; Kim, Myoung Hyoun; Kim, Seong Su; Mo, Eun Hee; Lee, Chun Ho; Kim, Chang Guhn

2013-01-01

The purpose of this study was to determine whether antecedent administration of ¹⁸F-fluorodeoxyglucose (FDG) used in positron emission tomography (PET) scanning results in corruption of bone mineral density (BMD) and body composition measured by dual-energy X-ray absorptiometry (DXA) system. DXA measurements of BMD and body composition had been performed twice, before and after ¹⁸F-FDG PET scan in 30 patients. The comparison of pre-values and post-values of all BMD values showed a decrease after the injection. However, only the decrease of whole-body BMD (WB-BMD) was statistically significant (p < 0.05). Whole-body fat mass had increased and whole-body lean body mass had decreased after the injection of ¹⁸F-FDG, and these were statistically significant (p < 0.05). There is statistically significant correlation between the injected ¹⁸F-FDG dose and a decrease of WB-BMD (r = -0.405; p < 0.05). The findings of this study suggest that when both ¹⁸F-FDG PET and DXA measurements for whole-body composition are performed in close-time proximity, ¹⁸F-FDG PET scans should follow the DXA measurement. Otherwise, BMD measurements of total femur or lumbar spine could be followed by ¹⁸F-FDG PET in close-time proximity. Copyright © 2013 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

The Study on Bone Mineral Density Measurement Error in Accordance with Change in ROI by Utilizing Dual Energy X-ray Absorptiometry

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Lee, Yun Hong [Dept. of Diagnostic Radiology, Korea University Guro Hospital, Seoul (Korea, Republic of); Lee, In Ja [Dept. of Radiological Technology, Dongnam Health College, Suwon (Korea, Republic of); Yong, Hyung Jin [Dept. of Medicine Physics, The Graduate School of Biomedical Science Korea University, Seoul (Korea, Republic of)

2012-03-15

Dual Energy X-ray Absorptiometry(DEXA) is commonly used to diagnose Osteoporosis. The errors of DEXA bone density operation are caused by operator, bone mineral density meter, blood testing, patient. We focus on operator error then study about how much influence operator's region of intest(ROI) in bone testing result. During from March to July in 2011. 50 patients ware selected respectively from 30, 40, 50, 60, and 70 age groups who came to Korea University Medical Center(KUMC) for their Osteoporosis treatment. A-test was performed with usually ROI and B-test was performed with most widely ROI. Then, We compare A-test and B-test for find maximum difference of T-score error which occurred operator ROI controlling. Standard deviation of T-score of B-test showed 0.1 higher then A-test in femur neck. Standard deviation of B-test showed 0.2 higher then A-test in Ward's area which in Greater trocanter and Inter trocanter. Standard deviation of B-test showed 0,1 lower then A-test in L-1. Bone density testing about Two hundred patients results are as follow. When operator ROI was changed wider than normal ROI, bone density of femur was measured more higher but bone density of L-spine was measured more lower then normal bone density. That means, sometime DEXA bone density testing result is dependent by operator ROI controlling. This is relevant with the patient's medicine and health insurance, thus, tester always keep the size of ROI for to prevent any problem in the patient.

Reduction of misclassification rates of obesity by body mass index using dual-energy X-ray absorptiometry scans to improve subsequent prediction of per cent fat mass in a Caucasian population

DEFF Research Database (Denmark)

Pedersen, Susie Dawn; Astrup, Arne; Skovgaard, Ib

2011-01-01

Recognition is increasing for the errors of body mass index (BMI) in classification of excess body fat. Dual-energy X-ray absorptiometry (DXA) is accurate to assess body fat mass per cent (%FM), but is underutilized clinically. We examined the prevalence of obesity misclassification by BMI....... The majority of men with BMI 25–27 kg m-2 and women with BMI 24–26 kg m-2 were misclassified. Using multiple scan data (189 men, 311 women) and calculating the patient-specific constant C = (1 - %FM/100)3/2 ¥ BMI from baseline BMI and %FM, misclassification rates were halved for both genders when a personal...... threshold, BMIT, was used ([BMIT = C/(0.75)3/2] for men and [BMIT = C/(0.65)3/2] for women). We conclude that simple formulae allow evaluation of fatness of individual patients more accurately than BMI, with the use of one baseline DXA scan, and enable the establishment of patient-specific obesity treatment...

Short-term precision assessment of trabecular bone score and bone mineral density using dual-energy X-ray absorptiometry with different scan modes: an in vivo study

Energy Technology Data Exchange (ETDEWEB)

Bandirali, Michele; Poloni, Alessandro; Messina, Carmelo; Petrini, Marcello [Universita degli Studi di Milano, Scuola di Specializzazione in Radiodiagnostica, Milano (Italy); Sconfienza, Luca Maria; Sardanelli, Francesco [Unita di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese (Italy); Universita degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, San Donato Milanese (Italy); Papini, Giacomo Davide Edoardo; Di Leo, Giovanni [Unita di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese (Italy); Ulivieri, Fabio Massimo [IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Mineralometria Ossea Computerizzata e Ambulatorio Malattie Metabolismo Minerale e Osseo, Servizio di Medicina Nucleare, Milano (Italy)

2015-07-15

We estimated the in vivo reproducibility of trabecular bone score (TBS) from dual-energy X-ray absorptiometry (DXA) using different imaging modes to be compared to that of bone mineral density (BMD). We enrolled 30 patients for each imaging mode: fast-array, array, high definition. Each patient underwent two DXA examinations with in-between repositioning. BMD and TBS were obtained according to the International Society for Clinical Densitometry guidelines. The coefficient of variation (CoV) was calculated as the ratio between root mean square standard deviation and mean, percent least significant change (LSC) as 2.77 x CoV, reproducibility as the complement to 100 % LSC. Fast-array imaging mode resulted in 0.8 % CoV and 2.1 % LSC for BMD, 1.9 % and 5.3 % for TBS, respectively; array imaging mode resulted in 0.7 % and 2.0 % for BMD, 1.9 % and 5.2 %, for TBS; high-definition imaging mode resulted in 0.7 % and 2.0 %, for BMD; 2.0 % and 5.4 % for TBS, respectively. Reproducibility of TBS (95 %) was significantly lower than that of BMD (98 %) (p < 0.012). Difference in reproducibility among the imaging modes was not significant for either BMD or TBS (p = 0.942). While TBS reproducibility was significantly lower than that of BMD, differences among imaging modes were not significant for both TBS and BMD. (orig.)

Measurement of bone mineral using multiple-energy x-ray absorptiometry

International Nuclear Information System (INIS)

Swanpalmer, Janos; Kullenberg, Ragnar; Hansson, Tommy

1998-01-01

Our laboratory has previously reported a method of determining the amount of bone mineral using triple-energy absorptiometry with a continuous x-ray spectrum. In the present study, the experimental properties of the technique were examined. The accuracy, the influence of fat content and body thickness and the in vitro and in vivo precision were analysed. The results found in this investigation showed that despite the complexity of the technique, the amount of bone mineral can be accurately determined. The in vivo precision was determined to be 3.4%, expressed as the coefficient of variation (CV), for different skeletal parts. The in vitro precision was found to be 2.1% (CV). Neither the fat content nor the body thickness had any effect on the measured bone mineral values. Excellent linearity and a close correlation were found between the true and the measured bone mineral values. (author)

Dual X-ray absortiometry(DXA) in the detection of loosening in the total hip replacement arthroplasty: preliminary study

International Nuclear Information System (INIS)

Yoon, Hye Kyung; Kang, Heung Sik; Han, Man Chung; Kim, Hee Joong; Kim, Young Min

1994-01-01

Algorithms to get cross-sectional bone density pattern(transverse histogram) to predict the loosening of hip prosthesis using DXA(Dual X-ray Absorptiometry) have been developed. We performed this study to analyze the correlation between radiologic findings and densitometric pattern of the THRA(Total Hip Replacement Arthroplasty) patients. Thirty-six hips of 32 THRA patients were evaluated. The duration between THRA and DXA was from 1 year 7 months to 15 years. On transverse histogram, the periprosthetic bone density patterns were classified as 3 types; type I , rigid fixation in 17, type II definite loosening in 8, and type III, partial loosening in 11 cases. Surgical findings, plain X-ray findings and transverse histogram using DXA were correlated. Among 14 cases performing revision for acetabular prosthesis loosening, 5 cases revealed loosening of femoral stems while 9 cases revealed rigid fixation of femoral stems. Sensitivity was 100% for either plain X-ray or DXA. Specificity was 88%, 77% for plain X-ray and DXA respectively. This preliminary study reveals that periprosthetic bone density pattern on transverse histogram on DXA may be useful in the evaluation of the loosening. However, further study will be needed for clinical application

Concurrent agreement between an anthropometric model to predict thigh volume and dual-energy X-Ray absorptiometry assessment in female volleyball players aged 14-18 years.

Science.gov (United States)

Tavares, Óscar M; Valente-Dos-Santos, João; Duarte, João P; Póvoas, Susana C; Gobbo, Luís A; Fernandes, Rômulo A; Marinho, Daniel A; Casanova, José M; Sherar, Lauren B; Courteix, Daniel; Coelho-E-Silva, Manuel J

2016-11-24

A variety of performance outputs are strongly determined by lower limbs volume and composition in children and adolescents. The current study aimed to examine the validity of thigh volume (TV) estimated by anthropometry in late adolescent female volleyball players. Dual-energy X-ray absorptiometry (DXA) measures were used as the reference method. Total and regional body composition was assessed with a Lunar DPX NT/Pro/MD+/Duo/Bravo scanner in a cross-sectional sample of 42 Portuguese female volleyball players aged 14-18 years (165.2 ± 0.9 cm; 61.1 ± 1.4 kg). TV was estimated with the reference method (TV-DXA) and with the anthropometric method (TV-ANTH). Agreement between procedures was assessed with Deming regression. The analysis also considered a calibration of the anthropometric approach. The equation that best predicted TV-DXA was: -0.899 + 0.876 × log 10 (body mass) + 0.113 × log 10 (TV-ANTH). This new model (NM) was validated using the predicted residual sum of squares (PRESS) method (R 2 PRESS  = 0.838). Correlation between the reference method and the NM was 0.934 (95%CI: 0.880-0.964, S y∙x  = 0.325 L). A new and accurate anthropometric method to estimate TV in adolescent female volleyball players was obtained from the equation of Jones and Pearson alongside with adjustments for body mass.

Lumbar spine and total-body dual-energy X-ray absorptiometry in children with severe neurological impairment and intellectual disability: a pilot study of artefacts and disrupting factors

Energy Technology Data Exchange (ETDEWEB)

Mergler, S.; Rieken, R.; Evenhuis, H.M.; Penning, C. [Erasmus University Medical Centre, Intellectual Disability Medicine, Department of General Practice, PO Box 2040, CA, Rotterdam (Netherlands); Tibboel, D. [Erasmus University Medical Centre, Department of Pediatric Surgery, Rotterdam (Netherlands); Rijn, R.R. van [Academic Medical Centre, Department of Radiology, Amsterdam (Netherlands)

2012-05-15

Children with severe neurological impairment and intellectual disability (ID) are susceptible for developing low bone mineral density (BMD) and fractures. BMD is generally measured with dual-energy X-ray absorptiometry (DXA). To describe the occurrence of factors that may influence the feasibility of DXA and the accuracy of DXA outcome in children with severe neurological impairment and ID. Based on literature and expert opinion, a list of disrupting factors was developed. Occurrence of these factors was assessed in 27 children who underwent DXA measurement. Disrupting factors that occurred most frequently were movement during measurement (82%), aberrant body composition (67%), small length for age (56%) and scoliosis (37%). The number of disrupting factors per child was mean 5.3 (range 1-8). No correlation was found between DXA outcomes and the number of disrupting factors. Factors that may negatively influence the accuracy of DXA outcome are frequently present in children with severe neurological impairment and ID. No systematic deviation of DXA outcome in coherence with the amount of disrupting factors was found, but physicians should be aware of the possible influence of disrupting factors on the accuracy of DXA. (orig.)

Lumbar spine and total-body dual-energy X-ray absorptiometry in children with severe neurological impairment and intellectual disability: a pilot study of artefacts and disrupting factors

International Nuclear Information System (INIS)

Mergler, S.; Rieken, R.; Evenhuis, H.M.; Penning, C.; Tibboel, D.; Rijn, R.R. van

2012-01-01

Children with severe neurological impairment and intellectual disability (ID) are susceptible for developing low bone mineral density (BMD) and fractures. BMD is generally measured with dual-energy X-ray absorptiometry (DXA). To describe the occurrence of factors that may influence the feasibility of DXA and the accuracy of DXA outcome in children with severe neurological impairment and ID. Based on literature and expert opinion, a list of disrupting factors was developed. Occurrence of these factors was assessed in 27 children who underwent DXA measurement. Disrupting factors that occurred most frequently were movement during measurement (82%), aberrant body composition (67%), small length for age (56%) and scoliosis (37%). The number of disrupting factors per child was mean 5.3 (range 1-8). No correlation was found between DXA outcomes and the number of disrupting factors. Factors that may negatively influence the accuracy of DXA outcome are frequently present in children with severe neurological impairment and ID. No systematic deviation of DXA outcome in coherence with the amount of disrupting factors was found, but physicians should be aware of the possible influence of disrupting factors on the accuracy of DXA. (orig.)

Comparison of neutron and high-energy X-ray dual-beam radiography for air cargo inspection

International Nuclear Information System (INIS)

Liu, Y.; Sowerby, B.D.; Tickner, J.R.

2008-01-01

Dual-beam radiography techniques utilising various combinations of high-energy X-rays and neutrons are attractive for screening bulk cargo for contraband such as narcotics and explosives. Dual-beam radiography is an important enhancement to conventional single-beam X-ray radiography systems in that it provides additional information on the composition of the object being imaged. By comparing the attenuations of transmitted dual high-energy beams, it is possible to build a 2D image, colour coded to indicate material. Only high-energy X-rays, gamma-rays and neutrons have the required penetration to screen cargo containers. This paper reviews recent developments and applications of dual-beam radiography for air cargo inspection. These developments include dual high-energy X-ray techniques as well as fast neutron and gamma-ray (or X-ray) radiography systems. High-energy X-ray systems have the advantage of generally better penetration than neutron systems, depending on the material being interrogated. However, neutron systems have the advantage of much better sensitivity to material composition compared to dual high-energy X-ray techniques. In particular, fast neutron radiography offers the potential to discriminate between various classes of organic material, unlike dual energy X-ray techniques that realistically only offer the ability to discriminate between organic and metal objects

Depth dose of critical organs of phantom based on surface dose exposed with Dual X-ray absorptiometry: pencil beam using TLD dosimetry

Directory of Open Access Journals (Sweden)

Ali Akbar Sharafi

2009-02-01

Full Text Available Introduction: Dual X-ray absorptiometry (DXA is one of the most widely used techniques fornon-invasive assessment of bone status. Radiation dosimetry is well established technique for pencilbeam and fan beam DXA system, for the assessment of the surface absorbed dose. No publishedassessment of the absorbed dose for the various depths of the critical organs such as the thyroid anduterus was found. Therefore, in this study, we measured the surface dose and depth dose of criticalorgans to determine the correlation between the depth dose and the surface dose.Materials and Methods: A Lunar DPX-MD (pencil beam system was used in this study. Ananthropomorphic phantom was designed. AP spine and femur scan modes were used to measure thesurface and depth doses of the thyroid left and right lobes and uterus in various deeps and scan centers.TLDs-400 were placed at the surface, near the source and also inserted at different depths in thyroidand uterus of the anthropomorphic phantom. Absorbed doses were measured on the phantom for APspine and femur scans. The correlation between the absorbed dose and the depth was found using thelinear regression analysis.Results: There was no significant correlation between the depth dose and the scan center doseexcept in the femur scan. AP spine effective dose were calculated as 0.064, 0.059, 0.061 and 0.242μSv for thyroid left, right lobes, uterus and ovary, respectively.Conclusion: It is concluded that there is significant correlation between the surface and the doseof various depths of the scanned sections.

Non-invasive methods for the determination of body and carcass composition in livestock: dual-energy X-ray absorptiometry, computed tomography, magnetic resonance imaging and ultrasound: invited review.

Science.gov (United States)

Scholz, A M; Bünger, L; Kongsro, J; Baulain, U; Mitchell, A D

2015-07-01

The ability to accurately measure body or carcass composition is important for performance testing, grading and finally selection or payment of meat-producing animals. Advances especially in non-invasive techniques are mainly based on the development of electronic and computer-driven methods in order to provide objective phenotypic data. The preference for a specific technique depends on the target animal species or carcass, combined with technical and practical aspects such as accuracy, reliability, cost, portability, speed, ease of use, safety and for in vivo measurements the need for fixation or sedation. The techniques rely on specific device-driven signals, which interact with tissues in the body or carcass at the atomic or molecular level, resulting in secondary or attenuated signals detected by the instruments and analyzed quantitatively. The electromagnetic signal produced by the instrument may originate from mechanical energy such as sound waves (ultrasound - US), 'photon' radiation (X-ray-computed tomography - CT, dual-energy X-ray absorptiometry - DXA) or radio frequency waves (magnetic resonance imaging - MRI). The signals detected by the corresponding instruments are processed to measure, for example, tissue depths, areas, volumes or distributions of fat, muscle (water, protein) and partly bone or bone mineral. Among the above techniques, CT is the most accurate one followed by MRI and DXA, whereas US can be used for all sizes of farm animal species even under field conditions. CT, MRI and US can provide volume data, whereas only DXA delivers immediate whole-body composition results without (2D) image manipulation. A combination of simple US and more expensive CT, MRI or DXA might be applied for farm animal selection programs in a stepwise approach.

Dual photon absorptiometry of the spine

International Nuclear Information System (INIS)

Guaydier-Souquieres, G.; Sabatier, J.P.

1987-01-01

Dual photon absorptiometry allows quantitative investigation of the vertebral mineral content. The authors report the bone mineralization regression curves they obtained with their prototype in male and female controle subjects. There is a fracture threshold, unconnected with age, between normal and osteoporotic subjects. DPA results correlate well with those of Quantitative Computed Tomography. DPA can be used to monitor patient's mineralization and detect subjects at increased risk for fractures [fr

Measurements of bone mineral density in the lumbar spine and proximal femur using lunar prodigy and the new pencil-beam dual-energy X-ray absorptiometry

International Nuclear Information System (INIS)

Choi, Dongil; Kim, Deog-Yoon; Han, Chung Soo; Kim, Seonwoo; Bok, Hae Sook; Huh, Wooseong; Ko, Jae-Wook; Hong, Sung Hwa

2010-01-01

We evaluated the correlation of the absolute bone mineral density (BMD) values of the lumbar spine and standard sites of the proximal femur obtained from a Lunar Prodigy and the newly developed pencil-beam dual-energy X-ray absorptiometry (Dexxum). Between June 2008 and December 2008, 79 Korean volunteers were enrolled. Measurements were obtained on the same day using both densitometers. The absolute BMD values (g/cm 2 ) from the two densitometers were evaluated using Pearson's correlation analysis with Bonferroni's correction for the three clinically important sites. In order to evaluate precision, we performed duplicate Dexxum measurements, and calculated the within-subject coefficient of variation (WSCV). The Pearson's correlation coefficient (r) of BMD values for the total proximal femur, femoral neck, and lumbar spine by the two densitometers were 0.926, 0.948, and 0.955 respectively, and the null hypotheses of r = 0.8 were all rejected (p < 0.001 by one-sided Z-test with Fisher's z-transformation for each site). The T-scores (r ≥ 0.842) and Z-scores (r ≥ 0.709) also showed strong positive correlations. The duplicate BMD values of Dexxum showed a high level of precision (WSCV ≤ 4.27%). Dexxum measurements of BMD, T-scores, and Z-scores showed a strong linear correlation with those measured on Lunar Prodigy. (orig.)

Different X-ray spectral evolution for black hole X-ray binaries in dual tracks of radio-X-ray correlation

International Nuclear Information System (INIS)

Cao, Xiao-Feng; Wu, Qingwen; Dong, Ai-Jun

2014-01-01

Recently, an 'outlier' track of radio-X-ray correlation was found, which is much steeper than the former universal correlation, where dual tracks were speculated to be triggered by different accretion processes. In this work, we test this issue by exploring hard X-ray spectral evolution in four black-hole X-ray binaries with multiple, quasi-simultaneous radio and X-ray observations. First, we find that hard X-ray photon indices, Γ, are negatively and positively correlated with X-ray fluxes when the X-ray flux, F 3-9 keV , is below and above a critical flux, F X, crit , which are consistent with predictions of the advection-dominated accretion flow and the disk-corona model, respectively. Second, and most importantly, we find that the radio-X-ray correlations are also clearly different when the X-ray fluxes are higher and lower than the critical flux as defined by X-ray spectral evolution. The data points with F 3-9 keV ≳ F X, crit have a steeper radio-X-ray correlation (F X ∝F R b and b ∼ 1.1-1.4), which roughly forms the ''outlier'' track. However, the data points with anti-correlation of Γ – F 3-9 keV either stay in the universal track with b ∼ 0.61 or stay in the transition track (from the universal to 'outlier' tracks or vice versa). Therefore, our results support that the universal and ''outlier'' tracks of radio-X-ray correlations are regulated by radiatively inefficient and radiatively efficient accretion model, respectively.

Assess the discrimination of Achilles InSight calcaneus quantitative ultrasound device for osteoporosis in Chinese women: Compared with dual energy X-ray absorptiometry measurements

Energy Technology Data Exchange (ETDEWEB)

Jin Ningning, E-mail: ningning_jin@163.com [Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100032 (China); Lin Shouqing, E-mail: Shouqing_Lin2003@yahoo.com.cn [Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100032 (China); Zhang Ying, E-mail: steel_lee@sina.com.cn [Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100032 (China); Chen Fengling, E-mail: bjzqk@126.com [Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100032 (China)

2010-11-15

Since the implementation of quantitative ultrasound (QUS) technology may become a part of future clinical decision making to identify osteoporosis and prevent fractures, this study was initiated to evaluate the correlations of QUS parameters and axial bone mineral density (BMD) using dual energy X-ray absorptiometry (DXA) and to assess the discrimination of QUS measurements for osteoporosis and osteopenia defined by WHO criteria. 106 native Chinese women (aged 50.2 {+-} 10.9 SD, 21-74 years) were involved. Each subject received both QUS measurements at left calcaneus with Achilles InSight and DXA measurements with DPX-L at lumbar spine (L{sub 2-4}), total hip and femoral neck. Achilles InSight provided the stiffness index (SI) which derived from Broadband Ultrasound Attenuation (BUA) and Speed of Sound (SOS), and the T-scores of SI were calculated. We found that the QUS parameter SI was statistically significant but medium correlated (r = 0.458-0.587) with DXA at the lumbar spine, total hip and femoral neck (P < 0.0001 for all correlations). With ROC analysis, the area under the ROC curve of diagnosis of osteoporosis and osteopenia were 0.933 and 0.796, respectively. To identify osteoporosis, when the T-score threshold of SI was defined as -1.4, the sensitivity was 100%, and the specificity was 73.7%. Our study confirmed that QUS measurements performed with Achilles InSight were capable to identify osteoporosis defined by axial BMD using DXA in Chinese women.

Assess the discrimination of Achilles InSight calcaneus quantitative ultrasound device for osteoporosis in Chinese women: Compared with dual energy X-ray absorptiometry measurements

International Nuclear Information System (INIS)

Jin Ningning; Lin Shouqing; Zhang Ying; Chen Fengling

2010-01-01

Since the implementation of quantitative ultrasound (QUS) technology may become a part of future clinical decision making to identify osteoporosis and prevent fractures, this study was initiated to evaluate the correlations of QUS parameters and axial bone mineral density (BMD) using dual energy X-ray absorptiometry (DXA) and to assess the discrimination of QUS measurements for osteoporosis and osteopenia defined by WHO criteria. 106 native Chinese women (aged 50.2 ± 10.9 SD, 21-74 years) were involved. Each subject received both QUS measurements at left calcaneus with Achilles InSight and DXA measurements with DPX-L at lumbar spine (L 2-4 ), total hip and femoral neck. Achilles InSight provided the stiffness index (SI) which derived from Broadband Ultrasound Attenuation (BUA) and Speed of Sound (SOS), and the T-scores of SI were calculated. We found that the QUS parameter SI was statistically significant but medium correlated (r = 0.458-0.587) with DXA at the lumbar spine, total hip and femoral neck (P < 0.0001 for all correlations). With ROC analysis, the area under the ROC curve of diagnosis of osteoporosis and osteopenia were 0.933 and 0.796, respectively. To identify osteoporosis, when the T-score threshold of SI was defined as -1.4, the sensitivity was 100%, and the specificity was 73.7%. Our study confirmed that QUS measurements performed with Achilles InSight were capable to identify osteoporosis defined by axial BMD using DXA in Chinese women.

A comparative study on BMD of lumbar spine and proximal femur in post-menopausal women using dual energy X-ray absorptiometry

International Nuclear Information System (INIS)

Yoon, Han Sik; Mo, Eun Hee

1999-01-01

Osteoporosis, which causes mainly fracture of the spine, proximal femur and distal radius by minimal trauma, is a major public health problem and its prevalence is steadily increasing in Korea according to the development of public health care. There are reliable methods for diagnosis based on bone densitometry. Early detection and intervention are important for reducing the incidence of fractures. A consensus definition of osteoporosis, based on bone density measurement, has been developed by the World Health Organization(WHO). In this study, bone mineral density(BMD) was measured by dual energy x-ray absorptiometry(DEXA) at the proximal femur and lumbar spine in 132 post-menopausal women. The purpose of this study is to find influential factors on the BMD of the proximal femur and the lumbar spine and to analyze correlation between BMD and the problematic factors. We obtained the following results : 1. Mean BMD score, T-score and Z-score of the proximal femur were 0.81(g/cm 2 ), -2.45(S.D.) and -2.09(S.D.) respectively and in the lumber spine were 0.83(g/cm 2 ), -2.02(S.D.), -2.43(S.D.) respectively. 2. In correlation analysis between BMD and many factors, correlation coefficients were -0.467, 0.212, -0.321 and 0.241 in age, height, duration after menopause respectively. BMI and the residuals were comparatively small. 3. Correlation coefficients to age matched BMD, in height and body weight were 0.222 and 0.241, in age and duration after menopause were -0.268, -0.282. 4. The fracture threshold of proximal femur BMD to the 90th percentile was 0.845(g/cm 2 ). 5. At the result of multiple regression analysis, age, body weight, BMI(kg/m 2 ) and duration after menopause described as significant variables

A comparative study on BMD of lumbar spine and proximal femur in post-menopausal women using dual energy X-ray absorptiometry

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Yoon, Han Sik [Wonkwang Health Science College, Iksan (Korea, Republic of); Mo, Eun Hee [College of Medicine, Wonkwang Univ., Iksan (Korea, Republic of)

1999-04-01

Osteoporosis, which causes mainly fracture of the spine, proximal femur and distal radius by minimal trauma, is a major public health problem and its prevalence is steadily increasing in Korea according to the development of public health care. There are reliable methods for diagnosis based on bone densitometry. Early detection and intervention are important for reducing the incidence of fractures. A consensus definition of osteoporosis, based on bone density measurement, has been developed by the World Health Organization(WHO). In this study, bone mineral density(BMD) was measured by dual energy x-ray absorptiometry(DEXA) at the proximal femur and lumbar spine in 132 post-menopausal women. The purpose of this study is to find influential factors on the BMD of the proximal femur and the lumbar spine and to analyze correlation between BMD and the problematic factors. We obtained the following results : 1. Mean BMD score, T-score and Z-score of the proximal femur were 0.81(g/cm{sup 2}), -2.45(S.D.) and -2.09(S.D.) respectively and in the lumber spine were 0.83(g/cm{sup 2}), -2.02(S.D.), -2.43(S.D.) respectively. 2. In correlation analysis between BMD and many factors, correlation coefficients were -0.467, 0.212, -0.321 and 0.241 in age, height, duration after menopause respectively. BMI and the residuals were comparatively small. 3. Correlation coefficients to age matched BMD, in height and body weight were 0.222 and 0.241, in age and duration after menopause were -0.268, -0.282. 4. The fracture threshold of proximal femur BMD to the 90th percentile was 0.845(g/cm{sup 2}). 5. At the result of multiple regression analysis, age, body weight, BMI(kg/m{sup 2}) and duration after menopause described as significant variables.

Comparison of dual-energy X-ray absorptiometry and magnetic resonance imaging-measured adipose tissue depots in HIV-infected and control subjects.

Science.gov (United States)

Scherzer, Rebecca; Shen, Wei; Bacchetti, Peter; Kotler, Donald; Lewis, Cora E; Shlipak, Michael G; Punyanitya, Mark; Heymsfield, Steven B; Grunfeld, Carl

2008-10-01

Studies in persons without HIV infection have compared adipose tissue measured by dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging (MRI), but no such study has been conducted in HIV-infected (HIV+) subjects, who have a high prevalence of regional fat loss. We compared DXA- with MRI-measured trunk, leg, arm, and total fat in HIV+ and control subjects. A cross-sectional analysis was conducted in 877 HIV+ subjects and 260 control subjects in FRAM (Study of Fat Redistribution and Metabolic Change in HIV Infection), stratified by sex and HIV status. Univariate associations of DXA with MRI were strongest for total and trunk fat (r > or = 0.92) and slightly weaker for leg (r > or = 0.87) and arm (r > or = 0.71) fat. The average estimated limb fat was substantially greater for DXA than for MRI for HIV+ and control men and women (all P < 0.0001). Less of a difference was observed in trunk fat measured by DXA and MRI, but the difference was still statistically significant (P < 0.0001). Bland-Altman plots showed increasing differences and variability. Greater average limb fat in control and HIV+ subjects (both P < 0.0001) was associated with greater differences between DXA and MRI measurements. Because the control subjects had more limb fat than did the HIV+ subjects, greater amounts of fat were measured by DXA than by MRI when control subjects were compared with HIV+ subjects. More HIV+ subjects had leg fat in the bottom decile of the control subjects by DXA than by MRI (P < 0.0001). Although DXA- and MRI-measured adipose tissue depots correlate strongly in HIV+ and control subjects, differences increase as average fat increases, particularly for limb fat. DXA may estimate a higher prevalence of peripheral lipoatrophy than does MRI in HIV+ subjects.

Prediction of Android and Gynoid Body Adiposity via a Three-dimensional Stereovision Body Imaging System and Dual-Energy X-ray Absorptiometry.

Science.gov (United States)

Lee, Jane J; Freeland-Graves, Jeanne H; Pepper, M Reese; Stanforth, Philip R; Xu, Bugao

2015-01-01

Current methods for measuring regional body fat are expensive and inconvenient compared to the relative cost-effectiveness and ease of use of a stereovision body imaging (SBI) system. The primary goal of this research is to develop prediction models for android and gynoid fat by body measurements assessed via SBI and dual-energy x-ray absorptiometry (DXA). Subsequently, mathematical equations for prediction of total and regional (trunk, leg) body adiposity were established via parameters measured by SBI and DXA. A total of 121 participants were randomly assigned into primary and cross-validation groups. Body measurements were obtained via traditional anthropometrics, SBI, and DXA. Multiple regression analysis was conducted to develop mathematical equations by demographics and SBI assessed body measurements as independent variables and body adiposity (fat mass and percentage fat) as dependent variables. The validity of the prediction models was evaluated by a split sample method and Bland-Altman analysis. The R(2) of the prediction equations for fat mass and percentage body fat were 93.2% and 76.4% for android and 91.4% and 66.5% for gynoid, respectively. The limits of agreement for the fat mass and percentage fat were -0.06 ± 0.87 kg and -0.11% ± 1.97% for android and -0.04 ± 1.58 kg and -0.19% ± 4.27% for gynoid. Prediction values for fat mass and percentage fat were 94.6% and 88.9% for total body, 93.9% and 71.0% for trunk, and 92.4% and 64.1% for leg, respectively. The three-dimensional (3D) SBI produces reliable parameters that can predict android and gynoid as well as total and regional (trunk, leg) fat mass.

Whole-body bone mineral content, lean body mass, and fat mass measured by dual-energy x-ray absorptiometry in a population of normal Canadian children and adolescents

Energy Technology Data Exchange (ETDEWEB)

Sala, A. [McMaster Children' s Hospital, Hamilton, Ontario (Canada); McMaster Univ., Dept. of Pediatrics, Hamilton, Ontario (Canada); Univ. of Milan-Bicocca, Monza (Italy); Webber, C.E. [Hamilton Health Sciences, Dept. of Nuclear Medicine, Hamilton, Ontario (Canada); McMaster Univ., Dept. of Radiology, Hamilton, Ontario (Canada)]. E-mail: webber@hhsc.ca; Morrison, J. [McMaster Children' s Hospital, Hamilton, Ontario (Canada); Beaumont, L.F. [Hamilton Health Sciences, Dept. of Nuclear Medicine, Hamilton, Ontario (Canada); Barr, R.D. [McMaster Children' s Hospital, Hamilton, Ontario (Canada); McMaster Univ., Dept. of Pediatrics, Hamilton, Ontario (Canada)

2007-02-15

Measurements of body composition have evident value in evaluating growing children and adolescents, and dual-energy X-ray absorptiometry (DXA) is a tool that provides accurate measurements of whole-body bone mineral content (WBBMC), lean body mass (LBM), and fat mass (FM). To interpret such measurements in the context of ill health, normative values must be available. Such information could be expected to be regionally specific because of differences in ethnic, dietary, and physical activity determinants. In this study, DXA was performed with Hologic densitometers in normal girls (n = 91) and boys (n 88) between 3 and 18 years of age. The derivation of normal ranges is presented for boys and girls. The correlation of the sum of WBBMC, LBM, and FM with directly measured body weight was almost perfect (r > 0.997). As expected, FM and body mass index correlated strongly. The normal values for WBBMC, LBM, and FM from this study are compared with other Canadian data and with published normative data from Argentina and the Netherlands, all of which use different densitometers. The results of this study allow the calculation of z scores for each facet of body composition and facilitate the use of DXA to report routine evaluations of body composition in children and adolescents. (author)

Whole-body bone mineral content, lean body mass, and fat mass measured by dual-energy x-ray absorptiometry in a population of normal Canadian children and adolescents

International Nuclear Information System (INIS)

Sala, A.; Webber, C.E.; Morrison, J.; Beaumont, L.F.; Barr, R.D.

2007-01-01

Measurements of body composition have evident value in evaluating growing children and adolescents, and dual-energy X-ray absorptiometry (DXA) is a tool that provides accurate measurements of whole-body bone mineral content (WBBMC), lean body mass (LBM), and fat mass (FM). To interpret such measurements in the context of ill health, normative values must be available. Such information could be expected to be regionally specific because of differences in ethnic, dietary, and physical activity determinants. In this study, DXA was performed with Hologic densitometers in normal girls (n = 91) and boys (n 88) between 3 and 18 years of age. The derivation of normal ranges is presented for boys and girls. The correlation of the sum of WBBMC, LBM, and FM with directly measured body weight was almost perfect (r > 0.997). As expected, FM and body mass index correlated strongly. The normal values for WBBMC, LBM, and FM from this study are compared with other Canadian data and with published normative data from Argentina and the Netherlands, all of which use different densitometers. The results of this study allow the calculation of z scores for each facet of body composition and facilitate the use of DXA to report routine evaluations of body composition in children and adolescents. (author)

Dual-energy X-ray absorptiometry, skinfold thickness and waist circumference for assessing body composition in ambulant and non-ambulant wheelchair games players

Directory of Open Access Journals (Sweden)

Annika eWillems

2015-11-01

Full Text Available Field-based assessments provide a cost–effective and accessible alternative to dual-energy X-ray absorptiometry (DXA for practitioners determining body composition in athletic populations. It remains unclear how the range of physical impairments classifiable in wheelchair sports may affect the utility of field-based body composition techniques. The present study assessed body composition using DXA in 14 wheelchair games players who were either wheelchair dependent (non-walkers; n =7 or relied on a wheelchair for sports participation only (walkers; n =7. Anthropometric measurements were used to predict body fat percentage with existing regression equations established for able-bodied persons by Sloan & Weir, Durnin & Womersley, Lean et al, Gallagher et al and Pongchaiyakul et al. In addition, linear regression analysis was performed to calculate the association between body fat percentage and BMI, waist circumference, sum of 6 skinfold thicknesses and sum of 8 skinfold thicknesses. Results showed that non-walkers had significantly lower total lean tissue mass (46.2±=6.6 kg vs. 59.4±8.2 kg, P =.006 and total body mass (65.8 ±4.2 kg vs. 79.4 ±14.9 kg; P =0.05 than walkers. Body fat percentage calculated from most existing regression equations was significantly lower than that from DXA, by 2 to 9% in walkers and 8 to14% in non-walkers. Of the anthropometric measurements, the sum of 8 skinfold thicknesses had the lowest standard error of estimation in predicting body fat content. In conclusion, existing anthropometric equations developed in able-bodied populations substantially underestimated body fat content in wheelchair athletes, particularly non-walkers. Impairment specific equations may be needed in wheelchair athletes.

Dual-energy x-ray image decomposition by independent component analysis

Science.gov (United States)

Jiang, Yifeng; Jiang, Dazong; Zhang, Feng; Zhang, Dengfu; Lin, Gang

2001-09-01

The spatial distributions of bone and soft tissue in human body are separated by independent component analysis (ICA) of dual-energy x-ray images. It is because of the dual energy imaging modelí-s conformity to the ICA model that we can apply this method: (1) the absorption in body is mainly caused by photoelectric absorption and Compton scattering; (2) they take place simultaneously but are mutually independent; and (3) for monochromatic x-ray sources the total attenuation is achieved by linear combination of these two absorption. Compared with the conventional method, the proposed one needs no priori information about the accurate x-ray energy magnitude for imaging, while the results of the separation agree well with the conventional one.

Multiple energy computed tomography with monochromatic x rays from the NSLS

International Nuclear Information System (INIS)

Dilmanian, F.A.; Nachaliel, E.; Garrett, R.F.; Thomlinson, W.C.; Chapman, L.D.; Moulin, H.R.; Oversluizen, T.; Rarback, H.M.; Rivers, M.; Spanne, P.; Thompson, A.C.; Zeman, H.D.

1991-01-01

We used monochromatic x rays from the X17 superconducting wiggler beamline at the National Synchrotron Light Source (NSLS), Brookhaven National Laboratory, for dual-energy quantitative computed tomography (CT) of a 27 mm-diameter phantom containing solutions of different KOH concentrations in cylindrical holes of 5-mm diameter. The CT configuration was a fixed horizontal fan-shaped beam of 1.5 mm height and 30 mm width, and a subject rotating around a vertical axis. The transmitted x rays were detected by a linear-array Si(Li) detector with 120 elements of 0.25 mm width each. We used a two-crystal Bragg-Bragg fixed-exit monochromator with Si crystals. Dual photon absorptiometry (DPA) CT data were taken at 20 and 38 keV. The reconstructed phantom images show the potential of the system for quantitative CT

A dynamic material discrimination algorithm for dual MV energy X-ray digital radiography

International Nuclear Information System (INIS)

Li, Liang; Li, Ruizhe; Zhang, Siyuan; Zhao, Tiao; Chen, Zhiqiang

2016-01-01

Dual-energy X-ray radiography has become a well-established technique in medical, industrial, and security applications, because of its material or tissue discrimination capability. The main difficulty of this technique is dealing with the materials overlapping problem. When there are two or more materials along the X-ray beam path, its material discrimination performance will be affected. In order to solve this problem, a new dynamic material discrimination algorithm is proposed for dual-energy X-ray digital radiography, which can also be extended to multi-energy X-ray situations. The algorithm has three steps: α-curve-based pre-classification, decomposition of overlapped materials, and the final material recognition. The key of the algorithm is to establish a dual-energy radiograph database of both pure basis materials and pair combinations of them. After the pre-classification results, original dual-energy projections of overlapped materials can be dynamically decomposed into two sets of dual-energy radiographs of each pure material by the algorithm. Thus, more accurate discrimination results can be provided even with the existence of the overlapping problem. Both numerical and experimental results that prove the validity and effectiveness of the algorithm are presented. - Highlights: • A material discrimination algorithm for dual MV energy X-ray digital radiography is proposed. • To solve the materials overlapping problem of the current dual energy algorithm. • The experimental results with the 4/7 MV container inspection system are shown.

Preoperative and postoperative agreement in fat free mass (FFM) between bioelectrical impedance spectroscopy (BIS) and dual-energy X-ray absorptiometry (DXA) in patients undergoing cardiac surgery.

Science.gov (United States)

van Venrooij, Lenny M W; Verberne, Hein J; de Vos, Rien; Borgmeijer-Hoelen, Mieke M M J; van Leeuwen, Paul A M; de Mol, Bas A J M

2010-12-01

To measure undernutrition in terms of fat free mass (FFM), there are several options. The aim of this study was to assess agreement in FFM between the portable, bedside bioelectrical impedance spectrometry (BIS) and relatively expensive, non-portable dual-energy X-ray absorptiometry (DXA) in patients undergoing cardiac surgery. In a prospective study, body composition measurements by BIS and DXA were performed two weeks prior and two months after cardiac surgery. Preoperative and postoperative agreement in FFM between BIS and DXA were analyzed with Bland and Altman plots. Twenty-six patients were analyzed. BIS overestimated preoperative and postoperative FFM by 2 kg compared to DXA (2.3 kg (95%CI: -3.5-8.1 kg) and 2.1 kg (95%CI: -4.5-8.7 kg), respectively). BIS underestimated FFM change by -0.5% (95%CI: -8.4-7.5%). There is a large inter-individual variation between BIS and DXA. This hinders the interchange-ability of BIS and DXA in routine clinical practice and may lead to misclassifications and thereby inappropriate nutritional treatment and possible postoperative complications. To evaluate nutritional therapy in patients undergoing cardiac surgery, we advocate the use of DXA assessed FFM in parallel to BIS assessed extracellular and intracellular water and FFM. Copyright © 2010 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Precision of dual-energy X-ray absorptiometry of the knee and heel: methodology and implications for research to reduce bone mineral loss after spinal cord injury.

Science.gov (United States)

Peppler, W T; Kim, W J; Ethans, K; Cowley, K C

2017-05-01

Methodological validation of dual-energy x-ray absorptiometry (DXA)-based measures of leg bone mineral density (BMD) based on the guidelines of the International Society for Clinical Densitometry. The primary objective of this study was to determine the precision of BMD estimates at the knee and heel using the manufacturer provided DXA acquisition algorithm. The secondary objective was to determine the smallest change in DXA-based measurement of BMD that should be surpassed (least significant change (LSC)) before suggesting that a biological change has occurred in the distal femur, proximal tibia and calcaneus. Academic Research Centre, Canada. Ten people with motor-complete SCI of at least 2 years duration and 10 people from the general population volunteered to have four DXA-based measurements taken of their femur, tibia and calcaneus. BMDs for seven regions of interest (RIs) were calculated, as were short-term precision (root-mean-square (RMS) standard deviation (g cm -2 ), RMS-coefficient of variation (RMS-CV, %)) and LSC. Overall, RMS-CV values were similar between SCI (3.63-10.20%, mean=5.3%) and able-bodied (1.85-5.73%, mean=4%) cohorts, despite lower absolute BMD values at each RIs in those with SCI (35%, heel to 54%, knee; P10% are needed to detect differences between treated and untreated groups in studies aimed at reducing bone mineral loss after SCI.

Dual-energy X-ray radiography for automatic high-Z material detection

International Nuclear Information System (INIS)

Chen Gongyin; Bennett, Gordon; Perticone, David

2007-01-01

There is an urgent need for high-Z material detection in cargo. Materials with Z > 74 can indicate the presence of fissile materials or radiation shielding. Dual (high) energy X-ray material discrimination is based on the fact that different materials have different energy dependence in X-ray attenuation coefficients. This paper introduces the basic physics and analyzes the factors that affect dual-energy material discrimination performance. A detection algorithm is also discussed

Grating Oriented Line-Wise Filtration (GOLF) for Dual-Energy X-ray CT

Science.gov (United States)

Xi, Yan; Cong, Wenxiang; Harrison, Daniel; Wang, Ge

2017-12-01

In medical X-ray Computed Tomography (CT), the use of two distinct X-ray source spectra (energies) allows dose-reduction and material discrimination relative to that achieved with only one source spectrum. Existing dual-energy CT methods include source kVp-switching, double-layer detection, dual-source gantry, and two-pass scanning. Each method suffers either from strong spectral correlation or patient-motion artifacts. To simultaneously address these problems, we propose to improve CT data acquisition with the Grating Oriented Line-wise Filtration (GOLF) method, a novel X-ray filter that is placed between the source and patient. GOLF uses a combination of absorption and filtering gratings that are moved relative to each other and in synchronization with the X-ray tube kVp-switching process and/or the detector view-sampling process. Simulation results show that GOLF can improve the spectral performance of kVp-switching to match that of dual-source CT while avoiding patient motion artifacts and dual imaging chains. Although significant flux is absorbed by this pre-patient filter, the proposed GOLF method is a novel path for cost-effectively extracting dual-energy or multi-energy data and reducing radiation dose with or without kVp switching.

Dual Energy X-Ray Absorptiometry Compared with Anthropometry in Relation to Cardio-Metabolic Risk Factors in a Young Adult Population: Is the 'Gold Standard' Tarnished?

Science.gov (United States)

Demmer, Denise L; Beilin, Lawrence J; Hands, Beth; Burrows, Sally; Pennell, Craig E; Lye, Stephen J; Mountain, Jennifer A; Mori, Trevor A

2016-01-01

Assessment of adiposity using dual energy x-ray absorptiometry (DXA) has been considered more advantageous in comparison to anthropometry for predicting cardio-metabolic risk in the older population, by virtue of its ability to distinguish total and regional fat. Nonetheless, there is increasing uncertainty regarding the relative superiority of DXA and little comparative data exist in young adults. This study aimed to identify which measure of adiposity determined by either DXA or anthropometry is optimal within a range of cardio-metabolic risk factors in young adults. 1138 adults aged 20 years were assessed by DXA and standard anthropometry from the Western Australian Pregnancy Cohort (Raine) Study. Cross-sectional linear regression analyses were performed. Waist to height ratio was superior to any DXA measure with HDL-C. BMI was the superior model in relation to blood pressure than any DXA measure. Midriff fat mass (DXA) and waist circumference were comparable in relation to glucose. For all the other cardio-metabolic variables, anthropometric and DXA measures were comparable. DXA midriff fat mass compared with BMI or waist hip ratio was the superior measure for triglycerides, insulin and HOMA-IR. Although midriff fat mass (measured by DXA) was the superior measure with insulin sensitivity and triglycerides, the anthropometric measures were better or equal with various DXA measures for majority of the cardio-metabolic risk factors. Our findings suggest, clinical anthropometry is generally as useful as DXA in the evaluation of the individual cardio-metabolic risk factors in young adults.

Usefulness of calcaneal quantitative ultrasound stiffness for the evaluation of bone health in HIV-1-infected subjects: comparison with dual X-ray absorptiometry.

Science.gov (United States)

Fantauzzi, Alessandra; Floridia, Marco; Ceci, Fabrizio; Cacciatore, Francesco; Vullo, Vincenzo; Mezzaroma, Ivano

2016-01-01

With the development of effective treatments and the resulting increase in life expectancy, bone mineral density (BMD) alteration has emerged as an important comorbidity in human immunodeficiency virus type-1 (HIV-1)-infected individuals. The potential contributors to the pathogenesis of osteopenia/osteoporosis include a higher prevalence of risk factors, combined antiretroviral therapy (cART)-exposure, HIV-1 itself and chronic immune activation/inflammation. Dual-energy X-ray absorptiometry (DXA) is the "gold standard" technique for assessing bone status in HIV-1 population. We conducted a cross-sectional study to investigate bone mineral status in a group of 158 HIV-1-infected subjects. The primary endpoint was the feasibility of calcaneal quantitative ultrasound (QUS) as a screening tool for BMD. All subjects were receiving stable cART and were virologically suppressed (HIV-RNA HIV-1-specific characteristics, also including cART strategies. In the univariate analyses BMD, QUS indexes, and Fracture Risk Assessment Tool scores conversely showed significant associations with one or more demographic or HIV-1-related variables. Moreover, a significant relationship between calcaneal quantitative ultrasound index/stiffness and femoral/lumbar BMD values from DXA was described. The multivariate analysis showed an independent association between calcaneal quantitative ultrasound index/stiffness and body mass index, higher CD4+ T-cell numbers and low 25-OH D2/D3 vitamin D levels HIV-1-infected patients for assessing bone health impairment. In fact, the results obtained confirm that calcaneal QUS may be useful for monitoring bone status, being a noninvasive and inexpensive technique, especially in those subjects with the classical traditional risk factors for bone damage that were observed earlier in HIV-1 population.

DUAL-ENERGY X-RAY ABSORPTIOMETRY AND CALCULATED FRAX RISK SCORES MAY UNDERESTIMATE OSTEOPOROTIC FRACTURE RISK IN VITAMIN D-DEFICIENT VETERANS WITH HIV INFECTION.

Science.gov (United States)

Stephens, Kelly I; Rubinsztain, Leon; Payan, John; Rentsch, Chris; Rimland, David; Tangpricha, Vin

2016-04-01

We evaluated the utility of the World Health Organization (WHO) Fracture Risk Assessment Tool (FRAX) in assessing fracture risk in patients with human immunodeficiency virus (HIV) and vitamin D deficiency. This was a retrospective study of HIV-infected patients with co-existing vitamin D deficiency at the Atlanta Veterans Affairs Medical Center. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry (DEXA), and the 10-year fracture risk was calculated by the WHO FRAX algorithm. Two independent radiologists reviewed lateral chest radiographs for the presence of subclinical vertebral fractures. We identified 232 patients with HIV and vitamin D deficiency. Overall, 15.5% of patients met diagnostic criteria for osteoporosis on DEXA, and 58% had low BMD (T-score between -1 and -2.5). The median risk of any major osteoporotic and hip fracture by FRAX score was 1.45 and 0.10%, respectively. Subclinical vertebral fractures were detected in 46.6% of patients. Compared to those without fractures, those with fractures had similar prevalence of osteoporosis (15.3% versus 15.7%; P>.999), low BMD (53.2% versus 59.3%; P = .419), and similar FRAX hip scores (0.10% versus 0.10%; P = .412). While the FRAX major score was lower in the nonfracture group versus fracture group (1.30% versus 1.60%; P = .025), this was not clinically significant. We found a high prevalence of subclinical vertebral fractures among vitamin D-deficient HIV patients; however, DEXA and FRAX failed to predict those with fractures. Our results suggest that traditional screening tools for fragility fractures may not be applicable to this high-risk patient population.

Mass thickness measurement of dual-sample by dual-energy X-rays

International Nuclear Information System (INIS)

Chen Mincong; Li Hongmei; Chen Ziyu; Shen Ji

2008-01-01

X-ray equivalent energy can be used to measure mass thicknesses of materials. Based on this, a method of mass thickness measurement of dual-sample was discussed. It was found that in the range of sample mass thickness under investigation, the equivalent mass attenuation coefficient of a component could be used to compute mass thicknesses of a dual-sample, with relative errors of less than 5%. Mass thickness measurement of a fish sample was performed, and the fish bone and flesh could be displayed separately and clearly by their own mass thicknesses. This indicates that the method is effective in mass thickness measurement of dual-sample of suitable thicknesses. (authors)

A dual beam study with isotopic X- and gamma-rays for in vivo lymph pool assay

International Nuclear Information System (INIS)

Bolin, F.P.; Preuss, L.E.; Jedlenski, D.E.; Beninson, J.

1986-01-01

Dual beam absorptiometry utilizes differential absorption of X- and gamma rays of differing energy to determine an absorber's component ratio. This principle has been applied to diverse physical and biological problems. Our method, using the 22 and 88 keV emissions from 109 Cd, resolves the lean and non-lean mammalian tissue fractions. Accuracy of 1%, and reproducibility of 1-2% is attainable in in vitro measurements. Techniques have been developed to apply this system to the more complicated applications involved in human studies. A scanning device capable of measuring limbs has been developed. Mathematical treatment provides an integrated value of lean fraction over the scanned area. Lymphedema is a painful malady in which blockage of lymph flow causes swelling and distension of the extremities. Compressive therapy is the preferred medical treatment. There has been no accurate quantitative index of the efficacy of this therapy. Our research program uses dual beam analysis as a unique quantitative measure of the lymph transport. Lymph pool change is equated to change in the lean. Five measurements are made on subjects undergoing a two week regimen of compressive therapy. These absorptiometric results are analyzed for correlation to other indices of treatment effect. Data shows a progressive decrease in the lean tissue component over the treatment period. Changes seen vary with the individual and the severity of involvement. This study showed that the largest transport rate occurs in the first treatment days. Absorptiometry accurately monitors total adipose mass, total non-adipose mass, extremety cross section, and change in lymph pooling. (orig.)

Spectral and dual-energy X-ray imaging for medical applications

Science.gov (United States)

Fredenberg, Erik

2018-01-01

Spectral imaging is an umbrella term for energy-resolved X-ray imaging in medicine. The technique makes use of the energy dependence of X-ray attenuation to either increase the contrast-to-noise ratio, or to provide quantitative image data and reduce image artefacts by so-called material decomposition. Spectral imaging is not new, but has gained interest in recent years because of rapidly increasing availability of spectral and dual-energy CT and the dawn of energy-resolved photon-counting detectors. This review examines the current technological status of spectral and dual-energy imaging and a number of practical applications of the technology in medicine.

Cross-mode bioelectrical impedance analysis in a standing position for estimating fat-free mass validated against dual-energy x-ray absorptiometry.

Science.gov (United States)

Huang, Ai-Chun; Chen, Yu-Yawn; Chuang, Chih-Lin; Chiang, Li-Ming; Lu, Hsueh-Kuan; Lin, Hung-Chi; Chen, Kuen-Tsann; Hsiao, An-Chi; Hsieh, Kuen-Chang

2015-11-01

Bioelectrical impedance analysis (BIA) is commonly used to assess body composition. Cross-mode (left hand to right foot, Z(CR)) BIA presumably uses the longest current path in the human body, which may generate better results when estimating fat-free mass (FFM). We compared the cross-mode with the hand-to-foot mode (right hand to right foot, Z(HF)) using dual-energy x-ray absorptiometry (DXA) as the reference. We hypothesized that when comparing anthropometric parameters using stepwise regression analysis, the impedance value from the cross-mode analysis would have better prediction accuracy than that from the hand-to-foot mode analysis. We studied 264 men and 232 women (mean ages, 32.19 ± 14.95 and 34.51 ± 14.96 years, respectively; mean body mass indexes, 24.54 ± 3.74 and 23.44 ± 4.61 kg/m2, respectively). The DXA-measured FFMs in men and women were 58.85 ± 8.15 and 40.48 ± 5.64 kg, respectively. Multiple stepwise linear regression analyses were performed to construct sex-specific FFM equations. The correlations of FFM measured by DXA vs. FFM from hand-to-foot mode and estimated FFM by cross-mode were 0.85 and 0.86 in women, with standard errors of estimate of 2.96 and 2.92 kg, respectively. In men, they were 0.91 and 0.91, with standard errors of the estimates of 3.34 and 3.48 kg, respectively. Bland-Altman plots showed limits of agreement of -6.78 to 6.78 kg for FFM from hand-to-foot mode and -7.06 to 7.06 kg for estimated FFM by cross-mode for men, and -5.91 to 5.91 and -5.84 to 5.84 kg, respectively, for women. Paired t tests showed no significant differences between the 2 modes (P > .05). Hence, cross-mode BIA appears to represent a reasonable and practical application for assessing FFM in Chinese populations. Copyright © 2015 Elsevier Inc. All rights reserved.

Dual-energy radiographic absorptiometry of the lumbar spine and proximal femur

International Nuclear Information System (INIS)

Moscona, A.; Gundry, C.; Sartoris, D.J.; Barrett-Connor, E.; Stein, J.A.; Resnick, D.

1988-01-01

Dual-energy radiographic absorptiometry (DRA), dual-photon absorptiometry (DPA), and single-photon absorptiometry (SPA) were used for comprehensive densitometry of 500 men and women aged 65-100 years, within an epidemiologic study of osteoporosis risk factors. DRA and DPA of the lumbar spine (L1-L4) and proximal femur were performed with a Hologic QDR-100 system and a Lunar DP3 system, respectively, and SPA of the 33% shaft and ultradistal forearm sites was performed with a Lunar SP2 system. DRA and DPA results showed high correlation at both sites (tau=.9,P<.001); data conversion factors were derived. SPA results for the ultradistal site correlated better with vertebral and femoral density (tau=.6,P<.1) than did those for the shaft site (tau=.4,P<.5) but neither forearm measurement was reliable predictive of axial mineral status. The various measurements displayed an age-dependent interrelationship. The DRA method offers the advantage of short examination times (about 5 minutes per site) and high precision (about 1%)

Dual Energy X-Ray Absorptiometry Compared with Anthropometry in Relation to Cardio-Metabolic Risk Factors in a Young Adult Population: Is the 'Gold Standard' Tarnished?

Directory of Open Access Journals (Sweden)

Denise L Demmer

Full Text Available Assessment of adiposity using dual energy x-ray absorptiometry (DXA has been considered more advantageous in comparison to anthropometry for predicting cardio-metabolic risk in the older population, by virtue of its ability to distinguish total and regional fat. Nonetheless, there is increasing uncertainty regarding the relative superiority of DXA and little comparative data exist in young adults. This study aimed to identify which measure of adiposity determined by either DXA or anthropometry is optimal within a range of cardio-metabolic risk factors in young adults.1138 adults aged 20 years were assessed by DXA and standard anthropometry from the Western Australian Pregnancy Cohort (Raine Study. Cross-sectional linear regression analyses were performed. Waist to height ratio was superior to any DXA measure with HDL-C. BMI was the superior model in relation to blood pressure than any DXA measure. Midriff fat mass (DXA and waist circumference were comparable in relation to glucose. For all the other cardio-metabolic variables, anthropometric and DXA measures were comparable. DXA midriff fat mass compared with BMI or waist hip ratio was the superior measure for triglycerides, insulin and HOMA-IR.Although midriff fat mass (measured by DXA was the superior measure with insulin sensitivity and triglycerides, the anthropometric measures were better or equal with various DXA measures for majority of the cardio-metabolic risk factors. Our findings suggest, clinical anthropometry is generally as useful as DXA in the evaluation of the individual cardio-metabolic risk factors in young adults.

A comparison of dual-energy X-ray absorptiometry, air displacement plethysmography and A-mode ultrasound to assess body composition in college-age adults.

Science.gov (United States)

Johnson, Kelly E; Miller, Brian; Gibson, Ann L; McLain, Trisha A; Juvancic-Heltzel, Judith A; Kappler, Rachele M; Otterstetter, Ronald

2017-11-01

There is currently a dearth of scientific literature exploring the agreement of A-mode ultrasound (US) body composition analysis with dual-energy X-ray absorptiometry (DXA) and air displacement plethysmography (ADP). To investigate the agreement of US with DXA and ADP for estimating fat mass (FM) and fat-free mass (FFM). College-age men (n = 33) and women (n = 41) volunteered to participate in this study. Participants were instructed to adhere to the following pretest protocol: refrain from food and drink 12 h prior to testing and wear tight fitting clothing. Body composition (BCA) was assessed using US, DXA and ADP in accordance with the respective manufacturer's guidelines. Two-way mixed-model AVOVA and Bland and Altman techniques were applied to explore agreement for FM and FFM among the three methods: US, ADP and DXA and by sex. There was no statistically significant effect by sex for either FM or FFM across all BCA comparisons (P = 0·504 and 0·510, respectively). US was not statistically different from ADP for FM and FFM (P ≈ 1·00). However, for FM and FFM, there were significant differences between DXA and both US and ADP (P≤0·001). The Bland and Altman analyses revealed large individual differences for all BCA. There was statistical agreement between US and ADP for FM and FFM but lack of agreement for US and ADP when compared to DXA. However, the large limits of agreement between methods warrant caution in generalizing these findings. © 2016 Scandinavian Society of Clinical Physiology and Nuclear Medicine. Published by John Wiley & Sons Ltd.

Use of dual-energy X-ray absorptiometry (DXA) for diagnosis and fracture risk assessment; WHO-criteria, T- and Z-score, and reference databases.

Science.gov (United States)

Dimai, Hans P

2017-11-01

Dual-energy X-ray absorptiometry (DXA) is a two-dimensional imaging technology developed to assess bone mineral density (BMD) of the entire human skeleton and also specifically of skeletal sites known to be most vulnerable to fracture. In order to simplify interpretation of BMD measurement results and allow comparability among different DXA-devices, the T-score concept was introduced. This concept involves an individual's BMD which is then compared with the mean value of a young healthy reference population, with the difference expressed as a standard deviation (SD). Since the early nineties of the past century, the diagnostic categories "normal, osteopenia, and osteoporosis", as recommended by a WHO working Group, are based on this concept. Thus, DXA is still the globally accepted "gold-standard" method for the noninvasive diagnosis of osteoporosis. Another score obtained from DXA measurement, termed Z-score, describes the number of SDs by which the BMD in an individual differs from the mean value expected for age and sex. Although not intended for diagnosis of osteoporosis in adults, it nevertheless provides information about an individual's fracture risk compared to peers. DXA measurement can either be used as a "stand-alone" means in the assessment of an individual's fracture risk, or incorporated into one of the available fracture risk assessment tools such as FRAX® or Garvan, thus improving the predictive power of such tools. The issue which reference databases should be used by DXA-device manufacturers for T-score reference standards has been recently addressed by an expert group, who recommended use National Health and Nutrition Examination Survey III (NHANES III) databases for the hip reference standard but own databases for the lumbar spine. Furthermore, in men it is recommended use female reference databases for calculation of the T-score and use male reference databases for calculation of Z-score. Copyright © 2017 Elsevier Inc. All rights reserved.

Quantitative morphologic assessment of thoracolumbar vertebrae in Korean women by morphometric x-ray absorptiometry

International Nuclear Information System (INIS)

Cheon, Bong Jin; Huh, Jin Do; Kim, Sung Min; Oh, Kyong Seung; Kim, Jong Min; Jung, Gyoo Sik; Joh, Young Duk

1999-01-01

To compare the accuracy of lateral radiography of the spine with that of morphometric X-ray absorptiometry(MXA) in vertebral morphometry, and to evaluate normal vertebral morphometry using MXA in Korean women. A spine phantom was constructed using copper pipe. Its anterior and posterior heights were measured directly, with lateral radiographs and with MXA, and the values thus obtained were compared. Inter- and intra-observer variations were evaluated by three radiologists. The vertebral morphometry of 30 young women volunteers were imaged using thoracic and lumbar lateral radiographs and MXA, and analysis included the measurement of anterior and posterior heights from T4 to L4. We also obtained the vertebral morphometry of 200 normal Korean women who underwent MXA between March 1995 and February 1996, though those with osteoporosis and other spinal lesions were excluded from this study. Thoracolumbar vertebral indexes were statistically correlated with age, height and bone mineral density. There were no statistically significant differences in the heights of spine phantom measured by MXA compared with actual size (mean difference=0.28mm). Simple radiographs were magnified by 23.7% at a phantom-table distance of 15cm, and distortion ranged from 0.5% to 22.5%, depending on phantom level and phantom-table distance. In the study of volunteers, the magnification rate between a simple radiograph and MXA was about 26.6%. Anterior height increased progressively from the thoracic to the lumbar spine, though posterior height peaked at L2, and L4 was less than anterior height. In Korean women, indices of vertebral morphometry decreased significantly with aging, with the most prominent decrease occurring during the seventh decade. The mineral density of spinal bone decreased markedly after the sixth decade. Radiographs showed more magnification and distortion than did MXA, though between morphometric X-ray absorptiometry (MXA) and actual size, there was no significant

Preoperative and postoperative agreement in fat free mass (FFM) between bioelectrical impedance spectroscopy (BIS) and dual-energy X-ray absorptiometry (DXA) in patients undergoing cardiac surgery

NARCIS (Netherlands)

van Venrooij, Lenny M. W.; Verberne, Hein J.; de Vos, Rien; Borgmeijer-Hoelen, Mieke M. M. J.; van Leeuwen, Paul A. M.; de Mol, Bas A. J. M.

2010-01-01

Background & aims: To measure undernutrition in terms of fat free mass (FFM), there are several options. The aim of this study was to assess agreement in FFM between the portable, bedside bioelectrical impedance spectrometry (BIS) and relatively expensive, non-portable dual-energy X-ray

Dual-energy x-ray absorptiometry to measure the influence of a 16-week community-based swim training program on body fat in children and adolescents with intellectual disabilities.

Science.gov (United States)

Casey, Amanda Faith; Rasmussen, Roy; Mackenzie, Sasho J; Glenn, Jillian

2010-07-01

To use dual-energy x-ray absorptiometry (DXA) to measure the effects of a 16-week community-based swim training program on percent body fat in children and adolescents with intellectual disability (ID). Convenience sample. University sport complex and exercise science laboratory. Children and adolescents (n=8; mean age +/- SD, 13.1 +/- 3.4 y), 2 girls and 6 boys with ID, of varying fat levels (11%-35%). A swim training program lasting for the duration of 16 weeks with three 1-hour sessions held at a 25-m pool each week. Assessing percent body fat at pretest and posttest through the use of DXA. After the 16-week exercise training program, we observed a 1.2% median increase in body fat percentage with a range from -0.3% to 4.5%. Wilcoxon matched-pairs signed-ranks tests suggest that these results are statistically significant (P=.039; exact). Exercise training alone proved ineffectual in reducing percent body fat in 8 children and adolescents with ID. Further research should consider implementing a combined diet and exercise program. To gauge the effectiveness of intervention programs, valid methods and complex measurement tools such as DXA should be used to assess changes in percent body fat in such a heterogeneous population. Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Performance of X-ray absorptiometry in post-menopausal vertebral osteoporosis. Discriminant value of vertebral and femoral measurements, fracture threshold, reproducibility. Performances de l'absorptiometrie a rayons X dans l'osteoporose vertebrale post-menopausique

Energy Technology Data Exchange (ETDEWEB)

Pouilles, J.M.; Tremollieres, F.; Ribot, C. (Hopital Purpan, 31 - Toulouse (FR))

1990-12-01

The aim of this study was to assess the performance of a new bone densitometry technique, X-ray absorptiometry, in vertebral osteoporosis with fracture(s). Vertebral and femoral (neck, Ward's triangle and trochanter) bone density was measured in 60 women with at least one vertebral compression fracture of osteoporotic origin (mean age: 61), 100 controls of the same age and in 40 young adults (mean age: 30). Osteoporosis patients had significantly (p<0.0005) low bone density values in comparison with the young adults. Measurements using the spine and Ward's triangle had the best discriminant values assessed by the ROC (Receiver Operating Characteristics) technique (areas under the curve: 95% and 84% respectively). The fracture threshold was fixed at a vertebral bone density of 0.78 g/cm{sup 2}, this value giving the best compromise between sensitivity (83%) and specificity (95%) with 91% of subjects appropriately classifed. Reproducibility was assessed in the short term in 9 osteoporosis patients. The mean standard deviation of measurements was 0.017 g/cm{sup 2} (coefficient of variation: 2.6%) as compared with 0.010 g/cm{sup 2} (coefficient of variation: 0.8%) in the young adult. These results emphasise the true advance represented by X-ray absorptiometry in the area of bone densitometry, notably in the assessment and monitoring of demineralisation disorders.

Assessment of vertebral osteopenia. Comparison of spinal radiography and dual-photon absorptiometry

Energy Technology Data Exchange (ETDEWEB)

Kroelner, B.; Berthelsen, B.; Nielsen, S.P. (Frederiksborg County Hospital, Hilleroed, Denmark)

1982-01-01

A comparison of radiographic morphology and dual-photon (/sup 153/Gd) absorptiometry was carried out in 132 women. Films of the lumbar spine were graded for osteopenia, spondylosis, and calcification of the abdominal aorta according to definite morphologic criteria. The radiographic grade of osteopenia and the bone mineral content of the 2nd, 3rd, and 4th lumbar vertebrae showed a highly significant inverse correlation. However, the mineral content at each radiographic grade of osteopenia differed considerably. Disproportionately high levels occurred in patients with spondylosis and severe calcification of the abdominal aorta. Spinal radiography and dual-photon absorptiometry must be regarded as complementary rather than alternative diagnostic procedures in clinical practice.

National Health and Nutrition Examination Survey whole-body dual-energy X-ray absorptiometry reference data for GE Lunar systems.

Science.gov (United States)

Fan, Bo; Shepherd, John A; Levine, Michael A; Steinberg, Dee; Wacker, Wynn; Barden, Howard S; Ergun, David; Wu, Xin P

2014-01-01

The National Health and Nutrition Examination Survey (NHANES 1999-2004) includes adult and pediatric comparisons for total body bone and body composition results. Because dual-energy x-ray absorptiometry (DXA) measurements from different manufacturers are not standardized, NHANES reference values currently are applicable only to a single make and model of Hologic DXA system. The purpose of this study was to derive body composition reference curves for GE Healthcare Lunar DXA systems. Published values from the NHANES 1999-2004 survey were acquired from the Centers for Disease Control and Prevention website. Using previously reported cross-calibration equations between Hologic and GE-Lunar, we converted the total body and regional bone and soft-tissue measurements from NHANES 1999-2004 to GE-Lunar values. The LMS (LmsChartMaker Pro Version 3.5) curve fitting method was used to generate GE-Lunar reference curves. Separate curves were generated for each sex and ethnicity. The reference curves were also divided into pediatric (≤20 years old) and adult (>20 years old) groups. Adult reference curves were derived as a function of age. Additional relationships of pediatric DXA values were derived as a function of height, lean mass, and bone area. Robustness was tested between Hologic and GE-Lunar Z-score values. The NHANES 1999-2004 survey included a sample of 20,672 participants' (9630 female) DXA scans. A total of 8056 participants were younger than 20 yr and were included in the pediatric reference data set. Participants enrolled in the study who weighed more than 136 kg (over scanner table limit) were excluded. The average Z-scores comparing the new GE-Lunar reference curves are close to zero, and the standard deviation of the Z-scores are close to one for all variables. As expected, all measurements on the GE-Lunar reference curves for participants younger than 20 yr increase monotonically with age. In the adult population, most of the curves are constant at younger

Measurement of bone mineral content by dual photon absorptiometry in patients with metabolic bone diseases

International Nuclear Information System (INIS)

Ohtani, Masami; Hino, Megumu; Ikekubo, Katsuji

1991-01-01

Dual photon absorptiometry was used to measure bone mineral content in 225 patients with metabolic bone diseases (84 males and 102 females) and 186 healthy subjects (25 males and 200 females). Mineral content of the lumbar vertebrae tended to rapidly decrease after the age of 40 in healthy female subjects. For males, gradual decrease in mineral content was associated with aging. Bone mineral content showed a correlation with the severity of osteoporosis as shown on X-ray films. Mineral content tended to be decreased in the lumbar vertebrae in patients with vertebral compression fracture, and in the femur in patients with vertebral or femoral fracture. For hyperthyroidism, mineral content of the lumbar vertebrae was decreased in some females, but was within normal limit in males. Hyperparathyroidism and hypoparathyroidism tended to be associated with decrease and increase in mineral content, respectively. Two each patients with osteomalacia or Cushing syndrome had a decreased mineral content. In these patients, it was increased after the treatment. (N.K.)

Measurement of bone mineral content by dual photon absorptiometry in patients with metabolic bone diseases

Energy Technology Data Exchange (ETDEWEB)

Ohtani, Masami; Hino, Megumu; Ikekubo, Katsuji (Kobe City General Hospital (Japan)) (and others)

1991-12-01

Dual photon absorptiometry was used to measure bone mineral content in 225 patients with metabolic bone diseases (84 males and 102 females) and 186 healthy subjects (25 males and 200 females). Mineral content of the lumbar vertebrae tended to rapidly decrease after the age of 40 in healthy female subjects. For males, gradual decrease in mineral content was associated with aging. Bone mineral content showed a correlation with the severity of osteoporosis as shown on X-ray films. Mineral content tended to be decreased in the lumbar vertebrae in patients with vertebral compression fracture, and in the femur in patients with vertebral or femoral fracture. For hyperthyroidism, mineral content of the lumbar vertebrae was decreased in some females, but was within normal limit in males. Hyperparathyroidism and hypoparathyroidism tended to be associated with decrease and increase in mineral content, respectively. Two each patients with osteomalacia or Cushing syndrome had a decreased mineral content. In these patients, it was increased after the treatment. (N.K.).

Monte Carlo Modeling of Dual and Triple Photon Energy Absorptiometry Technique

Directory of Open Access Journals (Sweden)

Alireza Kamali-Asl

2007-12-01

Full Text Available Introduction: Osteoporosis is a bone disease in which there is a reduction in the amount of bone mineral content leading to an increase in the risk of bone fractures. The affected individuals not only have to go through lots of pain and suffering but this disease also results in high economic costs to the society due to a large number of fractures.  A timely and accurate diagnosis of this disease makes it possible to start a treatment and thus preventing bone fractures as a result of osteoporosis. Radiographic methods are particularly well suited for in vivo determination of bone mineral density (BMD due to the relatively high x-ray absorption properties of bone mineral compared to other tissues. Materials and Methods: Monte Carlo simulation has been conducted to explore the possibilities of triple photon energy absorptiometry (TPA in the measurement of bone mineral content. The purpose of this technique is to correctly measure the bone mineral density in the presence of fatty and soft tissues. The same simulations have been done for a dual photon energy absorptiometry (DPA system and an extended DPA system. Results: Using DPA with three components improves the accuracy of the obtained result while the simulation results show that TPA system is not accurate enough to be considered as an adequate method for the measurement of bone mineral density. Discussion: The reason for the improvement in the accuracy is the consideration of fatty tissue in TPA method while having attenuation coefficient as a function of energy makes TPA an inadequate method. Conclusion: Using TPA method is not a perfect solution to overcome the problem of non uniformity in the distribution of fatty tissue.

Dual Energy X-Ray Absorptiometry Compared with Anthropometry in Relation to Cardio-Metabolic Risk Factors in a Young Adult Population: Is the ‘Gold Standard’ Tarnished?

Science.gov (United States)

Hands, Beth; Pennell, Craig E.; Lye, Stephen J.; Mountain, Jennifer A.

2016-01-01

Background and Aims Assessment of adiposity using dual energy x-ray absorptiometry (DXA) has been considered more advantageous in comparison to anthropometry for predicting cardio-metabolic risk in the older population, by virtue of its ability to distinguish total and regional fat. Nonetheless, there is increasing uncertainty regarding the relative superiority of DXA and little comparative data exist in young adults. This study aimed to identify which measure of adiposity determined by either DXA or anthropometry is optimal within a range of cardio-metabolic risk factors in young adults. Methods and Results 1138 adults aged 20 years were assessed by DXA and standard anthropometry from the Western Australian Pregnancy Cohort (Raine) Study. Cross-sectional linear regression analyses were performed. Waist to height ratio was superior to any DXA measure with HDL-C. BMI was the superior model in relation to blood pressure than any DXA measure. Midriff fat mass (DXA) and waist circumference were comparable in relation to glucose. For all the other cardio-metabolic variables, anthropometric and DXA measures were comparable. DXA midriff fat mass compared with BMI or waist hip ratio was the superior measure for triglycerides, insulin and HOMA-IR. Conclusion Although midriff fat mass (measured by DXA) was the superior measure with insulin sensitivity and triglycerides, the anthropometric measures were better or equal with various DXA measures for majority of the cardio-metabolic risk factors. Our findings suggest, clinical anthropometry is generally as useful as DXA in the evaluation of the individual cardio-metabolic risk factors in young adults. PMID:27622523

The study of dual energy X-ray absorptiometry on body composition components in obesity

International Nuclear Information System (INIS)

Huang Zhongkui; Chen Wei; Long Liling; Li Xiaoyang

2009-01-01

Objective: To study the correlation of the bone mineral density (BMD) and the body composition components of body mass index (BMI), FAT and LEAN in Chinese obesity. Methods: There were 150 cases in obesity group diagnosed by BMI, including 75 males [ median age 46 years, mean weight (89.64 ± 8.33) kg] and 75 females [median age 45 years, mean weight (77.23 ± 6.85) kg]. There were 150 persons with normal BMI in the control group, including 75 males [(median age 47 years, mean weight (62.34 ± 5.72) kg] and 75 females [ median age 45 years, mean weight (50.16 ± 5.06) kg]. The body height and weight of 300 persons in two groups were measured respectively and ,simultaneously calculated the BMI. These data and the body composition parameters measured by the dual energy X-ray absorptiometry (DEXA) in these two groups were compared and analyzed. The data obtained used two-sample t-test analysis, bi-variable correlation used Pearson linear correlation analysis and multi-variable correlation used multiple linear regression analysis. Results: FAT of arms, legs trunk and total body of male cases in obesity group was (2.90 ± 0.57), (7.48 ± 1.46), (15.67 ± 3.05), (30.92 ± 5.94) kg respectively, FAT% was (30.9 ± 5.1)%, (30.6 ± 5.8)%, (37.3 ± 4.7)%, (35.1 ± 4.4)% respectively, it was significantly higher than that in control group [FAT was (1.12 ± 0.64), (3.27 ± 1.22), (6.71 ± 3.29), (11.61 ± 5.16) kg respectively, FAT% was (15.4 ± 4.8)%, (16.5 ± 5.0)%, (21.8 ± 5.8)%, (18.6 ± 5.3)% respectively], P 2 respectively, it was significantly higher than that in control group [ LEAN was (22.89 ± 1.68), (48.89 ± 3.72) kg respectively, BMD was (0.89 ± 0.07), (1.15 ± 0.06) g/cm 2 respectively], P 2 respectively, and there were no statistical significance compared with those in control group [LEAN was (5.99 ± 0.72), (16.83 ± 1.67) kg respectively, BMD was (0.90 ± 0.08), (1.29 ± 0.09) g/cm 2 respectively]. FAT of arms, legs, trunk and total body of females in

Use of dual-energy X-ray absorptiometry in obese individuals: The possibility to estimate whole body composition from DXA half-body scans

International Nuclear Information System (INIS)

Lundqvist, K.; Neovius, M.; Grigorenko, A.; Nordenstroem, J.; Roessner, S.

2009-01-01

Background: Because of its high accuracy, dual-energy X-ray absorptiometry (DXA) has become one of the most frequently used methods for estimating human body composition. One limiting factor concerning measuring obese people with the DXA technique is the size of the scanning area. Objective: To explore the possibility of estimating whole body composition from half-body scans before and after weight reduction, and compare the results with densitometry measurements. Design: Intervention study of 15 obese adults (age 47.2 ± 13.4; BMI 35.9 ± 3.1) who were measured with full- and half-body DXA scans before and after a 7-week weight loss program. On both occasions, body composition was also assessed with air-displacement plethysmography (ADP). Results: The mean weight loss at follow-up was 14.9 ± 4.1 kg (5.0 kg/m 2 ), corresponding to a 14% decrease in body weight. When comparing the results from full- and half-body DXA, between 96% and 98% of the variance was explained. At baseline, %Body Fat (%BF) did not differ significantly between full and half-body measurements (0.6, -0.1-1.3), but the half-body method overestimated it by 1.0% (0.2-1.8) at follow-up. On the contrary, the difference between DXA and ADP in the assessment of %BF was both significant and of large magnitude (5.2; 2.4-8.0) at baseline, while non-significant and near zero (0.4; -1.3-2.2) at follow-up when the subjects had lost a significant amount of weight. Conclusion: The results obtained from half-body DXA scans can accurately predict whole body composition, as measured by full-body DXA, before and after significant weight reduction, in obese patients who barely fit into the scanning area. However, increasing discordance between DXA and ADP with increasing adiposity was seen, indicating that the measurements might not be as reliable on extreme obese subjects as on normal and overweight ditto

Use of dual-energy X-ray absorptiometry in obese individuals: The possibility to estimate whole body composition from DXA half-body scans

Energy Technology Data Exchange (ETDEWEB)

Lundqvist, K. [Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, SE-171 76 Stockholm (Sweden)], E-mail: kent.lundqvist@karolinska.se; Neovius, M. [Obesity Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, SE-141 86 Stockholm (Sweden); Grigorenko, A. [Research and Development Unit, YLab Wellcare Institute, SE-113 60 Stockholm (Sweden); Nordenstroem, J. [Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, SE-171 76 Stockholm (Sweden); Roessner, S. [Obesity Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, SE-141 86 Stockholm (Sweden)

2009-02-15

Background: Because of its high accuracy, dual-energy X-ray absorptiometry (DXA) has become one of the most frequently used methods for estimating human body composition. One limiting factor concerning measuring obese people with the DXA technique is the size of the scanning area. Objective: To explore the possibility of estimating whole body composition from half-body scans before and after weight reduction, and compare the results with densitometry measurements. Design: Intervention study of 15 obese adults (age 47.2 {+-} 13.4; BMI 35.9 {+-} 3.1) who were measured with full- and half-body DXA scans before and after a 7-week weight loss program. On both occasions, body composition was also assessed with air-displacement plethysmography (ADP). Results: The mean weight loss at follow-up was 14.9 {+-} 4.1 kg (5.0 kg/m{sup 2}), corresponding to a 14% decrease in body weight. When comparing the results from full- and half-body DXA, between 96% and 98% of the variance was explained. At baseline, %Body Fat (%BF) did not differ significantly between full and half-body measurements (0.6, -0.1-1.3), but the half-body method overestimated it by 1.0% (0.2-1.8) at follow-up. On the contrary, the difference between DXA and ADP in the assessment of %BF was both significant and of large magnitude (5.2; 2.4-8.0) at baseline, while non-significant and near zero (0.4; -1.3-2.2) at follow-up when the subjects had lost a significant amount of weight. Conclusion: The results obtained from half-body DXA scans can accurately predict whole body composition, as measured by full-body DXA, before and after significant weight reduction, in obese patients who barely fit into the scanning area. However, increasing discordance between DXA and ADP with increasing adiposity was seen, indicating that the measurements might not be as reliable on extreme obese subjects as on normal and overweight ditto.

Radiography simulation on single-shot dual-spectrum X-ray for cargo inspection system

International Nuclear Information System (INIS)

Gil, Youngmi; Oh, Youngdo; Cho, Moohyun; Namkung, Won

2011-01-01

We propose a method to identify materials in the dual energy X-ray (DeX) inspection system. This method identifies materials by combining information on the relative proportions T of high-energy and low-energy X-rays transmitted through the material, and the ratio R of the attenuation coefficient of the material when high-energy are used to that when low energy X-rays are used. In Monte Carlo N-Particle Transport Code (MCNPX) simulations using the same geometry as that of the real container inspection system, this T vs. R method successfully identified tissue-equivalent plastic and several metals. In further simulations, the single-shot mode of operating the accelerator led to better distinguishing of materials than the dual-shot system.

Human immunodeficiency virus-associated lipodystrophy: an objective definition based on dual-energy x-ray absorptiometry-derived regional fat ratios in a South Asian population.

Science.gov (United States)

Asha, Hesarghatta Shyamasunder; Seshadri, Mandalam Subramaniam; Paul, Thomas Vizhalil; Abraham, Ooriapadickal Cherian; Rupali, Priscilla; Thomas, Nihal

2012-01-01

To develop an objective definition of human immunodeficiency virus (HIV)-associated lipodystrophy by using regional fat mass ratios and to assess the utility of anthropometric and skinfold measurements in the initial screening for lipodystrophy. Male patients between 25 and 50 years old with proven HIV infection (highly active antiretroviral therapy [HAART]-naïve subjects and those receiving successful HAART) were studied and compared with body mass index (BMI)-matched HIV-negative control subjects. Anthropometric variables, body composition, dual-energy x-ray absorptiometry findings, and metabolic variables were compared among the 3 study groups and between those patients with and those without lipodystrophy. Trunk fat/lower limb fat mass ratio >2.28 identified 54.3% of patients with HIV receiving HAART as having lipodystrophy and had the highest odds ratio for predicting metabolic syndrome. The "clinical diagnosis of lipodystrophy" and the "clinical scoring system" had too many false-positive and false-negative results. Triceps skinfold thickness (SFT)/BMI ratio ≤0.49 and abdominal SFT/triceps SFT ratio >1.385 have good sensitivity but poor specificity in identifying lipodystrophy. In comparison with HAART-naïve patients with HIV, those receiving HAART had significantly higher insulin resistance, and a significantly greater proportion had impaired glucose tolerance and dyslipidemia. Among patients receiving HAART, those with lipodystrophy had a greater degree of insulin resistance, higher triglyceride levels, and lower levels of high-density lipoprotein cholesterol. The trunk fat/lower limb fat mass ratio in BMI-matched normal subjects can be used to derive cutoff values to define lipodystrophy objectively in HIV-infected patients. Defining lipodystrophy in this way is better than other methods of identifying those patients with increased cardiovascular risk. Triceps SFT/BMI and abdominal SFT/triceps SFT ratios may be useful as screening tools in resource

Osteopoikilosis: A Cause of Elevated Bone Mineral Density on Dual X-Ray Absorptiometry Measurement in a Young Woman: Case Report

Directory of Open Access Journals (Sweden)

Asylbek Kaparov

2010-04-01

Full Text Available Osteopoikilosis (OPK is an asymptomatic, rare bone dysplasia. It causes an increase in bone density. The etiology and pathogenesis is unknown. OPK is generally diagnosed incidentally on plain radiographies which were performed for other locomotor system symptoms. Diagnostic lesions of OPK are typically diffuse, round, symmetrically shaped sclerotic bone areas. Laboratory findings and bone scintigraphy are usually normal. OPK should be considered in the differential diagnosis of osteoblastic bone disorders. OPK is a benign disease and invasive diagnostic procedures as well as aggressive treatment modalities should be avoided. In young individuals who have elevated scores on dual-energy X-Ray absoptiometry measurement, OPK as well as other sclerosing bone disorders would be considered. (From the World of Osteoporosis 2010;16:25-8

Dual photon absorptiometry: Validation of mineral and fat measurements

International Nuclear Information System (INIS)

Heymsfield, S.B.; Wang, J.; Sulet, M.; Lichtman, S.; Pierson, R.N. Jr.; Kehayias, J.; Lindsay, R.

1989-01-01

Photons passing through human tissue undergo attenuation in relation to the specific chemical substances with which they interact. By selecting two appropriate photon energies and recording their attenuation, the investigator can solve simultaneous equations that subdivide body mass into two components: soft tissue and bone mineral ash. The aim of this paper is to describe and to validate the estimates of body composition derived by dual photon systems. The initial studies largely involved dual photon absorptiometers, although the discussion will also include the more recently developed dual energy x-ray absorptiometers. 13 refs., 7 figs., 4 tabs

Project Title: Radiochemical Analysis by High Sensitivity Dual-Optic Micro X-ray Fluorescence

International Nuclear Information System (INIS)

Havrilla, George J.; Gao, Ning

2002-01-01

A novel dual-optic micro X-ray fluorescence instrument will be developed to do radiochemical analysis of high-level radioactive wastes at DOE sites such as Savannah River Site and Hanford. This concept incorporates new X-ray optical elements such as monolithic polycapillaries and double bent crystals, which focus X-rays. The polycapillary optic can be used to focus X-rays emitted by the X-ray tube thereby increasing the X-ray flux on the sample over 1000 times. Polycapillaries will also be used to collect the X-rays from the excitation site and screen the radiation background from the radioactive species in the specimen. This dual-optic approach significantly reduces the background and increases the analyte signal thereby increasing the sensitivity of the analysis. A doubly bent crystal used as the focusing optic produces focused monochromatic X-ray excitation, which eliminates the bremsstrahlung background from the X-ray source. The coupling of the doubly bent crystal for monochromatic excitation with a polycapillary for signal collection can effectively eliminate the noise background and radiation background from the specimen. The integration of these X-ray optics increases the signal-to-noise and thereby increases the sensitivity of the analysis for low-level analytes. This work will address a key need for radiochemical analysis of high-level waste using a non-destructive, multi-element, and rapid method in a radiation environment. There is significant potential that this instrumentation could be capable of on-line analysis for process waste stream characterization at DOE sites

Male Osteoporosis Awareness in the Elderly: an Analysis of Dual-Energy X-Ray Absorptiometry Use in Australia Between 1995 and 2015.

Science.gov (United States)

Chen, Weiwen; Pocock, Nicholas

Osteoporosis is commonly perceived to be a disease confined to aging females, despite ongoing educational interventions. There are few data on the temporal change of dual-energy X-ray absorptiometry (DXA) use in aging males compared to females. Australian Medicare DXA claims between 1995 and 2015 were analyzed to investigate gender differences and temporal change of DXA use in males and females aged 45-85 yr. In females aged 45-54 and 55-64 yr, there was a progressive increase in DXA claims per capita between 1995 until 2002, with little subsequent change from 2002 to 2015 in the younger group, but a slow subsequent increase in females aged 55-64 yr. In males aged 45-54 and 55-64 yr, there was a progressive increase in DXA claims per capita between 1995 and 2002 with an ongoing slow increase from 2002 to 2015. In older females and males aged 65-74, 75-84, or ≥85 yr, there was a progressive increase in DXA claims per capita between 1995 and 2002, with a slow increase thereafter until 2007. After 2007, following the introduction of Medicare eligibility for age over 70, claims per capita increased sharply in all 3 age groups, with a subsequent ongoing increase. The male : female claim ratio in all groups demonstrates low relative male DXA use, with the ratio consistently below 1.0. Following the 2007 Medicare change, the male : female ratio improved in the 65-74, 75-84, and ≥85 age groups. The rate of increase in the male : female ratio in subjects ≥85 yr was significantly greater than that in the 65-74 (p < 0.001) and 75-84 (p < 0.001) age groups. DXA use in males is consistently lower than that in females. Government funding intervention appears to have been most effective in relation to very elderly males over 85 yr but less so in relation to the age group 65-84. There is a need for improved education of health professionals about the risk of osteoporosis in males aged 65-84 yr. Copyright © 2016 International Society for

Development of a dual-energy silicon X-ray diode and its application to gadolinium imaging

International Nuclear Information System (INIS)

Sato, Yuichi; Sato, Eiichi; Ehara, Shigeru; Oda, Yasuyuki; Hagiwara, Osahiko; Matsukiyo, Hiroshi; Enomoto, Toshiyuki; Watanabe, Manabu; Kusachi, Shinya

2015-01-01

To perform dual-energy X-ray imaging, we developed a dual-energy silicon X-ray diode (DE-Si-XD) consisting of two ceramic-substrate silicon X-ray diodes (Si-XD) and a 0.2-mm-thick copper filter. The Si-XD is a high-sensitivity Si photodiode selected for detecting X-rays. In the front Si-XD, X-ray photons from an X-ray tube are directly detected. Because low-energy photons are absorbed by the front Si-XD and the filter, the average photon energy increases when the back Si-XD is used. In the front Si-XD, the photocurrents flowing through the Si-XD are converted into voltages and amplified using current–voltage and voltage–voltage (V–V) amplifiers. The output from the V–V amplifier is input to an analog-digital converter through an integrator for smoothing the voltage. The same amplification method is also used in the back Si-XD. Dual-energy computed tomography (DE–CT) is accomplished by repeated linear scans and rotations of the object, and two projection curves of the object are obtained simultaneously by linear scanning at a tube voltage of 90 kV and a current of 1.0 mA. In the DE–CT, the exposure time for obtaining a tomogram is 10 min with scan steps of 0.5 mm and rotation steps of 1.0°. Using gadolinium-based contrast media, energy subtraction was performed. - Highlights: • Dual-energy X-ray diode consists of two Si diodes and a Cu filter. • Low and high-energy X-rays are detected using front and back diodes. • Two-different-energy tomograms were easily obtained simultaneously. • Gd-K-edge CT was accomplished using the back diode. • Energy subtraction was performed easily to image a target object

Energy spectrum analysis between single and dual energy source x-ray imaging for PCB non-destructive test

Energy Technology Data Exchange (ETDEWEB)

Park, Kyeong Jin; Kim, Myung Soo; Lee, Min Ju; Kang, Dong Uk; Lee, Dae Hee; Kim, Ye Won; Kim, Chan Kyu; Kim, Hyoung Taek; Kim, Gi Yoon; Cho, Gyu Seong [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-08-15

Reliability of printed circuit board (PCB), which is based on high integrated circuit technology, is having been important because of development of electric and self-driving car. In order to answer these demand, automated X-ray inspection (AXI) is best solution for PCB nondestructive test. PCB is consist of plastic, copper, and, lead, which have low to high Z-number materials. By using dual energy X-ray imaging, these materials can be inspected accurately and efficiently. Dual energy X-ray imaging, that have the advantage of separating materials, however, need some solution such as energy separation method and enhancing efficiency because PCB has materials that has wide range of Z-number. In this work, we found out several things by analysis of X-ray energy spectrum. Separating between lead and combination of plastic and copper is only possible with energy range not dose. On the other hand, separating between plastic and copper is only with dose not energy range. Moreover the copper filter of high energy part of dual X-ray imaging and 50 kVp of low energy part of dual X-ray imaging is best for efficiency.

Energy spectrum analysis between single and dual energy source x-ray imaging for PCB non-destructive test

International Nuclear Information System (INIS)

Park, Kyeong Jin; Kim, Myung Soo; Lee, Min Ju; Kang, Dong Uk; Lee, Dae Hee; Kim, Ye Won; Kim, Chan Kyu; Kim, Hyoung Taek; Kim, Gi Yoon; Cho, Gyu Seong

2015-01-01

Reliability of printed circuit board (PCB), which is based on high integrated circuit technology, is having been important because of development of electric and self-driving car. In order to answer these demand, automated X-ray inspection (AXI) is best solution for PCB nondestructive test. PCB is consist of plastic, copper, and, lead, which have low to high Z-number materials. By using dual energy X-ray imaging, these materials can be inspected accurately and efficiently. Dual energy X-ray imaging, that have the advantage of separating materials, however, need some solution such as energy separation method and enhancing efficiency because PCB has materials that has wide range of Z-number. In this work, we found out several things by analysis of X-ray energy spectrum. Separating between lead and combination of plastic and copper is only possible with energy range not dose. On the other hand, separating between plastic and copper is only with dose not energy range. Moreover the copper filter of high energy part of dual X-ray imaging and 50 kVp of low energy part of dual X-ray imaging is best for efficiency

Quantitative analysis of bone mineral measurements in different types of dual-energy absorptiometry systems: Comparison of CT vs DEXA

Energy Technology Data Exchange (ETDEWEB)

Kim, Myeong Seong [Dept. of Radiology, National Cancer Center, Goyang (Korea, Republic of)

2017-06-15

Generally assessing bone mineral density (BMD) were performed on dual energy X-ray absorptiometry (DEXA) the same as dual energy CT (DECT) with a rapid-kVp switching. The purpose of this study is to compare the different of BMD value between DEXA and DECT method, and evaluate usefulness of DECT method. Using scanner for BMD measurements were GE, Healthcare Discovery 750 HD for DECT and Hologic QDR 4500W for DEXA. For compare BMD value in each method, scanned lumbar spine phantom and subjects visiting Korean National Cancer Center from April 2015 to December 2015, records of 50 patients. This study was approved by the Institutional Review Board. The mean BMD value measures for spine phantom and for subjects in each scanners presented strong correlation (r=0.948 with p<0.05 for phantom; r=0.635 with p<0.05 and Kendall's tau (τ)=0.46 with p<0.05 for subjects) and linear relationship between DECT and conventional DEXA. DECT technique for BMD measurement will provide a very useful methodology without additional radiation dose.

Radiation Detection and Dual-Energy X-Ray Imaging for Port Security

Energy Technology Data Exchange (ETDEWEB)

Pashby, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Glenn, S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Divin, C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Martz, H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2017-08-09

Millions of cargo containers are transported across the United States border annually and are inspected for illicit radioactive material and contraband using a combination of passive radiation portal monitors (RPM) and high energy X-ray non-intrusive inspection (NII) systems. As detection performance is expected to vary with the material composition of cargo, characterizing the types of material present in cargo is important to national security. This work analyzes the passive radiation and dual energy radiography signatures from on RPM and two NII system, respectively. First, the cargos were analyzed to determine their ability to attenuate emissions from an embedded radioactive source. Secondly, dual-energy X-ray discrimination was used to determine the material composition and density of the cargos.

Automated materials discrimination using 3D dual energy X ray images

International Nuclear Information System (INIS)

Wang, Ta Wee

2002-01-01

The ability of a human observer to identify an explosive device concealed in complex arrangements of objects routinely encountered in the 2D x-ray screening of passenger baggage at airports is often problematic. Standard dual-energy x-ray techniques enable colour encoding of the resultant images in terms of organic, inorganic and metal substances. This transmission imaging technique produces colour information computed from a high-energy x-ray signal and a low energy x-ray signal (80keV eff ≤ 13) to be automatically discriminated from many layers of overlapping substances. This is achieved by applying a basis materials subtraction technique to the data provided by a wavelet image segmentation algorithm. This imaging technique is reliant upon the image data for the masking substances to be discriminated independently of the target material. Further work investigated the extraction of depth data from stereoscopic images to estimate the mass density of the target material. A binocular stereoscopic dual-energy x-ray machine previously developed by the Vision Systems Group at The Nottingham Trent University in collaboration with The Home Office Science and Technology Group provided the image data for the empirical investigation. This machine utilises a novel linear castellated dual-energy x-ray detector recently developed by the Vision Systems Group. This detector array employs half the number of scintillator-photodiode sensors in comparison to a conventional linear dual-energy sensor. The castellated sensor required the development of an image enhancement algorithm to remove the spatial interlace effect in the resultant images prior to the calibration of the system for materials discrimination. To automate the basis materials subtraction technique a wavelet image segmentation and classification algorithm was developed. This enabled overlapping image structures in the x-rayed baggage to be partitioned. A series of experiments was conducted to investigate the

Dual photon absorptiometry in lumbar vertebrae

International Nuclear Information System (INIS)

Roos, B.O.; Hansson, T.H.; Skoeldborn, H.

1980-01-01

In connection with determination of the bone mineral content in the third lumbar vertebra by dual photon absorptiometry, the fat in the adipose capsules of the kidneys is assumed to cause erroneous positioning of the baseline, leading to overestimation of the bone mineral content. The bone mineral content in L3 was measured in situ (BMC 1 ) and vitro (BMC 2 ) in 14 cadavers. The difference between BMC 1 and BMC 2 was significantly greater than zero, the median value being 0.32 g/cm at the confidence level of 94.4 per cent. It is concluded that at correlation between bone mineral content and compressive strength in vitro, the in vivo strength is overestimated by about 250 N. (Auth.)

Comparison between femoral bone mineral parameters assessed by QCT and dual X-ray densitometry

International Nuclear Information System (INIS)

Hoeiseth, A.; Stroemsoee, K.; Alho, A.

1995-01-01

The aim of this study was to assess the agreement between different femoral bone mineral measures and their agreement with some biomechanical parameters. By means of quantitative CT (QCT) and dual X-ray absorptiometry (DXA), measurements were made in different locations of 33 pairs of human femur specimens. There was a principal distinction between bone density as measured by QCT and bone mass as measured by QCT and DXA. Bone mass measured by QCT and the bone mineral content (BMC) measured by DXA are true mass parameters. However, bone mineral density (BMD) as measured by DXA agreed substantially better with the mass measures than with the densities. The mass measures, including the BMD, had good agreements with each other, with a common reference parameter and with the biomechanical parameters. The QCT densities had, on the average, poor agreements with each other, with the other bone mineral measures (including the MBDs), and with the mechanical parameters. The gender differences were less for the QCT densities than for the mass parameters, whereas in this regard the BMDs were intermediate. All measures had approximately similar reproducibilities. (orig.)

Single x-ray transmission system for bone mineral density determination

International Nuclear Information System (INIS)

Jimenez-Mendoza, Daniel; Vargas-Vazquez, Damian; Espinosa-Arbelaez, Diego G.; Giraldo-Betancur, Astrid L.; Hernandez-Urbiola, Margarita I.; Rodriguez-Garcia, Mario E.

2011-01-01

Bones are the support of the body. They are composed of many inorganic compounds and other organic materials that all together can be used to determine the mineral density of the bones. The bone mineral density is a measure index that is widely used as an indicator of the health of the bone. A typical manner to evaluate the quality of the bone is a densitometry study; a dual x-ray absorptiometry system based study that has been widely used to assess the mineral density of some animals' bones. However, despite the success stories of utilizing these systems in many different applications, it is a very expensive method that requires frequent calibration processes to work properly. Moreover, its usage in small species applications (e.g., rodents) has not been quite demonstrated yet. Following this argument, it is suggested that there is a need for an instrument that would perform such a task in a more reliable and economical manner. Therefore, in this paper we explore the possibility to develop a new, affordable, and reliable single x-ray absorptiometry system. The method consists of utilizing a single x-ray source, an x-ray image sensor, and a computer platform that all together, as a whole, will allow us to calculate the mineral density of the bone. Utilizing an x-ray transmission theory modified through a version of the Lambert-Beer law equation, a law that expresses the relationship among the energy absorbed, the thickness, and the absorption coefficient of the sample at the x-rays wavelength to calculate the mineral density of the bone can be advantageous. Having determined the parameter equation that defines the ratio of the pixels in radiographies and the bone mineral density [measured in mass per unit of area (g/cm 2 )], we demonstrated the utility of our novel methodology by calculating the mineral density of Wistar rats' femur bones.

Use of dual energy X-ray absorptiometry, the trabecular bone score and quantitative computed tomography in the evaluation of chronic kidney disease-mineral and bone disorders.

Science.gov (United States)

Pocock, Nicholas

2017-03-01

In subjects with chronic kidney disease (CKD) who suffer a minimal trauma fracture, the problem is to differentiate between osteoporosis and the various forms of renal bone disease associated with CKD-mineral and bone disorder. This problem is exacerbated by the fact that renal osteodystrophy may coexist with osteoporosis. The World Health Organization's bone mineral density (BMD) criteria for osteopenia ( -2.5 < T-score < -1.0) and osteoporosis (a T-score ≤ -2.5) may be used in patients with CKD stages 1-3. In CKD stages 4-5, BMD by dual-energy X-ray absorptiometry (DXA) is less predictive and may underestimate fracture risk. The development of absolute fracture risk (AFR) algorithms, such as FRAX® and the Garvan absolute fracture risk calculator, to predict risk of fracture over a given time (usually 10 years) aims to incorporate non-BMD risk factors into the clinical assessment. FRAX® has been shown to be useful to assess fracture risk in CKD but may underestimate fracture risk in advanced CKD. The trabecular bone score is a measure of grey scale homogeneity obtained from spine DXA, which correlates to trabecular microarchitecture and is an independent risk factor for fracture. Recent data demonstrate the potential utility of the trabecular bone score adjustment of AFR through the FRAX® algorithm in subjects with CKD. Parameters of bone microarchitecture using peripheral quantitative computed tomography (pQCT) or high-resolution pQCT are also able to discriminate fracture status in subjects with CKD. However, there are at present no convincing data that the addition of pQCT or high-resolution pQCT parameters to DXA BMD improves fracture discrimination. More advanced estimates of bone strength derived from measurements of micro-architecture, by QCT-derived finite element analysis may be incorporated into AFR algorithms in the future. © 2017 Asian Pacific Society of Nephrology.

Lower Lean Mass Measured by Dual-Energy X-ray Absorptiometry (DXA) is Not Associated with Increased Risk of Hip Fracture in Women: The Framingham Osteoporosis Study.

Science.gov (United States)

McLean, Robert R; Kiel, Douglas P; Berry, Sarah D; Broe, Kerry E; Zhang, Xiaochun; Cupples, L Adrienne; Hannan, Marian T

2018-01-05

Although muscle mass influences strength in older adults, it is unclear whether low lean mass measured by dual-energy X-ray absorptiometry (DXA) is an independent risk factor for hip fracture. Our objective was to determine the association between DXA lean mass and incident hip fracture risk among 1978 women aged 50 years and older participating in the Framingham Study Original and Offspring cohorts. Leg and total body lean mass (kg) were assessed from whole-body DXA scans collected in 1992-2001. Hip fracture follow-up extended from DXA assessment to the occurrence of fracture, death, drop-out, or end of follow-up in 2007. Cox proportional hazards regression was used to calculate hazard ratios (HR) and 95% confidence intervals (CI) estimating the relative risk of hip fracture associated with a 1-kg increase in baseline lean mass. Mean age was 66 years (range 50-93). Over a median of 8 years of follow-up, 99 hip fractures occurred. In models adjusted for age, height, study cohort, and percent total body fat, neither leg (HR 1.11; 95% CI 0.94, 1.31) nor total body (HR 1.06; 95% CI 0.99, 1.13) lean mass were associated with hip fracture. After further adjustment for femoral neck bone mineral density, leg lean mass results were similar (HR 1.10; 95% CI 0.93, 1.30). In contrast, 1 kg greater total body lean mass was associated with 9% higher hip fracture risk (HR 1.09; 95% CI 1.02, 1.18). Our findings suggest that in women, lower lean mass measured by DXA is not associated with increased risk of hip fracture.

Searching for Dual AGNs in Galaxy Mergers: Understanding Double-Peaked [O III] and Ultra Hard X-rays as Selection Method

Science.gov (United States)

McGurk, Rosalie C.; Max, Claire E.; Medling, Anne; Shields, Gregory A.

2015-01-01

When galaxies merge, gas accretes onto both central supermassive black holes. Thus, one expects to see close pairs of active galactic nuclei (AGNs), or dual AGNs, in a fraction of galaxy mergers. However, finding them remains a challenge. The presence of double-peaked [O III] or of ultra hard X-rays have been proposed as techniques to select dual AGNs efficiently. We studied a sample of double-peaked narrow [O III] emitting AGNs from SDSS DR7. By obtaining new and archival high spatial resolution images taken with the Keck 2 Laser Guide Star Adaptive Optics system and the near-infrared (IR) camera NIRC2, we showed that 30% of double-peaked [O III] emission line SDSS AGNs have two spatial components within a 3' radius. However, spatially resolved spectroscopy or X-ray observations are needed to confirm these galaxy pairs as systems containing two AGNs. We followed up these spatially-double candidate dual AGNs with integral field spectroscopy from Keck OSIRIS and Gemini GMOS and with long-slit spectroscopy from Keck NIRSPEC and Shane Kast Double Spectrograph. We find double-peaked emitters are caused sometimes by dual AGN and sometimes by outflows or narrow line kinematics. We also performed Chandra X-ray ACIS-S observations on 12 double-peaked candidate dual AGNs. Using our observations and 8 archival observations, we compare the distribution of X-ray photons to our spatially double near-IR images, measure X-ray luminosities and hardness ratios, and estimate column densities. By assessing what fraction of double-peaked emission line SDSS AGNs are true dual AGNs, we can better determine whether double-peaked [O III] is an efficient dual AGN indicator and constrain the statistics of dual AGNs. A second technique to find dual AGN is the detection of ultra hard X-rays by the Swift Burst Alert Telescope. We use CARMA observations to measure and map the CO(1-0) present in nearby ultra-hard X-ray Active Galactic Nuclei (AGNs) merging with either a quiescent companion

The value of calcaneal bone mass measurement using a dual X-ray laser calscan device in risk screening for osteoporosis

Directory of Open Access Journals (Sweden)

Gulseren Kayalar

2009-01-01

Full Text Available OBJECTIVE: To evaluate how bone mineral density in the calcaneus measured by a dual energy X-ray laser (DXL correlates with bone mineral density in the spine and hip in Turkish women over 40 years of age and to determine whether calcaneal dual energy X-ray laser variables are associated with clinical risk factors to the same extent as axial bone mineral density measurements obtained using dual energy x-ray absorbtiometry (DXA. MATERIALS AND METHODS: A total of 2,884 Turkish women, aged 40-90 years, living in Ankara were randomly selected. Calcaneal bone mineral density was evaluated using a dual energy X-ray laser Calscan device. Subjects exhibiting a calcaneal dual energy X-ray laser T- score <-2.5 received a referral for DXA of the spine and hip. Besides dual energy X-ray laser measurements, all subjects were questioned about their medical history and the most relevant risk factors for osteoporosis. RESULTS: Using a T-score threshold of -2.5, which is recommended by the World Health Organization (WHO, dual energy X-ray laser calcaneal measurements showed that 13% of the subjects had osteoporosis, while another 56% had osteopenia. The mean calcaneal dual energy X-ray laser T-score of postmenopausal subjects who were smokers with a positive history of fracture, hormone replacement therapy (HRT, covered dressing style, lower educational level, no regular exercise habits, and low tea consumption was significantly lower than that obtained for the other group (p<0.05. A significant correlation was observed between the calcaneal dual energy X-ray laser T-score and age (r=-0.465, p=0.001, body mass index (BMI (r=0.223, p=0.001, number of live births (r=-0.229, p=0.001, breast feeding time (r=-0.064, p=0.001, and age at menarche (r=-0.050, p=0.008. The correlations between calcaneal DXL and DXA T-scores (r=0.340, p=0.001 and calcaneal DXL and DXA Z-scores (r=0.360, p=0.001 at the spine, and calcaneal DXL and DXA T- scores (r=0.28, p=0.001 and calcaneal

Errors in dual-energy X-ray scanning of the hip because of nonuniform fat distribution.

Science.gov (United States)

Tothill, Peter; Weir, Nicholas; Loveland, John

2014-01-01

The variable proportion of fat in overlying soft tissue is a potential source of error in dual-energy X-ray absorptiometry (DXA) measurements of bone mineral. The effect on spine scanning has previously been assessed from cadaver studies and from computed tomography (CT) scans of soft tissue distribution. We have now applied the latter technique to DXA hip scanning. The CT scans performed for clinical purposes were used to derive mean adipose tissue thicknesses over bone and background areas for total hip and femoral neck. The former was always lower. More importantly, the fat thickness differences varied among subjects. Errors because of bone marrow fat were deduced from CT measurements of marrow thickness and assumed fat proportions of marrow. The effect of these differences on measured bone mineral density was deduced from phantom measurements of the bone equivalence of fat. Uncertainties of around 0.06g/cm(2) are similar to those previously reported for spine scanning and the results from cadaver measurements. They should be considered in assessing the diagnostic accuracy of DXA scanning. Copyright © 2014 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

The interchangeability of radioisotope and X-ray based measurements of bone mineral density

International Nuclear Information System (INIS)

Adachi, J.D.; Webber, C.E.

1991-01-01

Lumbar spine and femoral neck bone mineral density (BMD) were measured with a Novo radioisotope based dual photon densitometer and with a Lunar X-ray densitometer in 94 subjects attending a Metabolic Bone Disease Clinic. There was a strong correlation between results obtained from each machine. The correlation coefficients for the spine and femoral neck were 0.97 and 0.88, respectively. Differences between results from each machine were normally distributed with a mean bias of 37.5% (spine) and 27.8% (femur), arising principally from differences in machine calibration. In each case the BMD was greater measured by X-ray absorptiometry. The range for the bias was approximately 25-50% for the spine and 10-45% for the femoral neck. The results from these two machines are not interchangeable. When subjects participating in long term studies using a radioisotope densitometer are transferred to an X-ray densitometer, an individual conversion factor must be measured at each site for each subject. (author)

Neutron and X-ray Tomography (NeXT) system for simultaneous, dual modality tomography

Science.gov (United States)

LaManna, J. M.; Hussey, D. S.; Baltic, E.; Jacobson, D. L.

2017-11-01

Dual mode tomography using neutrons and X-rays offers the potential of improved estimation of the composition of a sample from the complementary interaction of the two probes with the sample. We have developed a simultaneous neutron and 90 keV X-ray tomography system that is well suited to the study of porous media systems such as fuel cells, concrete, unconventional reservoir geologies, limestones, and other geological media. We present the characteristic performance of both the neutron and X-ray modalities. We illustrate the use of the simultaneous acquisition through improved phase identification in a concrete core.

Antibiofouling polymer coated gold nanoparticles as a dual modal contrast agent for X-ray and photoacoustic imaging

International Nuclear Information System (INIS)

Guojia Huang; Yi Yuan; Xing Da

2011-01-01

X-ray is one of the most useful diagnostic tools in hospitals in terms of frequency of use and cost, while photoacoustic (PA) imaging is a rapidly emerging non-invasive imaging technology that integrates the merits of high optical contrast with high ultrasound resolution. In this study, for the first time, we used gold nanoparticles (GNPs) as a dual modal contrast agent for X-ray and PA imaging. Soft gelatin phantoms with embedded tumor simulators of GNPs in various concentrations are clearly shown in both X-ray and PA imaging. With GNPs as a dual modal contrast agent, X-ray can fast detect the position of tumor and provide morphological information, whereas PA imaging has important potential applications in the image guided therapy of superficial tumors such as breast cancer, melanoma and Merkel cell carcinoma.

Normal values for bone mineral content measured by dual photon absorptiometry in children

International Nuclear Information System (INIS)

Tison, F.; Lecouffe, P.; Rousseau, J.; Marchandise, X.; Ythier, H.

1990-01-01

The results of dual photon absorptiometry measurements in 43 normal children are analyzed. Results were correlated with age, body weight, and stature. Reference stature-specific values for bone mineral content in children are proposed. Furthermore, the results show that mineralization continues beyond the end of statural growth [fr

Body composition and bone mineral mass in normal and obese female population using dual X-ray absorptiometry

International Nuclear Information System (INIS)

Massardo, T.; Gonzalez, P.; Coll, C.; Rodriguez, J.L.; Solis, I.; Oviedo, S.

2002-01-01

It has been observed that a greater percentage of body fat is associated with augmented bone mineral mass. Objective: The goal of this work was to assess the relationship between bone mineral density (BMD in g/cm 2 ) and content (BMC in g) and soft tissue components, fat and lean mass (in g) in whole body of adult female population in Chile. Method: We studied 185 volunteers, asymptomatic, excluding those using estrogens, regular medication, tobacco (>10 cigarettes/day), excessive alcohol intake or with prior oophorectomy. They were separated in 111 pre and 74 post menopausal and according to body mass index (BMI) they were 37 women > 30 kg/m 2 and 148 2 . A Lunar Dual X-Ray absorptiometer was used to determine whole BMD and BMC. Results: Post menopausal women were older and smaller [p:0.0001], with higher body mass index [p:0.0007] and with lower BMD and BMC and higher fat mass than the pre menopausal group; In the whole group, women with BMI ≥ 30 (obese) were compared with normal weight observing no difference in BMD. The fat mass incremented significantly with age. Obese women > 50 years presented greater BMC than the non-obese. The percentage of fat corresponded to 48% in the obese group and to 39% in the non-obese [p<0.0001]. Conclusion: Fat mass somehow protect bone mineral loss in older normal population, probably associated to multifactorial causes including extra ovaric estrogen production. Postmenopausal women presented lower mineral content than premenopausal, as it was expected

Accuracy of lumbar spine bone mineral content by dual photon absorptiometry

International Nuclear Information System (INIS)

Gotfredsen, A.; Podenphant, J.; Norgaard, H.; Nilas, L.; Nielsen, V.A.; Christiansen, C.

1988-01-01

The accuracy of measurement of the bone mineral content (BMC, g) and bone mineral density (BMD, g/cm 2 ) of the lumbar spine by dual photon absorptiometry (DPA) was estimated by means of two different spine scanners (a Nuclear Data 2100 and a Lunar Radiation DP3). The lumbar spines of 13 cadavers were used. BMC and BMD were measured in situ and on the excised vertebrae in a solution of water/ethanol; and covered with ox muscle/porcine muscle/lard. The actual mineral weight and areal density were determined after chemical maceration, fat extraction, drying to a constant weight, ashing for 24 hr at 600 degrees C, and correction for the transverse processes. The true are was measured by parallax free X rays and planimetry. All measurements of BMC or BMD were highly interrelated (r = 0.94-0.99). The standard error of estimate (s.e.e.) of BMC in situ versus BMC in water/ethanol was 5.2%. The agreement between the BMD values of the two scanners was very good (s.e.e. = 2.9%). BMC in situ predicted the actual vertebral mineral mass with an s.e.e. of 8.1%. BMD in situ and BMD in water/ethanol predicted the actual area density with s.e.e.s of 10.3% and 5.0%, respectively. This study discloses the correlation and accuracy error of spinal DPA measurements in situ in whole cadavers versus the actual BMC and BMD. The error, which is underestimated in in vitro studies, amounts to 10%

Optimizing detector thickness in dual-shot dual-energy x-ray imaging

Energy Technology Data Exchange (ETDEWEB)

Kim, Dong Woon; Kam, Soohwa; Youn, Hanbean; Kim, Ho Kyung [Pusan National University, Busan (Korea, Republic of)

2015-05-15

As a result, there exist apparent limitations in the conventional two-dimensional (2D) radiography: One is that the contrast between the structure of interest and the background in a radiograph is much less than the intrinsic subject contrast (i.e. the difference between their attenuation coefficients; Another is that the superimposed anatomical structures in the 2D radiograph results in an anatomical background clutter that may decrease the conspicuity of subtle underlying features. These limitations in spatial and material discrimination are important motivations for the recent development of 3D (e.g. tomosynthesis) and dual energy imaging (DEI) systems. DEI technique uses a combination of two images obtained at two different energies in successive x-ray exposures by rapidly switching the kilovolage (kV) applied to the x-ray tube. Commercial DEI systems usually employ a 'single' of flat-panel detector (FPD) to obtain two different kV images. However, we have a doubt in the use of the same detector for acquiring two different projections for the low- and high-kV setups because it is typically known that there exists an optimal detector thickness regarding specific imaging tasks or energies used.

Measurement of lumbar spine bone mineral content using dual photon absorptiometry. Usefulness in metabolic bone diseases

International Nuclear Information System (INIS)

Delmas, P.D.; Duboeuf, F.; Braillon, P.; Meunier, P.J.

1988-01-01

Measurement of bone density using an accurate, non-invasive method is a crucial step in the clinical investigation of metabolic bone diseases, especially osteoporosis. Among the recently available techniques, measurement of lumbar spine bone mineral content (BMC) using dual photon absorptiometry appears as the primary method because it is simple, inexpensive, and involves low levels of radiation exposure. In this study, we measured the BMC in 168 normal adults and 95 patients. Results confirmed the good reproducibility and sensitivity of this technique for quantifying bone loss in males and females with osteoporosis. Significant bone loss was found in most females with primary hyperparathyroidism. Dual photon absorptiometry can also be used for quantifying increases in bone mass in Paget disease of bone and diffuse osteosclerosis. Osteomalacia is responsible for a dramatic fall in BMC reflecting lack of mineralization of a significant portion of the bone matrix, a characteristic feature in this disease. Furthermore, in addition to being useful for diagnostic purposes and for evaluation of the vertebral fracture risk, lumbar spine absorptiometry can be used for monitoring the effectiveness of bone-specific treatments [fr

Measurement of lumbar spine bone mineral content using dual photon absorptiometry. Usefulness in metabolic bone diseases

Energy Technology Data Exchange (ETDEWEB)

Delmas, P.D.; Duboeuf, F.; Braillon, P.; Meunier, P.J.

1988-06-02

Measurement of bone density using an accurate, non-invasive method is a crucial step in the clinical investigation of metabolic bone diseases, especially osteoporosis. Among the recently available techniques, measurement of lumbar spine bone mineral content (BMC) using dual photon absorptiometry appears as the primary method because it is simple, inexpensive, and involves low levels of radiation exposure. In this study, we measured the BMC in 168 normal adults and 95 patients. Results confirmed the good reproducibility and sensitivity of this technique for quantifying bone loss in males and females with osteoporosis. Significant bone loss was found in most females with primary hyperparathyroidism. Dual photon absorptiometry can also be used for quantifying increases in bone mass in Paget disease of bone and diffuse osteosclerosis. Osteomalacia is responsible for a dramatic fall in BMC reflecting lack of mineralization of a significant portion of the bone matrix, a characteristic feature in this disease. Furthermore, in addition to being useful for diagnostic purposes and for evaluation of the vertebral fracture risk, lumbar spine absorptiometry can be used for monitoring the effectiveness of bone-specific treatments.

Associations Between Sedentary Time, Physical Activity, and Dual-Energy X-ray Absorptiometry Measures of Total Body, Android, and Gynoid Fat Mass in Children.

Science.gov (United States)

McCormack, Lacey; Meendering, Jessica; Specker, Bonny; Binkley, Teresa

2016-01-01

Negative health outcomes are associated with excess body fat, low levels of physical activity (PA), and high sedentary time (ST). Relationships between PA, ST, and body fat distribution, including android and gynoid fat, assessed using dual-energy X-ray absorptiometry (DXA) have not been measured in children. The purpose of this study was to test associations between levels of activity and body composition in children and to evaluate if levels of activity predict body composition by DXA and by body mass index percentile in a similar manner. PA, ST, and body composition from 87 children (8.8-11.8 yr, grades 3-5, 44 boys) were used to test the association among study variables. Accelerometers measured PA and ST. Body composition measured by DXA included bone mineral content (BMC) and fat and lean mass of the total body (TB, less head), android, and gynoid regions. ST (range: 409-685 min/wk) was positively associated with TB percent fat (0.03, 95% confidence interval [CI]: 0.00-0.05) and android fat mass (1.5 g, 95% CI: 0.4-3.0), and inversely associated with the lean mass of the TB (-10.7 g, 95% CI: -20.8 to -0.63) and gynoid regions (-2.2 g, 95% CI: -4.3 to -0.2), and with BMC (-0.43 g, 95% CI: 0.77-0.09). Moderate-to-vigorous PA was associated with lower TB (-53 g, 95% CI: -87 to -18), android (-5 g, 95% CI: -8 to -2]), and gynoid fat (-6 g, 95% CI: -11 to -0.5). Vigorous activity results were similar. Light PA was associated with increased TB (17.1 g, 95% CI: 3.0-31.3) and gynoid lean mass (3.9 g, 95% CI: 1.0-6.8) and BMC (0.59 g, 95% CI: 0.10-1.07). In boys, there were significant associations between activity and DXA percent body fat measures that were not found with the body mass index percentile. Objective measures of PA were inversely associated with TB, android, and gynoid fat, whereas ST was directly associated with TB percent fat and, in particular, android fat. Activity levels predict body composition measures by DXA and, in

Dual view x-ray inspection system for foreign objects detection in canned food

Science.gov (United States)

Lu, Zhiwen; Peng, Ningsong

2013-04-01

X-ray inspection technique for foreign objects in food products can determine and mark the presence of contaminants within the product by using image processing and pattern recognition technique on the X-ray transmission images. This paper presents the dual view X-ray inspection technique for foreign objects in food jar via analyzing the weak points of the traditional single view X-ray inspection technique. In addition, a prototype with the new technique is developed in accordance with glass splinters detection within the food jar (glass jar especially) which is a typical tickler. Some algorithms such as: adaptive image segmentation based on contour tracking, nonlinear arctan function transform and etc., are applied to improve image quality and achieve effective inspection results. The false recognition rate is effectively reduced and the detection sensitivity is highly enhanced. Finally the actual test results of this prototype are given.

Small animals bone density and morphometry analysis with a dual energy X-rays absorptiometry bone densitometer using a 2D digital radiographic detector

International Nuclear Information System (INIS)

Boudousq, V.; Bordy, T.; Gonon, G.; Dinten, J.M.

2004-01-01

LEXXOS (DMS, Montpellier, France) is the first axial and total body cone beam bone densitometer using a 2D digital radiographic detector. In previous papers, technical principles and patients' Bone Mineral Density (BMD) measurement performances were presented. Bone densitometers are also used on small animals for drug development. In this presentation, we show how LEXXOS can be adapted for small animals' examinations and evaluate its performances. At first, in order to take advantage of the whole area of the 20 x 20 cm 2 digital radiographic detector, it has been made profit of X-Rays magnification by adapting the geometrical configuration. Secondly, as small animals present low BMD, a specific dual energy calibration has been defined. This adapted system has then been evaluated on two sets of mice: six reference mice and six ovariectomized mice. Each month, these two populations have been examined and the averaged total body BMD has been measured. This evaluation shows that the right order of BMD magnitude is obtained and, as expected, BMD increases on two sets until a period around puberty and the ovariectomized set presents a significant decrease after. Moreover, the bone image obtained by dual energy processing on LEXXOS presents a radiographic image quality providing useful complementary information on bone morphometry and architecture. This study shows that LEXXOS cone beam bone densitometer provides simultaneously useful quantitative and qualitative information for analysis of bone evolution on small animals. In the future, same system architecture and processing methodology can be used with higher resolution detectors in order to refine information on bone architecture. (authors)

Design of dual energy x-ray detector for conveyor belt with steel wire ropes

Science.gov (United States)

Dai, Yue; Miao, Changyun; Rong, Feng

2009-07-01

A dual energy X-ray detector for conveyor belt with steel wire ropes is researched in the paper. Conveyor belt with steel wire ropes is one of primary transfer equipments in modern production. The traditional test methods like electromagnetic induction principle could not display inner image of steel wire ropes directly. So X-ray detection technology has used to detect the conveyor belt. However the image was not so clear by the interference of the rubber belt. Therefore, the dualenergy X-ray detection technology with subtraction method is developed to numerically remove the rubber belt from radiograph, thus improving the definition of the ropes image. The purpose of this research is to design a dual energy Xray detector that could make the operator easier to found the faulty of the belt. This detection system is composed of Xray source, detector controlled by FPGA chip, PC for running image processing system and so on. With the result of the simulating, this design really improved the capability of the staff to test the conveyor belt.

Comparison between the gold standard DXA with calcaneal quantitative ultrasound based-strategy (QUS) to detect osteoporosis in an HIV infected cohort.

Science.gov (United States)

Quiros Roldan, Eugenia; Brianese, Nigritella; Raffetti, Elena; Focà, Emanuele; Pezzoli, Maria Chiara; Bonito, Andrea; Ferraresi, Alice; Lanza, Paola; Porcelli, Teresa; Castelli, Francesco

Osteoporosis represents one of the most frequent comorbidity among HIV patients. The current standard method for osteoporosis diagnosis is dual-energy X-ray absorptiometry. Calcaneal quantitative ultrasound can provide information about bone quality. The aims of this study are to compare these two methods and to evaluate their ability to screen for vertebral fracture. This cross-sectional study was conducted in HIV patients attending the Clinic of Infectious and Tropical Diseases of Brescia during 2014 and who underwent lumbar/femoral dual-energy X-ray absorptiometry, vertebral fracture assessment and calcaneal quantitative ultrasound. The assessment of osteoporosis diagnostic accuracy was performed for calcaneal quantitative ultrasound and for vertebral fracture comparing them with dual-energy X-ray absorptiometry. We enrolled 73 patients and almost 48% of them had osteoporosis with at least one of the method used. Vertebral fracture were present in 27.4%. Among patients with normal bone measurements, we found vertebral fracture in proportion between 10% and 30%. If we used calcaneal quantitative ultrasound method and/or X-ray as screening, the percentages of possible savable dual-energy X-ray absorptiometry ranged from 12% to 89% and misclassification rates ranged from 0 to 24.6%. A combined strategy, calcaneal quantitative ultrasound and X-Ray, identified 67% of patients with low risk of osteoporosis, but 16.4% of patients were misclassified. We observed that patients with osteoporosis determined by calcaneal quantitative ultrasound and/or dual-energy X-ray absorptiometry have higher probability to undergo vertebral fracture, but neither of them can be used for predicting vertebral fracture. Use of calcaneal quantitative ultrasound for screening is a reasonable alternative of dual-energy X-ray absorptiometry since our study confirm that none strategy is clearly superior, but both screen tools must be always completed with X-ray. Copyright © 2017 Sociedade

An evaluation of the EagleTM FA DEXA (Dual-energy X-ray Absorptiometry) scanner as a method of estimating the chemical lean in cartons of boneless beef

International Nuclear Information System (INIS)

Purchas, R.W.; Archibald, R.; West, J.G.; Bartle, C.M.

2007-01-01

The accuracy with which the Eagle TM FA DEXA (dual-energy X-ray absorptiometry) scanner measured the chemical lean percentage (CL) of boneless beef in 27.2 kg cartons was evaluated under actual production operating conditions in a commercial meat plant. Forty cartons of boneless beef (CL range 60 to 98) were scanned in triplicate (Scan CL), and the results obtained were compared with chemically determined estimates of CL from three laboratories (Lab CL) performed in triplicate on each of three samples taken from the minced and blended contents of each carton. Differences between CL estimates from the different laboratories and from the different sub-samples were small and not statistically significant. The relationship between Scan CL and the Lab CL had an R 2 value of 99.6% and a residual standard deviation (RSD) of 0.79. When estimates of errors associated with sampling and laboratory analysis (RSDs of 0.4 to 0.6) were taken into account, the Scan CL RSD was estimated to be between 0.6 and 0.7. The mean difference between Scan CL and Lab CL was 0.28. Thus the measures of accuracy were within the specifications for the scanner, which are stated as being an RSD of less than 1 and an average difference between Scan CL and actual CL of less than 1 percentage point. Estimates of CL obtained by analysing cores (about 1.5% of the total carton) taken from the cartons, were not closely related to Scan CL with an RSD of 2.00 for this relationship. Small but statistically significant differences were found between the CL groups (65, 80, 90, and 95%) in the deviations between Lab CL and Scan CL. It is concluded that the Eagle TM FA on-line DEXA scanner provides a rapid on-line means of accurately estimating the CL content of boneless beef in standard cartons. (author). 11 refs., 2 figs., 4 tabs

Dual-energy X-ray micro-CT imaging of hybrid Ni/Al open-cell foam

International Nuclear Information System (INIS)

Fíla, T.; Koudelka, P.; Zlámal, P.; Jiroušek, O.; Kumpová, I.; Vavřík, D.; Jung, A.

2016-01-01

In this paper, we employ dual-energy X-ray microfocus tomography (DECT) measurement to develop high-resolution finite element (FE) models that can be used for the numerical assessment of the deformation behaviour of hybrid Ni/Al foam subjected to both quasi-static and dynamic compressive loading. Cubic samples of hybrid Ni/Al open-cell foam with an edge length of [15]mm were investigated by the DECT measurement. The material was prepared using AlSi 7 Mg 0.3 aluminium foam with a mean pore size of [0.85]mm, coated with nanocrystalline nickel (crystallite size of approx. [50]nm) to form a surface layer with a theoretical thickness of [0.075]mm. CT imaging was carried out using state-of-the-art DSCT/DECT X-ray scanner developed at Centre of Excellence Telč. The device consists of a modular orthogonal assembly of two tube-detector imaging pairs, with an independent geometry setting and shared rotational stage mounted on a complex 16-axis CNC positioning system to enable unprecedented measurement variability for highly-detailed tomographical measurements. A sample of the metal foam was simultaneously irradiated using an XWT-240-SE reflection type X-ray tube and an XWT-160-TCHR transmission type X-ray tube. An enhanced dual-source sampling strategy was used for data acquisition. X-ray images were taken using XRD1622 large area GOS scintillator flat panel detectors with an active area of [410 × 410]mm and resolution [2048 × 2048]pixels. Tomographic scanning was performed in 1,200 projections with a 0.3 degree angular step to improve the accuracy of the generated models due to the very complex microstructure and high attenuation of the investigated material. Reconstructed data was processed using a dual-energy algorithm, and was used for the development of a 3D model and voxel model of the foam. The selected parameters of the models were compared with nominal parameters of the actual foam and showed good correlation

Heterophase fluctuation of omega phase and X-ray diffuse scattering from dual phase structure

International Nuclear Information System (INIS)

Farjami, Susan; Kubo, Hiroshi

2003-01-01

Heterophase fluctuation of athermal omega embryos has been analyzed by assuming a dual phase structure of omega embryos composed of omega and bcc matrix phase. The two-dimensional modulation of dual phase was suggested from the quantitative estimation of coherent free energy of omega embryos using microscopic theory of elasticity and the Landau anharmonic theory for phase transformation. The X-ray diffraction theory was developed in connection to the formation of omega embryos having the dual phase structure. The offset of the diffuse peak position from the ideal omega point in the X-ray diffraction pattern is attributed to the dual phase (incommensurate phase) of omega embryos. It was also shown that the ellipsoidal shape of the diffuse intensity tailing toward the fundamental spot of the matrix phase is originated from the equilibrium shape of the omega embryo. The quantitative estimation of elastic energy modulus (EEM) in the disordered bcc matrix and in the ordered bcc matrix indicates a difference in the deviation amount of the minimum point k(q m ) from the ideal omega point k(q ω ) and a difference in the elliptical shape of embryos

Sarcopenic obesity assessed using dual energy X-ray absorptiometry (DXA) can predict cardiovascular disease in patients with type 2 diabetes: a retrospective observational study.

Science.gov (United States)

Fukuda, Tatsuya; Bouchi, Ryotaro; Takeuchi, Takato; Tsujimoto, Kazutaka; Minami, Isao; Yoshimoto, Takanobu; Ogawa, Yoshihiro

2018-04-10

Sarcopenic obesity, defined as reduced skeletal muscle mass and power with increased adiposity, was reported to be associated with cardiovascular disease risks in previous cross-sectional studies. Whole body dual-energy X-ray absorptiometry (DXA) can simultaneously evaluate both fat and muscle mass, therefore, whole body DXA may be suitable for the diagnosis of sarcopenic obesity. However, little is known regarding whether sarcopenic obesity determined using whole body DXA could predict incident cardiovascular disease (CVD). The aim of this study was to investigate the impact of sarcopenic obesity on incident CVD in patients with type 2 diabetes. A total of 716 Japanese patients (mean age 65 ± 13 years; 47.0% female) were enrolled. Android fat mass (kg), gynoid fat mass (kg), and skeletal muscle index (SMI) calculated as appendicular non-fat mass (kg) divided by height squared (m 2 ), were measured using whole body DXA. Sarcopenic obesity was defined as the coexistence of low SMI and obesity determined by four patterns of obesity as follows: android to gynoid ratio (A/G ratio), android fat mass or percentage of body fat (%BF) was higher than the sex-specific median, or body mass index (BMI) was equal to or greater than 25 kg/m 2 . The study endpoint was the first occurrence or recurrence of CVD. Over a median follow up of 2.6 years (IQR 2.1-3.2 years), 53 patients reached the endpoint. Sarcopenic obesity was significantly associated with incident CVD even after adjustment for the confounding variables, when using A/G ratio [hazard ratio (HR) 2.63, 95% CI 1.10-6.28, p = 0.030] and android fat mass (HR 2.57, 95% CI 1.01-6.54, p = 0.048) to define obesity, but not %BF (HR 1.67, 95% CI 0.69-4.02, p = 0.252), and BMI (HR 1.55, 95% CI 0.44-5.49, p = 0.496). The present data suggest that the whole body DXA is valuable in the diagnosis of sarcopenic obesity (high A/G ratio or android fat mass with low SMI) to determine the risk of CVD events in

A practical material decomposition method for x-ray dual spectral computed tomography.

Science.gov (United States)

Hu, Jingjing; Zhao, Xing

2016-03-17

X-ray dual spectral CT (DSCT) scans the measured object with two different x-ray spectra, and the acquired rawdata can be used to perform the material decomposition of the object. Direct calibration methods allow a faster material decomposition for DSCT and can be separated in two groups: image-based and rawdata-based. The image-based method is an approximative method, and beam hardening artifacts remain in the resulting material-selective images. The rawdata-based method generally obtains better image quality than the image-based method, but this method requires geometrically consistent rawdata. However, today's clinical dual energy CT scanners usually measure different rays for different energy spectra and acquire geometrically inconsistent rawdata sets, and thus cannot meet the requirement. This paper proposes a practical material decomposition method to perform rawdata-based material decomposition in the case of inconsistent measurement. This method first yields the desired consistent rawdata sets from the measured inconsistent rawdata sets, and then employs rawdata-based technique to perform material decomposition and reconstruct material-selective images. The proposed method was evaluated by use of simulated FORBILD thorax phantom rawdata and dental CT rawdata, and simulation results indicate that this method can produce highly quantitative DSCT images in the case of inconsistent DSCT measurements.

Optimum filter selection for Dual Energy X-ray Applications through Analytical Modeling

International Nuclear Information System (INIS)

Koukou, V; Martini, N; Sotiropoulou, P; Nikiforidis, G; Michail, C; Kalyvas, N; Kandarakis, I; Fountos, G

2015-01-01

In this simulation study, an analytical model was used in order to determine the optimal acquisition parameters for a dual energy breast imaging system. The modeled detector system, consisted of a 33.91mg/cm 2 Gd 2 O 2 S:Tb scintillator screen, placed in direct contact with a high resolution CMOS sensor. Tungsten anode X-ray spectra, filtered with various filter materials and filter thicknesses were examined for both the low- and high-energy beams, resulting in 3375 combinations. The selection of these filters was based on their K absorption edge (K-edge filtering). The calcification signal-to-noise ratio (SNR tc ) and the mean glandular dose (MGD) were calculated. The total mean glandular dose was constrained to be within acceptable levels. Optimization was based on the maximization of the SNR tc /MGD ratio. The results showed that the optimum spectral combination was 40kVp with added beam filtration of 100 μm Ag and 70kVp Cu filtered spectrum of 1000 μm for the low- and high-energy, respectively. The minimum detectable calcification size was 150 μm. Simulations demonstrate that this dual energy X-ray technique could enhance breast calcification detection. (paper)

Difference in bone mineral density score on dual Xray absorptiometry scan among ethnic groups of Karachi, Pakistan

International Nuclear Information System (INIS)

Shaikh, S.A.; Iqbal, J.; Faisal, L.; Islam, Z.U.; Ajmal, R.

2017-01-01

To determine the bone mineral density (BMD) scores on Dual energy X ray absorptiometry (DEXA) scan in individuals of different ethnic groups among local population of Karachi, Pakistan. Methodology: This cross sectional study was conducted in Departments of Anatomy and Radiology, Liaquat National Hospital and Medical College Karachi, from June 2016 to March 2017. The data were collected from the patients belonging to different ethnic groups, who were referred for DEXA scan and entered on structured proforma. SPSS 21 was used for data analysis. Results: Out of 232 patients, 206 were females and 26 were males with mean age of 59.6+-10.06 years. Majority of patients were resident of Karachi and belonging to Urdu speaking ethnic group. Mean BMI of patients was 29.3 6.69 and most of patients with osteoporosis were preobese and obese with BMI >25. The relationship of BMD with different ethnic groups showed statistically significant difference where Baloch had high incidence of osteoporosis of forearm and lumbar spine while Sindhi and Pathan had osteoporosis of hip. Conclusion: There is significant difference in BMD score on DEXA scan among different ethnic groups of Karachi. This information can help clinicians advise patients for timely DEXA scan and earlier use of bone preservation treatment. (author)

Accuracy of dual photon absorptiometry for assessment of bone mineral and body composition

International Nuclear Information System (INIS)

Aoki, Manabu; Iwamura, Akira; Goto, Eisuke; Mori, Yutaka; Kawakami, Kenji; Soshi, Shigeru

1991-01-01

Accuracy of bone mineral measurement by the dual photon absorptiometry (DPA) was studied in comparison to ashed bone mineral (ash) on the lumbar spine of 23 cada vars. There was a high correlation (r=0.896) between the value of DPA and ash weight. Bone mineral content in the radius by the single photon absorptiometry (SPA) did not correlate to bone mineral density (BMD) by DPA in the patients with hemodialysis. SPA may be less useful to assess BMD of the whole body. Fat mass and lean mass measured by DPA were well correlated to the value obtained by the electrical impedance method. Precision in measurement of fat mass and lean mass was also confirmed by the electrical impedance method. These results suggest that DPA has a high precision for measurements of the bone mineral and the body composition. (author)

Mask-based dual-axes tomoholography using soft x-rays

International Nuclear Information System (INIS)

Guehrs, Erik; Frömmel, Stefanie; Günther, Christian M; Hessing, Piet; Schneider, Michael; Shemilt, Laura; Eisebitt, Stefan; Fohler, Manuel

2015-01-01

We explore tomographic mask-based Fourier transform x-ray holography with respect to the use of a thin slit as a reference wave source. This imaging technique exclusively uses the interference between the waves scattered by the object and the slit simplifying the experimental realization and ensuring high data quality. Furthermore, we introduce a second reference slit to rotate the sample around a second axis and to record a dual-axes tomogram. Compared to a single-axis tomogram, the reconstruction artifacts are decreased in accordance with the reduced missing data wedge. Two demonstration experiments are performed where test structures are imaged with a lateral resolution below 100 nm. (paper)

Concept of effective atomic number and effective mass density in dual-energy X-ray computed tomography

International Nuclear Information System (INIS)

Bonnin, Anne; Duvauchelle, Philippe; Kaftandjian, Valérie; Ponard, Pascal

2014-01-01

This paper focuses on dual-energy X-ray computed tomography and especially the decomposition of the measured attenuation coefficient in a mass density and atomic number basis. In particular, the concept of effective atomic number is discussed. Although the atomic number is well defined for chemical elements, the definition of an effective atomic number for any compound is not an easy task. After reviewing different definitions available in literature, a definition related to the method of measurement and X-ray energy, is suggested. A new concept of effective mass density is then introduced in order to characterize material from dual-energy computed tomography. Finally, this new concept and definition are applied on a simulated case, focusing on explosives identification in luggage

Accuracy of dual photon absorptiometry in excised femurs

International Nuclear Information System (INIS)

Erman, J.; Ott, S.M.

1988-01-01

We investigated the accuracy of assessment of bone mineral content (BMC) by dual photon absorptiometry (DPA). Measurements were compared between BMC and ashed weight using two related scanners. The BMC in different locations of the femur was determined. Twelve cadaver femurs were cleaned of all soft tissue, divided into four parts (head, neck, trochanteric region, and shaft), and measured for BMC in an ethanol/water solution. The bones were then ashed and weighed. Volumetric density was also determined. The correlation coefficient between ash weight and BMC was 0.99 with an s.e.e. of 0.51 g and relative error of 4.8%. Similar correlations were seen within each region. The correlation between the machines was 0.99. Differences in volumetric density were found, with the density of the shaft greater than other regions, and the neck greater than the head or trochanteric regions

Research on multi-spectrum detector in high-energy dual-energy X-ray imaging system

International Nuclear Information System (INIS)

Li Qinghua; Wang Xuewu; Li Jianmin; Kang Kejun; Li Yuanjing; Zhong Huaqiang

2008-01-01

The high-energy dual-energy X-ray imaging system can discriminate the material of the objects inspected, but when the objects are too thin, the discrimination becomes very difficult. This paper proposes the use of multi-spectrum detector to improve the ability to discriminate thin material, and a series of simulation were done with the Monte Carlo method. Firstly the X-ray depositions in the detectors with different thickness were calculated, and then the discrimination effects with different detector structure and parameters were calculated. The simulation results validated that using appropriate multi-spectrum detector can improve the discrimination accuracy of thin material, particularly thin high-Z material. (authors)

Anthropometrics and body composition by dual energy X-ray in children of obese women

DEFF Research Database (Denmark)

Tanvig, Mette; Vinter, Christina A; Jørgensen, Jan S

2014-01-01

of the RCT mothers and in 97 reference group children with Body Mass Index (BMI) Z-score as a primary outcome. Body composition was estimated by Dual Energy X-ray (DEXA) in 123 successful scans out of 147 (84%). RESULTS: No differences between randomized groups were seen in mean (95% C.I.) BMI Z...

Recent trends in the diagnosis of osteoporosis

International Nuclear Information System (INIS)

Tsankov, L.; Tochev, N.; Poposki, Sp.

2015-01-01

Osteoporosis is a progressive systemic disease of the skeleton that is characterized by reduced mass and impaired mikroarhitektonika bone, leading to enhanced bone fragility and increased risk of fractures. The development of osteoporosis is painless and progresses slowly and gradually, without manifested symptoms over the years, so that patients learn about the disease only at later stages of development or, most often after the occurrence of fracture. By dual-energy X-ray absorptiometry (DXA) of the spine and femoral neck can be diagnosed, to estimate fracture risk and monitor treatment. In the aspect of diagnostic methods such as peripheral dual-energy X-ray absorptiometry (rDXA), quantitative ultrasound bone (QRS) and quantitative computed tomography (QCT) have their place. Key words: Dual-Energy X-Ray Absorptiometry. Osteoporosis

Quantification of bone mineral density at 3rd lumbar vertebra by dual photon absorptiometry

International Nuclear Information System (INIS)

Fukunaga, Masao; Otsuka, Nobuaki; Ono, Shimato; Nagai, Kiyohisa; Muranaka, Akira; Furukawa, Takako; Yanagimoto, Shinichi; Tomomitsu, Tatsushi; Morita, Rikushi

1987-01-01

To know bone mineral content of both cortical and spongy bones with aging and pathologic changes, bone mineral density (BMD) in the 3rd lumbar vertebra (L3) and distal radius (DR) was measured using dual photon absorptiometry and single photon absorptiometry, respectively, in 151 normal subjects (N) and four patients with primary hyperparathyroidism (PHP). In the N group, BMD in both L3 and DR decreased with aging. This was more noted, and occurred earlier in L3, irrespective of sex, than DR. In three PHP patients manifested as bone type, BMD was high in L3, and low in DR. Such a tendency was not seen in the remaining one patient with stone type PHP. The findings suggest the need to measure BMD in both cortical (L3) and spongy (DR) bones for elucidating bone pathophysiology in metabolic bone disease. (Namekawa, K.)

Dual energy scanning beam laminographic x-radiography

Science.gov (United States)

Majewski, S.; Wojcik, R.F.

1998-04-21

A multiple x-ray energy level imaging system includes a scanning x-ray beam and two detector design having a first low x-ray energy sensitive detector and a second high x-ray energy sensitive detector. The low x-ray energy detector is placed next to or in front of the high x-ray energy detector. The low energy sensitive detector has small stopping power for x-rays. The lower energy x-rays are absorbed and converted into electrical signals while the majority of the higher energy x-rays pass through undetected. The high energy sensitive detector has a large stopping power for x-rays as well as it having a filter placed between it and the object to absorb the lower energy x-rays. In a second embodiment; a single energy sensitive detector is provided which provides an output signal proportional to the amount of energy in each individual x-ray it absorbed. It can then have an electronic threshold or thresholds set to select two or more energy ranges for the images. By having multiple detectors located at different positions, a dual energy laminography system is possible. 6 figs.

Development of a dual MCP framing camera for high energy x-rays

Energy Technology Data Exchange (ETDEWEB)

Izumi, N., E-mail: izumi2@llnl.gov; Hall, G. N.; Carpenter, A. C.; Allen, F. V.; Cruz, J. G.; Felker, B.; Hargrove, D.; Holder, J.; Lumbard, A.; Montesanti, R.; Palmer, N. E.; Piston, K.; Stone, G.; Thao, M.; Vern, R.; Zacharias, R.; Landen, O. L.; Tommasini, R.; Bradley, D. K.; Bell, P. M. [Lawrence Livermore National Laboratory, Livermore, California 94550 (United States); and others

2014-11-15

Recently developed diagnostic techniques at LLNL require recording backlit images of extremely dense imploded plasmas using hard x-rays, and demand the detector to be sensitive to photons with energies higher than 50 keV [R. Tommasini et al., Phys. Phys. Plasmas 18, 056309 (2011); G. N. Hall et al., “AXIS: An instrument for imaging Compton radiographs using ARC on the NIF,” Rev. Sci. Instrum. (these proceedings)]. To increase the sensitivity in the high energy region, we propose to use a combination of two MCPs. The first MCP is operated in a low gain regime and works as a thick photocathode, and the second MCP works as a high gain electron multiplier. We tested the concept of this dual MCP configuration and succeeded in obtaining a detective quantum efficiency of 4.5% for 59 keV x-rays, 3 times larger than with a single plate of the thickness typically used in NIF framing cameras.

X-ray dual energy spectral parameter optimization for bone Calcium/Phosphorus mass ratio estimation

International Nuclear Information System (INIS)

Sotiropoulou, P I; Martini, N D; Koukou, V N; Nikiforidis, G C; Fountos, G P; Michail, C M; Valais, I G; Kandarakis, I S

2015-01-01

Calcium (Ca) and Phosphorus (P) bone mass ratio has been identified as an important, yet underutilized, risk factor in osteoporosis diagnosis. The purpose of this simulation study is to investigate the use of effective or mean mass attenuation coefficient in Ca/P mass ratio estimation with the use of a dual-energy method. The investigation was based on the minimization of the accuracy of Ca/P ratio, with respect to the Coefficient of Variation of the ratio. Different set-ups were examined, based on the K-edge filtering technique and single X-ray exposure. The modified X-ray output was attenuated by various Ca/P mass ratios resulting in nine calibration points, while keeping constant the total bone thickness. The simulated data were obtained considering a photon counting energy discriminating detector. The standard deviation of the residuals was used to compare and evaluate the accuracy between the different dual energy set-ups. The optimum mass attenuation coefficient for the Ca/P mass ratio estimation was the effective coefficient in all the examined set-ups. The variation of the residuals between the different set-ups was not significant. (paper)

Determination of bone mineral density in the third lumbar vertebral body using photon absorptiometry techniques

International Nuclear Information System (INIS)

Swanpalmer, Janos; Kullenberg, Ragnar; Hansson, Tommy

1998-01-01

Dual-photon absorptiometry and triple-energy X-ray absorptiometry were used to investigate the total bone mineral content and density as well as the trabecular bone mineral density in the third lumbar vertebral body. Both anteroposterior (AP) and lateral (LAT) measurements were performed. By combining the two projections it was found that the mean trabecular bone mineral density for all 202 subjects included in the study was 52% (SD±20%) of the total bone mineral density in the third lumbar vertebral body. The mean trabecular bone mineral density as a fraction of the total vertebral body bone mineral density decreased as a function of age. The relative annual change in this fraction differed between males and females. It was also found that neither trabecular nor total bone mineral density differed significantly between male and female subjects aged 25-35 years, and bone mineral density (BMD), expressed in g/cm 3 , showed no correlation to subject height, body weight or body mass index (BMI). Male and female individuals showed different rates of change of trabecular bone mineral density with age

Optimal design of detector thickness for dual-energy x-ray imaging

Energy Technology Data Exchange (ETDEWEB)

Kim, Dong Woon; Kim, Ho Kyung [KAERI, Daejeon (Korea, Republic of)

2016-05-15

The projection of three-dimensional (3D) human body on a two-dimensional (2D) radiograph results in the superimposition of normal tissue that can obscure abnormalities and in some common cases be misread as abnormalities. To reduce or eliminate this effect, 3D depth-discrimination techniques such as computed tomography can be used. Another method for improving conspicuity of abnormalities is an energy discrimination technique such as dual-energy imaging (DEI). The DEI discriminates, or enhances, material content (e.g. bone or soft tissue) within a 2D radiograph by combining images obtained at separte low and high energies. A commercial DEI system uses the fast kilovoltage (kVp) switching technique, which acquires low and highkVp projections in successive x-ray exposure. To obtain better quality in DE images, a large energy separation between the low and high-kVp setups is typically used for chest (e.g. 60/120 kVp). The optimal CsI thickness for dual-energy chest imaging has been theoretically investigated by evaluating prewhitening observer model detectability indexes. To evaluate the PW and PWE detectability indexes, dual-energy fluence and MTF have reviewed compared to the conventional descriptions.

Cross-calibration of domestic devices and GE lunar prodigy advance dual-energy X-ray densitometer devices for bone mineral measurements

Energy Technology Data Exchange (ETDEWEB)

Kim, Jung Su [Chungbuk Health and Science University, Cheongju (Korea, Republic of); Rho, Young Hoon; Lee, In Ju; Kim, Jung Min [Korea University Graduate School, Seoul (Korea, Republic of); Kim, Kyoung A [CHA Bundang Medical Center, CHA University, Seongnam (Korea, Republic of); Lee, In Ja [Dongnam Health University, Suwon (Korea, Republic of)

2017-03-15

Reliable follow-up of bone mineral density (BMD) by dual energy X-ray absorptiometry (DXA) is essential in clinical practice. When there is a difference in the BMD values from DXA systems in the same patient, cross calibration equation is required for the reliable follow-up. Unfortunately, no equation is existed in BMD measure between GE Lunar Prodigy Advance (US, GE Healthcare; LPA) and Osteosys Dexxum T (Korea, Osteosys; ODT) DXA systems. In this study, we evaluate the agreement of BMD values between LPA and ODT and suggest the cross calibration equation using European spine phantom (ESP) with two systems. We performed BMD measurements using ten scans with ESP in each DXA systems. We compared BMD values and calculated cross calibration equation by linear regression analysis. The comparison between the LPA and ODT bone densitometers used the ESP. Compared to the ESP BMD values, ODT underestimated 14.36% and LPA overestimated 12.96%. The average of total BMD measurement values acquired with ODT were 21.44% lower than those from LPA. Cross-calibration equation for LPA and ODT was derived from ESP. We calculated simple cross calibration equation for LPA and ODT DXA systems. Cross-calibration equation is necessary for the reliable follow-up of BMD values in two different systems.

Detection and quantification of coronary calcium from dual energy chest x-rays: Phantom feasibility study.

Science.gov (United States)

Zhou, Bo; Wen, Di; Nye, Katelyn; Gilkeson, Robert C; Eck, Brendan; Jordan, David; Wilson, David L

2017-10-01

We have demonstrated the ability to identify coronary calcium, a reliable biomarker of coronary artery disease, using nongated, 2-shot, dual energy (DE) chest x-ray imaging. Here we will use digital simulations, backed up by measurements, to characterize DE calcium signals and the role of potential confounds such as beam hardening, x-ray scatter, cardiac motion, and pulmonary artery pulsation. For the DE calcium signal, we will consider quantification, as compared to CT calcium score, and visualization. We created stylized and anatomical digital 3D phantoms including heart, lung, coronary calcium, spine, ribs, pulmonary artery, and adipose. We simulated high and low kVp x-ray acquisitions with x-ray spectra, energy dependent attenuation, scatter, ideal detector, and automatic exposure control (AEC). Phantoms allowed us to vary adipose thickness, cardiac motion, etc. We used specialized dual energy coronary calcium (DECC) processing that includes corrections for scatter and beam hardening. Beam hardening over a wide range of adipose thickness (0-30 cm) reduced the change in intensity of a coronary artery calcification (ΔI CAC ) by calcium signal (ΔI CAC ) in DECC images ±9%. If a simulated pulmonary artery fills with blood between exposures, it can give rise to a residual signal in DECC images, explaining pulmonary artery visibility in some clinical images. Residual misregistration can be mostly compensated by integrating signals in an enlarged region encompassing registration artifacts. DECC calcium score compared favorably to CT mass and volume scores over a number of phantom perturbations. Simulations indicate that proper DECC processing can faithfully recover coronary calcium signals. Beam hardening, errors in scatter estimation, cardiac motion, calcium residual misregistration etc., are all manageable. Simulations are valuable as we continue to optimize DE coronary calcium image processing and quantitative analysis. © 2017 American Association of Physicists

Linear iterative near-field phase retrieval (LIPR) for dual-energy x-ray imaging and material discrimination.

Science.gov (United States)

Li, Heyang Thomas; Kingston, Andrew M; Myers, Glenn R; Beeching, Levi; Sheppard, Adrian P

2018-01-01

Near-field x-ray refraction (phase) contrast is unavoidable in many lab-based micro-CT imaging systems. Quantitative analysis of x-ray refraction (a.k.a. phase retrieval) is in general an under-constrained problem. Regularizing assumptions may not hold true for interesting samples; popular single-material methods are inappropriate for heterogeneous samples, leading to undesired blurring and/or over-sharpening. In this paper, we constrain and solve the phase-retrieval problem for heterogeneous objects, using the Alvarez-Macovski model for x-ray attenuation. Under this assumption we neglect Rayleigh scattering and pair production, considering only Compton scattering and the photoelectric effect. We formulate and test the resulting method to extract the material properties of density and atomic number from single-distance, dual-energy imaging of both strongly and weakly attenuating multi-material objects with polychromatic x-ray spectra. Simulation and experimental data are used to compare our proposed method with the Paganin single-material phase-retrieval algorithm, and an innovative interpretation of the data-constrained modeling phase-retrieval technique.

A phantom test of proton-induced dual-energy X-ray angiography using iodinated contrast media

International Nuclear Information System (INIS)

Oguri, Y.; Hasegawa, J.; Ogawa, M.; Kaneko, J.; Sasa, K.

2007-01-01

Characteristic-line radiation from heavy metal targets bombarded by MeV proton beams has been tested as an X-ray source for dual-energy K-edge subtraction imaging for human angiography (blood vessel imaging) based on iodinated contrast media. To utilize the strong absorption by iodine (Z=53) at its K-absorption edge (33.2 keV), we used K α -line of La (lanthanum, Z=57) at 33.4 keV. As a reference, also K α X emission of Sn (tin, Z=50) at 25.2 keV was employed. Metallic plates of La and Sn were irradiated by 7-MeV protons to produce these characteristic X-rays. Energy-subtraction method was tested using Lucite phantoms which contain aqueous solutions of KI (potassium iodide) with different concentrations. Also Ca(H 2 PO 4 ) 2 powder was stuffed in these phantoms to simulate bones. The transmission images of the phantoms were recorded on imaging plates. During the exposure, the energy spectra of the X-rays were monitored by a CdTe detector. We found that the contrast of images of iodide solutions taken with La X-rays was higher than that with Sn X-rays. Also the energy subtraction procedure was successfully applied to reduce the graphical noise due to the bones and inhomogeneity of the soft tissue. However, to apply the present method to actual clinical use, the X-ray intensity must be increased by several orders of magnitude. Also the transmission of the 'lower-energy' photons has to be a few orders higher for imaging of objects as thick as human chest. (author)

Use of silicon microstrip detectors in medical diagnostic x-rays

International Nuclear Information System (INIS)

Cabal Rodriguez, Ana Ester

2004-11-01

This work presents the development and characterization of a single photon counting system based on silicon microstrip detectors, used in High Energy Physics experiments, and on low noise multichannel readout electronics. The thesis evaluates the feasibility of dual energy X-ray imaging with silicon microstrip detectors to be applied on medical diagnosis. Dual energy mammographic and angiographic experimental tests have been performed using the developed counting systems proto types, properly phantoms and quasi-monochromatic X ray beams, obtained on a compact dichromatic source based on a conventional X-ray tube and a mosaic crystal. A Monte Carlo simulation of the performance of the experimental setup for dual X-ray imaging has also been carried out using MCNP-4C transport code. We obtained good agreement between MCNP results and the experimental data. (Author)

A correlação de métodos dexa e cdexa em absortimetria mineral óssea The correlation between DEXA and CDEXA methods in bone mineral absorptiometry

Directory of Open Access Journals (Sweden)

Cláudio Gilberto Defavori

2007-06-01

Full Text Available OBJETIVO: Estudar a intercambiabilidade dos resultados de densidade mineral óssea entre máquinas de absortimetria de raios-x em duas energias (DEXA Hologic® e de absortimetria computadorizada de raios-x convencionais em duas energias (CDEXA Cromox®. MATERIAIS E MÉTODOS: Para 38 casos de quadril e 31 casos de coluna lombar avaliados em 43 pacientes atendidos em um centro de diagnóstico por imagem, medidas de densidade mineral óssea foram realizadas em ambas as máquinas. A máquina Cromox® foi calibrada usando-se o phantom Cromox® de referência para absortimetria óssea. RESULTADOS: Forte correlação entre os resultados obtidos nas duas máquinas foi encontrada para cada sítio do esqueleto. O coeficiente de correlação linear medido para o colo femoral direito foi r = 0,920, p 0,95. Para ambos os sítios, a diferença média aritmética em Tscore entre as máquinas é pequena, menor que a menor variação significativa.OBJECTIVE: To study the interchangeability of the bone mineral density results between Hologic® dual energy x-ray absorptiometry (DEXA and Cromox® computed dual energy conventional x-ray absorptiometry (CDEXA equipments. MATERIALS AND METHODS: Thirty-eight femoral necks and 31 lumbar spines of 43 patients underwent bone mineral density measured by both equipments in a diagnostic imaging center. The Cromox® equipment was calibrated with a reference Cromox® phantom for bone absorptiometry. RESULTS: A strong correlation between results obtained from the two devices was found for each skeletal site. The linear correlation coefficient measured for the right femoral neck was r = 0.920, p 0.95. For both sites, the arithmetic mean difference in Tscore between devices is low - least than the lowest significant variance.

Qualitative Evaluation of Digital Hand X-rays is Not a Reliable Method to Assess Bone Mineral Density

Directory of Open Access Journals (Sweden)

AndrewJ. Miller

2017-01-01

Full Text Available Object: The gold standard for evaluating bone mineral density is dual energy x-ray absorptiometry (DEXA.  Prior studies have shown poor reliability using analog wrist X-rays in diagnosing osteoporosis. Our goal was to investigate if there was improved diagnostic value to visual assessment of digital hand X-rays in osteoporosis screening. We hypothesized that similar to analog counterparts, digital hand X-rays have poor correlation and reliability in determining bone mineral density (BMD relative to DEXA.Methods: We prospectively evaluated female patients older than 65 years who presented to our hand clinic with digital hand and wrist X-rays as part of their evaluation over six months. Patients who had a fracture and were without DEXA scans within the past two years were excluded. Five fellowship-trained hand surgeons, blinded to DEXA T-scores, evaluated the x-rays over two assessments separated by four weeks and classified them as osteoporotic, osteopenic, or normal BMD.  Accuracy relative to DEXA T-score, interobserver and intraobserver rates were calculated.Results: Thirty four patients met the inclusion criteria and a total of 340 x-rays reviews were performed.  The assessments were correct in 169 cases (49% as compared to the DEXA T-scores. A mean weighted kappa coefficient of agreement between observers was 0.29 (range 0.02-0.41 reflecting a fair agreement. The first and second assessment for all five physicians was 0.46 (range 0.19-0.78 reflecting a moderate agreement.  Grouping osteoporosis and osteopenia together compared to normal, the accuracy, interobserver and intraobserver rates increased to 63%, 0.42 and 0.54 respectively.Conclusion: Abnormally low BMD is a common occurrence in patients treated for upper extremity disorders. There is poor accuracy relative to DEXA scan and only fair agreement in diagnosing osteoporosis using visual assessments of digital x-rays.

Precision of dual energy X-ray absorptiometry for body composition measurements in cats; Precisao da tecnica de absorciometria de raios-X de dupla energia na determinacao da composicao corporal em gatos

Energy Technology Data Exchange (ETDEWEB)

Borges, N.C. [Universidade Federal de Goias (UFG), Goiania, GO (Brazil). Escola de Veterinaria]. E-mail: naida@vet.ufg.br; Vasconcellos, R.S.; Canola, J.C.; Carciofi, A.C.; Pereira, G.T. [UNESP, Jaboticabal, SP (Brazil). Faculdade de Ciencias Agrarias e Veterinarias; Paula, F.J.A. [Universidade de Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Faculdade de Medicina

2008-07-01

A short-term precision error of the individual subject and the DEXA technique, such as the effect of the repositioning of the cat on the examination table, were established. Four neutered adult cats (BW=4342 g) and three females (BW=3459 g) were submitted to five repeated scans with and without repositioning between them. Precision was estimated from the mean of the five measurements and expressed by the individual coefficient of variation (CV). The precision error of the technique was estimated by the variance of scan pool (n=35) and expressed in CV for the technique (CVt). The degrees of freedom and confidence intervals were determined to avoid underestimation of precision errors. Bone mineral content (BMC), lean mass (LM), and fat mass (FM) averages were higher (P<0.05) when animals were repositioned. The CVt was significantly higher (P<0.05) for bone mineral density (BMD), LM, and FM when the animals were repositioned. For short-term precision measurements, the repositioning of the animal was important to establish the precision of the technique. The dual energy xray absorptiometry method provided precision for body composition measurements in adult cats. (author)

Vertebral bone mineral measurement using dual photon absorptiometry and computed tomography

International Nuclear Information System (INIS)

Eriksson, S.; Isberg, B.; Lindgren, U.; Huddinge Univ. Hospital

1988-01-01

The lumbar spine of 14 cadavers was studied both by 153 Gd dual photon absorptiometry (DPA) and quantitative computed tomography (QCT) at 96 and 125 kVp. The intact spine and the individual vertebrae were analyzed. After these measurements the ash content of the vertebral body, the posterior elements, and the transverse processes was determined. The fat content of the vertebral body as well as its volume was also measured. With DPA, the bone mineral content (BMC) determined in situ as well as on excised spine specimens correlated highly with the amount of total vertebral ash (r > 0.92, SEE 0.81, SEE 3 ). The so-called corpus density and central density determinations were less accurate. No difference in accuracy was found between measurements when using 3 mm and 4.5 mm step intervals. Variations in the distribution of mineral between the vertebral body and the posterior elements contribute to the error in predicting vertebral body mineral with DPA. QCT gave a smaller error when a cylindric portion of the vertebral body with a 20 diameter was measured compared with one with a 9 mm diameter, when the dual energy technique was used (p 3 ). Single energy QCT was insignificantly less accurate than dual energy QCT. Only small differences were found between vertebrae with high fat density of the vertebral body when single or dual QCT was used. QCT was more accurate than DPA in the prediction of the mineral density of individual vertebral bodies (p < 0.05) but no difference was found when the average values for the lumbar spine were calculated. (orig.)

A digital x-ray imaging MWPC detector system for precision absorptiometry

International Nuclear Information System (INIS)

Batemen, J.E.; Connolly, J.F.; Glasgow, W.

1977-11-01

An X-ray absorptiometric imaging system (based on a xenon-filled multiwire proportional counter) has been developed with high counting rate capability, good spatial resolution and linear mass response, aimed at permitting bone mass measurements to be made in the peripheral skeleton with precision approaching 1%. The system is described and preliminary results on test phantoms are presented. (author)

Radiographic absorptiometry of the phalanges as a screening instrument to detect osteoporosis of the hip

International Nuclear Information System (INIS)

Versluis, R.G.J.A.; Springer, M.P.; Petri, H.; Ven, C.M. van de

1999-01-01

Objective: To determine the validity of radiographic absorptiometry (RA) of the phalanges in detecting osteoporosis of the femoral neck, measured by dual energy X-ray absorptiometry (DXA). Material and methods: In a group practice, 494 Causasian women aged 55 to 84 years were recruited. Hand radiography and DXA measurements of the hip were performed in 449 women. 409 (91.1%) hand radiographs had sufficient quality for analysis by RA. Change of bone mass by age was obtained by using linear regression. Correlations between RA and DXA were calculated. Sensitivity and specificity of RA were calculated for several RA cut-off levels. Results: The mean bone mineral density at the femoral neck was 0.866 g/cm 2 and 92.57 arbitrary units at the phalanges. A moderate correlation of 0.53 (p<0.01) was found between RA and DXA. Depending on the cut-off level used, the sensitivity and specificity of RA in detecting osteoporosis at the femoral neck was 0.84-0.55 and 0.61-0.88, respectively. Conclusion: RA may be used as a screening technique to detect osteoporosis, but confirmation is necessary in the subgroup with a positive outcome on RA. (orig.)

Discriminative ability of total body bone-mineral measured by dual photon absorptiometry

International Nuclear Information System (INIS)

Gotfredsen, A.; Poedenphant, J.; Nilas, L.; Christiansen, C.

1989-01-01

We investigated the descriminative ability of total body bone-mineral expressed as the total body bone-density (TBBD) measured by dual photon absorptiometry (DPA) in 79 healthy premenopausal women, 27 healthy postmenopausal women, and 120 female osteoporotic fracture patients presenting with either Colles' fracture, vertebral fracture or femoral neck-fracture. TBBD was compared to the bone-mineral density of the lumbar spine (BMD spine ) also measured by DPA, and to the bone-mineral content of the forearms (BMC forearm ) measured by single photon absorptiometry (SPA). TBBD, BMD spine and BMC forearm showed that all the fracture patient groups had significantly reduced bone-mass. Using receiver operating characteristic (ROC) analysis, we found that TBBD had a tendency towards better discriminative ability than BMD spine or BMC forearm with regard to the discrimination between healthy premenopausal women and the three types of osteoporotic fractures. BMC forearm had an intermediate position, whereas BMD spine had the smallest discriminative ability. TBBD also discriminated better between healthy postmenopausal women and hip-fracture patients than BMD spine or BMC forearm , whereas there was no significant difference between the three methods regarding the discrimination between the healthy postmenopausal women and the Colles' and spinal fracture patients. We conclude that the TBBD measurement by DPA has a discriminative potential which is better than the local spine or forearm measurements. (author)

An experimental implementation of the 90 .deg. compton scattering inspection method for identifying explosive materials using dual energy x-ray

International Nuclear Information System (INIS)

Park, Ji Sung

2012-02-01

In order to obtain the physical properties of an inspection object using an X-ray source, the energy-resolving X-ray method, reflecting the characteristic of continuous energy, is a very useful tool. In this study, the effective atomic number (Z eff ) and normal density (ρ) obtained by the source weighting method on a dual energy X-ray inspection system are presented and demonstrated by experimental implementation. Two X-ray beams of the suggested method were designed using the XCOMP5r code. The filter design of a high energy X-ray source was fixed as 3.5 mm Sn at 150 kVp tube voltage, and the new high energy X-ray beam was named as IN150. The filter design of a low energy X-ray source was also fixed as 0.5 mm Sn at 90 kVp tube voltage, and the new beam was named as IN90. Benchmark calculations by MCNP simulation experiments were performed using four different materials, i.e., Polyethylene, Acetal, Urethane, and TNT. The results of the benchmark calculation showed that the new method can estimate the effective atomic number and the normal density of a scattered object accurately, even when the object was arbitrarily located in samples. Finally to verify the proposed new method, scattering experiments using various polymerized compounds were carried out. The effective attenuation coefficients (μ 1 , μ 2 ) of the experiment objects at the source energies E 1 and E 2 , were calculated using scattered spectra. The effective atomic number and the normal density were then calculated by using the ratio of μ 1 to μ 2 . As a result in case of all sample geometries, the relative differences between the calculation value and the reference value for the effective atomic numbers of each material were within 14 %, and the relative differences for the normal densities were within 12 %. This observation led us to the conclusion that the new 90 .deg. Compton scattering method for identifying explosive materials using a dual-energy X-ray is valid for calculating effective

Quantification of bone mineral density at 3rd lumbar vertebra by dual photon absorptiometry in healthy subjects

International Nuclear Information System (INIS)

Fukunaga, Masao; Otsuka, Nobuaki; Ono, Shimato

1987-01-01

Bone mineral density (BMD), by dual photon absorptiometry (DPA), at the 3rd lumbar vertebra (L 3 ) was measured in healthy subjects (37 males and 49 females). BMD values on 1 slice of vertebral body (L 3 ), employed as a routine, showed good correlation to the mean BMD values, calculated from multiple slices of whole L 3 . BMD values, by DPA, at L 3 were better correlation to concentrations of bone mineral equivalent material, by quantitative computed tomography, at the trabecular bone of L 3 than to BMD values, by single photon absorptiometry, at distal radius (predominantly cortical bone). Furthermore, by this DPA technique, bone diminution at L 3 with aging was shown in both sexes. These data suggest that measurements of BMD by DPA is greatly useful for evaluating the spinal bone mineral content. (author)

No relation between sleep duration and adiposity indicators in 9-36 months old children

DEFF Research Database (Denmark)

Klingenberg, Lars; Christensen, Line Brinch; Hjorth, Mads Fiil

2013-01-01

Epidemiological studies in adults and children have repeatedly reported an association between short sleep duration and the risk of obesity. Studies using both objective measurements of sleep and dual-energy X-ray absorptiometry in children aged three are, however, lacking.......Epidemiological studies in adults and children have repeatedly reported an association between short sleep duration and the risk of obesity. Studies using both objective measurements of sleep and dual-energy X-ray absorptiometry in children aged three are, however, lacking....

A Study on the Fatigue-Fractured Surface of Normalized SS41 Steel and M.E.F. Dual Phase Steel by an X-ray Diffraction Technique

International Nuclear Information System (INIS)

Oh, Sae Wook; Park, Young Chul; Park, Soo Young; Kim, Deug Jin; Hue, Sun Chul

1996-01-01

This study verified the relationship between fracture mechanics parameters and X-ray parameters for normalized SS41 steel with homogeneous crystal structure and M.E.F. dual phase steel(martensite encapsulated islands of ferrite). The fatigue crack propagation test were carried out and X-ray diffraction technique was applied to fatigue fractured surface. The change in X-ray parameters(residual stress, half-value breadth) according to the depth of fatigue fractured surface were investigated. The depth of maximum plastic zone, W y , were determined on the basis of the distribution of the half-value breadth for normalized SS41 steel and that of the residual stress for M.E.F. dual phase steel. K max could be estimated by the measurement of W y

A new method of explosive detection based on dual-energy X-ray technology and forward-scattering

International Nuclear Information System (INIS)

Zhao Kun; Li Jianmin

2004-01-01

Based on dual-energy X-ray technology combined with forward-scattering, a brand new explosive detection method is presented. Dual-energy technology can give the information on the effective atomic number (Z eff ) of an irradiated component, while the intensity of the forward scattered photons can reveal the density information according to our research. Therefore, the existence of the explosive can be effectively identified by combining these two characteristic quantities. Compared with the earlier inspection approaches, the new one has a series of particular advantages, such as high detection rate, low false alarm rate, automatic alarm and so forth. The project is ongoing. (authors)

Relationship between Weight, Body Mass Index, and Bone Mineral Density in Men Referred for Dual-Energy X-Ray Absorptiometry Scan in Isfahan, Iran

OpenAIRE

Salamat, Mohammad Reza; Salamat, Amir Hossein; Abedi, Iraj; Janghorbani, Mohsen

2013-01-01

Objective. Although several studies have investigated the association between body mass index (BMI) and bone mineral density (BMD), the results are inconsistent. The aim of this study was to further investigate the relation between BMI, weight and BMD in an Iranian men population. Methods. A total of 230 men 50-79 years old were examined. All men underwent a standard BMD scans of hip (total hip, femoral neck, trochanter, and femoral shaft) and lumbar vertebrae (L2-L4) using a Dual-Energy X-ra...

CHANDRA OBSERVATIONS OF A 1.9 kpc SEPARATION DOUBLE X-RAY SOURCE IN A CANDIDATE DUAL ACTIVE GALACTIC NUCLEUS GALAXY AT z = 0.16

International Nuclear Information System (INIS)

Comerford, Julia M.; Pooley, David; Gerke, Brian F.; Madejski, Greg M.

2011-01-01

We report Chandra observations of a double X-ray source in the z = 0.1569 galaxy SDSS J171544.05+600835.7. The galaxy was initially identified as a dual active galactic nucleus (AGN) candidate based on the double-peaked [O III] λ5007 emission lines, with a line-of-sight velocity separation of 350 km s -1 , in its Sloan Digital Sky Survey spectrum. We used the Kast Spectrograph at Lick Observatory to obtain two long-slit spectra of the galaxy at two different position angles, which reveal that the two Type 2 AGN emission components have not only a velocity offset, but also a projected spatial offset of 1.9 h -1 70 kpc on the sky. Chandra/ACIS observations of two X-ray sources with the same spatial offset and orientation as the optical emission suggest that the galaxy most likely contains Compton-thick dual AGNs, although the observations could also be explained by AGN jets. Deeper X-ray observations that reveal Fe K lines, if present, would distinguish between the two scenarios. The observations of a double X-ray source in SDSS J171544.05+600835.7 are a proof of concept for a new, systematic detection method that selects promising dual AGN candidates from ground-based spectroscopy that exhibits both velocity and spatial offsets in the AGN emission features.

Identifying Incomplete Atypical Femoral Fractures With Single-Energy Absorptiometry: Declining Prevalence

LENUS (Irish Health Repository)

McKenna, Malachi

2017-03-01

Atypical femur fractures (AFFs) are associated with long-term bisphosphonate (BP) therapy. Early identification of AFF prior to their completion provides an opportunity to intervene, potentially reducing morbidity associated with these fractures. Single-energy X-ray absorptiometry (SE) is an imaging method recently shown to detect incomplete AFF (iAFF) prior to fracture completion.

X-ray Digital Linear Tomosynthesis Imaging for Artificial Pulmonary Nodule Detection

Directory of Open Access Journals (Sweden)

Tsutomu Gomi

2011-01-01

Full Text Available The purpose of this paper is to identify indications for volumetric X-ray digital linear tomosynthesis (DLT with single- and dual-energy subtraction techniques for artificial pulmonary nodule detection and compare X-ray DLT, X-ray digital radiography, and computed tomography.

Impact of hemodialysis on dual X-ray absorptiometry, bioelectrical impedance measurements, and anthropometry

DEFF Research Database (Denmark)

Abrahamsen, Bo; Hansen, T B; Høgsberg, I M

1996-01-01

), bioelectrical impedance analysis (BIA), and simple anthropometry in 19 patients (9 women and 10 men, mean age 46 y) before and after hemodialysis, removing 0.9-4.3 L (x: 2.8L) of ultrafiltrate. The reduction in fat-free mass (FFM) measured by DXA was highly correlated with the ultrafiltrate, as determined...... by the reduction in gravimetric weight (r = 0.975, P FFM reductions (r = 0.66, P ..., was estimated to be 0.6% lower after dialysis. None of the simple anthropometric measurements correlated significantly with the reduction in FFM. In an unmodified clinical setting, DXA appears to be superior to other simple noninvasive methods for determining body composition, particularly when the emphasis...

Evaluating fracture healing using digital x-ray image analysis

African Journals Online (AJOL)

2011-03-02

Mar 2, 2011 ... with intensive imaging and modelling.6 dual energy X-ray ... techniques due to their high-quality digital output in ... the bone in the loaded X-ray is at an angular offset due to .... The research described in this article was carried ...

High bone mineral apparent density in children with X-linked hypophosphatemia

DEFF Research Database (Denmark)

Beck-Nielsen, Signe; Brixen, K; Gram, J

2013-01-01

of the spine compared to femoral neck. INTRODUCTION: BMAD obtained by dual-energy X-ray absorptiometry scans in children with XLH was evaluated, as they are unlikely to have the extra-skeletal ossifications contributing to the elevated bone mineral density of the spine in adult patients. METHODS: A total of 15......Bone mineral apparent density (BMAD) in children with X-linked hypophosphatemia (XLH) was evaluated, as they are unlikely to have extra-skeletal ossifications contributing to the elevated bone mineral density of the spine in adult patients. Children with XLH also had significantly higher BMAD...

Impact of polychromatic x-ray sources on helical, cone-beam computed tomography and dual-energy methods

International Nuclear Information System (INIS)

Sidky, Emil Y; Zou Yu; Pan Xiaochuan

2004-01-01

Recently, there has been much work devoted to developing accurate and efficient algorithms for image reconstruction in helical, cone-beam computed tomography (CT). Little attention, however, has been directed to the effect of physical factors on helical, cone-beam CT image reconstruction. This work investigates the effect of polychromatic x-rays on image reconstruction in helical, cone-beam computed tomography. A pre-reconstruction dual-energy technique is developed to reduce beam-hardening artefacts and enhance contrast in soft tissue

Improvement of analysis precision upon the atomic number and electron density measurement by the dual x-ray CT

Science.gov (United States)

Imura, Yukino; Morii, Hisashi; Koike, Akifumi; Okunoyama, Takaharu; Neo, Yoichiro; Mimura, Hidenori; Aoki, Toru

2010-08-01

To identify the factor impairing the material identification parameters, which is provided by the dual-energy X-ray computed tomography method using a conventional X-ray tube and a CdTe detector, linear attenuation coefficient was measured by the radioactivity of radio isotopes and compared with theoretical figure. In our study, the atomic number and the electron density is calculated from the linear attenuation coefficient obtained in CT measurement by 64-channel CdTe line detector. To estimate accuracy of CdTe line sensor, it is needed to obtain the linear attenuation coefficient accurately. Using a single detector, the linear attenuation coefficient is verified for accuracy. The energy resolution of CdTe detectors and the method of reconstruction are discussed.

A dual-energy medical instrument for measurement of x-ray source voltage and dose rate

Science.gov (United States)

Ryzhikov, V. D.; Naydenov, S. V.; Volkov, V. G.; Opolonin, O. D.; Makhota, S.; Pochet, T.; Smith, C. F.

2016-03-01

An original dual-energy detector and medical instrument have been developed to measure the output voltages and dose rates of X-ray sources. Theoretical and experimental studies were carried out to characterize the parameters of a new scintillator-photodiode sandwich-detector based on specially-prepared zinc selenide crystals in which the low-energy detector (LED) works both as the detector of the low-energy radiation and as an absorption filter allowing the highenergy fraction of the radiation to pass through to the high-energy detector (HED). The use of the LED as a low-energy filter in combination with a separate HED opens broad possibilities for such sandwich structures. In particular, it becomes possible to analyze and process the sum, difference and ratio of signals coming from these detectors, ensuring a broad (up to 106) measurement range of X-ray intensity from the source and a leveling of the energy dependence. We have chosen an optimum design of the detector and the geometry of the component LED and HED parts that allow energy-dependence leveling to within specified limits. The deviation in energy dependence of the detector does not exceed about 5% in the energy range from 30 to 120 keV. The developed detector and instrument allow contactless measurement of the anode voltage of an X-ray emitter from 40 to 140 kV with an error no greater than 3%. The dose rate measurement range is from 1 to 200 R/min. An original medical instrument has passed clinical testing and was recommended for use in medical institutions for X-ray diagnostics.

Development of a 3-D X-ray system

Science.gov (United States)

Evans, James Paul Owain

The interpretation of standard two-dimensional x-ray images by humans is often very difficult. This is due to the lack of visual cues to depth in an image which has been produced by transmitted radiation. The solution put forward in this research is to introduce binocular parallax, a powerful physiological depth cue, into the resultant shadowgraph x-ray image. This has been achieved by developing a binocular stereoscopic x-ray imaging technique, which can be used for both visual inspection by human observers and also for the extraction of three-dimensional co-ordinate information. The technique is implemented in the design and development of two experimental x-ray systems and also the development of measurement algorithms. The first experimental machine is based on standard linear x-ray detector arrays and was designed as an optimum configuration for visual inspection by human observers. However, it was felt that a combination of the 3-D visual inspection capability together with a measurement facility would enhance the usefulness of the technique. Therefore, both a theoretical and an empirical analysis of the co-ordinate measurement capability of the machine has been carried out. The measurement is based on close-range photogrammetric techniques. The accuracy of the measurement has been found to be of the order of 4mm in x, 3mm in y and 6mm in z. A second experimental machine was developed and based on the same technique as that used for the first machine. However, a major departure has been the introduction of a dual energy linear x-ray detector array which will allow, in general, the discrimination between organic and inorganic substances. The second design is a compromise between ease of visual inspection for human observers and optimum three-dimensional co-ordinate measurement capability. The system is part of an on going research programme into the possibility of introducing psychological depth cues into the resultant x-ray images. The research presented in

Optimization of breast cancer detection in Dual Energy X-ray Mammography using a CMOS imaging detector

International Nuclear Information System (INIS)

Koukou, V; Martini, N; Sotiropoulou, P; Nikiforidis, G; Fountos, G; Michail, C; Kalyvas, N; Valais, I; Kandarakis, I; Bakas, A; Kounadi, E

2015-01-01

Dual energy mammography has the ability to improve the detection of microcalcifications leading to early diagnosis of breast cancer. In this simulation study, a prototype dual energy mammography system, using a CMOS based imaging detector with different X-ray spectra, was modeled. The device consists of a 33.91 mg/cm 2 Gd 2 O 2 S:Tb scintillator screen, placed in direct contact with the sensor, with a pixel size of 22.5 μm. Various filter materials and tube voltages of a Tungsten (W) anode for both the low and high energy were examined. The selection of the filters applied to W spectra was based on their K- edges (K-edge filtering). Hydroxyapatite (HAp) was used to simulate microcalcifications. Calcification signal-to-noise ratio (SNR tc ) was calculated for entrance surface dose within the acceptable levels of conventional mammography. Optimization was based on the maximization of SNR tc while minimizing the entrance dose. The best compromise between SNR tc value and dose was provided by a 35kVp X-ray spectrum with added beam filtration of 100μm Pd and a 70kVp Yb filtered spectrum of 800 μm for the low and high energy, respectively. Computer simulation results show that a SNR tc value of 3.6 can be achieved for a calcification size of 200 μm. Compared with previous studies, this method can improve detectability of microcalcifications

Digital X-ray radiogrammetry better identifies osteoarthritis patients with a low bone mineral density than quantitative ultrasound

Energy Technology Data Exchange (ETDEWEB)

Goerres, Gerhard W. [University Hospital Zurich, Institute of Diagnostic Radiology, Department of Medical Radiology, Zurich (Switzerland); University Hospital Zurich, Osteoporosis Center, Zurich (Switzerland); Frey, Diana; Studer, Annina; Hauser, Dagmar; Zilic, Nathalie [University Hospital Zurich, Osteoporosis Center, Zurich (Switzerland); Hany, Thomas F. [University Hospital Zurich, Institute of Nuclear Medicine, Department of Medical Radiology, Zurich (Switzerland); Seifert, Burkhardt [University of Zurich, Department of Biostatistics, Zurich (Switzerland); Haeuselmann, Hans J. [Center for Rheumatology and Bone Disease, Klinik im Park, Zurich (Switzerland); Michel, Beat A.; Uebelhart, Daniel [University Hospital Zurich, Osteoporosis Center, Zurich (Switzerland); University Hospital Zurich, Department of Rheumatology and Institute of Physical Medicine, Zurich (Switzerland); Hans, Didier [University Hospital Geneva, Division of Nuclear Medicine, Geneva (Switzerland)

2007-04-15

This study assessed the ability of quantitative ultrasound (QUS) and digital X-ray radiogrammetry (DXR) to identify osteopenia and osteoporosis in patients with knee osteoarthritis (OA). One hundred and sixty-one patients with painful knee OA (81 men, 80 women; age 62.6{+-}9.2 years, range 40-82 years) were included in this cross-sectional study and underwent dual-energy X-ray absorptiometry (DXA) of both hips and the lumbar spine, QUS of the phalanges and calcanei of both hands and heels, and DXR using radiographs of both hands. Unpaired t-test, Mann-Whitney U test, ROC analysis and Spearman's rank correlation were used for comparisons and correlation of methods. Using DXA as the reference standard, we defined a low bone mineral density (BMD) as a T-score {<=}-1.0 at the lumbar spine or proximal femur. In contrast to phalangeal or calcaneal QUS, DXR was able to discriminate patients with a low BMD at the lumbar spine (p<0.0001) or hips (p<0.0001). ROC analysis showed that DXR had an acceptable predictive power in identifying OA patients a low hip BMD (sensitivity 70%, specificity 71%). Therefore, DXR used as a screening tool could help in identifying patients with knee OA for DXA. (orig.)

Velocimetry of fast microscopic liquid jets by nanosecond dual-pulse laser illumination for megahertz X-ray free-electron lasers.

Science.gov (United States)

Grünbein, Marie Luise; Shoeman, Robert L; Doak, R Bruce

2018-03-19

To conduct X-ray Free-Electron Laser (XFEL) measurements at megahertz (MHz) repetition rates, sample solution must be delivered in a micron-sized liquid free-jet moving at up to 100 m/s. This exceeds by over a factor of two the jet speeds measurable with current high-speed camera techniques. Accordingly we have developed and describe herein an alternative jet velocimetry based on dual-pulse nanosecond laser illumination. Three separate implementations are described, including a small laser-diode system that is inexpensive and highly portable. We have also developed and describe analysis techniques to automatically and rapidly extract jet speed from dual-pulse images.

Abdominal fat indicators: anthropometry vs dual energy x-ray absortometry

Directory of Open Access Journals (Sweden)

Maria Fátima Glaner

2008-06-01

Full Text Available Excessive abdominal fat contributes to the development of chronic nontransmissible diseases. Dual emission X Ray absorptiometry (DXA is a simple to administer technique that allows abdominal fat percentage (%abdominalFDXA to be determined. Anthropometric measurements, which have been validated and are of low cost, such as the abdominal circumferences 2.5cm above the umbilical scar (ABC2,5 and level with the umbilical scar (ABCum, are used as indicators of abdominal fat. Skin folds (SF are little used for this purpose. The objective of this study was to verify which of these anthropometric indicators best correlates with and best explains abdominalFDXA. The sample was made up of 22 women (43.9±11.6 years; 34.7±8.3 %G totalDXA and 18 men (31.9±11.6 years; 19.0±8.0 %G totalDXA who were measured for ABC2.5, ABCum, suprailiac SF (SI, midaxillary SF (AM and abdominal SF (AB, while abdominalF (L1-L4 was measured by DXA. Pearson’s correlation and multivariate linear regression (“enter” method were employed to verify the anthropometric measurements’ correlations and percentage of explanation with relation to abdominalFDXA. Strong correlations and significant levels of explanation (pResumoO excesso de gordura abdominal contribui no desenvolvimento de doenças crônicas não-transmissíveis. A absortometria de raio-X de dupla energia (AXDE é uma técnica de simples aplicação, que permite a mensuração do percentual de gordura abdominal (%G abdominalAXDE. As medidas antropométricas, validadas e de baixo custo, como os perímetros abdominal 2,5cm acima da cicatriz umbilical (PAB2,5 e ao nível da cicatriz umbilical (PABum, são empregadas como indicadores de gordura abdominal. As dobras cutâneas (DC são pouco estudadas nesse sentido. Assim, o objetivo desse estudo foi verificar quais destes indicadores antropométricos mais se correlacionam e explicam o %G abdominalAXDE. A amostra foi composta por 22 mulheres (43,9±11,6 anos; 34,7±8,3 %G

Accuracy and precision in the in vivo determination of bone minerals content using the attenuation of a continuous x-ray spectrum

International Nuclear Information System (INIS)

Jonson, R.; Roos, B.; Hansson, T.; Mattsson, S.

1986-01-01

An x-ray technique using a highly stabilized generator and a germanium detector for the in vivo determination of bone mineral content in the lumbar vertebra has been described previously from the authors laboratory. This technique estimates the bone mineral content in presence of fat and lean soft tissue in the path of the x-ray beam. The present investigation was undertaken in vitro to determine the accuracy, precision and long term reproducibility of the technique. The ash density of 12 human bone specimens was determined on the basis of ash weight and total volume measurements of each specimen. The result was compared with the measured bone mineral content. The deviation between the result of the attenuation measurements and the weight/volume measurements was (4 +/- 0.9%). The precision of the method as measured in vitro has been determined to be between +/- 1.6% (high bone mineral content) and +/- 2.6% (low bone mineral content) by repeated measurements on a new type of bone mineral phantom. The results show that the technique described gives an accuracy and a precision which is of the same order of magnitude as the technique using dual photon energy absorptiometry

Determination of liquid's molecular interference function based on X-ray diffraction and dual-energy CT in security screening

International Nuclear Information System (INIS)

Zhang, Li; YangDai, Tianyi

2016-01-01

A method for deriving the molecular interference function (MIF) of an unknown liquid for security screening is presented. Based on the effective atomic number reconstructed from dual-energy computed tomography (CT), equivalent molecular formula of the liquid is estimated. After a series of optimizations, the MIF and a new effective atomic number are finally obtained from the X-ray diffraction (XRD) profile. The proposed method generates more accurate results with less sensitivity to the noise and data deficiency of the XRD profile. - Highlights: • EDXRD combined with dual-energy CT has been utilized for deriving the molecular interference function of an unknown liquid. • The liquid's equivalent molecular formula is estimated based on the effective atomic number reconstructed from dual-energy CT. • The proposed method provides two ways to estimate the molecular interference function: the simplified way and accurate way. • A new effective atomic number of the liquid could be obtained.

Precision evaluation of dual X-ray absorptiometry (iDXA) measurements

International Nuclear Information System (INIS)

Yu Wei; Lin Qiang; Yu Xiaobo; Yao Jinpeng

2009-01-01

Objective: To evaluate the precision of the iDXA measurements for lumbar spine, proximal femur and whole body bone density as well as body composition (lean and fat). Methods: The study recruited randomly 30 volunteers. Each subject was scanned by iDXA twice in the same day. Measurement sites included lumbar spine, proximal femur and whole body. Precision errors were expressed as root mean square of CV (RMS-CV). Results: Mean precision errors of bone density measurements at lumbar spine, femoral neck, Ward's triangle, great trochanter and total femur ranged from 0.8% to 2.0%, with the lowest of 0.8% at both lumbar spine and total femur, as well as with the highest of 2.0% at ward' s triangle; Mean precision errors of bone density measurements at whole body and its individual site ranged from 0.7% to 2.0%, with the lowest of 0.7% for the whole body measurement, mean precision errors of lean measurements at whole body and its individual site ranged from 0.6% to 2.1%, with the lowest of 0.6% for the whole body lean measurement; Mean precision errors of fat measurements at whole body and its individual site ranged from 1.0% to 3.2%, with the lowest of 1.0% for the whole body fat measurement. Conclusion: Measurement precision of iDXA at lumbar spine, proximal femur and whole body bone density could meet clinical needs; Precision values of the measurements of whole body and its individual composition may be helpful for future clinical use. (authors)

SpineAnalyzer™ is an accurate and precise method of vertebral fracture detection and classification on dual-energy lateral vertebral assessment scans

International Nuclear Information System (INIS)

Birch, C.; Knapp, K.; Hopkins, S.; Gallimore, S.; Rock, B.

2015-01-01

Osteoporotic fractures of the spine are associated with significant morbidity, are highly predictive of hip fractures, but frequently do not present clinically. When there is a low to moderate clinical suspicion of vertebral fracture, which would not justify acquisition of a radiograph, vertebral fracture assessment (VFA) using Dual-energy X-ray Absorptiometry (DXA) offers a low-dose opportunity for diagnosis. Different approaches to the classification of vertebral fractures have been documented. The aim of this study was to measure the precision and accuracy of SpineAnalyzer™, a quantitative morphometry software program. Lateral vertebral assessment images of 64 men were analysed using SpineAnalyzer™ and standard GE Lunar software. The images were also analysed by two expert readers using a semi-quantitative approach. Agreement between groups ranged from 95.99% to 98.60%. The intra-rater precision for the application of SpineAnalyzer™ to vertebrae was poor in the upper thoracic regions, but good elsewhere. SpineAnalyzer™ is a reproducible and accurate method for measuring vertebral height and quantifying vertebral fractures from VFA scans. - Highlights: • Vertebral fracture assessment (VFA) using Dual-energy X-ray Absorptiometry (DXA) offers a low-dose opportunity for diagnosis. • Agreement between VFA software (SpineAnalyzer™) and expert readers is high. • Intra-rater precision of SpineAnalyzer™ applied to upper thoracic vertebrae is poor, but good elsewhere. • SpineAnalyzer™ is reproducible and accurate for vertebral height measurement and fracture quantification from VFA scans

Bone mineral density in patients with noninsulin-dependent diabetes mellitus by dual photon absorptiometry

International Nuclear Information System (INIS)

Kao, C.H.; Tsou, C.T.; Chen, C.C.; Wang, S.J.

1993-01-01

Bone mineral density (BMD) in 38 male patients with noninsulin-dependent diabetes mellitus (NIDDM) was measured by dual photon absorptiometry (DPA) using a M and SE Osteo Tech 300 scanner. The BMD of the second to fourth lumbar vertebrae was measured and the mean density was presented as g cm -2 . The patients were distinguished according to the following three criteria: (1) blood sugar control was good or poor; (2) the duration of diabetes was long or short; (3) renal function was evaluated by effective renal plasma flow (ERPF) as good or poor. The results showed about half the cases of NIDDM had lower BMD. The patients with poor blood sugar control, longer disease duration and poor renal function had lower BMD. However, the difference between any two groups distinguished by the three criteria is not significant. We think that the causes of osteoporosis in patients with NIDDM may not be explained by only a single factor. (author)

Bone mineral density in children with Down's syndrome detected by dual photon absorptiometry

International Nuclear Information System (INIS)

Kao, C.H.; Chen, C.C.; Wang, S.J.; Yeh, S.H.

1992-01-01

Bone mineral density (BMD) in ten children with Down's syndrome (seven boys, three girls; aged 10-16 years) was measured by dual photon absorptiometry (DPA) using an M and SE Osteo Tech 300 scanner. The BMD of the 2nd to 4th lumbar vertebrae was measured and the mean density presented as g cm -2 . The BMD of Down's syndrome was compared with the BMD of normal Chinese children of the same age group. The results showed that the BMD in Down's syndrome was significantly lower compared to that found in normal children. The percentage of decreased BMD is 8.47 ± 2.69% (mean ± 1 S.E.M.) in Down's syndrome compared to normal children of the same age group. The distribution curve of BMD against ages in Down's syndrome has a delay of 2.3 ± 0.5 (mean ± 1 S.E.M.) years compared to normal children. In our conclusion, the children with Down's syndrome have lower BMD than the normal children of the same age group. (Author)

Dual-array valence emission spectrometer (DAVES): A new approach for hard x-ray photon-in photon-out spectroscopies

Energy Technology Data Exchange (ETDEWEB)

Finkelstein, K. D., E-mail: kdf1@cornell.edu; Lyndaker, A.; Krawcyk, T.; Conrad, J. [CHESS Wilson Lab, Cornell University, Ithaca, NY 14853 (United States); Pollock, C. J. [Dept. of Chemistry, The Pennsylvania State University, University Park, Pennsylvania 16802 (United States)

2016-07-27

CHESS has developed and successfully deployed a novel Dual Array Valence Emission Spectrometer (DAVES) for high energy resolution, hard x-ray spectroscopy. DAVES employs the simplest method for scanning multiple spherical crystals along a Rowland Circle. The new design achieves unique 2-color collection capability and is built to take special advantage of pixel array detectors. Our initial results show why these detectors greatly improve data quality. The presentation emphasizes flexibility of experimental design offered by DAVES. Prospects and benefits of 2-color spectroscopy are illustrated and discussed.

Bone remodeling around cementless tantalum cups

NARCIS (Netherlands)

Grillo, J. -C.; Flecher, X.; Bouvenot, J.; Argenson, J. -N.

2008-01-01

Purpose of the study.-Most studies have reported a significant decrease in periacetabular bone stock one year after implantation of a cementless cup. The purpose of this work was to study the bone-implant interface of the tantalum cup using plain X-rays and dual-energy X-ray absorptiometry (DEXA).

X-ray vector radiography for bone micro-architecture diagnostics

Energy Technology Data Exchange (ETDEWEB)

Malecki, Andreas; Potdevin, Guillaume; Biernath, Thomas; Bech, Martin; Pfeiffer, Franz [Department of Physics and Institute of Medical Engineering, Technische Universitaet Muenchen, 85748 Garching (Germany)

2012-07-01

The non-invasive estimation of fracture risk in osteoporosis remains a challenge in the clinical routine and is mainly based on an assessment of bone density by dual X-ray absorption (DXA). Although bone micro-architecture is known to play an important role for bone fragility, its visualisation implies an imaging resolution better than 100 {mu}m, which limits the field of view and increases the necessary radiation dose. Here we describe a new method, X-ray Vector Radiography (XVR), based on X-ray scattering rather than absorption as contrast source, which yields information about the local orientation and degree of anisotropy of the bone micro-structure. This information is highly relevant for osteoporosis diagnostic. We demonstrate the feasibility by showing first experimental X-ray Vector Radiographies of human vertebra bone samples, yielding information on the trabecular structure.

X-ray and neutron interrogation of air cargo for mobile applications

Energy Technology Data Exchange (ETDEWEB)

Van Liew, Seth

2015-06-01

A system for scanning break-bulk cargo for mobile applications is presented. This combines a 140 kV multi-view, multi-energy X-ray system with 2.5 MeV neutrons. The system uses dual energy X-ray radiography with neutron radiography. The X-ray and neutron systems were designed to be collocated in a mobile environment. Various materials were interrogated with the intent of distinguishing threat materials such as explosives from similar benign materials. In particular, the identification of threats and bengins with nearly identical effective atomic numbers has been demonstrated.

X-ray and neutron interrogation of air cargo for mobile applications

International Nuclear Information System (INIS)

Van Liew, Seth

2015-01-01

A system for scanning break-bulk cargo for mobile applications is presented. This combines a 140 kV multi-view, multi-energy X-ray system with 2.5 MeV neutrons. The system uses dual energy X-ray radiography with neutron radiography. The X-ray and neutron systems were designed to be collocated in a mobile environment. Various materials were interrogated with the intent of distinguishing threat materials such as explosives from similar benign materials. In particular, the identification of threats and bengins with nearly identical effective atomic numbers has been demonstrated

X-ray, CT and DXA study of bone loss on medieval remains from North-West Italy.

Science.gov (United States)

Borrè, Alda; Boano, Rosa; Di Stefano, Marco; Castiglione, Anna; Ciccone, Giovannino; Isaia, Giovanni Carlo; Panattoni, Gian Luigi; Faletti, Carlo

2015-07-01

The aim of this study was to investigate whether the population differences in osteoporosis observed nowadays is a reflection of the times and modern lifestyle factors, or whether they were also present in the past. The study was performed on the skeletal remains of medieval and post-medieval populations from a burial ground in the North-West of Italy. Some individuals had been buried inside the church (privileged subjects), others outside in the parvis (members of rural population), and others still to the north of the church. X-ray, computed tomography and dual-energy X-ray absorptiometry studies were carried out on the lumbar spines and/or femurs of 27 male and 28 female individuals to determine any associations between cortical index, bone mineral density (BMD), gender, age and social status. No statistically significant differences were observed in cortical index values according to gender, age or place of burial. Conversely, statistically significant differences in average BMD values were observed according to place of burial; in particular, among those buried inside the church, a lower BMD was observed compared to the parvis group (1.09 vs. 1.42, p < 0.001) and the north group (1.09 vs. 1.49, p < 0.001). The differences observed in the BMD values may be related to the different lifestyle of the rural population, i.e. more dietary calcium intake, more sun exposure and vigorous physical activity, compared to that of the privileged individuals.

Dual energy x-ray absorptiometry (DEXA) in the assessment of liver iron in patients with beta thalassaemia major

International Nuclear Information System (INIS)

Chatterton, B.E.; Thomas, C.M.; Schultz, C.G.

2000-01-01

Full text: Beta thalassaemia major is a condition in which anaemia from abnormal haemoglobin production causes bone marrow expansion and frequently reduced bone mineral density. These patients have a chronic requirement for transfusion which results in tissue iron overload which may cause organ damage. Increased X-ray attenuation in the liver was noted in patients undergoing whole body DEXA for the assessment of bone density and it was assumed that this was related to liver iron stores. The aim of this study was to determine if useful information about liver iron could be obtained from these studies. Method: Using a Lunar DPXL, whole body scanning was performed in 16 patients (eight male) age 19-32 with Beta Thalassaemia. As well as calculating indices of total body composition, regions of interest were placed over the visualised liver. The 'bone mineral content' (BMC),g and bone mineral density (BMD),g/cm 2 were calculated over the liver regions, with the assumption that the calculation related to mineral in the region of interest. The results were compared with the serum ferritin as an indirect measure of body iron stores. Results showed a highly significant correlation (r=0.85) between 'BMD' in the liver region and ferritin. Conclusion: Despite the known difficulties with equating iron stores and ferritin, and possible confounders on liver density, such as fibrosis, the high correlation suggests that DEXA may have a place in the assessment of iron deposition, and be more cost effective than other technologies such as MRI and CT. Prospective studies with invasive measurements of liver iron will be needed to determine this. Copyright (2000) The Australian and New Zealand Society of Nuclear Medicine Inc

Application of gamma-ray absorptiometry in the hydraulic transport of solids

International Nuclear Information System (INIS)

Fanger, H.U.; Michaelis, W.; Pepelnik, R.; The, H.L.

1978-01-01

The paper describes the development and application of advanced γ-ray absorptiometry techniques that may successfully be applied for the non-contact determination of medium density, local space concentrations, particle drift speeds and mass flows in transport systems. This improves the accuracy of density analysis and allows the measurement of the individual solid fraction contents in three-component flows, such as coal and rock or sediment and brine in water. Likewise, solid-air-water mixtures in air-lift systems may be analysed. Sufficient differences in the attenuation coefficients (i.e. mass density and/or chemical Z number) are requisites of this technique. The chemical composition of the components should be constant, more or less, and has to be known. The particle size does not affect the measurement up to a critical value which depends strongly on the material composition and the γ-ray energies used. For measuring the mean drift velocity of particles, a γ-ray transmission device with two equivalent radioactive sources and detectors is utilized. Both gamma-ray gates are arranged in a properly chosen distance, one after the other in the direction of flow. By using cross-correlation analysis, phase shift and mean velocity can be deduced from the dc-current modulations at the detector outputs. At the same time this measuring principle delivers the mean particle size and the size distribution in conveyor flows. Combination of space concentration and drift velocity yields the mass transport per unit time. (HP) [de

Experimental investigation of void coalescence in a dual phase steel using X-ray tomography

International Nuclear Information System (INIS)

Landron, C.; Bouaziz, O.; Maire, E.; Adrien, J.

2013-01-01

In situ tensile tests were carried out during X-ray microtomography imaging of a smooth and a notched specimen of dual phase steel. The void coalescence was first qualitatively observed and quantitative data concerning this damage step was then acquired. The void coalescence criteria of Brown and Embury and of Thomason were then tested against the experimental data at both the macroscopic and local levels. Although macroscopic implementation of the criteria gave acceptable results, the local approach was probably closest to the real nature of void coalescence, because it takes into account local coalescence events observed experimentally before final fracture. The correlation between actual coalescing couples of cavities and local implementation of the two criteria showed that the Thomason criterion is probably the best adapted to predict the local coalescence events in the case of the material studied

kV x-ray dual digital tomosynthesis for image guided lung SBRT

Science.gov (United States)

Partain, Larry; Boyd, Douglas; Kim, Namho; Hernandez, Andrew; Daly, Megan; Boone, John

2016-03-01

Two simulated sets of digital tomosynthesis images of the lungs, each acquired at a 90 degree angle from the other, with 19 projection images used for each set and SART iterative reconstructed, gives dual tomosynthesis slice image quality approaching that of spiral CT, and with a data acquisition time that is 3% of that of cone beam CT. This fast kV acquisition, should allow near real time tracking of lung tumors in patients receiving SBRT, based on a novel TumoTrakTM multi-source X-ray tube design. Until this TumoTrakTM prototype is completed over the next year, its projected performance was simulated from the DRR images created from a spiral CT data set from a lung cancer patient. The resulting dual digital tomosynthesis reconstructed images of the lung tumor were exceptional and approached that of the gold standard Feldkamp CT reconstruction of breath hold, diagnostic, spiral, multirow, CT data. The relative dose at 46 mAs was less than 10% of what it would have been if the digital tomosynthesis had been done at the 472 mAs of the CT data set. This is for a 0.77 fps imaging rate sufficient to resolve respiratory motion in many free breathing patients during SBRT. Such image guidance could decrease the magnitudes of targeting error margins by as much as 20 mm or more in the craniocaudal direction for lower lobe lesions while markedly reducing dose to normal lung, heart and other critical structures. These initial results suggest a wide range of topics for future work.

Measurement of bone mineral contents in Pakistan by dual photon absorptiometry

International Nuclear Information System (INIS)

Hashmi, R.

1990-01-01

Vertebral bone mineral content (BMC) was measured with dual photon absorptiometry in 144 normal males and 219 females (ages 11-85 years), 118 patients of hyperthyroidism, 7 of chronic renal failure and 5 each of postmenopausal osteoporosis and primary hyperparathyroidism. Generally males had higher BMC than females. Pattern of age related bone gain and diminution was same in both sexes but the rate of bone loss differed significantly, females having higher rate of bone loss. When compared to Western population lower BMC values in our normals were seen. However, rate of bone loss in our population was lower than that reported in the west. BMC values in patients suffering from hyperthyroidism and chronic renal failure were not significantly different that of age matched normals. The small numbers of cases of post menopausal osteoporosis and hyperpara- thyroidism, tough precluding any generalization, did show lower BMC values. Lower BMC values in our normal population could possibly be explained on racial ground. But in spite of less than ideal dietary status in our normal population in general, the lower rate of bone loss and a lower incidence of osteoporosis in hyperthyroid and chronic renal failure cases can raise the possibility of active vitamin D metabolism component, triggered by utraviolet radiation, having an overall beneficiary effect on the calcium cycle. This calls for a more comprehensive workup. (author)

Machine Learning Principles Can Improve Hip Fracture Prediction

DEFF Research Database (Denmark)

Kruse, Christian; Eiken, Pia; Vestergaard, Peter

2017-01-01

Apply machine learning principles to predict hip fractures and estimate predictor importance in Dual-energy X-ray absorptiometry (DXA)-scanned men and women. Dual-energy X-ray absorptiometry data from two Danish regions between 1996 and 2006 were combined with national Danish patient data.......89 [0.82; 0.95], but with poor calibration in higher probabilities. A ten predictor subset (BMD, biochemical cholesterol and liver function tests, penicillin use and osteoarthritis diagnoses) achieved a test AUC of 0.86 [0.78; 0.94] using an “xgbTree” model. Machine learning can improve hip fracture...... prediction beyond logistic regression using ensemble models. Compiling data from international cohorts of longer follow-up and performing similar machine learning procedures has the potential to further improve discrimination and calibration....

X-ray filter for x-ray powder diffraction

Science.gov (United States)

Sinsheimer, John Jay; Conley, Raymond P.; Bouet, Nathalie C. D.; Dooryhee, Eric; Ghose, Sanjit

2018-01-23

Technologies are described for apparatus, methods and systems effective for filtering. The filters may comprise a first plate. The first plate may include an x-ray absorbing material and walls defining first slits. The first slits may include arc shaped openings through the first plate. The walls of the first plate may be configured to absorb at least some of first x-rays when the first x-rays are incident on the x-ray absorbing material, and to output second x-rays. The filters may comprise a second plate spaced from the first plate. The second plate may include the x-ray absorbing material and walls defining second slits. The second slits may include arc shaped openings through the second plate. The walls of the second plate may be configured to absorb at least some of second x-rays and to output third x-rays.

Measurement of vertebral bone marrow lipid profile at 1.5-T proton magnetic resonance spectroscopy and bone mineral density at dual-energy X-ray absorptiometry: correlation in a swine model

Energy Technology Data Exchange (ETDEWEB)

Di Leo, Giovanni; Fina, Laura [IRCCS Policlinico San Donato, Unita di Radiologia, San Donato Milanese (Italy); Bandirali, Michele; Messina, Carmelo [Universita degli Studi di Milano, Scuola di Specializzazione in Radiodiagnostica, Milan (Italy); Sardanelli, Francesco [IRCCS Policlinico San Donato, Unita di Radiologia, San Donato Milanese (Italy); Universita degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, San Donato Milanese (Italy)

2014-08-15

Bone marrow is mainly composed of red (hematopoietic) and yellow (fatty) components. Soon after the birth there is a physiological conversion of the bone marrow from red to yellow, so that the percentage of hematopoietic cells and adipocytes changes with aging. Although bone marrow adipogenesis is a physiologic process involving all mammals, recent studies showed an accelerated marrow adipogenesis associated with several chronic conditions, including osteoporosis [4] and diabetes mellitus. Moreover, this increased marrow fat is accompanied by a decrease in bone density. Marrow fat is therefore increasingly believed to influence the bone microenvironment. Diagnostic tools for quantitative measurement of bone marrow fat and bone mineral density (BMD) include proton magnetic resonance spectroscopy (MRS) and dual-energy Xray absorptiometry (DXA), respectively. Using MRS, an inverse relationship between vertebral bone marrow fat content and lumbar BMD has been demonstrated in patients affected with osteoporosis or with diabetes mellitus. In most studies, a quite standard MRS sequence has been used, with short echo times (TE) for the measurement of the bulk methylene. In this study we sought to optimize the MRS sequence in order to try to measure other fat components of the vertebral bone marrow at 1.5 T. For this purpose, we used an animal model that allowed long acquisition times and repeated measures. Moreover, we aimed at estimating in this model the relationship between vertebral bone marrow fat content at proton MRS and BMD at DXA.

Measurement of vertebral bone marrow lipid profile at 1.5-T proton magnetic resonance spectroscopy and bone mineral density at dual-energy X-ray absorptiometry: correlation in a swine model

International Nuclear Information System (INIS)

Di Leo, Giovanni; Fina, Laura; Bandirali, Michele; Messina, Carmelo; Sardanelli, Francesco

2014-01-01

Bone marrow is mainly composed of red (hematopoietic) and yellow (fatty) components. Soon after the birth there is a physiological conversion of the bone marrow from red to yellow, so that the percentage of hematopoietic cells and adipocytes changes with aging. Although bone marrow adipogenesis is a physiologic process involving all mammals, recent studies showed an accelerated marrow adipogenesis associated with several chronic conditions, including osteoporosis [4] and diabetes mellitus. Moreover, this increased marrow fat is accompanied by a decrease in bone density. Marrow fat is therefore increasingly believed to influence the bone microenvironment. Diagnostic tools for quantitative measurement of bone marrow fat and bone mineral density (BMD) include proton magnetic resonance spectroscopy (MRS) and dual-energy Xray absorptiometry (DXA), respectively. Using MRS, an inverse relationship between vertebral bone marrow fat content and lumbar BMD has been demonstrated in patients affected with osteoporosis or with diabetes mellitus. In most studies, a quite standard MRS sequence has been used, with short echo times (TE) for the measurement of the bulk methylene. In this study we sought to optimize the MRS sequence in order to try to measure other fat components of the vertebral bone marrow at 1.5 T. For this purpose, we used an animal model that allowed long acquisition times and repeated measures. Moreover, we aimed at estimating in this model the relationship between vertebral bone marrow fat content at proton MRS and BMD at DXA.

X-ray fluorescence imaging with polycapillary X-ray optics

International Nuclear Information System (INIS)

Yonehara, Tasuku; Yamaguchi, Makoto; Tsuji, Kouichi

2010-01-01

X-ray fluorescence spectrometry imaging is a powerful tool to provide information about the chemical composition and elemental distribution of a specimen. X-ray fluorescence spectrometry images were conventionally obtained by using a μ-X-ray fluorescence spectrometry spectrometer, which requires scanning a sample. Faster X-ray fluorescence spectrometry imaging would be achieved by eliminating the process of sample scanning. Thus, we developed an X-ray fluorescence spectrometry imaging instrument without sample scanning by using polycapillary X-ray optics, which had energy filter characteristics caused by the energy dependence of the total reflection phenomenon. In the present paper, we show that two independent straight polycapillary X-ray optics could be used as an energy filter of X-rays for X-ray fluorescence. Only low energy X-rays were detected when the angle between the two optical axes was increased slightly. Energy-selective X-ray fluorescence spectrometry images with projection mode were taken by using an X-ray CCD camera equipped with two polycapillary optics. It was shown that Fe Kα (6.40 keV) and Cu Kα (8.04 keV) could be discriminated for Fe and Cu foils.

A dual energy gamma-ray transmission technique for gold alloy identification

International Nuclear Information System (INIS)

Sumi, Tetsuo; Shingu, Hiroyasu; Iwase, Hirotoshi

1991-01-01

An application of the dual energy gamma-ray transmission techniques to gold alloy identification is presented. The measurement by dual energy gamma-ray transmission is independent of thickness and density of a sample. Due to this advantage, golden accessories such as necklaces, earrings and rings can be assayed in spite of their various thicknesses and irregular sectional shapes. Choice of a gamma-ray energy pair suitable for the object is important. The authors chose 511 keV and 1275 keV gamma-rays from 22 Na. With this energy pair, R value (a ratio of mass attenuation coefficients for low and high energy gamma-rays) is predominantly related to the weight fraction of gold of the sample. Using a 370 kBq 22 Na small source and a 50 mm dia.x 50 mm thick NaI(Tl) scintillator for 1200 seconds, a resolution of 2% for the R value was obtained. This corresponds to approximately 5% of the weight fraction of gold. A better resolution can be obtained by increasing the source activity or measurement time. (author)

A deep learning framework for the automated inspection of complex dual-energy x-ray cargo imagery

Science.gov (United States)

Rogers, Thomas W.; Jaccard, Nicolas; Griffin, Lewis D.

2017-05-01

Previously, we investigated the use of Convolutional Neural Networks (CNNs) to detect so-called Small Metallic Threats (SMTs) hidden amongst legitimate goods inside a cargo container. We trained a CNN from scratch on data produced by a Threat Image Projection (TIP) framework that generates images with realistic variation to robustify performance. The system achieved 90% detection of containers that contained a single SMT, while raising 6% false positives on benign containers. The best CNN architecture used the raw high energy image (single-energy) and its logarithm as input channels. Use of the logarithm improved performance, thus echoing studies on human operator performance. However, it is an unexpected result with CNNs. In this work, we (i) investigate methods to exploit material information captured in dual-energy images, and (ii) introduce a new CNN training scheme that generates `spot-the-difference' benign and threat pairs on-the-fly. To the best of our knowledge, this is the first time that CNNs have been applied directly to raw dual-energy X-ray imagery, in any field. To exploit dual-energy, we experiment with adapting several physics-derived approaches to material discrimination from the cargo literature, and introduce three novel variants. We hypothesise that CNNs can implicitly learn about the material characteristics of objects from the raw dual-energy images, and use this to suppress false positives. The best performing method is able to detect 95% of containers containing a single SMT, while raising 0.4% false positives on benign containers. This is a step change improvement in performance over our prior work

X-band Linac for a 6 MeV dual-head radiation therapy gantry

Energy Technology Data Exchange (ETDEWEB)

Lee, Seung Hyun; Shin, Seung-Wook; Lee, Jongchul; Kim, Hui-Su [WCU Department of Energy Science, Suwon 440-746 (Korea, Republic of); Lee, Byeong-No; Lee, Byung-Chul [Radiation Instrumentation Research Division, Korea Atomic Energy Research Institute, Jeongeup 56212 (Korea, Republic of); Park, Hyung-dal; Song, Ki-back [Radiation Technology eXcellence (RTX), Daejeon 305-500 (Korea, Republic of); Song, Ho-seung; Mun, Sangchul; Ha, Donghyup [School of Information and Communication Engineering, Sungkyunkwan University, Suwon 440-746 (Korea, Republic of); Chai, Jong-Seo, E-mail: jschai@skku.edu [School of Information and Communication Engineering, Sungkyunkwan University, Suwon 440-746 (Korea, Republic of)

2017-04-21

We developed a design for a 6 MeV X-band linear accelerator for radiation therapy in a dual-head gantry layout. The dual-head gantry has two linacs that can be operated independently. Each X-band linac accelerates electron bunches using high-power RF and generates X-rays for radiation therapy. It requires a versatile RF system and pulse sequence to accomplish various radiation therapy procedures. The RF system consists of 9.3 GHz, 2 MW X-band magnetron and associated RF transmission components. A test linac was assembled and operated to characterize its RF performance without beam. This paper presents these results along with a description of the gantry linacs and their operational requirements.

Bone mineral density in patients with Parkinson's disease measured by dual photon absorptiometry

Energy Technology Data Exchange (ETDEWEB)

Kao, C H; Chen, C C; Wang, S J; Chia, L G; Yeh, S H [Taichung Veterans General Hospital, Taiwan (China)

1994-03-01

Bone mineral density (BMD) in 22 patients (three females, 19 males, aged 58-76 years) with idiopathic Parkinson's disease (PD) was measured by dual photon absorptiometry (DPA) using a M and SE OsteoTech 300 scanner. The BMDs of the 2nd to 4th lumbar vertebrae were measured and the mean density was presented as g cm[sup -2]. The BMD of the PD patients was compared with normal BMD values within the same age groups, and the patients were interpreted as normal, suffering mild osteoporosis or severe osteoporosis. The patients were divided into two groups according to (a) the Hoehn and Yahr (H-Y) scale as high or low, or based on (b) the duration of the disease as long or short. The results show that the BMD of all the PD patients was lower than those of the normal controls. The PD patients with a high H-Y scale had a higher prevalence of severe osteoporosis. However, the difference between any two groups, separated by the two criteria, is not significant by Fisher's test. We find that PD patients have a higher incidence of severe osteoporosis. (author).

X-Ray Absorption with Transmission X-Ray Microscopes

NARCIS (Netherlands)

de Groot, F.M.F.

2016-01-01

In this section we focus on the use of transmission X-ray microscopy (TXM) to measure the XAS spectra. In the last decade a range of soft X-ray and hard X-ray TXM microscopes have been developed, allowing the measurement of XAS spectra with 10–100 nm resolution. In the hard X-ray range the TXM

Bone fragility induced by X-ray irradiation in relation to cortical bone-mineral content

International Nuclear Information System (INIS)

Nyaruba, M.M.; Yamamoto, I.; Morita, R.; Kimura, H.

1998-01-01

The purpose of this study was to investigate the effects of fractional irradiation on the biomechanical properties of bone in the rat in relation to the cortical bone-mineral content (BMC), and to compare these effects with those brought about by single-dose irradiation. Seventy-five veteran female Wistar rats were divided into 4 groups. Group 1 was the control group. The left tibiae of the remaining rats were exposed to irradiation. Group 2 received one single dose of X-rays at 10-60 Gy. Groups 3 and 4 received fractional irradiation up to different cumulative doses (10-60 Gy): group 3 received 2.5 Gy once a day; group 4 received 1.25 Gy twice a day. Twenty-four weeks after irradiation, the rats were killed and the BMC in each tibial diaphysis was determined by dual-energy X-ray absorptiometry (DXA). The bones were then loaded to failure in a three-point bending test. The control group showed no difference (p>0.05) between left and right tibiae, neither in BMC nor in the maximum load at fracture. Single-dose irradiation caused a 16% (p=0.0366) decrease in the maximum load at 40 Gy, and a 19% (p=0.008) decrease at 60 Gy. The once-daily fractional dose of irradiation caused a 10% (p=0.0022) decrease in the maximum load of the irradiated tibiae at 60 Gy when compared to the intact contralateral tibiae. The twice-daily fractional dose of irradiation had no observable effect on the maximum load of the irradiated tibiae. Neither fractional irradiation modality had an effect on BMC. (orig./MG)

Assessment of Bone Health in Men and Women Comparing DXA to Calcaneal Ultrasound

National Research Council Canada - National Science Library

Murphy, M

2002-01-01

...) were assessed for bone mineral density (BMD, g/sq cm) and broadband ultrasound attenuation (BUA, db/MHz). BMD of the total body, regional and lumbar spine was measured via dual-energy X-ray absorptiometry...

X-ray astronomy

International Nuclear Information System (INIS)

Giacconi, R.; Gursky, H.

1974-01-01

This text contains ten chapters and three appendices. Following an introduction, chapters two through five deal with observational techniques, mechanisms for the production of x rays in a cosmic setting, the x-ray sky and solar x-ray emission. Chapters six through ten include compact x-ray sources, supernova remnants, the interstellar medium, extragalactic x-ray sources and the cosmic x-ray background. Interactions of x rays with matter, units and conversion factors and a catalog of x-ray sources comprise the three appendices. (U.S.)

Spectral correction algorithm for multispectral CdTe x-ray detectors

DEFF Research Database (Denmark)

Christensen, Erik D.; Kehres, Jan; Gu, Yun

2017-01-01

Compared to the dual energy scintillator detectors widely used today, pixelated multispectral X-ray detectors show the potential to improve material identification in various radiography and tomography applications used for industrial and security purposes. However, detector effects, such as charge...

High-Resolution X-ray Emission and X-ray Absorption Spectroscopy

NARCIS (Netherlands)

Groot, F.M.F. de

2000-01-01

In this review, high-resolution X-ray emission and X-ray absorption spectroscopy will be discussed. The focus is on the 3d transition-metal systems. To understand high-resolution X-ray emission and reso-nant X-ray emission, it is first necessary to spend some time discussing the X-ray absorption

Photon counting and energy discriminating X-ray detectors. Benefits and applications

International Nuclear Information System (INIS)

Walter, David; Zscherpel, Uwe; Ewert, Uwe

2016-01-01

Since a few years the direct detection of X-ray photons into electrical signals is possible by usage of highly absorbing photo conducting materials (e.g. CdTe) as detection layer of an underlying CMOS semiconductor X-ray detector. Even NDT energies up to 400 keV are possible today, as well. The image sharpness and absorption efficiency is improved by the replacement of the unsharp scintillation layer (as used at indirect detecting detectors) by a photo conducting layer of much higher thickness. If the read-out speed is high enough (ca. 50 - 100 ns dead time) single X-ray photons can be counted and their energy measured. Read-out noise and dark image correction can be avoided. By setting energy thresholds selected energy ranges of the X-ray spectrum can be detected or suppressed. This allows material discrimination by dual-energy techniques or the reduction of image contributions of scattered radiation, which results in an enhanced contrast sensitivity. To use these advantages in an effective way, a special calibration procedure has to be developed, which considers also time dependent processes in the detection layer. This contribution presents some of these new properties of direct detecting digital detector arrays (DDAs) and shows first results on testing fiber reinforced composites as well as first approaches to dual energy imaging.

Bone mineral density test

Science.gov (United States)

BMD test; Bone density test; Bone densitometry; DEXA scan; DXA; Dual-energy x-ray absorptiometry; p-DEXA; Osteoporosis - BMD ... need to undress. This scan is the best test to predict your risk of fractures, especially of ...

The Role of Osteoblast-Derived Cytokines in Bone Metastatic Breast Cancer

Science.gov (United States)

2009-01-01

transform infrared microspectroscopy [34]. The MC3T3-E1 cultures, however, contained material of an unknown origin that represented dystrophic...x- ray densitometer (GE Medical Systems, Fitchburg, WI) and scanned via a Dual Energy X- ray Absorptiometry (DEXA) scan. Company-provided software...including osteoporosis, rheumatoid arthritis , and skeletal metastases, resulting in osteoclast activity in excess of bone deposition by osteoblasts with

Flash X-ray

International Nuclear Information System (INIS)

Sato, Eiichi

2003-01-01

Generation of quasi-monochromatic X-ray by production of weakly ionized line plasma (flash X-ray), high-speed imaging by the X-ray and high-contrast imaging by the characteristic X-ray absorption are described. The equipment for the X-ray is consisted from the high-voltage power supply and condenser, turbo molecular pump, and plasma X-ray tube. The tube has a long linear anticathode to produce the line plasma and flash X-ray at 20 kA current at maximum. X-ray spectrum is measured by the imaging plate equipped in the computed radiography system after diffracted by a LiF single crystal bender. Cu anticathode generates sharp peaks of K X-ray series. The tissue images are presented for vertebra, rabbit ear and heart, and dog heart by X-ray fluoroscopy with Ce anticathode. Generation of K-orbit characteristic X-ray with extremely low bremsstrahung is to be attempted for medical use. (N.I.)

Multiple energy computed tomography for neuroradiology with monochromatic x-rays from the National Synchrotron Light Source

International Nuclear Information System (INIS)

Dilmanian, F.A.; Garrett, R.F.; Thomlinson, W.C.; Berman, L.E.; Chapman, L.D.; Gmuer, N.F.; Lazarz, N.M.; Moulin, H.R.; Oversluizen, T.; Slatkin, D.N.; Stojanoff, V.; Volkow, N.D.; Zeman, H.D.; Luke, P.N.; Thompson, A.C.

1990-01-01

Monochromatic and tunable 33--100 keV x-rays from the X17 superconducting wiggler of the National Synchrotron Light Source (NSLS) at Brookhaven National Laboratory (BNL) will be used for computed tomography (CT) of the human head and neck. The CT configuration will be one of a fixed horizontal fan-shaped beam and a seated rotating subject. The system, which is under development, will employ a two-crystal monochromator with an energy bandwidth of about 0.1%, and high-purity germanium linear array detector with 0.5 mm element width and 200 mm total width. Narrow energy bands not only eliminate beam hardening but are ideal for carrying out the following dial-energy methods: (a) dual-photon absorptiometry CT, that provides separate images of the low-Z and the intermediate-Z elements; and (b) K-edge subtraction CT of iodine and perhaps of heavier contrast elements. As a result, the system should provide ∼10-fold improvement in image contrast resolution and in quantitative precision over conventional CT. A prototype system for a 45 mm subject diameter will be ready in 1991, which will be used for studies with phantoms and small animals. The human imaging system will have a field of view of 200 mm. The in-plane spatial resolution in both systems will be 0.5 mm FWHM. 34 refs., 6 figs

X-Ray

Science.gov (United States)

... enema. What you can expect During the X-ray X-rays are performed at doctors' offices, dentists' offices, ... as those using a contrast medium. Your child's X-ray Restraints or other techniques may be used to ...

Risk of vertebral fracture after menopause: detection of high risk subjects by dual photon absorptiometry

International Nuclear Information System (INIS)

Coutris, G.; Talbot, J.N.; Kiffel, T.; Paus, L.; Milhaud, G.

1985-01-01

Dual photon absorptiometry of bone is used to detect in an exposed population those subjects who are high risk of fracture and also to follow up the evolution of these patients. 37 women who have suffered fractures have been compared to 41 women without fractures of similar age distribution. A highly significant correlation between body height and Bone Mineral Content (BMC) of the lumbar spine is found in the control group thus allowing the calculation of the expected BMC value for each patient. A crushing index is defined as the ratio of the observed BMC value to the expected one. Using this index, instead of the two more usual modes of BMC expression, leads to an improvement of the predictive estimation of fracture risk. The predictive value of such indices should still be improved. With this aim, further determinations of indices are desirable. The following requirements should be borne in mind: the physical data should be easily obtainable e.g. body height and weight and the meaning of the index based on these easily verifiable factors they should be easily understood [fr

Synchrotron x-ray microbeam characteristics for x-ray fluorescence analysis

International Nuclear Information System (INIS)

Iida, Atsuo; Noma, Takashi

1995-01-01

X-ray fluorescence analysis using a synchrotron x-ray microprobe has become an indispensable technique for non-destructive micro-analysis. One of the most important parameters that characterize the x-ray microbeam system for x-ray fluorescence analysis is the beam size. For practical analysis, however, the photon flux, the energy resolution and the available energy range are also crucial. Three types of x-ray microbeam systems, including monochromatic and continuum excitation systems, were compared with reference to the sensitivity, the minimum detection limit and the applicability to various types of x-ray spectroscopic analysis. 16 refs., 5 figs

X-ray sky

International Nuclear Information System (INIS)

Gruen, M.; Koubsky, P.

1977-01-01

The history is described of the discoveries of X-ray sources in the sky. The individual X-ray detectors are described in more detail, i.e., gas counters, scintillation detectors, semiconductor detectors, and the principles of X-ray spectrometry and of radiation collimation aimed at increased resolution are discussed. Currently, over 200 celestial X-ray sources are known. Some were identified as nebulae, in some pulsations were found or the source was identified as a binary star. X-ray bursts of novae were also observed. The X-ray radiation is briefly mentioned of spherical star clusters and of extragalactic X-ray sources. (Oy)

Precision X-ray spectroscopy on 8.5 MeV/amu heavy ions

International Nuclear Information System (INIS)

Dietrich, D.D.; Chandler, G.A.; Fortner, R.J.; Hailey, C.J.; Stewart, R.E.

1985-01-01

A new experimental capability has been developed at the Lawrence Berkeley Laboratory Super-HILAC to investigate questions relating to high resolution atomic spectroscopy. A key element of these measurements is a dual arm Johann spectrometer. The ion beam passes inside the Rowland circle of two curved crystals which are mounted such that diffracted X-rays have equal and opposite linear Doppler shifts. The X-ray lines are detected with high speed X-ray film mounted on the Rowland circle. The beam-crystal geometry is arranged so a spectral range thetasub(B)proportional30 0 -70 0 is detected. The spectrometer efficiency is high with useful exposures obtained with only 10 mC of beam. A wavelength calibration is obtained by simultaneously exposing the film with diffracted K and L X-rays from an X-ray tube. X-ray lines from the beam are slanted, with respect to the calibration lines, due to Doppler shifts arising from X-rays incident on the crystal at angles other than perpendicular to the diffraction plane. The slope of these lines provides an independent determination of the beam velocity, which is used to correct for the transverse Doppler shift. Typical results are presented. (orig.)

X-ray astronomy

International Nuclear Information System (INIS)

Culhane, J.L.; Sanford, P.W.

1981-01-01

X-ray astronomy has been established as a powerful means of observing matter in its most extreme form. The energy liberated by sources discovered in our Galaxy has confirmed that collapsed stars of great density, and with intense gravitational fields, can be studied by making observations in the X-ray part of the electromagnetic spectrum. The astronomical objects which emit detectable X-rays include our own Sun and extend to quasars at the edge of the Universe. This book describes the history, techniques and results obtained in the first twenty-five years of exploration. Space rockets and satellites are essential for carrying the instruments above the Earth's atmosphere where it becomes possible to view the X-rays from stars and nebulae. The subject is covered in chapters, entitled: the birth of X-ray astronomy; the nature of X-radiation; X-rays from the Sun; solar-flare X-rays; X-rays from beyond the solar system; supernovae and their remnants; X-rays from binary stars; white dwarfs and neutron stars; black holes; X-rays from galaxies and quasars; clusters of galaxies; the observatories of the future. (author)

The validity and accuracy in foot-to-foot bioelectrical impedance ...

African Journals Online (AJOL)

The validity and accuracy in foot-to-foot bioelectrical impedance analysis measuring models referenced by dual-energy X-ray absorptiometry in body composition in standing position. KC Hsieh, HK Lu, CH Chen, TR Jang, YY Chen, MF Kao ...

Skull x-ray

Science.gov (United States)

X-ray - head; X-ray - skull; Skull radiography; Head x-ray ... There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most ...

Neck x-ray

Science.gov (United States)

X-ray - neck; Cervical spine x-ray; Lateral neck x-ray ... There is low radiation exposure. X-rays are monitored so that the lowest amount of radiation is used to produce the image. Pregnant women and ...

X-ray filter for chest X-rays

International Nuclear Information System (INIS)

Ferlic, D.J.

1984-01-01

A description is given of an X-ray filter comprised of a sheet of radiation absorbing material with an opening corresponding to the spine and central portion of the heart. The upper portion of the filter exhibits a relatively narrow opening which becomes gradually wider toward the lower portion of the filter. This filter will permit an acceptable density level of x-ray exposure for the lungs while allowing a higher level of x-ray exposure for the mediastinum areas of the body. (author)

X-ray optics and X-ray microscopes: new challenges

International Nuclear Information System (INIS)

Susini, J.

2004-01-01

Soon after the discovery of X-rays in 1895 by W. Roentgen, it became rapidly clear that the methods traditionally used in the visible light regime, namely refraction, diffraction and reflection were difficult to apply for X-ray optics. The physical origins of these difficulties are closely linked to the very nature of interaction of X-rays with matter. The small deviation δ of the refractive index of condensed matter from unity makes it difficult to extend refraction-based optics from the optical spectral region to the X-ray region because the refraction angle is proportional to δ. Similarly it is very challenging to extend diffraction-based focusing techniques to X-rays because the diffraction angle scales inversely with wavelength. Finally, the use of reflection-based optics is also limited by the very small critical angle for total reflection. All those fundamental limitations prevented for almost one century, the development of X-ray microscopy whereas electron microscopy became a standard tool. In the past twenty years, interests for X-ray microscopy revived, mainly because of several major advances in X-ray sources and X-ray optics. X-ray microscopy techniques are now emerging as powerful and complementary tools for submicron investigations. Soft X-ray microscopes offer traditionally the possibility to form direct images of thick hydrated biological material in near-native environment, at a spatial resolution well beyond that achievable with visible light microscopy. Natural contrast is available in the soft X-ray region, in the so-called ''water-window'', due to the presence of absorption edges of the major constituents (C,N,O). Recent advances in manufacturing techniques have enlarged the accessible energy range of micro-focussing optics and offer new applications in a broad range of disciplines. X-ray microscopy in the 1 - 30 keV energy range is better suited for fluorescence to map trace elements, tomography for 3D imaging and micro-diffraction. The

X-ray filter for chest x-rays

International Nuclear Information System (INIS)

Ferlic, D.J.

1984-01-01

Filter for use in medical x-ray apparatus to permit higher intensity x-ray exposure in the heart and mediastinum area while maintaining a normal level of x-ray exposure in other areas of the body, particlarly in the lung area. The filter comprises a sheet of radiation absorbing material having an opening therein, said opening corresponding to the spine and central portion of the heart. Accordingly, the upper portion of the filter exhibits a relatively narrow opening which becomes gradually wider toward the lower portion of the filter

The X-ray crystal bichromator – possible modifications and applications

Energy Technology Data Exchange (ETDEWEB)

Hrdý, Jaromír, E-mail: hrdy@fzu.cz

2017-05-11

The X-ray crystal bichromator is a device which delivers two arbitrarily chosen wavelengths in one beam. The principle and alignment was described in our previous work (Hrdý et al., 2016). With some modifications this device may be used for time-resolved experiments and dual energy imaging.

X-ray geometrical smoothing effect in indirect x-ray-drive implosion

International Nuclear Information System (INIS)

Mochizuki, Takayasu; Sakabe, Shuji; Yamanaka, Chiyoe

1983-01-01

X-ray geometrical smoothing effect in indirect X-ray drive pellet implosion for inertial confinement fusion has been numerically analyzed. Attainable X-ray driven ablation pressure has been found to be coupled with X-ray irradiation uniformity. (author)

Dual-gate photo thin-film transistor: a “smart” pixel for high- resolution and low-dose X-ray imaging

Science.gov (United States)

Wang, Kai; Ou, Hai; Chen, Jun

2015-06-01

Since its emergence a decade ago, amorphous silicon flat panel X-ray detector has established itself as a ubiquitous platform for an array of digital radiography modalities. The fundamental building block of a flat panel detector is called a pixel. In all current pixel architectures, sensing, storage, and readout are unanimously kept separate, inevitably compromising resolution by increasing pixel size. To address this issue, we hereby propose a “smart” pixel architecture where the aforementioned three components are combined in a single dual-gate photo thin-film transistor (TFT). In other words, the dual-gate photo TFT itself functions as a sensor, a storage capacitor, and a switch concurrently. Additionally, by harnessing the amplification effect of such a thin-film transistor, we for the first time created a single-transistor active pixel sensor. The proof-of-concept device had a W/L ratio of 250μm/20μm and was fabricated using a simple five-mask photolithography process, where a 130nm transparent ITO was used as the top photo gate, and a 200nm amorphous silicon as the absorbing channel layer. The preliminary results demonstrated that the photocurrent had been increased by four orders of magnitude due to light-induced threshold voltage shift in the sub-threshold region. The device sensitivity could be simply tuned by photo gate bias to specifically target low-level light detection. The dependence of threshold voltage on light illumination indicated that a dynamic range of at least 80dB could be achieved. The "smart" pixel technology holds tremendous promise for developing high-resolution and low-dose X-ray imaging and may potentially lower the cancer risk imposed by radiation, especially among paediatric patients.

Dual-gate photo thin-film transistor: a “smart” pixel for high- resolution and low-dose X-ray imaging

International Nuclear Information System (INIS)

Wang, Kai; Ou, Hai; Chen, Jun

2015-01-01

Since its emergence a decade ago, amorphous silicon flat panel X-ray detector has established itself as a ubiquitous platform for an array of digital radiography modalities. The fundamental building block of a flat panel detector is called a pixel. In all current pixel architectures, sensing, storage, and readout are unanimously kept separate, inevitably compromising resolution by increasing pixel size. To address this issue, we hereby propose a “smart” pixel architecture where the aforementioned three components are combined in a single dual-gate photo thin-film transistor (TFT). In other words, the dual-gate photo TFT itself functions as a sensor, a storage capacitor, and a switch concurrently. Additionally, by harnessing the amplification effect of such a thin-film transistor, we for the first time created a single-transistor active pixel sensor. The proof-of-concept device had a W/L ratio of 250μm/20μm and was fabricated using a simple five-mask photolithography process, where a 130nm transparent ITO was used as the top photo gate, and a 200nm amorphous silicon as the absorbing channel layer. The preliminary results demonstrated that the photocurrent had been increased by four orders of magnitude due to light-induced threshold voltage shift in the sub-threshold region. The device sensitivity could be simply tuned by photo gate bias to specifically target low-level light detection. The dependence of threshold voltage on light illumination indicated that a dynamic range of at least 80dB could be achieved. The 'smart' pixel technology holds tremendous promise for developing high-resolution and low-dose X-ray imaging and may potentially lower the cancer risk imposed by radiation, especially among paediatric patients. (paper)

Comparison of x-ray output of inverter-type x-ray equipment

International Nuclear Information System (INIS)

Asano, Hiroshi; Miyake, Hiroyuki; Yamamoto, Keiichi

2000-01-01

The x-ray output of 54 inverter-type x-ray apparatuses used at 18 institutions was investigated. The reproducibility and linearity of x-ray output and variations among the x-ray equipment were evaluated using the same fluorescence meter. In addition, the x-ray apparatuses were re-measured using the same non-invasive instrument to check for variations in tube voltage, tube current, and irradiation time. The non-invasive instrument was calibrated by simultaneously obtaining measurements with an invasive instrument, employing the tube voltage and current used for the invasive instrument, and the difference was calculated. Reproducibility of x-ray output was satisfactory for all x-ray apparatuses. The coefficient of variation was 0.04 or less for irradiation times of 5 ms or longer. In 84.3% of all x-ray equipment, variation in the linearity of x-ray output was 15% or less for an irradiation time of 5 ms. However, for all the apparatuses, the figure was 50% when irradiation time was the shortest (1 to 3 ms). Variation in x-ray output increased as irradiation time decreased. Variation in x-ray output ranged between 1.8 and 2.5 compared with the maximum and minimum values, excluding those obtained at the shortest irradiation time. The relative standard deviation ranged from ±15.5% to ±21.0%. The largest variation in x-ray output was confirmed in regions irradiated for the shortest time, with smaller variations observed for longer irradiation times. The major factor responsible for variation in x-ray output in regions irradiated for 10 ms or longer, which is a relatively long irradiation time, was variation in tube current. Variation in tube current was slightly greater than 30% at maximum, with an average value of 7% compared with the preset tube current. Variations in x-ray output in regions irradiated for the shortest time were due to photographic effects related to the rise and fall times of the tube voltage waveform. Accordingly, in order to obtain constant x-ray

Chest X-Ray

Medline Plus

Full Text Available ... about chest radiography also known as chest x-rays. Chest x-rays are the most commonly performed x-ray exams and use a very small dose of ... of the inside of the chest. A chest x-ray is used to evaluate the lungs, heart and ...

Metacarpal index by digital X-ray radiogrammetry: normative reference values and comparison with dual X-ray absorptiometry

DEFF Research Database (Denmark)

Hyldstrup, Lars; Nielsen, S P

2001-01-01

for precise and accurate measurements of MCI (DXR-MCI). We hypothesized that DXR-MCI in contrast to projected areal bone mineral density (BMD) (DXA-BMD) is independent of bone size and studied 384 normal women by measuring DXR-MCI and DXA-BMD of the lumbar spine, hip, and distal radius. A normative MCI...

Spine Trabecular Bone Score as an Indicator of Bone Microarchitecture at the Peripheral Skeleton in Kidney Transplant Recipients.

Science.gov (United States)

Luckman, Matthew; Hans, Didier; Cortez, Natalia; Nishiyama, Kyle K; Agarawal, Sanchita; Zhang, Chengchen; Nikkel, Lucas; Iyer, Sapna; Fusaro, Maria; Guo, Edward X; McMahon, Donald J; Shane, Elizabeth; Nickolas, Thomas L

2017-04-03

Studies using high-resolution peripheral quantitative computed tomography showed progressive abnormalities in cortical and trabecular microarchitecture and biomechanical competence over the first year after kidney transplantation. However, high-resolution peripheral computed tomography is a research tool lacking wide availability. In contrast, the trabecular bone score is a novel and widely available tool that uses gray-scale variograms of the spine image from dual-energy x-ray absorptiometry to assess trabecular quality. There are no studies assessing whether trabecular bone score characterizes bone quality in kidney transplant recipients. Between 2009 and 2010, we conducted a study to assess changes in peripheral skeletal microarchitecture, measured by high-resolution peripheral computed tomography, during the first year after transplantation in 47 patients managed with early corticosteroid-withdrawal immunosuppression. All adult first-time transplant candidates were eligible. Patients underwent imaging with high-resolution peripheral computed tomography and dual-energy x-ray absorptiometry pretransplantation and 3, 6, and 12 months post-transplantation. We now test if, during the first year after transplantation, trabecular bone score assesses the evolution of bone microarchitecture and biomechanical competence as determined by high-resolution peripheral computed tomography. At baseline and follow-up, among the 72% and 78%, respectively, of patients having normal bone mineral density by dual-energy x-ray absorptiometry, 53% and 50%, respectively, were classified by trabecular bone score as having high fracture risk. At baseline, trabecular bone score correlated with spine, hip, and ultradistal radius bone mineral density by dual-energy x-ray absorptiometry and cortical area, density, thickness, and porosity; trabecular density, thickness, separation, and heterogeneity; and stiffness and failure load by high-resolution peripheral computed tomography

Wide field X-ray telescopes: Detecting X-ray transients/afterglows related to gamma ray bursts

International Nuclear Information System (INIS)

Hudec, Rene; Pina, Ladislav; Inneman, Adolf; Gorenstein, Paul; Rezek, Tomas

1999-01-01

The recent discovery of X-ray afterglows of GRBs opens the possibility of analyses of GRBs by their X-ray detections. However, imaging X-ray telescopes in current use mostly have limited field of view. Alternative X-ray optics geometries achieving very large fields of view have been theoretically suggested in the 70ies but not constructed and used so far. We review the geometries and basic properties of the wide-field X-ray optical systems based on one- and two-dimensional lobster-eye geometry and suggest technologies for their development and construction. First results of the development of double replicated X-ray reflecting flats for use in one-dimensional X-ray optics of lobster eye type are presented and discussed. Optimum strategy for locating GRBs upon their X-ray counterparts is also presented and discussed

Generalized equations for estimating DXA percent fat of diverse young women and men: The Tiger Study

Science.gov (United States)

Popular generalized equations for estimating percent body fat (BF%) developed with cross-sectional data are biased when applied to racially/ethnically diverse populations. We developed accurate anthropometric models to estimate dual-energy x-ray absorptiometry BF% (DXA-BF%) that can be generalized t...

Speed of sound reflects Young's modulus as assessed by microstructural finite element analysis

NARCIS (Netherlands)

Bergh, van den J.P.W.; Lenthe, van G.H.; Hermus, A.R.M.M.; Corstens, F.H.M.; Smals, A.G.H.; Huiskes, H.W.J.

2000-01-01

We analyzed the ability of the quantitative ultrasound (QUS) parameter, speed of sound (SOS), and bone mineral density (BMD), as measured by dual-energy X-ray absorptiometry (DXA), to predict Young's modulus, as assessed by microstructural finite element analysis (muFEA) from microcomputed

Low bone mineral density in patients with well-suppressed HIV infection: association with body weight, smoking, and prior advanced HIV disease

NARCIS (Netherlands)

Kooij, Katherine W.; Wit, Ferdinand W. N. M.; Bisschop, Peter H.; Schouten, Judith; Stolte, Ineke G.; Prins, Maria; van der Valk, Marc; Prins, Jan M.; van Eck-Smit, Berthe L. F.; Lips, Paul; Reiss, Peter

2015-01-01

Human immunodeficiency virus (HIV) and combination antiretroviral therapy (cART) may both contribute to the higher prevalence of osteoporosis and osteopenia in HIV-infected individuals. Using dual-energy X-ray absorptiometry, we compared lumbar spine, total hip, and femoral neck bone mineral density

Newborn regional body composition is influenced by maternal obesity, gestational weight gain and the birthweight standard score

DEFF Research Database (Denmark)

Carlsen, E M; Renault, Kristina Martha; Nørgaard, K

2014-01-01

obese and 80 normal weight mothers and their newborn infants and assessed the babies' body composition using dual-energy X-ray absorptiometry. RESULTS: The total and abdominal fat masses of infants born to mother who were obese before pregnancy were 135 g (p

Quantification of visceral adipose tissue in polycystic ovary syndrome

DEFF Research Database (Denmark)

Frøssing, Signe; Nylander, Malin Chatarina; Chabanova, Elizaveta

2018-01-01

Background Polycystic ovary syndrome (PCOS) is associated with frequent overweight and abdominal obesity. Quantifying visceral adipose tissue (VAT) in PCOS patients can be a tool to assess metabolic risk and monitor effects of treatment. The latest dual-energy X-ray absorptiometry (DXA) technology...

Age-dependent nongenetic influences of birth weight and adult body fat on insulin sensitivity in twins

DEFF Research Database (Denmark)

Monrad, Rikke Nygaard; Grunnet, Louise Groth; Rasmussen, Eva Lind

2009-01-01

We hypothesized a nongenetic influence of birth weight (BW) and twin and zygosity status on dual-energy x-ray absorptiometry determined adult total and regional body composition and a quantitative equal, although independent, importance of adult body composition and BW for insulin sensitivity....

Measurements of moisture content in wood fuels with dual energy x-ray; Maetning av fukt i biobraenslen med dubbelenergiroentgen

Energy Technology Data Exchange (ETDEWEB)

Nordell, Anders [Industriellt Utvecklingscentrum i Karlskoga, Karlskoga (Sweden); Vikterloef, K J [Oerebro Radiofysik AB, Oerebro (Sweden)

2000-04-01

Good methods enabling quick determination of moisture in wood fuels are lacking. A standardized method generally used by the biofuel industry means drying samples in furnaces during at least 16 hours. The idea of this work has been to investigate if x-ray technique can offer a superior alternative for fast moisture determination. Analysis with x-ray has many advantages. The x-rays go completely through the whole test specimen. Large samples or many sequential samples can rapidly be measured. The penetration is extraordinary good; all parts of the tested mass will be analyzed. The measurement relies on the absorption of gamma photons in the tested mass. The x-ray absorption is carried out deep down in the atoms and therefore is independent of the materials equation of state as temperature, grain size or molecule binding. The disadvantages of the method are the general anxiety which can be for gamma rays, the relative high cost for equipment and the fact that an x-ray tube will wear with time and needs replacement. The method used here for moisture measurement is known as dual energy x-ray. The test sample is simultaneously exposed to transmission of two separate x-ray energies. The two energies are absorbed differently by the sample. The ratio of the absorption in the two respective energies is calculated and from that conclusions on the composition of the material can be drawn. The equipment used in this test is a standard medical apparatus adapted for the study of human body composition. When instead used for measurements of moisture in wood material the discrimination signal is about half of that achieved in the normal medical case. Despite that, the signal has been good enough for giving satisfactory accuracy in the moisture estimation. A little more than sixty approved results are presented in the report comprehending ten different fuel types. The results are grouped into three main categories depending on fuel type, wood fuels, peat fuels and salix including

X-ray bursts observed with JEM-X

DEFF Research Database (Denmark)

Brandt, Søren Kristian; Chenevez, Jérôme; Lund, Niels

2006-01-01

We report on the search for X-ray bursts in the JEM-X X-ray monitor on INTEGRAL during the first two years of operations. More than 350 bursts from 25 different type-I X-ray burst sources were found.......We report on the search for X-ray bursts in the JEM-X X-ray monitor on INTEGRAL during the first two years of operations. More than 350 bursts from 25 different type-I X-ray burst sources were found....

X-Ray and Near-Infrared Spectroscopy of Dim X-Ray Point Sources Constituting the Galactic Ridge X-Ray Emission

Directory of Open Access Journals (Sweden)

Kumiko Morihana

2014-12-01

Full Text Available We present the results of X-ray and Near-Infrared observations of the Galactic Ridge X-ray Emission (GRXE. We extracted 2,002 X-ray point sources in the Chandra Bulge Field (l =0°.113, b = 1°.424 down to ~10-14.8 ergscm-2s-1 in 2-8 keV band with the longest observation (900 ks of the GRXE. Based on X-ray brightness and hardness, we classied the X-ray point sources into three groups: A (hard, B (soft and broad spectrum, and C (soft and peaked spectrum. In order to know populations of the X-ray point sources, we carried out NIR imaging and spectroscopy observation. We identied 11% of X-ray point sources with NIR and extracted NIR spectra for some of them. Based on X-ray and NIR properties, we concluded that non-thermal sources in the group A are mostly active galactic nuclei and the thermal sources are mostly white dwarf binaries such as cataclysmic variables (CVs and Pre-CVs. We concluded that the group B and C sources are X-ray active stars in flare and quiescence, respectively.

Nutritional status at diagnosis in children with cancer. 2. An assessment by arm anthropometry.

Science.gov (United States)

Barr, Ronald; Collins, Laura; Nayiager, Trishana; Doring, Nancy; Kennedy, Charlene; Halton, Jacqueline; Walker, Scott; Sala, Alessandra; Webber, Colin

2011-04-01

Assessment of nutritional status in children with cancer is important but measures based on weight can be problematic at diagnosis, especially in those with advanced disease. Likewise, dual energy x-ray absorptiometry may be confounded by other radiological procedures and is not commonly available in low-income countries where most children with cancer live. Arm anthropometry is not subject to these constraints. In a study sample of 99 Canadian patients with cancer at diagnosis, mid-upper arm circumference correlated well with lean body mass as measured by dual energy x-ray absorptiometry but triceps skin fold thickness was a poor predictor of fat mass. Arm anthropometry can be a useful tool for the measurement of nutritional status in children with cancer. However, further studies, particularly in low-income countries and in children with solid tumors at diagnosis, are required to determine the full extent of its utility.

Early postmenopausal diminution of forearm and spinal bone mineral density

DEFF Research Database (Denmark)

Bjarnason, K; Hassager, C; Ravn, Pernille

1995-01-01

Diminution of bone mineral density (BMD) in the spine and forearm was studied cross-sectionally in 363 women who were 6 months to 10 years postmenopausal. BMD was determined by dual-energy X-ray absorptiometry (DXA) (Hologic QDR-2000) in the lumbar spine, in both the supine lateral (LAT) and ante......Diminution of bone mineral density (BMD) in the spine and forearm was studied cross-sectionally in 363 women who were 6 months to 10 years postmenopausal. BMD was determined by dual-energy X-ray absorptiometry (DXA) (Hologic QDR-2000) in the lumbar spine, in both the supine lateral (LAT......) and anteroposterior (AP) projections, and in the distal third of the forearm. The postmenopausal diminution of BMD was best described by an exponential fit. The initial rate of postmenopausal diminution of BMD was highest in the most trabecular sites (LAT > AP > forearm), but 10-year diminution was similar at all...

Bone X-Ray (Radiography)

Medline Plus

Full Text Available ... Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small ... X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive medical ...

Bone X-Ray (Radiography)

Medline Plus

Full Text Available ... Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small dose ... limitations of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is ...

Bone X-Ray (Radiography)

Science.gov (United States)

... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small ... of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive ...

Abdomen X-Ray (Radiography)

Science.gov (United States)

... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Abdomen Abdominal x-ray uses a very small ... of an abdominal x-ray? What is abdominal x-ray? An x-ray (radiograph) is a noninvasive medical ...

CRL X-ray tube

International Nuclear Information System (INIS)

Kolchevsky, N.N.; Petrov, P.V.

2015-01-01

A novel types of X-ray tubes with refractive lenses are proposed. CRL-R X-ray tube consists of Compound Refractive Lens- CRL and Reflection X-ray tube. CRL acts as X-ray window. CRL-T X-ray consists of CRL and Transmission X-ray tube. CRL acts as target for electron beam. CRL refractive lens acts as filter, collimator, waveguide and focusing lens. Properties and construction of the CRL X-ray tube are discussed. (authors)

Developments of in vivo neutron activation analysis and photon absorptiometry in Edinburgh

International Nuclear Information System (INIS)

Tothill, P.; Smith, M.A.

1986-01-01

Systems for measuring calcium in the forearm and spine using sources of 252 Cf have been developed. Whole-body calcium is measured using neutrons from a cyclotron. Dual photon absorptiometry is used to measure bone mineral in the lumbar spine. All the systems are used in clinical research, both absolute levels and changes being studied. (author)

Bone X-Ray (Radiography)

Medline Plus

Full Text Available ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very ... of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive ...

Novel X-ray telescopes for wide-field X-ray monitoring

International Nuclear Information System (INIS)

Hudec, R.; Inneman, A.; Pina, L.; Sveda, L.

2005-01-01

We report on fully innovative very wide-field of view X-ray telescopes with high sensitivity as well as large field of view. The prototypes are very promising, allowing the proposals for space projects with very wide-field Lobster-eye X-ray optics to be considered. The novel telescopes will monitor the sky with unprecedented sensitivity and angular resolution of order of 1 arcmin. They are expected to contribute essentially to study and to understand various astrophysical objects such as AGN, SNe, Gamma-ray bursts (GRBs), X-ray flashes (XRFs), galactic binary sources, stars, CVs, X-ray novae, various transient sources, etc. The Lobster optics based X-ray All Sky Monitor is capable to detect around 20 GRBs and 8 XRFs yearly and this will surely significantly contribute to the related science

Bone X-Ray (Radiography)

Medline Plus

Full Text Available ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small ... of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive ...

Perfect-crystal x-ray optics to treat x-ray coherence

International Nuclear Information System (INIS)

Yamazaki, Hiroshi; Ishikawa, Tetsuya

2007-01-01

X-ray diffraction of perfect crystals, which serve as x-ray monochromator and collimator, modifies coherence properties of x-ray beams. From the time-dependent Takagi-Taupin equations that x-ray wavefields obey in crystals, the reflected wavefield is formulated as an integral transform of a general incident wavefield with temporal and spatial inhomogeneity. A reformulation of rocking-curve profiles from the field solution of the Takagi-Taupin equations allows experimental evaluation of the mutual coherence function of x-ray beam. The rigorous relationship of the coherence functions between before and after reflection clarifies how the coherence is transferred by a crystal. These results will be beneficial to developers of beamline optics for the next generation synchrotron sources. (author)

X-ray scattering in X-ray fluorescence spectra with X-ray tube excitation - Modelling, experiment, and Monte-Carlo simulation

International Nuclear Information System (INIS)

Hodoroaba, V.-D.; Radtke, M.; Vincze, L.; Rackwitz, V.; Reuter, D.

2010-01-01

X-ray scattering may contribute significantly to the spectral background of X-ray fluorescence (XRF) spectra. Based on metrological measurements carried out with a scanning electron microscope (SEM) having attached a well characterised X-ray source (polychromatic X-ray tube) and a calibrated energy dispersive X-ray spectrometer (EDS) the accuracy of a physical model for X-ray scattering is systematically evaluated for representative samples. The knowledge of the X-ray spectrometer efficiency, but also of the spectrometer response functions makes it possible to define a physical spectral background of XRF spectra. Background subtraction relying on purely mathematical procedures is state-of-the-art. The results produced by the analytical model are at least as reliable as those obtained by Monte-Carlo simulations, even without considering the very challenging contribution of multiple scattering. Special attention has been paid to Compton broadening. Relevant applications of the implementation of the analytical model presented in this paper are the prediction of the limits of detection for particular cases or the determination of the transmission of X-ray polycapillary lenses.

X-Ray Scattering Applications Using Pulsed X-Ray Sources

Energy Technology Data Exchange (ETDEWEB)

Larson, B.C.

1999-05-23

Pulsed x-ray sources have been used in transient structural phenomena investigations for over fifty years; however, until the advent of synchrotrons sources and the development of table-top picosecond lasers, general access to ligh temporal resolution x-ray diffraction was relatively limited. Advances in diffraction techniques, sample excitation schemes, and detector systems, in addition to IncEased access to pulsed sources, have ld tO what is now a diverse and growing array of pulsed-source measurement applications. A survey of time-resolved investigations using pulsed x-ray sources is presented and research opportunities using both present and planned pulsed x-ray sources are discussed.

X-ray diagnostic installation for X-ray tomographic images

International Nuclear Information System (INIS)

Haendle, J.; Sklebitz, H.

1984-01-01

An exemplary embodiment includes at least one x-ray tube for the generation of an x-ray beam, a patient support, an image detector, and a control generator-connected with the x-ray tube and the image detector-for the purpose of moving the x-ray beam, and in opposition thereto, the image field of the image detector. There is connected to the control generator a layer height computer which calculates the enlargement from the geometric data for the tomogram. The image detector has a circuit-connected with the layer height computer-for the purpose of fading-in a marking for the dimensions in the layer plane

A computer-aided system for automatic extraction of femur neck trabecular bone architecture using isotropic volume construction from clinical hip computed tomography images.

Science.gov (United States)

Vivekanandhan, Sapthagirivasan; Subramaniam, Janarthanam; Mariamichael, Anburajan

2016-10-01

Hip fractures due to osteoporosis are increasing progressively across the globe. It is also difficult for those fractured patients to undergo dual-energy X-ray absorptiometry scans due to its complicated protocol and its associated cost. The utilisation of computed tomography for the fracture treatment has become common in the clinical practice. It would be helpful for orthopaedic clinicians, if they could get some additional information related to bone strength for better treatment planning. The aim of our study was to develop an automated system to segment the femoral neck region, extract the cortical and trabecular bone parameters, and assess the bone strength using an isotropic volume construction from clinical computed tomography images. The right hip computed tomography and right femur dual-energy X-ray absorptiometry measurements were taken from 50 south-Indian females aged 30-80 years. Each computed tomography image volume was re-constructed to form isotropic volumes. An automated system by incorporating active contour models was used to segment the neck region. A minimum distance boundary method was applied to isolate the cortical and trabecular bone components. The trabecular bone was enhanced and segmented using trabecular enrichment approach. The cortical and trabecular bone features were extracted and statistically compared with dual-energy X-ray absorptiometry measured femur neck bone mineral density. The extracted bone measures demonstrated a significant correlation with neck bone mineral density (r > 0.7, p computed tomography images scanned with low dose could eventually be helpful in osteoporosis diagnosis and its treatment planning. © IMechE 2016.

X-ray emission spectroscopy. X-ray fluorescence

International Nuclear Information System (INIS)

Despujols, J.

1992-01-01

Principles of X-ray emission spectrometry are first recalled, then wave-length dispersive and energy dispersive X-ray fluorescence spectrometer are described. They are essentially designed for qualitative and quantitative analysis of elements (Z>10). Sample preparation, calibration, corrections, interferences, accuracy are reviewed. Examples of use in different industries are given. (71 refs.)

Providing x-rays

International Nuclear Information System (INIS)

Mallozzi, P.J.; Epstein, H.M.

1985-01-01

This invention provides an apparatus for providing x-rays to an object that may be in an ordinary environment such as air at approximately atmospheric pressure. The apparatus comprises: means (typically a laser beam) for directing energy onto a target to produce x-rays of a selected spectrum and intensity at the target; a fluid-tight enclosure around the target; means for maintaining the pressure in the first enclosure substantially below atmospheric pressure; a fluid-tight second enclosure adjoining the first enclosure, the common wall portion having an opening large enough to permit x-rays to pass through but small enough to allow the pressure reducing means to evacuate gas from the first enclosure at least as fast as it enters through the opening; the second enclosure filled with a gas that is highly transparent to x-rays; the wall of the second enclosure to which the x-rays travel having a portion that is highly transparent to x-rays (usually a beryllium or plastic foil), so that the object to which the x-rays are to be provided may be located outside the second enclosure and adjacent thereto and thus receive the x-rays substantially unimpeded by air or other intervening matter. The apparatus is particularly suited to obtaining EXAFS (extended x-ray fine structure spectroscopy) data on a material

X-ray detector for a panoramic X-ray unit

Energy Technology Data Exchange (ETDEWEB)

Cowell, D; Ensslin, F H

1976-01-15

The discovery deals with an X-ray detector suitable for the controlling of panoramic X-ray systems. It consists of a fluorescent image screen and a semiconductor photo cell. The output signal of the detector is proportional to the intensity of the X-radiation and the response time is large enough to follow the change of amplitude of the contours of the modulated X radiation. The detector with band-pass filter regulates, via a control system, the moving rate of the X-ray source and of the film opposite it in dependence of the intensity, so that a uniform exposure is ensured.

Simultaneous dual-energy X-ray stereo imaging

Czech Academy of Sciences Publication Activity Database

Mokso, R.; Oberta, Peter

2015-01-01

Roč. 22, Jul (2015), 1078-1082 ISSN 0909-0495 Institutional support: RVO:68378271 Keywords : optics * crystal * imaging * dual-energy Subject RIV: BH - Optics , Masers, Lasers Impact factor: 2.736, year: 2014

X-ray imaging with compound refractive lens and microfocus X-ray tube

OpenAIRE

Pina, Ladislav; Dudchik, Yury; Jelinek, Vaclav; Sveda, Libor; Marsik, Jiri; Horvath, Martin; Petr, Ondrej

2008-01-01

Compound refractive lenses (CRL), consisting of a lot number in-line concave microlenses made of low-Z material were studied. Lenses with focal length 109 mm and 41 mm for 8-keV X-rays, microfocus X-ray tube and X-ray CCD camera were used in experiments. Obtained images show intensity distribution of magnified microfocus X-ray source focal spot. Within the experiments, one lens was also used as an objective lens of the X-ray microscope, where the copper anode X-ray microfocus tube served as a...

Abdominal x-ray

Science.gov (United States)

Abdominal film; X-ray - abdomen; Flat plate; KUB x-ray ... There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most ...

Long-Term Changes of Subcutaneous Fat Mass in HIV-Infected Children on Antiretroviral Therapy: A Retrospective Analysis of Longitudinal Data from Two Pediatric HIV-Cohorts

NARCIS (Netherlands)

Cohen, Sophie; Innes, Steve; Geelen, Sibyl P. M.; Wells, Jonathan C. K.; Smit, Colette; Wolfs, Tom F. W.; van Eck-Smit, Berthe L. F.; Kuijpers, Taco W.; Reiss, Peter; Scherpbier, Henriette J.; Pajkrt, Dasja; Bunders, Madeleine J.

2015-01-01

Longitudinal studies objectively evaluating changes in regional fat distribution of HIV-infected children assessed by whole body dual energy X-ray absorptiometry (DEXA) are scarce, whilst this long-term effect of HIV and antiretroviral therapy (cART) is an important issue in infected children in

Long-Term Changes of Subcutaneous Fat Mass in HIV-Infected Children on Antiretroviral Therapy : A Retrospective Analysis of Longitudinal Data from Two Pediatric HIV-Cohorts

NARCIS (Netherlands)

Cohen, Sophie; Innes, Steve; Geelen, SPM; Wells, Jonathan C. K.; Smit, Colette; Wolfs, Tom F. W.; van Eck-Smit, Berthe L. F.; Kuijpers, Taco W.; Reiss, Peter; Scherpbier, Henriette J.; Pajkrt, Dasja; Bunders, Madeleine J.

2015-01-01

Objective Longitudinal studies objectively evaluating changes in regional fat distribution of HIV-infected children assessed by whole body dual energy X-ray absorptiometry (DEXA) are scarce, whilst this long-term effect of HIV and antiretroviral therapy (cART) is an important issue in infected

A desire for weight loss in season increases disordered eating ...

African Journals Online (AJOL)

The Eating Disorder Inventory and the Three-Factor Eating Questionnaire's cognitive dietary restraint subscale were used to measure disordered eating behaviour. Body composition was measured with dual-energy X-ray absorptiometry. Estimated energy availability (estEA) was determined from a three-day diet and ...

A Comparison of Methods for the Estimation of Body Composition in Highly Trained Wheelchair Games Players

NARCIS (Netherlands)

Goosey-Tolfrey, V.; Keil, M.; Brooke-Wavell, K.; de Groot, S.

The purpose of this study was to assess the agreement in body composition measurements of wheelchair athletes using skinfolds, bio-impedance analysis (BIA) and air displacement plethysmography (ADP) relative to dual-energy X-ray absorptiometry (DXA). A secondary objective was to develop new skinfold

X-ray spectroscopy and X-ray crystallography of metalloenzymes at XFELs

International Nuclear Information System (INIS)

Yano, Junko

2016-01-01

The ultra-bright femtosecond X-ray pulses provided by X-ray Free Electron Lasers (XFELs) open capabilities for studying the structure and dynamics of a wide variety of biological and inorganic systems beyond what is possible at synchrotron sources. Although the structure and chemistry at the catalytic sites have been studied intensively in both biological and inorganic systems, a full understanding of the atomic-scale chemistry requires new approaches beyond the steady state X-ray crystallography and X-ray spectroscopy at cryogenic temperatures. Following the dynamic changes in the geometric and electronic structure at ambient conditions, while overcoming X-ray damage to the redox active catalytic center, is key for deriving reaction mechanisms. Such studies become possible by using the intense and ultra-short femtosecond X-ray pulses from an XFEL, where sample is probed before it is damaged. We have developed methodology for simultaneously collecting crystallography data and X-ray emission spectra, using an energy dispersive spectrometer at ambient conditions. In addition, we have developed a way to collect metal L-edge data of dilute samples using soft X-rays at XFELs. The advantages and challenges of these methods will be described in this review. (author)

Chest X-Ray

Medline Plus

Full Text Available ... talk with you about chest radiography also known as chest x-rays. Chest x-rays are the ... treatment for a variety of lung conditions such as pneumonia, emphysema and cancer. A chest x-ray ...

Modern X-ray spectroscopy 3. X-ray fluorescence holography

International Nuclear Information System (INIS)

Hayashi, Kouichi

2008-01-01

X-ray fluorescence holography (XFH) provides three dimensional atomic images around specified elements. The XFH uses atoms as a wave source or monitor of interference field within a crystal sample, and therefore it can record both intensity and phase of scattered X-rays. Its current performance makes it possible to apply to ultra thin film, impurity and quasicrystal. In this article, I show the theory including solutions for twin image problem, advanced measuring system, data processing for reconstruction of the atomic images and for obtaining accurate atomic positions, applications using resonant X-ray scattering and X-ray excited optical luminescence, and an example of XFH result on the local structure around copper in silicon steal. (author)

X-ray holography: X-ray interactions and their effects

International Nuclear Information System (INIS)

London, R.A.; Trebes, J.E.; Rosen, M.D.

1988-01-01

The authors summarize a theoretical study of the interactions of x-rays with a biological sample during the creation of a hologram. The choice of an optimal wavelength for x-ray holography is discussed, based on a description of scattering by objects within an aqueous environment. The problem of the motion resulting from the absorption of x-rays during a short exposure is described. The possibility of using very short exposures in order to capture the image before motion can compromise the resolution is explored. The impact of these calculation on the question of the feasibility of using an x-ray laser for holography of biological structures is discussed. 12 refs., 2 figs

Development of confocal micro X-ray fluorescence instrument using two X-ray beams

International Nuclear Information System (INIS)

Tsuji, Kouichi; Nakano, Kazuhiko; Ding Xunliang

2007-01-01

A new confocal micro X-ray fluorescence instrument was developed. This instrument has two independent micro X-ray tubes with Mo targets. A full polycapillary X-ray lens was attached to each X-ray tube. Another half polycapillary lens was attached to a silicon drift X-ray detector (SDD). The focal spots of the three lenses were adjusted to a common position. The effects of the excitation of two X-ray beams were investigated. The instrument enabled highly sensitive three-dimensional X-ray fluorescence analysis. We confirmed that the X-ray fluorescence intensity from the sample increased by applying the two independent X-ray tubes in confocal configuration. Elemental depth profiling of black wheat was demonstrated with the result that each element in the surface coat of a wheat grain showed unique distribution

Modern X-ray difraction. X-ray diffractometry for material scientists, physicists, and chemicists

International Nuclear Information System (INIS)

Spiess, L.; Schwarzer, R.; Behnken, H.; Teichert, G.

2005-01-01

The book yields a comprehensive survey over the applications of X-ray diffraction in fields like material techniques, metallurgy, electrotechniques, machine engineering, as well as micro- and nanotechniques. The necessary fundamental knowledge on X-ray diffraction are mediated foundedly and illustratively. Thereby new techniques and evaluation procedures are presented as well as well known methods. The content: Production and properties of X radiation, diffraction of X radiation, hardware for X-ray diffraction, methods of X-ray diffraction, lattice-constant determination, phase analysis, X-ray profile analysis, crystal structure analysis, X-ray radiographic stress analysis, X-ray radiographic texture analysis, crystal orientation determination, pecularities at thin films, small angle scattering

X-Ray Exam: Pelvis

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español X-Ray Exam: Pelvis KidsHealth / For Parents / X-Ray Exam: ... Ray Exam: Hip Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

A hyperspectral X-ray computed tomography system for enhanced material identification

Science.gov (United States)

Wu, Xiaomei; Wang, Qian; Ma, Jinlei; Zhang, Wei; Li, Po; Fang, Zheng

2017-08-01

X-ray computed tomography (CT) can distinguish different materials according to their absorption characteristics. The hyperspectral X-ray CT (HXCT) system proposed in the present work reconstructs each voxel according to its X-ray absorption spectral characteristics. In contrast to a dual-energy or multi-energy CT system, HXCT employs cadmium telluride (CdTe) as the x-ray detector, which provides higher spectral resolution and separate spectral lines according to the material's photon-counter working principle. In this paper, a specimen containing ten different polymer materials randomly arranged was adopted for material identification by HXCT. The filtered back-projection algorithm was applied for image and spectral reconstruction. The first step was to sort the individual material components of the specimen according to their cross-sectional image intensity. The second step was to classify materials with similar intensities according to their reconstructed spectral characteristics. The results demonstrated the feasibility of the proposed material identification process and indicated that the proposed HXCT system has good prospects for a wide range of biomedical and industrial nondestructive testing applications.

X-ray scattering measurements from thin-foil x-ray mirrors

DEFF Research Database (Denmark)

Christensen, Finn Erland; BYRNAK, BP; Hornstrup, Allan

1992-01-01

Thin foil X-ray mirrors are to be used as the reflecting elements in the telescopes of the X-ray satellites Spectrum-X-Gamma (SRG) and ASTRO-D. High resolution X-ray scattering measurements from the Au coated and dip-lacquered Al foils are presented. These were obtained from SRG mirrors positioned...... in a test quadrant of the telescope structure and from ASTRO-D foils held in a simple fixture. The X-ray data is compared with laser data and other surface structure data such as STM, atomic force microscopy (AFM), TEM, and electron micrography. The data obtained at Cu K-alpha(1), (8.05 keV) from all...

X-ray examination apparatus

NARCIS (Netherlands)

2000-01-01

The invention relates to an X-ray apparatus which includes an adjustable X-ray filter. In order to adjust an intensity profile of the X-ray beam, an X-ray absorbing liquid is transported to filter elements of the X-ray filter. Such transport is susceptible to gravitational forces which lead to an

Development of x-ray laminography under an x-ray microscopic condition

International Nuclear Information System (INIS)

Hoshino, Masato; Uesugi, Kentaro; Takeuchi, Akihisa; Suzuki, Yoshio; Yagi, Naoto

2011-01-01

An x-ray laminography system under an x-ray microscopic condition was developed to obtain a three-dimensional structure of laterally-extended planar objects which were difficult to observe by x-ray tomography. An x-ray laminography technique was introduced to an x-ray transmission microscope with zone plate optics. Three prototype sample holders were evaluated for x-ray imaging laminography. Layered copper grid sheets were imaged as a laminated sample. Diatomite powder on a silicon nitride membrane was measured to confirm the applicability of this method to non-planar micro-specimens placed on the membrane. The three-dimensional information of diatom shells on the membrane was obtained at a spatial resolution of sub-micron. Images of biological cells on the membrane were also obtained by using a Zernike phase contrast technique.

Chest X-Ray

Medline Plus

Full Text Available ... by Image/Video Gallery Your Radiologist Explains Chest X-ray Transcript Welcome to Radiology Info dot org! Hello, ... you about chest radiography also known as chest x-rays. Chest x-rays are the most commonly performed ...

Radiographic Absorptiometry as a Screening Tool in Male Osteoporosis

DEFF Research Database (Denmark)

Hansen, S J; Nielsen, Morten M.; Ryg, J

2009-01-01

Background: Osteoporosis screening with dual-energy absorptiometry (DXA) is not recommended due to low diagnostic utility and costs. Radiographic absorptiometry (RA) determines bone mineral density (BMD) of the phalangeal bones of the hand and is a potential osteoporosis pre-screening tool. Purpose......: To determine the ability of RA to identify patients with osteoporosis in a male population. Material and Methods: As part of the Odense Androgen Study, we measured BMD of the intermediate phalanges of the second to fourth finger, lumbar spine (L2-L4), and total hip in 218 men aged 60-74 years (mean 68.8 years......), randomly invited from the population, using RA (MetriScan) and DXA (Hologic 4500-A). Osteopenia and osteoporosis were defined as a T-score of less than -1.0 and -2.5, respectively, in the hip and/or lumbar spine. Receiver operating characteristic (ROC) curves and area under the curve (AUC) were computed...

Design of a 7-MV Linear Transformer Driver (LTD) for down-hole flash x-ray radiography

International Nuclear Information System (INIS)

Cordova, Steve Ray; Welch, Dale Robert; Oliver, Bryan Velten; Rose, David Vincent; Johnson, David Lee; Bruner, Nichelle Lee; Leckbee, Joshua J.

2008-01-01

Pulsed power driven flash x-ray radiography is a valuable diagnostic for subcritical experiments at the Nevada Test Site. The existing dual-axis Cygnus system produces images using a 2.25 MV electron beam diode to produce intense x-rays from a small source. Future hydrodynamic experiments will likely use objects with higher areal mass, requiring increased x-ray dose and higher voltages while maintaining small source spot size. A linear transformer driver (LTD) is a compact pulsed power technology with applications ranging from pulsed power flash x-ray radiography to high current Z-pinch accelerators. This report describes the design of a 7-MV dual-axis system that occupies the same lab space as the Cygnus accelerators. The work builds on a design proposed in a previous report [1]. This new design provides increased diode voltage from a lower impedance accelerator to improve coupling to low impedance diodes such as the self magnetic pinch (SMP) diode. The design also improves the predicted reliability by operating at a lower charge voltage and removing components that have proven vulnerable to failure. Simulations of the new design and experimental results of the 1-MV prototype are presented

Microfocussing of synchrotron X-rays using X-ray refractive lens

Indian Academy of Sciences (India)

X-ray lenses are fabricated in polymethyl methacrylate using deep X-ray lithography beamline of Indus-2. The focussing performance of these lenses is evaluated using Indus-2 and Diamond Light Source Ltd. The process steps for the fabrication of X-ray lenses and microfocussing at 10 keV at moderate and low emittance ...

X-ray detector array

International Nuclear Information System (INIS)

Houston, J.M.

1980-01-01

The object of the invention (an ionization chamber X-ray detector array for use with high speed computerised tomographic imaging apparatus) is to reduce the time required to produce a tomographic image. The detector array described determines the distribution of X-ray intensities in one or more flat, coplanar X-ray beams. It comprises three flat anode sheets parallel to the X-ray beam, a plurality of rod-like cathodes between the anodes, a detector gas between the electrodes and a means for applying a potential between the electrodes. Each of the X-ray sources is collimated to give a narrow, planar section of X-ray photons. Sets of X-ray sources in the array are pulsed simultaneously to obtain X-ray transmission data for tomographic image reconstruction. (U.K.)

Laser plasma x-ray source for ultrafast time-resolved x-ray absorption spectroscopy

Directory of Open Access Journals (Sweden)

L. Miaja-Avila

2015-03-01

Full Text Available We describe a laser-driven x-ray plasma source designed for ultrafast x-ray absorption spectroscopy. The source is comprised of a 1 kHz, 20 W, femtosecond pulsed infrared laser and a water target. We present the x-ray spectra as a function of laser energy and pulse duration. Additionally, we investigate the plasma temperature and photon flux as we vary the laser energy. We obtain a 75 μm FWHM x-ray spot size, containing ∼106 photons/s, by focusing the produced x-rays with a polycapillary optic. Since the acquisition of x-ray absorption spectra requires the averaging of measurements from >107 laser pulses, we also present data on the source stability, including single pulse measurements of the x-ray yield and the x-ray spectral shape. In single pulse measurements, the x-ray flux has a measured standard deviation of 8%, where the laser pointing is the main cause of variability. Further, we show that the variability in x-ray spectral shape from single pulses is low, thus justifying the combining of x-rays obtained from different laser pulses into a single spectrum. Finally, we show a static x-ray absorption spectrum of a ferrioxalate solution as detected by a microcalorimeter array. Altogether, our results demonstrate that this water-jet based plasma source is a suitable candidate for laboratory-based time-resolved x-ray absorption spectroscopy experiments.

X-ray instrumentation in astronomy

International Nuclear Information System (INIS)

Cuhlane, J.L.

1985-01-01

This book presents the proceedings of a conference devoted to x-ray instrumentation in astronomy. Special sections are: AXAF X-Ray Optical Systems; Specialized X-Ray Systems; X-Ray Optical Systems I; X-Ray Optical Systems II; Gas Filled X-Ray Detectors II; The NASA Advanced X-Ray Astrophysics Facility; X-Ray and EUV Spectrometers; Microchannel Plates; and Solid State Detectors

Scintigraphic findings of bone and bone-marrow and determination of bone mineral density using photon absorptiometry in osteopetrosis

International Nuclear Information System (INIS)

Otsuka, Nobuaki; Fukunaga, Masao; Morita, Koichi

1988-01-01

On a 15-year-old girl with osteopetrosis, bone and bonemarrow scintigraphy were performed. Also, bone mineral density (BMD) with quantitative CT (QCT), single photon absorptiometry (SPA) and dual photon absorptiometry (DPA) were measured. On bone scintigraphy the diffusely increased skeletal uptake and relatively diminished renal uptake were noted. On the other hand, on bone marrow scintigraphy poor accumulation in central marrow and peripheral expansion were shown. BMD value by QCT and DPA (mainly trabecular bone) was markedly high, while BMD by SPA (mainly cortical bone) was within normal range. Thus, it was shown that bone and bone-marrow scintigraphy combined with BMD measurement by photon absorptiometry were useful and essential in evaluating the pathophysiology of osteosclerosis. (author)

Panoramic Dental X-Ray

Science.gov (United States)

... Physician Resources Professions Site Index A-Z Panoramic Dental X-ray Panoramic dental x-ray uses a very small dose of ... x-ray , is a two-dimensional (2-D) dental x-ray examination that captures the entire mouth ...

Osteoporosis and vertebral fractures in men aged 60-74 years

DEFF Research Database (Denmark)

Nielsen, Morten Frost Munk; Wraae, Kristian; Abrahamsen, Bo

2012-01-01

limited information on the prevalence of osteoporosis and VFxs in men in high-risk populations is available. The choice of reference values for dual X-ray absorptiometry (DXA) is debated. We evaluated the prevalence of osteoporosis and vertebral deformities in a population-based sample of men....

Epigenome-wide association of DNA methylation in whole blood with bone mineral density

DEFF Research Database (Denmark)

Morris, John A; Tsai, Pei-Chien; Joehanes, Roby

2017-01-01

G) sites with dual-energy X-ray absorptiometry derived femoral neck and lumbar spine BMD. We performed sex-combined and stratified analyses, controlling for age, weight, smoking status, estimated white blood cell proportions, and random effects for relatedness and batch effects. A 5% false-discovery rate...

Bone metabolism in patients with systemic lupus erythematosus. Effect of disease activity and glucocorticoid treatment

DEFF Research Database (Denmark)

Hansen, M; Halberg, P; Kollerup, G

1998-01-01

The bone metabolism in patients with systemic lupus erythematosus (SLE) has previously been examined, but the results are conflicting. In the present study the bone mineral density (BMD) of the axial and the appendicular skeleton was examined by means of dual energy x-ray absorptiometry. The bone...

Chest X-Ray

Medline Plus

Full Text Available ... I’d like to talk with you about chest radiography also known as chest x-rays. Chest x-rays are the most ... far outweighs any risk. For more information about chest x-rays, visit Radiology Info dot org. Thank you for your time! ...

The WA105-3x1x1 m3 dual phase LAr-TPC demonstrator

CERN Document Server

Murphy, Sebastien

2016-11-15

The dual phase Liquid Argon Time Projection Chamber (LAr TPC) is the state-of-art technology for neutrino detection thanks to its superb 3D tracking and calorimetry performance. Its main feature is the charge amplification in gas argon which provides excellent signal-to-noise ratio. Electrons produced in the liquid argon are extracted in the gas phase. Here, a readout plane based on Large Electron Multiplier detectors provides amplification of the charges before its collection onto an anode with strip readout. The charge amplification enables constructing fully homoge- nous giant LAr-TPCs with tuneable gain, excellent charge imaging performance and increased sensitivity to low energy events. Following a staged approach the WA105 collaboration is con- structing a dual phase LAr-TPC with an active volume of 3x1x1m3 that will soon be tested with cosmic rays. Its construction and operation aims to test scalable solutions for the crucial aspects of this technology: ultra high argon purity in non-evacuable tank, la...

Miniature x-ray point source for alignment and calibration of x-ray optics

International Nuclear Information System (INIS)

Price, R.H.; Boyle, M.J.; Glaros, S.S.

1977-01-01

A miniature x-ray point source of high brightness similar to that of Rovinsky, et al. is described. One version of the x-ray source is used to align the x-ray optics on the Argus and Shiva laser systems. A second version is used to determine the spatial and spectral transmission functions of the x-ray optics. The spatial and spectral characteristics of the x-ray emission from the x-ray point source are described. The physical constraints including size, intensity and thermal limitations, and useful lifetime are discussed. The alignment and calibration techniques for various x-ray optics and detector combinations are described

Dual photon absorptiometry in patients with Paget disease (bone mineral contents of lumbar spine and femoral neck)

International Nuclear Information System (INIS)

Talbot, J.N.; Piketty, C.; Kiffel, T.; Coutris, G.; Milhaud, G.

1988-01-01

The bone mineral contents (BMC) of the lumbar spine (84 cases) and of one femoral neck (53 cases) were measured by dual photon absorptiometry (DPA) in patients suffering from Paget's disease of bone. The BMC of the patients and of 53 controls were compared, taking into account the occurrence of a scintigraphic hyperfixation, in each patient. A hyperfixation of the technetium labelled diphosphonate in the lumbar spine, more frequent in males, was associated with an elevated mean BMC value. The difference versus controls was significant in men but not in women. A hyperfixation of the femoral neck was associated with an elevated mean BMC value in both sexes. BMC values greater than the mean BMC of controls + 2 SD were observed in 83 per cent of these male patients and 50 per cent of the females. In contrast, BMC values lower than in controls were observed in non-pagetic areas. DPA allows the quantification of these abnormalities which cannot be evidenced by bone scintigraphy even if alkaline phosphatases levels are assayed [fr

Subluminous X-ray binaries

NARCIS (Netherlands)

Armas Padilla, M.

2013-01-01

The discovery of the first X-ray binary, Scorpius X-1, by Giacconi et al. (1962), marked the birth of X-ray astronomy. Following that discovery, many additional X-ray sources where found with the first generation of X-ray rockets and observatories (e.g., UHURU and Einstein). The short-timescale

X-Ray Exam: Forearm

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español X-Ray Exam: Forearm KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

X-Ray Exam: Foot

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español X-Ray Exam: Foot KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

X-Ray Exam: Wrist

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español X-Ray Exam: Wrist KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

Thoracic spine x-ray

Science.gov (United States)

Vertebral radiography; X-ray - spine; Thoracic x-ray; Spine x-ray; Thoracic spine films; Back films ... There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most ...

X-Ray Exam: Finger

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español X-Ray Exam: Finger KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

Imaging phase holdup distribution of three phase flow systems using dual source gamma ray tomography

International Nuclear Information System (INIS)

Varma, Rajneesh; Al-Dahhan, Muthanna; O'Sullivan, Joseph

2008-01-01

Full text: Multiphase reaction and process systems are used in abundance in the chemical and biochemical industry. Tomography has been successfully employed to visualize the hydrodynamics of multiphase systems. Most of the tomography methods (gamma ray, x-ray and electrical capacitance and resistance) have been successfully implemented for two phase dynamic systems. However, a significant number of chemical and biochemical systems consists of dynamic three phases. Research effort directed towards the development of tomography techniques to image such dynamic system has met with partial successes for specific systems with applicability to limited operating conditions. A dual source tomography scanner has been developed that uses the 661 keV and 1332 keV photo peaks from the 137 Cs and 60 Co for imaging three phase systems. A new approach has been developed and applied that uses the polyenergetic Alternating Minimization (A-M) algorithm, developed by O'Sullivan and Benac (2007), for imaging the holdup distribution in three phases' dynamic systems. The new approach avoids the traditional post image processing approach used to determine the holdup distribution where the attenuation images of the mixed flow obtained from gamma ray photons of two different energies are used to determine the holdup of three phases. In this approach the holdup images are directly reconstructed from the gamma ray transmission data. The dual source gamma ray tomography scanner and the algorithm were validated using a three phase phantom. Based in the validation, three phase holdup studies we carried out in slurry bubble column containing gas liquid and solid phases in a dynamic state using the dual energy gamma ray tomography. The key results of the holdup distribution studies in the slurry bubble column along with the validation of the dual source gamma ray tomography system would be presented and discussed

Soft x-ray lasers

International Nuclear Information System (INIS)

Matthews, D.L.; Rosen, M.D.

1988-01-01

One of the elusive dreams of laser physicists has been the development of an x-ray laser. After 25 years of waiting, the x-ray laser has at last entered the scientific scene, although those now in operation are still laboratory prototypes. They produce soft x rays down to about five nanometers. X-ray lasers retain the usual characteristics of their optical counterparts: a very tight beam, spatial and temporal coherence, and extreme brightness. Present x-ray lasers are nearly 100 times brighter that the next most powerful x-ray source in the world: the electron synchrotron. Although Lawrence Livermore National Laboratory (LLNL) is widely known for its hard-x-ray laser program which has potential applications in the Strategic Defense Initiative, the soft x-ray lasers have no direct military applications. These lasers, and the scientific tools that result from their development, may one day have a place in the design and diagnosis of both laser fusion and hard x-ray lasers. The soft x-ray lasers now in operation at the LLNL have shown great promise but are still in the primitive state. Once x-ray lasers become reliable, efficient, and economical, they will have several important applications. Chief among them might be the creation of holograms of microscopic biological structures too small to be investigated with visible light. 5 figs

Dual-energy X-ray micro-CT imaging of hybrid Ni/Al open-cell foam

Czech Academy of Sciences Publication Activity Database

Fíla, T.; Kumpová, Ivana; Koudelka_ml., P.; Zlámal, P.; Vavřík, Daniel; Jiroušek, O.; Jung, A.

2016-01-01

Roč. 11, č. 1 (2016), C01005 ISSN 1748-0221. [International Workshop on Radiation Imaging Detectors (IWORID2015) /17./. Hamburg, 28.06.2015-02.07.2015] Institutional support: RVO:68378297 Keywords : computerized tomography (CT) * computed radiography (CR) * X-ray radiography and digital radiography (DR) * inspection with x-rays Subject RIV: JJ - Other Materials Impact factor: 1.220, year: 2016 http://iopscience.iop.org/article/10.1088/1748-0221/11/01/C01005/pdf

Frequency filter of seed x-ray by use of x-ray laser medium. Toward the generation of the temporally coherent x-ray laser

International Nuclear Information System (INIS)

Hasegawa, Noboru; Kawachi, Tetsuya; Kishimoto, Maki; Sukegawa, Kouta; Tanaka, Momoko; Ochi, Yoshihiro; Nishikino, Masaharu; Nagashima, Keisuke; Kato, Yoshiaki; Renzhong, Tai

2009-01-01

We evaluate the characteristics of a higher-order harmonics light as a seed X-ray amplified through a laser-produced X-ray amplifier. The narrow spectral bandwidth of the X-ray amplifier works as the frequency filter of the seed X-ray, resulting in that only the temporally coherent X-ray is amplified. Experimental investigation using the 29th-order harmonic light of the Ti:sapphire laser at a wavelength of 26.9 nm together with a neon-like manganese X-ray laser medium shows evident spectral narrowing of the seed X-ray and amplification without serious diffraction effects on the propagation of the amplified X-ray beam. This implies that the present combination is potential to realize temporally coherent X-ray lasers, with an expected duration of approximately 400 fs. (author)

Joint European x-ray monitor (JEM-X): x-ray monitor for ESA's

DEFF Research Database (Denmark)

Schnopper, H.W.; Budtz-Joergensen, C.; Westergaard, Niels Jørgen Stenfeldt

1996-01-01

JEM-X will extend the energy range of the gamma ray instruments on ESA's INTEGRAL mission (SPI, IBIS) to include the x-ray band. JEM-X will provide images with arcminute angular resolution in the 2 - 60 keV band. The baseline photon detection system consists of two identical, high pressure, imagi...

Wide field x-ray telescopes: Detecting x-ray transients/afterglows related to GRBs

International Nuclear Information System (INIS)

Hudec, Rene; Pina, Ladislav; Inneman, Adolf; Gorenstein, Paul

1998-01-01

The recent discovery of X-ray afterglows of GRBs opens the possibility of analyses of GRBs by their X-ray detections. However, imaging X-ray telescopes in current use mostly have limited fields of view. Alternative X-ray optics geometries achieving very large fields of view have been theoretically suggested in the 70's but not constructed and used so far. We review the geometries and basic properties of the wide-field X-ray optical systems based on one- and two-dimensional lobster-eye geometry and suggest technologies for their development and construction. First results of the development of double replicated X-ray reflecting flats for use in one-dimensional X-ray optics of lobster-eye type are presented and discussed. The optimum strategy for locating GRBs upon their X-ray counterparts is also presented and discussed

X rays and condensed matter

International Nuclear Information System (INIS)

Daillant, J.

1997-01-01

After a historical review of the discovery and study of X rays, the various interaction processes between X rays and matter are described: Thomson scattering, Compton scattering, X-photon absorption through photoelectric effect, and magnetic scattering. X ray sources such as the European Synchrotron Radiation Facility (ESRF) are described. The various X-ray applications are presented: imagery such as X tomography, X microscopy, phase contrast; X-ray photoelectron spectroscopy and X-ray absorption spectroscopy; X-ray scattering and diffraction techniques

Extending the methodology of X-ray crystallography to allow X-ray microscopy without X-ray optics

International Nuclear Information System (INIS)

Miao Jianwei; Kirz, Janos; Sayre, David; Charalambous, Pambos

2000-01-01

We demonstrate that the soft X-ray diffraction pattern from a micron-size noncrystalline specimen can be recorded and inverted to form a high-resolution image. The phase problem is overcome by oversampling the diffraction pattern. The image is obtained using an iterative algorithm. The technique provides a method for X-ray microscopy requiring no high-resolution X-ray optical elements or detectors. In the present work, a resolution of approximately 60 nm was obtained, but we believe that considerably higher resolution can be achieved

Dental X-ray apparatus

International Nuclear Information System (INIS)

Weiss, M.E.

1980-01-01

Intra-oral dental X-ray apparatus for panoramic radiography is described in detail. It comprises a tubular target carrier supporting at its distal end a target with an inclined forward face. Image definition is improved by positioning in the path of the X-rays a window of X-ray transmitting ceramic material, e.g. 90% oxide of Be, or Al, 7% Si0 2 . The target carrier forms a probe which can be positioned in the patient's mouth. X-rays are directed forwardly and laterally of the target to an X-ray film positioned externally. The probe is provided with a detachable sleeve having V-form arms of X-ray opaque material which serve to depress the tongue out of the radiation path and also shield the roof of the mouth and other regions of the head from the X-ray pattern. A cylindrical lead shield defines the X-ray beam angle. (author)

X-ray diagnostics for TFTR

International Nuclear Information System (INIS)

von Goeler, S.; Hill, K.W.; Bitter, M.

1982-12-01

A short description of the x-ray diagnostic preparation for the TFTR tokamak is given. The x-ray equipment consists of the limiter x-ray monitoring system, the soft x-ray pulse-height-analysis-system, the soft x-ray imaging system and the x-ray crystal spectrometer. Particular attention is given to the radiation protection of the x-ray systems from the neutron environment

Automated three-dimensional X-ray analysis using a dual-beam FIB

International Nuclear Information System (INIS)

Schaffer, Miroslava; Wagner, Julian; Schaffer, Bernhard; Schmied, Mario; Mulders, Hans

2007-01-01

We present a fully automated method for three-dimensional (3D) elemental analysis demonstrated using a ceramic sample of chemistry (Ca)MgTiO x . The specimen is serially sectioned by a focused ion beam (FIB) microscope, and energy-dispersive X-ray spectrometry (EDXS) is used for elemental analysis of each cross-section created. A 3D elemental model is reconstructed from the stack of two-dimensional (2D) data. This work concentrates on issues arising from process automation, the large sample volume of approximately 17x17x10 μm 3 , and the insulating nature of the specimen. A new routine for post-acquisition data correction of different drift effects is demonstrated. Furthermore, it is shown that EDXS data may be erroneous for specimens containing voids, and that back-scattered electron images have to be used to correct for these errors

X-ray beam generator

International Nuclear Information System (INIS)

Koller, T.J.; Randmer, J.A.

1977-01-01

A method of minimizing the preferential angular absorption of the divergent beam from an X-ray generator is described. The generator consists of an X-ray shielded housing with an X-ray transmissive window symmetrically placed in radial alignment with a focal spot area on a sloped target surface of an X-ray tube in the housing. The X-ray tube may be of the stationary anode type or of the rotating anode type. (U.K.)

Adiposity in relation to vitamin D status and parathyroid hormone levels : a population-based study in older men and women

NARCIS (Netherlands)

Snijder, Marieke B; van Dam, Rob M; Visser, Marjolein; Deeg, Dorly J H; Dekker, Jacqueline M; Bouter, Lex M; Seidell, Jaap C; Lips, Paul

OBJECTIVE: In small case-control studies, obesity was associated with worse vitamin D status. Our aim was to assess the association of adiposity (anthropometric measures as well as dual energy x-ray absorptiometry) with serum 25-hydroxyvitamin D (25-OH-D) and serum PTH levels in a large

Total and regional body-composition changes in early postmenopausal women

DEFF Research Database (Denmark)

Wang, Q; Hassager, C; Ravn, Pernille

1994-01-01

Total and regional body composition were measured in 373 early postmenopausal women aged 49-60 y by dual-energy x-ray absorptiometry to evaluate whether the changes in body composition in the early postmenopausal years are related to menopause itself or merely to age. Both fat mass and fat...

Body fat measurement among Singaporean Chinese, Malays and Indians: a comparative study using a four-compartment model and different two-compartment models

NARCIS (Netherlands)

Deurenberg-Yap, M.; Schmidt, G.; Staveren, van W.A.; Hautvast, J.G.A.J.; Deurenberg, P.

2001-01-01

This cross-sectional study compared body fat percentage (BF€obtained from a four-compartment (4C) model with BF␏rom hydrometry (using 2H2O), dual-energy X-ray absorptiometry (DXA) and densitometry among the three main ethnic groups (Chinese, Malays and Indians) in Singapore, and determined the

TIBIAL PLATEAU PROXIMAL AND DISTAL BONE BEHAVE SIMILARLY: BOTH ARE ASSOCIATED WITH FEATURES OF KNEE OSTEOARTHRITIS

Science.gov (United States)

There is a growing imperative to understand how changes in peri-articular bone relate to pathological progression of knee osteoarthritis (KOA). Peri-articular bone density can be measured using dual x-ray absorptiometry (DXA). The medial:lateral tibial BMD ratio (M:L BMD) is associated with MRI and...

Graphical user interface for a dual-module EMCCD x-ray detector array

Science.gov (United States)

Wang, Weiyuan; Ionita, Ciprian; Kuhls-Gilcrist, Andrew; Huang, Ying; Qu, Bin; Gupta, Sandesh K.; Bednarek, Daniel R.; Rudin, Stephen

2011-03-01

A new Graphical User Interface (GUI) was developed using Laboratory Virtual Instrumentation Engineering Workbench (LabVIEW) for a high-resolution, high-sensitivity Solid State X-ray Image Intensifier (SSXII), which is a new x-ray detector for radiographic and fluoroscopic imaging, consisting of an array of Electron-Multiplying CCDs (EMCCDs) each having a variable on-chip electron-multiplication gain of up to 2000x to reduce the effect of readout noise. To enlarge the field-of-view (FOV), each EMCCD sensor is coupled to an x-ray phosphor through a fiberoptic taper. Two EMCCD camera modules are used in our prototype to form a computer-controlled array; however, larger arrays are under development. The new GUI provides patient registration, EMCCD module control, image acquisition, and patient image review. Images from the array are stitched into a 2kx1k pixel image that can be acquired and saved at a rate of 17 Hz (faster with pixel binning). When reviewing the patient's data, the operator can select images from the patient's directory tree listed by the GUI and cycle through the images using a slider bar. Commonly used camera parameters including exposure time, trigger mode, and individual EMCCD gain can be easily adjusted using the GUI. The GUI is designed to accommodate expansion of the EMCCD array to even larger FOVs with more modules. The high-resolution, high-sensitivity EMCCD modular-array SSXII imager with the new user-friendly GUI should enable angiographers and interventionalists to visualize smaller vessels and endovascular devices, helping them to make more accurate diagnoses and to perform more precise image-guided interventions.

Processing of spectral X-ray data with principal components analysis

CERN Document Server

Butler, A P H; Cook, N J; Butzer, J; Schleich, N; Tlustos, L; Scott, N; Grasset, R; de Ruiter, N; Anderson, N G

2011-01-01

The goal of the work was to develop a general method for processing spectral x-ray image data. Principle component analysis (PCA) is a well understood technique for multivariate data analysis and so was investigated. To assess this method, spectral (multi-energy) computed tomography (CT) data was obtained using a Medipix2 detector in a MARS-CT (Medipix All Resolution System). PCA was able to separate bone (calcium) from two elements with k-edges in the X-ray spectrum used (iodine and barium) within a mouse. This has potential clinical application in dual-energy CT systems and future Medipix3 based spectral imaging where up to eight energies can be recorded simultaneously with excellent energy resolution. (c) 2010 Elsevier B.V. All rights reserved.

Bone X-Ray (Radiography)

Medline Plus

Full Text Available ... ray examination. X-rays usually have no side effects in the typical diagnostic range for this exam. ... x-rays. A Word About Minimizing Radiation Exposure Special care is taken during x-ray examinations to ...

Semiconductor X-ray detectors

CERN Document Server

Lowe, Barrie Glyn

2014-01-01

Identifying and measuring the elemental x-rays released when materials are examined with particles (electrons, protons, alpha particles, etc.) or photons (x-rays and gamma rays) is still considered to be the primary analytical technique for routine and non-destructive materials analysis. The Lithium Drifted Silicon (Si(Li)) X-Ray Detector, with its good resolution and peak to background, pioneered this type of analysis on electron microscopes, x-ray fluorescence instruments, and radioactive source- and accelerator-based excitation systems. Although rapid progress in Silicon Drift Detectors (SDDs), Charge Coupled Devices (CCDs), and Compound Semiconductor Detectors, including renewed interest in alternative materials such as CdZnTe and diamond, has made the Si(Li) X-Ray Detector nearly obsolete, the device serves as a useful benchmark and still is used in special instances where its large, sensitive depth is essential. Semiconductor X-Ray Detectors focuses on the history and development of Si(Li) X-Ray Detect...

X-ray apparatus

International Nuclear Information System (INIS)

Grady, J.K.

1985-01-01

X-ray apparatus is described which has a shutter between the X-ray source and the patient. The shutter controls the level of radiation to which the patient is exposed instead of merely discontinuing the electric power supplied to the source. When the shutter is opened a radiation sensor senses the level of X-radiation. When a preset quantity of X-radiation has been measured an exposure control closes the shutter. Instead of using the radiation sensor, the integrated power supplied to the anode of the X-ray source may be measured. (author)

Method for spatially modulating X-ray pulses using MEMS-based X-ray optics

Science.gov (United States)

Lopez, Daniel; Shenoy, Gopal; Wang, Jin; Walko, Donald A.; Jung, Il-Woong; Mukhopadhyay, Deepkishore

2015-03-10

A method and apparatus are provided for spatially modulating X-rays or X-ray pulses using microelectromechanical systems (MEMS) based X-ray optics. A torsionally-oscillating MEMS micromirror and a method of leveraging the grazing-angle reflection property are provided to modulate X-ray pulses with a high-degree of controllability.

Monochromatic computed tomography of the human brain using synchrotron x rays: Technical feasibility

International Nuclear Information System (INIS)

Nachaliel, E.; Dilmanian, F.A.; Garrett, R.F.; Thomlinson, W.C.; Chapman, L.D.; Gmuer, N.F.; Lazarz, N.M.; Moulin, H.R.; Rivers, M.L.; Rarback, H.; Stefan, P.M.; Spanne, P.; Luke, P.N.; Pehl, R.; Thompson, A.C.; Miller, M.

1991-01-01

A monochromatic computed tomography (CT) scanner is being developed at the X17 superconducting wiggler beamline at the National Synchrotron Light Source (NSLS), Brookhaven National Laboratory, to image the human head and neck. The system configuration is one of a horizontal fan beam and an upright seated rotating subject. The purpose of the project are to demonstrate improvement in the image contrast and in the image quantitative accuracy that can be obtained in monochromatic CT and to apply the system to specific clinical research programs in neuroradiology. This paper describes the first phantom studies carried out with a prototype system, using the dual photon absorptiometry (DPA) method at energies of 20 and 39 Kev. The results show that improvements in image contrast and quantitative accuracy are possible with monochromatic DPA CT. Estimates of the clinical performance of the planned CT system are made on the basis of these initial results

Multi-energy x-ray detectors to improve air-cargo security

Science.gov (United States)

Paulus, Caroline; Moulin, Vincent; Perion, Didier; Radisson, Patrick; Verger, Loïck

2017-05-01

X-ray based systems have been used for decades to screen luggage or cargo to detect illicit material. The advent of energy-sensitive photon-counting x-ray detectors mainly based on Cd(Zn)Te semi-conductor technology enables to improve discrimination between materials compared to single or dual energy technology. The presented work is part of the EUROSKY European project to develop a Single European Secure Air-Cargo Space. "Cargo" context implies the presence of relatively heavy objects and with potentially high atomic number. All the study is conducted on simulations with three different detectors: a typical dual energy sandwich detector, a realistic model of the commercial ME100 multi-energy detector marketed by MULTIX, and a ME100 "Cargo": a not yet existing modified multi-energy version of the ME100 more suited to air freight cargo inspection. Firstly, a comparison on simulated measurements shows the performances improvement of the new multi-energy detectors compared to the current dual-energy one. The relative performances are evaluated according to different criteria of separability or contrast-to-noise ratio and the impact of different parameters is studied (influence of channel number, type of materials and tube voltage). Secondly, performances of multi-energy detectors for overlaps processing in a dual-view system is accessed: the case of orthogonal projections has been studied, one giving dimensional values, the other one providing spectral data to assess effective atomic number. A method of overlap correction has been proposed and extended to multi-layer objects case. Therefore, Calibration and processing based on bi-material decomposition have been adapted for this purpose.

Optical and X-ray studies of Compact X-ray Binaries in NGC 5904

Science.gov (United States)

Bhalotia, Vanshree; Beck-Winchatz, Bernhard

2018-06-01

Due to their high stellar densities, globular cluster systems trigger various dynamical interactions, such as the formation of compact X-ray binaries. Stellar collisional frequencies have been correlated to the number of X-ray sources detected in various clusters and we hope to measure this correlation for NGC 5904. Optical fluxes of sources from archival HST images of NGC 5904 have been measured using a DOLPHOT PSF photometry in the UV, optical and near-infrared. We developed a data analysis pipeline to process the fluxes of tens of thousands of objects using awk, python and DOLPHOT. We plot color magnitude diagrams in different photometric bands in order to identify outliers that could be X-ray binaries, since they do not evolve the same way as singular stars. Aligning previously measured astrometric data for X-ray sources in NGC 5904 from Chandra with archival astrometric data from HST will filter out the outlier objects that are not X-ray producing, and provide a sample of compact binary systems that are responsible for X-ray emission in NGC 5904. Furthermore, previously measured X-ray fluxes of NGC 5904 from Chandra have also been used to measure the X-ray to optical flux ratio and identify the types of compact X-ray binaries responsible for the X-ray emissions in NGC 5904. We gratefully acknowledge the support from the Illinois Space Grant Consortium.

Improvement in the clinical practicability of roentgen stereophotogrammetric analysis (RSA): free from the use of the dual X-ray equipment.

Science.gov (United States)

Shih, Kao-Shang; Lee, Chian-Her; Syu, Ci-Bin; Lai, Jiing-Yih; Chen, Kuo-Jen; Lin, Shang-Chih

2012-10-01

After total knee replacement, the monitoring of the prosthetic performance is often done by roentgenographic examination. However, the two-dimensional (2D) roentgen images only provide information about the projection onto the anteroposterior (AP) and mediolateral (ML) planes. Historically, the model-based roentgen stereophotogrammetric analysis (RSA) technique has been developed to predict the spatial relationship between prostheses by iteratively comparing the projective data for the prosthetic models and the roentgen images. During examination, the prosthetic poses should be stationary. This should be ensured, either by the use of dual synchronized X-ray equipment or by the use of a specific posture. In practice, these methods are uncommon or technically inconvenient during follow-up examination. This study aims to develop a rotation platform to improve the clinical applicability of the model-based RSA technique. The rotation platform allows the patient to assume a weight-bearing posture, while being steadily rotated so that both AP and ML knee images can be obtained. This study uses X-ray equipment with a single source and flat panel detectors (FPDs). Four tests are conducted to evaluate the quality of the FPD images, steadiness of the rotation platform, and accuracy of the RSA results. The results show that the distortion-induced error of the FPD image is quite minor, and the prosthetic size can be cautiously calibrated by means of the scale ball(s). The rotation platform should be placed closer to the FPD and orthogonal to the projection axis of the X-ray source. Image overlap of the prostheses can be avoided by adjusting both X-ray source and knee posture. The device-induced problems associated with the rotation platform include the steadiness of the platform operation and the balance of the rotated subject. Sawbone tests demonstrate that the outline error, due to the platform, is of the order of the image resolution (= 0.145 mm). In conclusion, the rotation

CCD-based X-ray detectors for X-ray diffraction studies

International Nuclear Information System (INIS)

Ito, K.; Amemiya, Y.

1999-01-01

CCD-based X-ray detectors are getting to be used for X-ray diffraction studies especially in the studies where real time (automated) measurements and time-resolved measurements are required. Principles and designs of two typical types of CCD-based detectors are described; one is ths system in which x-ray image intensifiers are coupled to maximize the detective quantum efficiency for time-resolved measurements, and the other is the system in which tapered optical fibers are coupled for the reduction of the image into the CCD, which is optimized for automated measurements for protein crystallography. These CCD-based X-ray detectors have an image distortion and non-uniformity of response to be corrected by software. Correction schemes which we have developed are also described. (author)

Simulation of transmitted X-rays in a polycapillary X-ray lens

Energy Technology Data Exchange (ETDEWEB)

Peng, Shiqi [The Key Laboratory of Beam Technology and Material Modification of the Ministry of Education, Beijing Normal University, Beijing 100875 (China); College of Nuclear Science and Technology, Beijing Normal University, Beijing 100875 (China); Beijing Radiation Center, Beijing 100875 (China); Liu, Zhiguo, E-mail: liuzhiguo512@126.com [The Key Laboratory of Beam Technology and Material Modification of the Ministry of Education, Beijing Normal University, Beijing 100875 (China); College of Nuclear Science and Technology, Beijing Normal University, Beijing 100875 (China); Beijing Radiation Center, Beijing 100875 (China); Sun, Tianxi; Wang, Kai; Yi, Longtao; Yang, Kui; Chen, Man; Wang, Jinbang [The Key Laboratory of Beam Technology and Material Modification of the Ministry of Education, Beijing Normal University, Beijing 100875 (China); College of Nuclear Science and Technology, Beijing Normal University, Beijing 100875 (China); Beijing Radiation Center, Beijing 100875 (China)

2015-09-21

The geometrical description of capillary systems adjusted for the controlled guiding of X-rays and the basic theory of the transmission of X-rays are presented. A method of numerical calculation, based on Ray-Tracing theory, is developed to simulate the transmission efficiency of an X-ray parallel lens and the shape and size of the light spot gain from it. The simulation results for two half-lenses are in good agreement with the experimental results.

Microfocussing of synchrotron X-rays using X-ray refractive lens developed at Indus-2 deep X-ray lithography beamline

International Nuclear Information System (INIS)