DEXA Screening Gains Emphasis in Updated Osteoporosis Guidelines

The U.S. Preventive Services Task Force (USPSTF) has reaffirmed the importance of dual-energy x-ray absorptiometry (DEXA) as a critical tool for osteoporosis screening in updated recommendations published in JAMA on January 14. This update highlights DEXA bone mineral density (BMD) testing, with or without fracture risk assessment, as the gold standard for detecting osteoporosis and preventing fractures.

Key recommendations include:

• Universal DEXA screening for women aged 65 and older.

• Screening for postmenopausal women under 65 with one or more risk factors.

• Insufficient evidence to recommend routine screening for men, though clinicians and patients should decide together based on individual risk.

Osteoporosis affects 12.6% of U.S. residents aged 50 and older, with higher prevalence in women (27.1% in those 65+) and certain ethnic groups. Without screening, osteoporosis often goes undetected until fractures occur, underscoring the importance of proactive testing.

The Advanced Health Education Center (AHEC) offers a Bone Densitometry Initial Training Course designed to meet the growing demand for skilled professionals in this field. This comprehensive two-day program, scheduled for June 27, 2025, provides 16 hours of structured education that meets ARRT requirements for the BD registry.

Course highlights include:

• Risk factors for osteoporosis and indications for densitometry

• Performing, analyzing, and troubleshooting DXA scans

• Principles of densitometry and quality assurance of DXA systems

Developed by an ARRT-registered and ISCD-credentialed densitometrist, this program ensures participants gain both theoretical knowledge and practical skills.

As DEXA remains central to osteoporosis care, now is the time to advance your expertise. Register today to join AHEC’s training and play a vital role in improving patient outcomes!