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DXA uses X-rays to assess bone mineral density, however the radiation dose is approximately 1/30th that of a standard chest X-ray.
The quality of DXA operators varies widely. DXA is not regulated like other radiation based imaging techniques because of its low dosage. Each state has a different policy as to what certifications are needed to operate a DXA machine. California for example requires coursework and a state-run test, whereas Maryland has no requirements for DXA technicians. Many states require a training course and certificate from the International Society of Clinical Densitometry (ISCD). Because BMD testing with DXA is very susceptible to operator error (it is not fool-proof) it is important to find out what qualifies the technician to operate the machine.
It is important for patients to get repeat BMD measurements done on the same machine each time, or at least a machine from the same manufacturer. Error between machines, or trying to convert measurements from one manufacturer's standard to another can introduce errors large enough to wipe out the sensitivity of the measurements.
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Important notice:
The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other
qualified health provider with any questions you may have regarding a medical condition.
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