A DXA Primer for the Practicing Clinician: A Case-Based by Angelo A. Licata

By Angelo A. Licata

Despite public conception, osteoporosis continues to be a common, devastating sickness, and a really critical and expensive public wellbeing and fitness risk. Early detection and remedy has to be a concern for fundamental well-being care services. Dual-energy X-ray absorptiometry (DXA) is the primary x-ray expertise used to diagnose osteoporosis in its early, asymptomatic levels, to evaluate therapy efficacy, and to steer therapy judgements. It is still the most effective today. A DXA Primer for the working towards Clinician: A Case-Based guide for figuring out and examining Bone Densitometry is built round actual instances of sufferers’ DXA measurements. The content material is derived from shows given by way of the authors at a countrywide society education path and exemplifies not just the entire physique of schooling supplied via those lectures however the complete variety of formerly undiscussed nuances to boot. This functional, easy-to-read identify offers the day after day difficulties of DXA utilization that new clients may possibly come across and that education classes would not have time to supply intimately. The relevant concentration of the e-book is the presentation of what's general and what's complicated within the use of DXA, depicting numerous eventualities with actual case histories of sufferers, their corresponding DXA photos and the knowledge that designate the issues. precise in technique and presentation, this case-based guide should be of big worth to all practitioners -- and scholars – drawn to offering optimum analysis and therapy of osteoporosis.

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A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry

Regardless of public belief, osteoporosis is still a common, devastating illness, and a really severe and expensive public wellbeing and fitness chance. Early detection and remedy has to be a concern for fundamental health and wellbeing care services. Dual-energy X-ray absorptiometry (DXA) is the important x-ray expertise used to diagnose osteoporosis in its early, asymptomatic phases, to evaluate remedy efficacy, and to steer therapy judgements.

Extra resources for A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry

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A numerical value known as an intervention threshold is assigned to this risk. The intervention threshold varies from country to country, depending on the respective economic model a country uses to calculate the most cost-effective time to intervene. FRAX® remains a guideline for patient care and does not substitute for a practitioner’s clinical acumen and judgment. 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.

E. 1007/978-1-4419-1375-3_5, © Springer Science+Business Media New York 2014 43 44 5 The DXA Report: What Every Referring Clinician Needs to Know referring doctor. This deficiency is most prevalent when patients have repeat scans for monitoring therapy. Many consultations to osteoporosis specialists occur because scanned images have not been critically analyzed. The errors become compounded in follow-up scans due to inattention to positioning and regions of interest, resulting in erroneous conclusions in the communicated report.

It is important to note here that if the hip is positioned properly, very little if any of the lesser trochanter should be visible. Fig. 12 For the purposes of illustration and completeness of this synopsis, the positioning and scanning of the nondominant forearm is also included. Forearm scan data has been validated for estimating fracture risk. Furthermore when assessing fracture risk, it is recommended that two anatomical sites be scanned. Current industry standard recommends including the nondominant forearm when only one other anatomical site is suitable for scanning such as in the case of bilateral hip replacements or when the spine measurements are unreliable due to arthritis, scoliosis, vertebroplasty, kyphoplasty, or other surgically placed hardware.

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