Table 2.
DXA | pDXA | QUS | QCT | pQCT | |
---|---|---|---|---|---|
Diagnosis (WHO classification) | Yes | Limiteda | No | No | No |
Prediction of fracture risk | Yes | Yes | Yes | Yes | Yes |
Monitoring changes over time | Yes | No | No | Yes | No |
Ionizing radiation | ++ | + | 0 | +++ | ++ |
Cost | ++ | + | + | +++ | ++ |
Clinical applications of different technologies are listed with approximate comparison of associated radiation and cost, where 0 = none, + = low, ++ = moderate, +++ = highest. apDXA of the distal one-third radius (33% radius) may be used with the WHO classification. Abbreviations: DXA, dual-energy X-ray absorptiometry; pDXA, peripheral dual-energy X-ray absorptiometry; pQCT, peripheral quantitative CT; QCT, quantitative CT; QUS, quantitative ultrasound.