DXA Primer for the Practicing Clinician (eBook)
XIX, 167 Seiten
Springer New York (Verlag)
978-1-4419-1375-3 (ISBN)
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.
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.
IntroductionWhat prompted the authors to write this textA brief comment on the Bone & Joint DecadeA brief word on the epidemiology of osteoporosisPrimary diseaseSecondary diseaseThat seen in chronic disease, due to Rx, men, bariatric surgery pts.Introduction to DensitometryThe gold standard for non-invasive skeletal assessmentUltimate goal: prevent fracturesLimitations: only a ‘snap-shot’; can not reveal what has gone on with the bones up to that pointThe many challenges of DXAObtaining the imagesInterpreting the dataEven radiologists are prone to errorsSpecific training is essentialClinical application to the individual patientLooking into the futureNew technologiesVision of an ‘optimal’ noninvasive, accurate, measure of bone qualityChief Medical Officer aboard the USS Enterprise: Lt Commander Leonard "Bones" McCoyHand-held ‘tricorder’3D-QCTFinite element analysis (FEA)SECTION I: Fundamental Concepts1. The History of Non-Invasive Skeletal AssessmentImaging TechniquesRadiographic absorptiometrySPADPAQCTDXAQUSPIXI2. Common Terms and Abbreviations Defined AccuracyApparent bone mineral densityBMD = areal density in g/cm2 in this text Areal vs. volumetricBone accretionBone markersBone Mineral DensityCoefficient of variationDatabaseDistal 3rd RadiusDPADXA, CentralDXA, PeripheralFemoral NeckFemoral ShaftFRAX – incl application limited to untreated pts. - should not be completed by Techs; emphasize importance of clinical judgmentHip, TotalLSCLumbar spine (L1 – L4)
| Erscheint lt. Verlag | 20.11.2013 |
|---|---|
| Zusatzinfo | XIX, 167 p. 120 illus., 20 illus. in color. |
| Verlagsort | New York |
| Sprache | englisch |
| 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 | 1-4419-1375-0 / 1441913750 |
| ISBN-13 | 978-1-4419-1375-3 / 9781441913753 |
| Haben Sie eine Frage zum Produkt? |
PDF (Wasserzeichen)Größe: 9,8 MB
DRM: Digitales Wasserzeichen
Dieses eBook enthält ein digitales Wasserzeichen und ist damit für Sie personalisiert. Bei einer missbräuchlichen Weitergabe des eBooks an Dritte ist eine Rückverfolgung an die Quelle möglich.
Dateiformat: PDF (Portable Document Format)
Mit einem festen Seitenlayout eignet sich die PDF besonders für Fachbücher mit Spalten, Tabellen und Abbildungen. Eine PDF kann auf fast allen Geräten angezeigt werden, ist aber für kleine Displays (Smartphone, eReader) nur eingeschränkt geeignet.
Systemvoraussetzungen:
PC/Mac: Mit einem PC oder Mac können Sie dieses eBook lesen. Sie benötigen dafür einen PDF-Viewer - z.B. den Adobe Reader oder Adobe Digital Editions.
eReader: Dieses eBook kann mit (fast) allen eBook-Readern gelesen werden. Mit dem amazon-Kindle ist es aber nicht kompatibel.
Smartphone/Tablet: Egal ob Apple oder Android, dieses eBook können Sie lesen. Sie benötigen dafür einen PDF-Viewer - z.B. die kostenlose Adobe Digital Editions-App.
Buying eBooks from abroad
For tax law reasons we can sell eBooks just within Germany and Switzerland. Regrettably we cannot fulfill eBook-orders from other countries.
aus dem Bereich
