Peripheral dual-energy X-ray absorptiometry in the management of osteoporosis: The 2007 ISCD Official Positions

Didier B. Hans, John A. Shepherd, Elliott N. Schwartz, David M. Reid, Glen M. Blake, John N. Fordham, Thomas Fuerst, Peyman Hadji, Akira Itabashi, Marc-Antoine Krieg, E. Michael Lewiecki

Research output: Contribution to journalArticle

66 Citations (Scopus)


Peripheral assessment of bone density using photon absorptiometry techniques has been available for over 40 yr. The initial use of radio-isotopes as the photon source has been replaced by the use of X-ray technology. A wide variety of models of single- or dual-energy X-ray measurement tools have been made available for purchase, although not all are still commercially available. The Official Positions of the International Society for Clinical Densitometry (ISCD) have been developed following a systematic review of the literature by an ISCD task force and a subsequent Position Development Conference. These cover the technological diversity among peripheral dual-energy X-ray absorptiometry (pDXA) devices; define whether pDXA can be used for fracture risk assessment and/or to diagnose osteoporosis; examine whether pDXA can be used to initiate treatment and/or monitor treatment; provide recommendations for pDXA reporting; and review quality assurance and quality control necessary for effective use of pDXA.

Original languageEnglish
Pages (from-to)188-206
Number of pages19
JournalJournal of Clinical Densitometry
Issue number1
Publication statusPublished - Jan 2008


  • diagnosis
  • finger BMD
  • forearm BMD
  • fractures
  • heel BMD
  • osteoporosis
  • pDXA
  • bone-mineral density
  • device-specific thressholds
  • postmenopausal women
  • fracture risk
  • quantitative ultrasound
  • fragility fractures
  • parathyroid-hormone
  • predict fractures
  • distal forearm
  • elderly-women


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