A DXA Primer for the Practicing Clinician

A Case-Based Manual for Understanding and Interpreting Bone Densitometry
Buch | Softcover
167 Seiten
2013 | 2014 ed.
Springer-Verlag New York Inc.
978-1-4419-1374-6 (ISBN)

Lese- und Medienproben

A DXA Primer for the Practicing Clinician - Angelo A. Licata, Susan E. Williams
106,99 inkl. MwSt
Despite public perception, osteoporosis remains a widespread, devastating disease, and a very serious and costly public health threat.   Early detection and treatment must be a priority for primary health care providers.  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 developed around real cases of patients’ DXA measurements.  The content is derived from presentations given by the authors at a national society training course and exemplifies not only the  complete body of education provided through these lectures but the full range of previously undiscussed nuances as well. This practical, easy-to-read title provides the day to day problems of DXA usage that new users may encounter and that training courses do not have time to provide in detail.  The central focus of the book is the presentation of what is normal and what is problematic in the use of DXA, depicting various scenarios with real case histories of patients, their corresponding DXA images and the data that explain the problems.  Unique in approach and presentation, this case-based manual will be of immense value to all practitioners -- and students – interested in providing optimal diagnosis and treatment of osteoporosis.

Introduction








What prompted the authors to write this text





A brief comment on the Bone & Joint Decade





A brief word on the epidemiology of osteoporosis







Primary disease





Secondary disease







That seen in chronic disease, due to Rx, men, bariatric surgery pts.









Introduction to Densitometry







The gold standard for non-invasive skeletal assessment





Ultimate goal: prevent fractures





Limitations: only a ‘snap-shot’; can not reveal what has gone on with the bones up to that point







The many challenges of DXA







Obtaining the images





Interpreting the data







Even radiologists are prone to errors





Specific training is essential







Clinical application to the individual patient







Looking into the future







New technologies







Vision of an ‘optimal’ noninvasive, accurate, measure of bone quality





Chief Medical Officer aboard the USS Enterprise: Lt Commander Leonard "Bones" McCoy







Hand-held ‘tricorder’









3D-QCT







Finite element analysis (FEA)












SECTION I: Fundamental Concepts



1. The History of Non-Invasive Skeletal Assessment








Imaging Techniques







Radiographic absorptiometry





SPA





DPA





QCT





DXA





QUS







PIXI












2. Common Terms and Abbreviations Defined








Accuracy





Apparent bone mineral density





BMD = areal density in g/cm2 in this text







Areal vs. volumetric







Bone accretion





Bone markers





Bone Mineral Density





Coefficient of variation





Database





Distal 3rd Radius





DPA





DXA, Central





DXA, Peripheral





Femoral Neck





Femoral Shaft





FRAX – incl application limited to untreated pts. - should not be completed by Techs; emphasize importance of clinical judgment





Hip, Total





LSC





Lumbar spine (L1 – L4)

Zusatzinfo 20 Illustrations, color; 100 Illustrations, black and white; XIX, 167 p. 120 illus., 20 illus. in color.
Verlagsort New York, NY
Sprache englisch
Maße 155 x 235 mm
Gewicht 3276 g
Themenwelt Medizinische Fachgebiete Innere Medizin Endokrinologie
Medizinische Fachgebiete Innere Medizin Rheumatologie
Medizin / Pharmazie Medizinische Fachgebiete Orthopädie
Studium 2. Studienabschnitt (Klinik) Anamnese / Körperliche Untersuchung
Schlagworte Bone Density • DXA • Osteoporosis • rheumatology
ISBN-10 1-4419-1374-2 / 1441913742
ISBN-13 978-1-4419-1374-6 / 9781441913746
Zustand Neuware
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