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 |
| Informationen gemäß Produktsicherheitsverordnung (GPSR) | |
| Haben Sie eine Frage zum Produkt? |
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