7.39    Comparing operators of a DXA machine. Dual- energy X-ray absorptiometry (DXA) is a technique for measuring bone health. One of the most common measures is total body bone mineral content (TBBMC). A highly skilled operator is required

to take the measurements. Recently, a new DXA machine was purchased by a research lab and two operators were trained to take the measurements. TBBMC for eight subjects was measured by both operators.14 The units are grams (g). A comparison of the means for the two operators provides a check on the training they received and allows us to determine if one of the operators is producing measurements that are consistently higher than the other. Here are the data:

 

Subject

 

 

Operator	1	2	3	4	5	6	7	8
1	1.328	1.342	1.075	1.228	0.939	1.004	1.178	1.286
2	1.323	1.322	1.073	1.233	0.934	1.019	1.184	1.304

 

 

(a)  Take the difference between the TBBMC recorded for Operator 1 and the TBBMC for Operator 2. Describe the distribution of these differences.

(b)   Use a significance test to examine the null hypothesis that the two operators have the same mean. Be sure to give the test statistic with

its degrees of freedom, the P-value, and your conclusion.

(c)   The sample here is rather small, so we may not have much power to detect differences of interest. Use a 95% confidence interval to provide a range of differences that are compatible with these data.

(d)   The eight subjects used for this comparison were not a random sample. In fact, they were friends of the researchers whose ages and weights were similar to the types of people who would be measured with this DXA. Comment on the appropriateness of this procedure for selecting a sample, and discuss any consequences regarding the interpretation of the significance testing and confidence interval results.