Learning Center

Learning Center

Beyond Osteoporosis: Imaging Spectrum of Metabolic Bone Disease and Diagnoses You Don’t Want to Miss (On-Demand)

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Activity approved for 1.00 AMA PRA Category 1 Credits™ 
Activity approved for 1.25 ASRT Category A Credits
Activity Expires August 14, 2027

Activity Description

While much of our clinical focus is the diagnosis and management of osteoporosis, it is important to recognize the characteristic imaging features of other causes of decreased or increased bone mineral density, pathologic fracture, and other disorders that may mimic osteoporosis. This talk reviews the spectrum of imaging findings of common (and some uncommon) metabolic bone diseases, differential diagnosis, and pearls and pitfalls for accurate diagnosis. Examples of delayed or missed diagnosis will be highlighted.

Learning Objectives

  1. Recognize the imaging features and limitations of osteoporosis evaluation, including the role of DXA, radiographs, CT, MRI, and the importance of reviewing images rather than relying only on numeric bone density results.
  2. Develop a differential diagnosis for abnormal bone density, including causes of increased bone density such as Paget disease, osteoblastic metastases, myelofibrosis, fluorosis, renal osteodystrophy, and osteopetrosis, as well as causes of decreased bone density such as osteomalacia, hyperparathyroidism, malignancy, osteogenesis imperfecta, and steroid-related bone loss.
  3. Identify metabolic bone disease mimics and high-risk diagnoses that should not be missed, including pathologic compression fractures, multiple myeloma, osteoid osteoma, occult osteoporotic hip fractures, hypertrophic osteoarthropathy, and hemorrhagic soft tissue sarcoma.

Instructions

Clinicians and Technologists are required to answer a set of online test questions following the review of the video and will have up to three attempts to answer questions correctly before losing credit for the activity. Once the activity test has been passed (75% or higher), you will be asked to evaluate the activity online and then be allowed to claim credit and print certificates.

Registration Fees

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Cancellation Policy

On-Demand/ Enduring Material Cancellation
Purchases of on-demand or enduring educational materials are non-refundable.

On-Demand/Enduring Material Program Changes or Cancellations 
ISCD reserves the right to cancel the program, change dates, and/or the location/method of offering. All program fees will be refunded if a program is canceled unless the registered participant elects to transfer to another program.

Joint Accreditation Statement

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In support of improving patient care, this activity has been planned and implemented by Amedco LLC and ISCD. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

AMA PRA Category 1 Credit(s)™

Amedco LLC designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ASRT Credit Designation 

This activity has been approved by ASRT for 1.25 Category A continuing education credits.

Date of Original Release and most recent Review or Update 

This activity was most recently reviewed and released on August 15th, 2026.

Kevin R. Math, MD

Kevin R. Math, MD

Associate Attending Radiologist

Hospital for Special Surgery

Dr. Kevin Math is a musculoskeletal radiologist at the Hospital for Special Surgery in NYC, primarily involved with imaging of bone, joint and soft tissue pathology and injuries. His main clinical focus is imaging of metabolic bone disease in addition imaging of sports injuries, joint replacements and performing musculoskeletal interventional procedures. He is the Director of Bone Densitometry and routinely utilizes DXA and other imaging modalities for diagnosis of metabolic bone disease and assisting clinicians in the care of their patients.

Dr. Math is an Associate Professor of Radiology at the Weill Medical College of Cornell University and is also very involved with resident and fellow education at his hospital.

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Statement of Independence

The ISCD maintains a policy on the use of commercial support, which ensures that all educational activities sponsored by the ISCD provide in-depth presentations that are fair, balanced, independent, and scientifically rigorous. ISCD requires faculty, planners, managers, and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by ISCD for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations. Individual disclosures are included in the course material. No Commercial Support has been provided for this activity

Disclaimer

The information and suggestions presented at the courses, seminars and other programs sponsored by ISCD and other collaborating societies are subject to change and therefore should serve only as a foundation for further investigation and study. Any forms presented at our seminars or programs are samples only and are not necessarily authoritative. All information, procedures, and forms contained or used in such seminars or programs should serve only as a guide for use in specific situations.

Disclosure of Unlabeled Use 

This educational activity may contain a discussion of published and/or investigational uses of agents that are not indicated by the FDA. ISCD does not recommend the use of any agent outside of the labeled indications. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Privacy & Confidentiality Statement

The ISCD will record the learner’s personal information as provided on evaluations to allow for the issuance and tracking of CME/CE certificates. The ISCD may also track aggregate responses to questions in activities and evaluations and use these data to inform the ongoing evaluation and improvement of its educational program. No individual performance data or any other personal information collected for evaluations will be shared with third parties

Attendee Cancellation Policy

All changes in registration must be made in writing to [email protected]. Purchase of on-demand or enduring educational materials are non-refundable.

Course Changes or Cancellations

ISCD reserves the right to cancel the program and change the dates of the offering. All program fees will be refunded if a program is canceled unless the registered participant elects to transfer to another program.

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