title: Data acquisition analysis for femoral morphometric X-ray absorptiometry.
abstract: Bone mineral density (BMD) is a contributing factor of hip fracture risk. Other factors, such as lifestyle, the propensity for falls, and femoral geometry may influence the risk of hip fracture. The DMS Lexxos densitometer, a dual-energy X-ray densitometer can produce either a single-energy X-ray or a BMD image. The purpose of this study was to evaluate which of these 2 images enables the best detection to make femoral morphometry measurements. Spatial resolution, contrast, and noise were evaluated separately. A contrast-detail phantom was also used for the purpose of overall visual analysis. The spatial resolution was the same in the 2 images. The contrast was better with the BMD image, but the noise was higher. Using the contrast-detail phantom, the single-energy X-ray image allowed globally a better detection of the objects, but results were in the same range with high contrast values. Hip volunteers' morphometric measurements and the Singh Index were evaluated 3 times for each image by 3 observers, and the intra-, inter-, and global reproducibility was computed. The reproducibility of the measurements seems to be better with the single-energy X-ray image but results were not statistically significantly different. These results suggest that even if the image-quality indices were different, the single-energy X-ray image and BMD image are closely useful for clinical morphometric femoral evaluation.
authors.affiliation: Service de Médecine Nucléaire et de Biophysique, CHU Nîmes, Hôpital Carémeau, Avenue du Professeur Debré, 30900 Nîmes, France. vincent.boudousq@chu-nimes.fr
authors.forename: Vincent
authors.initials: V
authors.lastname: Boudousq
authors.forename: Enrique
authors.initials: E
authors.lastname: Nalda
authors.forename: Enric
authors.initials: E
authors.lastname: Jaegler
authors.forename: Eric
authors.initials: E
authors.lastname: Thomas
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Dinten
authors.forename: Laurent
authors.initials: L
authors.lastname: Collombier
authors.forename: Nicolas
authors.initials: N
authors.lastname: Boisson
authors.forename: Christophe
authors.initials: C
authors.lastname: Demattei
authors.forename: Pierre-Olivier
authors.initials: PO
authors.lastname: Kotzki
mesh_terms: D015502:Absorptiometry, Photon / Q000295:instrumentation / Q000379:methods*; D015519:Bone Density; D005269:Femur / Q000000981:diagnostic imaging*; D006621:Hip Joint / Q000000981:diagnostic imaging*; D006801:Humans; D016014:Linear Models; D019047:Phantoms, Imaging; D011857:Radiographic Image Interpretation, Computer-Assisted