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Research ArticleImaging

The Effect of Neck Flexion on Measurement of Spinal Bone Mineral Density and the Need to Apply Head Positioners During Dual-Energy X-Ray Absorptiometry

Mohsen Qutbi, Sajad Ghanbari, Mehdi Soltanshahi, Saba Karami Gorzi, Yaser Shiravand and Shahla Ranji
Journal of Nuclear Medicine Technology December 2020, 48 (4) 340-343; DOI: https://doi.org/10.2967/jnmt.118.216275
Mohsen Qutbi
1Department of Nuclear Medicine, Taleghani Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; and
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Sajad Ghanbari
1Department of Nuclear Medicine, Taleghani Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; and
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Mehdi Soltanshahi
1Department of Nuclear Medicine, Taleghani Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; and
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Saba Karami Gorzi
2Science and Research Branch, Islamic Azad University, Tehran, Iran
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Yaser Shiravand
1Department of Nuclear Medicine, Taleghani Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; and
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Shahla Ranji
1Department of Nuclear Medicine, Taleghani Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; and
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  • FIGURE 1.
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    FIGURE 1.

    (A) Patient on scanning table with leg positioner beneath legs. (B) Without changing position of patient, cushion is placed beneath neck to achieve sufficient neck flexion.

  • FIGURE 2.
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    FIGURE 2.

    Error bar plots of area, bone mineral content (BMC), and BMD. Values gradually increase from L1 to L4. CI = confidence interval.

Tables

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    TABLE 1

    Patient Characteristics

    DescriptionData
    Age (y)
     Female55.77 (±10.41)
     Male53.33 (±22.29)
     Total55.53 (±11.86)
     Range18–76
    Sex
     Female53 (89.83%)
     Male6 (10.17%)
    Weight (kg)66.15 (±10.01)
    Height (cm)159.83 (±6.88)
    Body mass index26.00 (±4.23)
    Status
     Premenopausal female8 (13.6%)
     Menopausal female45 (76.3%)
     Male under 50 y2 (3.4%)
     Male over 50 y4 (6.8%)
    Femoral neck
     Area4.62 (±0.47)
     BMD0.701 (±0.12)
     T score−1.4 (±1.0)
     z score−0.3 (±1.1)
    Total femur
     Area32.87 (±3.84)
     BMD0.818 (±0.11)
     T score−1.1 (±0.9)
     z score−0.3 (±1.0)
    • Qualitative data are numbers followed by percentages in parentheses; continuous data are mean ± SD. Total n = 59.

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    TABLE 2

    Densitometric Measurements for Total Spine and L1–L4 Vertebrae

    Results
    VertebraWithout cushionWith cushionMean difference95% confidence intervalP
    Area
     L112.24 (±1.49)12.32 (±1.52)−0.08 (±0.48)−0.20–0.050.214
     L213.80 (±1.69)13.74 (±1.54)0.06 (±0.51)−0.07–0.190.355
     L314.88 (±1.86)14.97 (±1.71)−0.08 (±0.42)−0.19–0.030.135
     L415.80 (±1.84)15.99 (±1.88)−0.19 (±0.54)−0.33 to −0.050.009*
     Total56.73 (±6.37)57.06 (±6.14)−0.33 (±0.78)−0.53 to −0.130.002*
    Bone mineral content (total)49.96 (±10.22)50.09 (±10.16)−0.13 (±0.87)−0.36–0.090.245
    BMD
     L10.774 (±0.14)0.774 (±0.15)0.000 (±0.02)−0.005–0.0050.906
     L20.868 (±0.14)0.864 (±0.14)0.004 (±0.02)−0.001–0.0090.108
     L30.905 (±0.14)0.902 (±0.14)0.003 (±0.02)−0.001–0.0070.189
     L40.940 (±0.14)0.935 (±0.14)0.006 (±0.02)0.001–0.0100.011*
     Total0.878 (±0.13)0.875 (±0.13)0.003 (±0.01)0.001–0.0060.018*
    T score (total)−1.57 (±1.2)−1.60 (±1.2)0.03 (±0.1)0.00–0.050.046*
    z score (total)−0.42 (±1.3)−0.45 (±1.3)0.03 (±0.1)−0.00–0.050.096
    • *Statistically significant P value.

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Journal of Nuclear Medicine Technology: 48 (4)
Journal of Nuclear Medicine Technology
Vol. 48, Issue 4
December 1, 2020
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The Effect of Neck Flexion on Measurement of Spinal Bone Mineral Density and the Need to Apply Head Positioners During Dual-Energy X-Ray Absorptiometry
Mohsen Qutbi, Sajad Ghanbari, Mehdi Soltanshahi, Saba Karami Gorzi, Yaser Shiravand, Shahla Ranji
Journal of Nuclear Medicine Technology Dec 2020, 48 (4) 340-343; DOI: 10.2967/jnmt.118.216275

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The Effect of Neck Flexion on Measurement of Spinal Bone Mineral Density and the Need to Apply Head Positioners During Dual-Energy X-Ray Absorptiometry
Mohsen Qutbi, Sajad Ghanbari, Mehdi Soltanshahi, Saba Karami Gorzi, Yaser Shiravand, Shahla Ranji
Journal of Nuclear Medicine Technology Dec 2020, 48 (4) 340-343; DOI: 10.2967/jnmt.118.216275
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Keywords

  • bone mineral density
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