Discussion of why precision and cross-calibration are integral to running a quality densitometry practice and how to follow ISCD guidelines to perform these assessments.

OBJECTIVES

1. Understand why precision, determination of least significant change, is necessary to monitor BMD change.
2. Determine when cross-calibration is required and how to perform in various settings.
3. Implement ISCD Official Positions to calculate least significant change for single and multiple instrument practices.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Diane Krueger, BS, CBDT, Researcher

A discussion on the purpose of the DXA Atlas and how to navigate the portal. The benefits to technologists and how they can use the DXA Atlas to better understand acquisition and analysis of difficult DXA scans. Step-by-step review of the correct procedures so technologists can upload unique DXA scans to the Atlas.  

OBJECTIVES

1. Explain how to access and use the Atlas.
2. Demonstrate understanding of acquisition and analysis of difficult scans.
3. Recall the ability to upload unique DXA scans.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Sarah L. Morgan, MD, MS, RD, FADA, FACP, CCD, Emerita Medical Director

An update on the use of the criteria for the diagnosis of osteoporosis: It's more than just a T-score.

OBJECTIVES

1. Understand the T-score diagnosis of osteoporosis.
2. Discuss the importance of fractures in the diagnosis of osteoporosis.
3. Consider factors other than bone density that contribute to fracture risk.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Nelson B. Watts, MD, FACP, MACE, FASBMR, CCD, Director of Osteoporosis and Bone Health Services

A review of when to acquire, how to perform/analyze and interpret VFA. The necessity to image to identify vertebral fractures and importance of this knowledge in clinical decision making will be considered.

Objectives

1. Perform VFA acquisition and morphometry.
2. Implement the Genant VSQ approach to fracture identification.
3. Explain how VFA complements DXA in fracture risk assessment and clinical decision-making.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Neil Binkley, MD, CCD, Professor of Medicine

Angela Karlen McGinty, RT(R)(BD), CBDT, Imaging Specialist

A review of the challenges of pediatric DXA that will focus on minimizing movement artifact, maximizing patient cooperation when performing a DXA study, and obtaining bone age results prior to DXA.

OBJECTIVES

1. Calculate bone age.
2. List how to minimize motion.
3. Improve patient cooperation.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Heidi Kecskemethy, MS Ed, RDN, CSP, CBDT, Director of Radiology Research Operations

This session will discuss the basics of positioning, technique, and analysis.

OBJECTIVES

1. Demonstrate proper positioning.
2. Use proper technique.
3. Perform scan analysis.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Lawrence Jankowski, CBDT, Chief DXA Technologist/Research Coordinator

Kyla Kent, BA, CBDT, Technical Director

This session will discuss the basics of positioning, technique, and analysis.

OBJECTIVES

1. Demonstrate proper positioning.
2. Use proper technique.
3. Perform scan analysis.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Anita Colquhoun, RTNM, MRT(N), CDT, Charge Technologist

A 30-minute review of the most important original research articles for technologists published in JCD in 2023.

OBJECTIVES

1. Demonstrate clinical competence.
2. Define optimal patient care.
3. Recognize importance of safety professional credibility.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Dr. Christopher Cirnigliaro, PhD, CBDT, Investigator

Monique Carroll, BSHA, RT(L), CBDT, Certified Bone Densitometry Technologist

Discuss changes to the guidelines since last update and review current Official Positions of ISCD.

OBJECTIVES

1. Discuss overview of 2023 ISCD Position Statements for Screening.
2. Distinguish the diagnosis of low bone mass/osteoporosis including VFA/Trabecular bone score, bmd reporting, and highlight differences from 2019 positions.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Ranjodh Gill, MD, FACE, FACP, CCD
Professor of Medicine
Veterans Administration Medical Center

We will present BMD cases which present challenges to the technologist, review the relevant data on optimizing the BMD in this case, and review how to get the information needed to provide a clinically valid and useful report. 

OBJECTIVES

1. The attendee will be able to identify which sites should be measured during bone densitometry, and under what circumstances.
2. The attendee will be able to identify how to optimize the technical details of the bone density measurement during follow-up scans.
3. The attendee will be able to identify common radiographic abnormalities on the densitometry which are actionable.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Dr. Harold Rosen, MD, CCD
Director of the Osteoporosis Prevention and Treatment Center
Beth Israel Deaconess Medical Center

This session will identify challenges such as anomalies and artifacts of the spine, transitional vertebrae, and surgical hardware.

OBJECTIVES

1. Measure accurate bone mineral density.
2. Calculate fracture risk assessment.
3. Perform body composition analysis.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Lawrence Jankowski, CBDT
Chief DXA Technologist/Research Coordinator
Illinois Bone and Joint Institute, LLC

Kyla Kent, BA, CBDT
Technical Director
SAMBA Lab, Stanford University School of Medicine

This session will examine decision making for advanced DXA analysis of GE-Lunar scans. It will demonstrate how bone mapping and soft tissue detection impact measurements. And it will identify challenges such as atypical anatomy and internal artifacts in the lumbar spine and femur.

OBJECTIVES

1. Identify factors involved in accurate measurement of bone mineral density.
2. Investigate decision making strategies for scan analysis using enCORE software.
3. Explore challenges of proper assessment in the presence of anatomical variances.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Wendy Tolman-Andrews, BS, RT(BD), CBDT
Radiologic Technologist
University of Connecticut - Farmington campus at UConn Health

This session will discuss the reasons why we perform total body compositions and who we perform TBCS on. How to properly perform total body compositions, and the downfalls of total body composition.

OBJECTIVES

1. Implement quantitative scan assessment.
2. Differentiate osteoporosis risk factors.
3. Recall methods for monitoring treatment efficacy.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Greg Yardley
Sr. Medical Radiology Technologist and Researcher
NASA Bone Mineral Laboratory

Discussion on challenges that may have an impact on the accuracy of bone density measurements, requiring careful consideration and interpretation.

OBJECTIVES

1. Identify degenerative changes.
2. Compare technique and positioning errors.
3. Distinguish how body composition influences varying vertebral sizes.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Kyla Kent, BA, CBDT
Technical Director
SAMBA Lab, Stanford University School of Medicine

This session will discuss the bone biology and risk for osteoporosis and fracture in special populations. Specific attention will be paid to the specific regions to acquire and quantify BMD and the treatment options available for osteoporosis.

OBJECTIVES

1. Demonstrate understanding of the condition.
2. Describe site-specific assessment.
3. Explain clinical correlation/monitoring.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Cathy Craven, BA, MD, FRCPC. MSc, FASIA, FCAHS
Medical Director, Professor
University of Toronto/University Health Network

This session will discuss the different diagnosis of bone density and how the bone density diagnosis is applied to an exercise program. It will also discuss proper protocol for developing an exercise program for the patient with low bone density. Finally, it will discuss the types of exercises a patient with low bone density might engage in.

OBJECTIVES

1. Demonstrate knowledge of fracture risk reduction.
2. Explain importance of hormonal balance.
3. Discuss bone health, bone density maintenance and improvement.

Successful completion of this session qualifies for 1 ASRT Category A continuing education credit.

Greg Yardley
Sr. Medical Radiology Technologist and Researcher
NASA Bone Mineral Laboratory