{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:00:19Z","timestamp":1774598419641,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:00:00Z","timestamp":1773532800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Physio Funct Imaging"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Dual\u2010energy X\u2010ray absorptiometry (DXA) is the gold standard for assessing bone mineral density (BMD) and diagnosing osteoporosis (OP). However, variation in DXA scanner measurements may affect clinical interpretation. This study compared variability in BMD and\n                      <jats:italic>T<\/jats:italic>\n                      \u2010score among DXA scanners in widespread clinical usage: Stratos DR, Lunar DPX\u2010 NT and Osteosys Primus.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was conducted with 64 patients who underwent BMD measurements using Stratos, Lunar, and Osteosys scanners within 1 year at the same hospital. Paired comparisons of\n                      <jats:italic>T<\/jats:italic>\n                      \u2010score and BMD were made between devices. Intra\u2010class correlation coefficients (ICCs) and a Bland\u2013Altman analysis were used for device reliability and device\u2010to\u2010device biases. The McNemar test was used to compare differences in OP and severe OP classifications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of participants was 65.2\u2009\u00b1\u20099.83 years (range, 40\u201383). ICCs for\n                      <jats:italic>T<\/jats:italic>\n                      \u2010scores were 0.782 between Stratos and Lunar and 0.791 between Stratos and Osteosys, indicating strong inter\u2010device reliability. BMD measurements showed ICCs ranging from 0.317 (L1) to 0.956 (femur total). Bland\u2010Altman plots revealed minor biases between scanners, with a slight positive bias for femoral neck\n                      <jats:italic>T<\/jats:italic>\n                      \u2010scores. No significant differences in OP and severe OP diagnoses were found across the scanners.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      DXA scanners showed substantial concordance in\n                      <jats:italic>T<\/jats:italic>\n                      \u2010score and BMD, particularly in femoral measurements. The slight differences between these measurements did not have a major effect on OP diagnosis. Greater variability in lumbar spine results warrants caution. Further studies should aim to minimize inter\u2010scanner differences and assess their long\u2010term clinical implications.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cpf.70056","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T05:53:41Z","timestamp":1773640421000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Inter\u2010scanner variability in bone mineral density and\n                    <i>T<\/i>\n                    \u2010score measurements: A comparison of Stratos, Lunar, and Osteosys DXA systems"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3742-9903","authenticated-orcid":false,"given":"Yakup","family":"Erden","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation \u0130zzet Baysal Physical Treatment and Rehabilitation Training and Research Hospital Bolu Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0256-5833","authenticated-orcid":false,"given":"Mustafa H.","family":"Temel","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Health Sciences University Sultan 2. Abdulhamid Han Education and Research Hospital \u0130stanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6103-7873","authenticated-orcid":false,"given":"Fatih","family":"Ba\u011fc\u0131er","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Ba\u015fak\u015fehir \u00c7am and \u015eakura City Hospital \u0130stanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2024.101509"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4158\/GL-2020-0524SUPPL"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000448"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojapps.2020.105016"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-004-1779-y"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.11005\/jbm.2021.28.3.215"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2013.09.011"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.5603\/FR.2019.0011"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2019.09.001"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/qims-22-619"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2019.05.009"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocd.2019.07.010"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002433"},{"key":"e_1_2_10_15_1","unstructured":"Krugh M.&Langaker M.D.(2023) Dual\u2010Energy X\u2010Ray Absorptiometry Treasure Island (FL): StatPearls. 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