Angelo A. Licata, Susan E. Williams

A DXA Primer for the Practicing Clinician

A Case-Based Manual for Understanding and Interpreting Bone Densitometry

• Broschiertes Buch

Produktbeschreibung

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.

Produktdetails

• Verlag: Springer / Springer New York / Springer, Berlin
• Artikelnr. des Verlages: 978-1-4419-1374-6
• 2014
• Seitenzahl: 188
• Erscheinungstermin: 21. November 2013
• Englisch
• Abmessung: 235mm x 155mm x 10mm
• Gewicht: 306g
• ISBN-13: 9781441913746
• ISBN-10: 1441913742
• Artikelnr.: 36831907

Inhaltsangabe

Introduction
1. What prompted the authors to write this text
2. A brief comment on the Bone & Joint Decade
3. A brief word on the epidemiology of osteoporosis
4. Primary disease
5. Secondary disease
* That seen in chronic disease, due to Rx, men, bariatric surgery pts.
6. 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
7. The many challenges of DXA
8. Obtaining the images
9. Interpreting the data
* Even radiologists are prone to errors
* Specific training is essential
10. Clinical application to the individual patient
11. Looking into the future
12. New technologies
13. Vision of an 'optimal' noninvasive, accurate, measure of bone quality
14. Chief Medical Officer aboard the USS Enterprise: Lt Commander Leonard
"Bones" McCoy
* Hand-held 'tricorder'
15. 3D-QCT
* Finite element analysis (FEA)
SECTION I: Fundamental Concepts
1. The History of Non-Invasive Skeletal Assessment
16. Imaging Techniques
17. Radiographic absorptiometry
18. SPA
19. DPA
20. QCT
21. DXA
22. QUS
* PIXI
2. Common Terms and Abbreviations Defined
23. Accuracy
24. Apparent bone mineral density
25. BMD = areal density in g/cm2 in this text
* Areal vs. volumetric
26. Bone accretion
27. Bone markers
28. Bone Mineral Density
29. Coefficient of variation
30. Database
31. Distal 3rd Radius
32. DPA
33. DXA, Central
34. DXA, Peripheral
35. Femoral Neck
36. Femoral Shaft
37. FRAX - incl application limited to untreated pts. - should not be completed
by Techs; emphasize importance of clinical judgment
38. Hip, Total
39. LSC
40. Lumbar spine (L1 - L4)

Rezensionen

From the reviews:

"This book details the practical aspects of requesting and interpreting the results of the bone densitometry test. ... This is a valuable book for clinicians who order this test, patients who are being referred for the examination, and administrators who fund the studies, because it has a relatively high value clinically although misunderstood. This book should be in every training program library." (Vincent F. Carr, Doody's Book Reviews, March, 2014)