Bone Mineral Screening for Osteoporosis

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To the Editor: In a recent Sounding Board article (Jan. 22),1 Hall et al. contrast bone mineral screening and mammography and decide that mammographic screening should probably be carried out universally in postmenopausal women and that bone mineral screening should not. The two procedures are quite different. Mammography is used to detect disease; bone mineral screening is used to assess the risk for osteoporosis. It might be more appropriate to compare bone mineral screening with blood-pressure screening. Of course, bone mineral screening is more expensive and time-consuming than the measurement of blood pressure, and for this reason, its universal use . . .

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