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Learning Center

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Online Learning

  • Repeating Measurement of Bone Mineral Density When Monitoring with Dual-energy X-ray Absorptiometry

    This journal article covers the 2019 Positions of the ISCD on Monitoring Serial Bone Measures with DXA. It provides the most current, evidence-based practice guidelines for assessing if and when Bone Mineral Density (BMD) by DXA should be repeated, as determined by the 2019 Position Development Conference (PDC) Monitoring Serial Bone Measures with DXA Task Force.

  • Using DXA in Pediatric Clinical Practice and Research

    David R. Weber, MD, MSCE, provides an evidence-based yet practical approach to using DXA in children for clinical care and research. He illustrates how he has used DXA in his own practice, and explains risk factors for impaired bone health in children as well as indications for using DXA in the pediatric population. Dr. Weber's lecture covers the key aspects of performing, analyzing and interpreting DXA in children.

  • Bone Mineral Density Testing in Spinal Cord Injury: The 2019 ISCD Official Positions

    This journal article serves as a in-depth companion to the lecture titled "The Official Positions of the ISCD: Indications for Bone Density Testing in Spinal Cord Injury" provided by Leslie Morse, DO, Christopher Cirnigliaro, MS, and Cathy Craven, MD. It covers the most current, evidence-based practice guidelines for assessing skeletal health in individuals with Spinal Cord Injury.

  • Follow-up Care After Fracture Liaison Service (FLS)

    Kristyn Hare, MMS, PA-C, CCD provides an engaging lecture on Follow-Up Care After Fracture Liaison Service. She discusses fragility fractures as opportunities to better manage bone disease, details the different types of Secondary Fracture Prevention programs that exist, and shows measurable ways in which FLS can improve secondary fracture prevention care.

  • Advances in Skeletal Assessment: A Review of Recent Literature

    Diane Krueger, BS, CBDT, provides a review of recent literature related to advances in skeletal assessment. Throughout her discussion of 8 cutting-edge papers, she addresses the topics of scan performance, TBS, 3D spine remodeling from DXA images, and 2019 ISCD Official Positions on periprosthetic and orthopedic uses of DXA as well as opportunistic CT for DXA screening.

  • The Official Positions of the ISCD: Indications for Bone Density Testing in Spinal Cord Injury

    Leslie Morse, DO, CCD, Christopher Cirnigliaro, MS, and Cathy Craven, BA, MD, FRCPC, MSc collaborate to provide a comprehensive lecture on Bone Density Testing in Spinal Cord Injury. They discuss the work of the 2019 ISCD Spinal Cord Injury Task Force that culminated in the 2019 ISCD Official Positions on diagnosis and management of osteoporosis in spinal cord injury. Among other topics, they cover indications for initial DXA in individuals with Spinal Cord Injury (SCI), how bone densitometry by DXA can be used to diagnose osteoporosis and assess fracture risk in individuals with Spinal Cord Injury (SCI), and how DXA can be used to monitor osteoporosis therapy in individuals with Spinal Cord Injury (SCI).

  • Cross-calibration, Least Significant Change and Quality Assurance in Multiple Dual-Energy X-ray Absorptiometry Scanner Environments: The 2019 ISCD Official Positions

    The ISCD periodically holds Position Development Conferences (PDCs) in which a panel of experts make recommendations based on reviews of scientific literature by specific task forces. In 2019 the PDC Cross Calibration Task Force convened to assess calculation of least significant change (LSC) with multiple dual-energy X-ray absorptiometry (DXA) use. The outcome of this PDC was the 2019 Official Positions of the ISCD regarding Cross-Calibration of DXA. This activity aims to provide learners with the most current, evidence-based practice guidelines for assessing skeletal health so they may begin utilizing them in their clinical practice.

  • Detection of Atypical Femur Fractures

    The ISCD periodically holds Position Development Conferences (PDCs) in which a panel of experts make recommendations based on reviews of scientific literature by specific task forces. In 2019 the PDC Task Force for Monitoring with Dual-energy X-ray Absorptiometry (DXA) convened to identify detection of atypical femur fractures (AFFs) as an important topic and to answer key questions in this area. The outcome of this PDC was the 2019 Official Positions of the ISCD. This activity aims to provide learners with the most current, evidence-based practice guidelines for assessing skeletal health so they may begin utilizing them in their clinical practice. Clinicians must be aware of the use of DXA systems for the early detection of AFFs as well as the new ISCD Official Position statements related to this topic. Clinicians must know when and how to appropriately utilize DXA systems to detect abnormalities in the spectrum of AFF, utilizing the new practice guidelines released by the ISCD. This activity consists of a journal article and a series of questions that will allow you to engage in the most up-to-date research and practice guidelines from the 2019 ISCD Official Position on Atypical Femur Fractures.

  • The Utility of DXA Assesssment at the Forearm, Proximal Femur, and Lateral Distal Femur, and Vertebral Fracture Assessment in the Pediatric Population: The 2019 Official Pediatric Positions of the ISC

    The ISCD periodically holds Position Development Conferences (PDCs) in which a panel of experts make recommendations based on reviews of scientific literature by specific task forces. In 2019 the PDC Pediatric Task Force convened to assess several Dual-energy X-ray absorptiometry (DXA) metrics utilized on the pediatric patient population. The outcome of this PDC was the 2019 Official Pediatric Positions of the ISCD. This activity aims to provide learners with the most current, evidence-based practice guidelines for assessing skeletal health in the pediatric population so they may begin utilizing them in their clinical practice. Clinicians must be familiar with the use of DXA assessment at the forearm, proximal femur and lateral distal femur, as well as vertebral fracture assessment in the pediatric patient population. Further, they must be familiar with, and know how to implement, the newly released 2019 ISCD Official Positions – Pediatrics. The new Pediatric Positions provide evidence-based guidelines on the use of additional measures in the assessment of skeletal health in children.

  • Bone Densitometry in Transgender and Gender Nonconforming (TGNC) Individuals: The 2019 ISCD Official Positions

    The ISCD periodically holds Position Development Conferences (PDCs) in which a panel of experts make recommendations based on reviews of scientific literature by specific task forces. In 2019 the PDC Transgender and DXA Task Force convened to assess several Dual-energy X-ray absorptiometry (DXA) metrics utilized on transgender and gender nonconforming individuals. The outcome of this PDC was the 2019 Official Adult Positions of the ISCD. This activity aims to provide learners with the most current, evidence-based practice guidelines for assessing skeletal health these individuals so they may begin utilizing them in their clinical practice. Clinicians must be familiar with the newly released 2019 ISCD Official Positions related to TGNC individuals. Further, clinicians know how to appropriately screen TGNC individuals, how to appropriately diagnosis them using appropriate reference data. By doing so, clinicians can appropriately manage these patients and ensure quality healthcare.