By Angelo A. Licata
Despite public belief, osteoporosis continues to be a frequent, devastating sickness, and a really critical and expensive public well-being probability. Early detection and therapy needs to be a concern for fundamental wellbeing and fitness care services. Dual-energy X-ray absorptiometry (DXA) is the significant x-ray know-how used to diagnose osteoporosis in its early, asymptomatic levels, to evaluate remedy efficacy, and to lead therapy judgements. It continues to be the premiere today. A DXA Primer for the practising Clinician: A Case-Based handbook for figuring out and examining Bone Densitometry is built round genuine circumstances of sufferers’ DXA measurements. The content material is derived from shows given by means of the authors at a countrywide society education direction and exemplifies not just the full physique of schooling supplied via those lectures however the complete variety of formerly undiscussed nuances to boot. This useful, easy-to-read identify presents the each day difficulties of DXA utilization that new clients may perhaps stumble upon and that education classes do not need time to supply intimately. The critical concentration of the ebook is the presentation of what's common and what's complex within the use of DXA, depicting a variety of situations with genuine case histories of sufferers, their corresponding DXA photos and the information that specify the issues. certain in technique and presentation, this case-based guide could be of monstrous worth to all practitioners -- and scholars – drawn to supplying optimum analysis and remedy of osteoporosis.
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Extra resources for A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry
Current relative risk of hip fracture, (given the above bone density value) is increased 50 times as compared to young adult normal risk (based on older, postmenopausal white female data). Fig. 1 Bone mineral density report This report provides data but fails to provide useful information back to the referring clinician. T-scores are implied but not clearly stated. The discrepancy between the scores in the hip and the spine makes one question whether the interpreter looked at the images at all or merely dictated the computer-generated values.
She has lost mineral from her bones due to unchecked malabsorption following her weight loss surgery. Her undermineralized bone, known as bariatric osteomalacia, was treated with high-dose calcium and vitamin D3 supplementation. Her lab indices and painful bones improved, and the DXA 1 year later noted a 30 % improvement in bone mineral density. Such improvement is rare in treatment of primary osteoporosis but is seen frequently when remineralization of nutritionally depleted bone occurs. Summary Osteoporosis is a disease causing a high risk for fractures from low intensity impact or loading forces, known as fragility fractures.
PROCEDURE: Bone mineral analysis was performed by dual energy absorptiometry (HOLOGIC) of the lumbar spine and left hip. FINDINGS: Examination of the transmission images of the spine and hip showed significant features that would bias or invalidate the estimates of structural bone mineral density obtained. Detailed bone density values are shown on the densitometry print-out attached. IMPRESSIONS: 1) Normal bone mineral density in spine. 5 or more standard deviations below those of young normal subjects is considered to represent osteoporosis in the absence of other causes of bone loss.
A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry by Angelo A. Licata