By Angelo A. Licata
Despite public belief, osteoporosis is still a frequent, devastating disorder, and a truly severe and expensive public future health chance. Early detection and remedy needs to be a concern for basic future health care prone. Dual-energy X-ray absorptiometry (DXA) is the imperative x-ray expertise used to diagnose osteoporosis in its early, asymptomatic levels, to evaluate remedy efficacy, and to steer therapy judgements. It is still the surest today. A DXA Primer for the training Clinician: A Case-Based handbook for knowing and examining Bone Densitometry is built round genuine situations of sufferers’ DXA measurements. The content material is derived from shows given by way of the authors at a countrywide society education direction and exemplifies not just the entire physique of schooling supplied via those lectures however the complete variety of formerly undiscussed nuances besides. This sensible, easy-to-read identify presents the each day difficulties of DXA utilization that new clients may possibly come upon and that education classes would not have time to supply intimately. The valuable concentration of the booklet is the presentation of what's common and what's complicated within the use of DXA, depicting a number of situations with actual case histories of sufferers, their corresponding DXA photographs and the information that designate the issues. certain in strategy and presentation, this case-based handbook could be of gigantic worth to all practitioners -- and scholars – drawn to delivering optimum prognosis 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
Shef. uk/FRAX®/) for a clinician’s use. This computer program incorporates many patients’ variables as shown in Fig. 1, after the specific tool (screen) is selected based on the patient’s ethnicity. In 2008, the National Osteoporosis Foundation (NOF) suggested that in the United States, drug therapy was warranted for women 50 or older when the 10-year risk of hip fracture was 3 % or greater and the risk of other major osteoporotic fractures was 20 % or greater. This recommendation helps guide decision-making on the large number of patients in the 50–65year range who may have low T-scores but very little immediate risk for fractures.
Let’s take a look at some examples of its use. , has her annual health evaluation. She is sent for a bone density test because she tells the family doctor her 90-year-old mother recently had a spine fracture. The patient is otherwise very healthy, follows good health habits, exercises frequently, and has no menopausal symptoms. 45. Does she have a high risk for hip fracture? Should an antiresorptive bone drug be started? This case is very typical in that it highlights a healthy woman with only one baseline DXA.
7 23 24 3 What Happens After I Order a DXA? The cantilevered arm of the DXA then travels down the length of the table and back (Fig. 8), while the technologist reviews the computergenerated image for proper patient positioning (Fig. 9). 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.