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Release Date:
October 2011

Expiration Date:
November 1, 2017









Leon Lenchik, MD
Associate Professor of Radiology
Center on Aging
Wake Forest Baptist Health Medical Center



Equipment Requirements

PC: Windows XP/Vista/Win7, Pentium processor or faster, at least 1 GB RAM, Internet Explorer version 8 and 9, Mozilla FireFox version 15.

MAC: OS version 10.6/10.7/10/8, Intel processor or faster, at least 1 GB RAM, Safari version 5, FireFox version 15.

4704-100A DXA Update:
New Applications in the Diagnosis of Osteoporosis
and Vertebral Fractures

Recording of a live webinar presented on September 13, 2011

A certified one-hour pre-recorded webinar for radiologists, radiologic technologists, and other healthcare professionals who treat and manage patients with osteoporosis.

Format: Archived Webinar
Credit:  1.0 AMA PRA Category 1
Credit:  1.0 ARRT Category A
Fee for Credit Certificate: $0


Course Overview
Accurate diagnosis and unambiguous reporting of osteoporosis and vertebral fracture are essential for the prevention of future fracture. There is significant evidence that vertebral fractures are under reported, resulting in lack of clinically appropriate intervention. Radiologists need education to improve the accuracy of their diagnoses and reporting of osteoporosis and vertebral fracture.

Educational Objectives
At the conclusion of this activity, participants should be better able to:

  • Identify the presence of osteoporosis using DXA (dual-energy X-ray absorptiometry)
  • Determine fracture risk using FRAX® (Fracture Risk Algorithm)
  • Assess for vertebral fracture using a vertebral fracture assessment tool
  • Describe vertebral fracture using standardized terminology and reporting

Accreditation & Credit
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Postgraduate Institute for Medicine (PIM) and the International Center for Postgraduate Medical Education (ICPME). PIM is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SA-CME: This activity meets the criteria for self-assessment toward the purpose of fulfilling requirements in the American Board of Radiology (ABR) Maintenance of Certification Program.

The European Accreditation Council for CME (EACCME®)
The UEMS-EACCME® has mutual recognition agreements with the American Medical Association (AMA) for live events and e-learning materials. For more information go to

Radiologic Technologists
This program has been approved by the American Society of Radiologic Technologists (ASRT) for 1.0 hour of ARRT Category A continuing education credit.

How to Participate
There are no fees or prerequisite for this program.

  • Click the blue link. Complete the precourse evaluation and click SUBMIT.
  • Once the precourse evaluation is submitted, click on the blue link again to view the course.
  • Click on PLAYBACK. To view the streaming video, you may have to download the WebEx Player or Java.

How to Recieve Credit

  • Log-in to your account at
  • View the entire lecture.
  • At the conclusion of the lecture, close the WebEx Player window.
  • From the COURSE HOME page, click the buttons for POSTTEST and for EVALUATION.
  • A passing grade of at least 75% is required to receive credit. You may take the test up to three times.
  • Upon receipt of a passing grade, you will be able to print a certificate of credit from your online account.

Faculty Biography
Dr. Lenchik is Associate Professor, Section Head, and Fellowship Director of Musculoskeletal Imaging in the Department of Radiological Sciences at Wake Forest University School of Medicine in Winston-Salem, North Carolina.

Dr. Lenchik completed an undergraduate degree and received an MD from Northwestern University. After residency training in Diagnostic Imaging, he completed a fellowship in Musculoskeletal Imaging at the University of California, San Diego.

Dr. Lenchik’s main research interest and academic focus is on body composition, bone densitometry, and osteoporosis. He has authored over sixty peer-reviewed publications and more than fifteen book chapters on osteoporosis, fractures, bone densitometry, and various other aspects of musculoskeletal imaging. He currently serves on the Board of Trustees of the International Society for Clinical Densitometry.

Disclosure of Conflicts of Interest
The Postgraduate Institute for Medicine (PIM) assesses conflict of interest with its instructors, planners, managers, and other individuals who are in a position to control the content of CME activities. All relevant conflicts of interest that are identified are thoroughly vetted by PIM for fair balance, scientific objectivity of studies utilized in this activity, and patient care recommendations. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty has reported NO financial relationship or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Leon Lenchik, MD

The following planners and managers have reported NO financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Jan Hixon, RN, BSN, MA       
Trace Hutchison, PharmD       
Julia Kimball, RN, BSN           
Samantha Mattiucci, PharmD
Linda McLean, MS     
Victoria Phoenix, BS
Lisa Schleelein, MEd
Patricia Staples, MSN, NP-C, CCRN

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. PIM, ICPME and Hologic, Inc., do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of PIM, ICPME and Hologic, Inc. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

For questions regarding this program, please contact ICPME:
Phone: 607-257-5860 x10

Jointly provided by


This activity is supported by an independent educational grant from

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.