Evidence map›Paper›PMID 40544295›Full record

ReviewJournal of medical case reports2025

Artifacts affecting dual-energy X-ray absorptiometry and bone mineral density measurements: a case report and review of the literature.

Kevin White, Mohamed K M Shakir, Christopher Nguyen, Thanh D Hoang

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kevin WhiteDivision of Endocrinology, Department of Medicine, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20889, USA.
Mohamed K M ShakirDivision of Endocrinology, Department of Medicine, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20889, USA.
Christopher NguyenDivision of Endocrinology, Department of Medicine, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20889, USA.
Thanh D HoangDivision of Endocrinology, Department of Medicine, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20889, USA. thanh.d.hoang.mil@health.mil.ORCID http://orcid.org/0000-0001-7437-5604

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is important to recognize artifacts of dual-energy X-ray absorptiometry because they may alter bone mineral density measurements. To prevent erroneous decisions and misdiagnosis regarding treatment and follow-up, bone mineral density measurement adjustments are needed. CASE PRESENTATION: We present three cases in which artifacts altered the measurements of bone mineral density in the lumbar field of a dual-energy X-ray absorptiometry scan. The first case was oral contrast in the transverse colon in a 55-year-old white Hispanic American woman; the second case was kyphoplasty in lumbar spine in a 73-year-old white Hispanic American woman; and the third case was spinal fusion with vertebroplasty in a 70-year-old white European American man.

conclusionClinicians who interpret dual-energy X-ray absorptiometry imaging should routinely reexamine the scans and be attentive toward potential artifact involvement and other alternative origins of unreliable data.

Indexed as

Absorptiometry, PhotonArtifactsBone DensityLumbar VertebraeAgedFemaleHumansKyphoplastyMaleMiddle AgedBMDBone mineral densityDXA artifacts

Identifiers

PMID40544295
PMCPMC12182690

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.