By Angelo A. Licata
Despite public belief, osteoporosis continues to be a common, devastating disorder, and a truly critical and dear public well-being hazard. Early detection and remedy has to be a concern for fundamental well-being care services. Dual-energy X-ray absorptiometry (DXA) is the important x-ray expertise used to diagnose osteoporosis in its early, asymptomatic levels, to evaluate therapy efficacy, and to lead remedy judgements. It continues to be the top of the line today. A DXA Primer for the working towards Clinician: A Case-Based handbook for knowing and studying Bone Densitometry is constructed round actual situations of sufferers’ DXA measurements. The content material is derived from shows given by means of the authors at a countrywide society education path and exemplifies not just the total physique of schooling supplied via those lectures however the complete variety of formerly undiscussed nuances in addition. This useful, easy-to-read name offers the day after day difficulties of DXA utilization that new clients might stumble upon and that education classes shouldn't have time to supply intimately. The critical concentration of the ebook is the presentation of what's basic and what's problematical within the use of DXA, depicting a number of situations with genuine case histories of sufferers, their corresponding DXA photos and the knowledge that specify the issues. specific in method and presentation, this case-based handbook can be of mammoth price to all practitioners -- and scholars – attracted to delivering optimum analysis and therapy of osteoporosis.
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Additional info for A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry
Fig. 8 Fig. 9 Arrival at the Imaging Center and DXA Suite 25 Once the spine image is deemed satisfactory by the technologist, the patient is then positioned for the hip scan. The positioning block is removed, and another positioning tool is used to ensure that the hip is in the industrystandard anatomical position (Fig. 10). Fig. 10 26 3 What Happens After I Order a DXA? The technologist then ensures that the leg and hip are positioned such that the hip is rotated into the anatomically neutral position while maintaining proper alignment on the table (Fig.
Although the clinician felt the data were not severe enough to warrant more than the usual non-pharmacological approach, the FRAX® analysis exceeded the intervention threshold for her 10-year risk of hip fracture and should give the clinician reason to reconsider the treatment plan. Case 3 An active, normal-weight 81-year-old widow underwent initial BMD due to the patient noticing some height loss. The interpretive report is noted in Fig. 2a. The report indicated “osteopenia,” and the primary care physician chose not to prescribe any medical interventions.
Medical History: Menopause Age 50 Interpretation: The numbers given above indicate osteopenia of the spine. The hip and lateral vertebral assessments are normal. Fig. 2a Bone density report 40 4 What Is FRAX®? Two years later the patient’s height loss had progressed; she complained of chronic back pain and was found to have multiple compression fractures of the lumbar spine. Following kyphoplasty, she underwent a follow-up DXA; the results showed a 15 % loss in the spine and 20 % in the hip (Fig.