Bone density measurement

Johansson C, Johnell O, Jonson R, Lhunghall S, Marke LA, Marshall D, Ringertz H, Saaf M, Wedel H
Record ID 31996008270
Authors' objectives:

The main objectives are: (1) to examine the available methods for measuring bone density with regard to their ability to measure bone density and to predict future fractures; (2) to assess the situation in Sweden with respect to the patterns of adoption and use of bone density measurement equipment; and, (3) make recommendations about the appropriate applications and use of this technology. More specifically the objectives are: to assess the ability of each technology to measure bone density. The methods considered in this report are single photon absorptiometry (SPA), dual photon absorptiometry (DPA), single x-ray absorptiometry (SXA), dual energy x-ray absorptiometry (DEXA), ultrasound (US), quantitative computed tomography (QCT) and quantitative magnetic resonance (QMR). To assess the ability of bone density measurement to predict future fractures. Selected case control studies and prospective cohort studies are examined for this purpose. To determine the number and types of equipment in Sweden for measuring bone density and the diffusion profile of this technology. To perform a cost analysis and cost effectiveness analysis of bone density measurement to prevent osteoporotic fractures. To make recommendations about the appropriate clinical applications of these technologies related to osteoporosis.

Authors' recomendations: The project is not yet complete, but will make some conclusions about: (1) the best method for measuring bone density based on accuracy, precision, exam time, safety and costs; (2) the ability of bone density measurement to predict fractures; (3) appropriate applications of BDM; (4) the potential impact of a screening programme (selective) for osteoporosis in terms of the number of fractures prevented; and, (5) the current and future trends in the use of bone density measurement in Sweden.
Authors' methods: Systematic review
Project Status: Completed
URL for project:
Year Published: 1995
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Sweden
MeSH Terms
  • Absorptiometry, Photon
  • Bone Density
  • Hip Fractures
  • Magnetic Resonance Imaging
  • Mass Screening
  • Osteoporosis
  • Tomography, X-Ray Computed
  • Ultrasonography
Organisation Name: Swedish Agency for Health Technology Assessment and Assessment of Social Services
Contact Address: P.O. Box 3657, SE-103 59 Stockholm, Sweden. Tel: +46 8 4123200, Fax: +46 8 4113260
Contact Name:
Contact Email:
Copyright: The Swedish Council on Technology Assessment in Health Care
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.