Participant Perspectives on Pulse‐Echo Ultrasound Technology vs. Dual Energy X‐Ray Absorptiometry (DXA): A Comparative Study

Abstract

Background/Aim: Osteoporosis is a global health concern causing severe fractures, and timely diagnosis with thorough bone assessment is crucial for effective management. Diagnostic tools such as Bindex® (a novel ultrasound‑ based diagnostic technology) and DXA (X‑ray‑based) play a key role in identifying and assessing bone conditions. This study aimed to evaluate and compare these two approaches' overall acceptability, comfort, and preference. Feelings of pain and perceptions regarding the scan length during the Bindex® scanning procedure were also assessed. Patients and Methods: Two diagnostic imaging tools were used in this comparative study: Bindex® (pulse‑echo ultrasound technology) and DXA (X‑ray technology). A bespoke questionnaire was employed to gather the participants’ responses, which were coded numerically, and data were analysed statistically. Results: Despite minor discomfort associated with the gel application, Bindex® received significantly higher acceptability and comfort ratings than DXA, with many participants preferring its non‑ionising radiation. Both methods were generally well‑received, though some favoured DXA for not requiring gel. Conclusion: In addition to enhancing diagnostic workflows, we demonstrated that Bindex® scans can improve patient satisfaction. This study emphasised the importance of innovating medical imaging diagnostic tools to prioritise patient acceptability and comfort.