A DXA Primer for the Practicing Clinician [electronic resource] : A Case-Based Manual for Understanding and Interpreting Bone Densitometry /
Licata, Angelo A.author.
Williams, Susan E.author.
Dual-energy X-ray absorptiometry (DXA) is the principal x-ray technology used to diagnose osteoporosis in its early, asymptomatic stages, to assess treatment efficacy, and to guide treatment decisions. It remains the gold standard today. A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry is based on actual clinical encounters and treatment dilemmas encountered by the authors. The content is derived from years of clinical practice and presentations given by the authors at regional and national conferences. It exemplifies not only the complete body of knowledge provided through these lectures but also the full range of previously undiscussed nuances of DXA interpretation. This practical, easy-to-read text captures many of the common challenges of DXA interpretation that clinicians often encounter. The central focus of the book is the presentation of what is normal and what is problematic when using DXA. It presents real-life case histories, their corresponding DXA images, the problems encountered and their solutions. Unique in approach and presentation, this one-of-a-kind case-based manual will be of immense value to all clinicians—and students—motivated to optimize their diagnostic skills and assessment of patients with abnormal bone densities.
Foreword; Preface - What's the simple rationale behind bone density measurements?; Key Points; How Absorptiometry Works: A Straightforward Explanation; Summary; Acknowledgements; Contents; Chapter 1: Introduction - How does one go from bone mineral density measurements to a diagnosis of osteoporosis; The T-Score Conundrum and Continuum of Risk; Monitoring: The Other Benefit of DXA; Summary; Chapter 2: What Is Osteoporosis?; T-Score Cutoffs: How Is It Useful and for What?; How Accurate Are the Scores for Assessing Fracture Risk?
What Happens When the T-Score Concept Is Used in Other Populations Distinct from the One Originally Used to Develop the Te...Bone Strength; What Is the Diagnosis? Osteopenia? Osteoporosis?; Summary; Chapter 3: What Happens After I Order a DXA?; Introduction; The Prescription; Pre-DXA Instructions; The Pre-DXA Questionnaire; Arrival at the Imaging Center and DXA Suite; Chapter 4: What Is FRAX ® ?; Introduction; FRAX ®; Summary; Chapter 5: The DXA Report: What Every Referring Clinician Needs to Know; Introduction; Elements of a Good BMD Report; Elements of a Good Follow-Up BMD Report
Ready to Test Your Skills?Does This Report Provide Useful Information for the Referring Clinician?; Summary; Chapter 6: Technological Errors in DXA Scanning: Common Errors in Diagnosing and Monitoring; Is DXA scanning subject to technical errors which can affect patient care?; Summary; Chapter 7: Monitoring Treatment Efficacy: DXA Pearls and Pitfalls; The Concept of Measurement Error; Longitudinal Errors in DXA; What Does All of This Have to Do with DXA Results? Does It Really Make a Difference?; More Clinical Cases: BMD Changes, Real or Not Real?; In Summary
Chapter 8: Special Considerations in Common GI Diseases, Obesity, and Following Bariatric SurgeryDoes This Patient Have Primary Osteoporosis?; Does She Have Primary Osteoporosis?; Why Did We Test for Celiac Disease?; When Is It Safe to Consider Adding a Bisphosphonate to a Patient's Treatment Regimen?; In Summary; Chapter 9: UFOs: Unexpected Foreign Objects; Summary; Chapter 10: Challenging Cases; Answers to Challenging Cases; Appendix: Clinical Cases; Chapter 1: Introduction: How does one go from bone mineral density measurements to a diagnosis of osteoporosis?
Chapter 2: What Is Osteoporosis?Chapter 3: What Happens After I Order a DXA?; Chapter 4: What Is FRAX®?; Chapter 5: The DXA Report: What Every Referring Clinician Needs to Know; Chapter 6: Technological Errors in DXA Scanning: Common Errors in Diagnosing and Monitoring; Chapter 7: Monitoring Treatment Efficacy: DXA Pearls and Pitfalls; Chapter 8: Special Considerations in Common GI Diseases, Obesity, and Following Bariatric Surgery; Chapter 9: UFOs: Unexpected Foreign Objects; Chapter 10: Challenging Cases; Glossary; Index
Includes index.
Dual-energy X-ray absorptiometry (DXA) is the principal x-ray technology used to diagnose osteoporosis in its early, asymptomatic stages, to assess treatment efficacy, and to guide treatment decisions. It remains the gold standard today. A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry is based on actual clinical encounters and treatment dilemmas encountered by the authors. The content is derived from years of clinical practice and presentations given by the authors at regional and national conferences. It exemplifies not only the complete body of knowledge provided through these lectures but also the full range of previously undiscussed nuances of DXA interpretation. This practical, easy-to-read text captures many of the common challenges of DXA interpretation that clinicians often encounter. The central focus of the book is the presentation of what is normal and what is problematic when using DXA. It presents real-life case histories, their corresponding DXA images, the problems encountered and their solutions. Unique in approach and presentation, this one-of-a-kind case-based manual will be of immense value to all clinicians—and students—motivated to optimize their diagnostic skills and assessment of patients with abnormal bone densities.
Kursbok
Endocrinology .
Rheumatology.
Endocrinology.
Rheumatology.