Standards and Guidelines for Performing Central Dual-Energy X-Ray Absorptiometry in Premenopausal Women, Men, and Children A Report From the Canadian Panel † of the International Society of Clinical Densitometry Aliya A. Khan, MD,* ,1 Laura Bachrach, MD, 2 Jacques P. Brown, MD, 3 David A. Hanley, MD, 4 Robert G. Josse, MD, 5 David L. Kendler, MD, 6 Edward S. Leib, MD, 7 Brian C. Lentle, MD, 8 William D. Leslie, MD, 9 E. Michael Lewiecki, MD, 10 Paul D. Miller, MD, 11 R. Larry Nicholson, MD, 12 Christopher O’Brien, MD, 13 Wojciech P. Olszynski, MD, 14 M. Y. Diane Theriault, MD, 15 Nelson B. Watts, MD, 16 1 Divisions of Endocrinology and Geriatrics, McMaster University, Hamilton, ON, Canada; 2 Division of Pediatric Endocrinology, Stanford University School of Medicine, Stanford, CA; 3 CHUL Research Centre, Laval University, Quebec City, Canada; 4 Division of Endocrinology and Metabolism, Department of Medicine, University of Calgary Health Sciences Centre, Calgary, Alberta, Canada; 5 Division of Endocrinology and Metabolism, St. Michael’s Hospital, University of Toronto, Ontario, Canada; 6 University of British Columbia and Osteoporosis Research Centre, Vancouver, BC, Canada; 7 University of Vermont College of Medicine and The Osteoporosis Center,Fletcher Allen Health Care, Burlington, VT; 8 University of British Columbia and Women’s Health Centre, Vancouver, BC, Canada; 9 Department of Medicine, St. Boniface General Hospital, Winnipeg, Canada; 10 New Mexico Clinical Research and Osteoporosis Center, Inc. and Department of Medicine, University of New Mexico School of Medicine, Albuquerque, NM; 11 Colorado Center for Bone Research, Lakewood, CO; 12 Division of Nuclear Medicine, University of Western Ontario, London, Ontario, Canada; 13 President, Canadian Association of Nuclear Medicine; 14 University of Saskatchewan and Saskatoon Osteoporosis Center, Saskatoon, Saskatchewan, Canada; 15 Dartmouth General Hospital, Dartmouth, Nova Scotia, Canada; 16 University of Cincinnati College of Medicine and University of Cincinnati Bone Health and Osteoporosis Center, Cincinnati, OH Abstract The Canadian Panel of the International Society for Clinical Densitometry has developed standards in order to establish the minimum level of acceptable performance for the practice of bone densitometry in Canada. Previously, this group addressed the performance of densitometry in postmenopausal women. This report addresses the use of densitometry in men, premenopausal women, and children with a focus on dual-energy X-ray absorptiometry. Key Words: Standards; bone density; premenopausal women; children; men. Received 11/03/03; Revised 11/07/03; Accepted 11/10/03 *Address correspondence to Aliya Khan, Associate Clinical Professor of Medicine, McMaster University, 331-209 Sheddon Avenue, Oakville, ON L6J 1X8. E-mail: avkhan@aol.com † For a listing of the members of the Canadian ISCD Panel please see Appendix 1 on p. 60. 51 Position Statement Journal of Clinical Densitometry, vol. 7, no. 1, 51–63, 2004 © Copyright 2004 by Humana Press Inc. All rights of any nature whatsoever reserved. 1094-6950/04/7:51–63/$25.00