Bone densitometry in clinical practice : application and interpretation

Precision and accuracy are terms that are used in quantitative scientific fields to describe the reproducibility of a measurement or the capacity of a measurement to quantify the actual biological matter present. Precision and accuracy are also important applications in the quality control and quality assurance of the performance and interpretation of bone mass measure­ ments. Precision and accuracy also reflect the values and qualities of the author of this important text in the clinical application of bone densitometry. This is the first textbook of its kind devoted entirely to the proper use of this technology in the practice of medicine. Dr. Sydney L. Bonnick has devoted a majority of her career helping to define excellence in this exploding area and in doing so, has earned the respect and admiration of the international bone densitometry community. Confusion abounds in this field due to the proliferation of bone densito­ metry devices, including the various models that can measure many skel­ etal sites, the different normative data bases used, and the establishment of diagnostic categories of low bone mass. Dr. Bonnick's authoritative and carefully referenced text will certainly clarify and broaden the knowledge of those physicians who currently perform bone densitometry. This text is designed to be utilized by a wide range of medical specialists: endocrinolo­ gists, rheumatologists, gynecologists, radiologists, orthopedic surgeons, and nephrologists.

bonnick, A Research Professor And Medication Director For The Institute For Women's Health At Texas Woman's University, Has Added New Clinical Guidelines And Self-assessment Indices, New Chapters On Diagnosing Osteoporosis And Reporting Densitometry, And 13 New Appendices Of Guidelines, Formulas, And Reference Data To This Edition Of A Book/cd-rom Package For Family Physicians And Specialists In Radiology, Endocrinology, Rheumatology, And Orthopedics. The Accompanying Cd-rom Contains Various Statistical Calculators, A Patient Risk Factor Questionnaire, And A Cme Review. Annotation ©2003 Book News, Inc., Portland, Or

stephen J. Spann

this Book Describes The Basic Science Of Bone Densitometry, And The Application Of This Diagnostic Tool In Clinical Practice. The Purpose Is To Help The Reader Become Proficient In The Application And Interpretation Of Bone Densitometry. There Are A Limited Number Of Readers Who Will Be Interested In Reading An Entire Book On This Subject. The Book Meets The Author's Objectives. It Is Written For Anyone Interested In Bone Densitometry (primarily Practitioners). It Will Be Of Most Interest To Those Who Specialize In The Diagnosis Or Treatment Of Osteoporosis. The Author Is A Highly Credible Authority In The Subject Matter. The Content Is Comprised Of Basic Science Aspects Of Bone Densitometry, Including Statistical Issues And Quality Control/clinical Aspects (fracture Prediction; Effects Of Age, Disease, And Drugs On Bone Density; Techniques And Instrumentation; And Clinical Indications). The Book Provides In-depth Coverage Of The Subject. It Is Well Referenced And Well Illustrated. This Is An In-depth Discussion Of Bone Densitometry And Its Use In Clinical Practice. Most Primary Care Physicians Will Not Have The Time Or Interest To Read Such A Treatise. On The Other Hand, The Book Provides A Reference Source For Those Who Would Wish To Gain A Comprehensive Understanding Of This Subject Matter.

In Bone Densitometry in Clinical Practice, Dr. Sydney Bonnick summarizes the state-of-the-art in X-ray bone densitometry, highlighting for today's primary care physicians and densitometrists the expert application of densitometry techniques in patient management. Dr. Bonnick describes the various densitometry techniques currently in use and how to intelligently select among them in a wide variety of clinical circumstances. She also shows how to interpret the computer-generated data and how to recognize and avoid interpetation pitfalls from the effects of artifacts and structural changes. Physicians performing densitometry will learn the key elements to include in a densitometry report to referring doctors, and how to gain mastery of the sophisticated quality control procedures necessary for the successful performance of bone densitometry. Offering the most comprehensive but easily readable explanation of diagnostic densitometry for the primary care physician and technologist, Bone Densitometry in Clinical Practice is destined to become the essential guide for medical personnel working with densitometry. Its numerous illustrations, practical examples, and tables will prove invaluable to physicians, whether new to the field or considerably experienced in the everyday practice of densitometry Front Matter....Pages i-xviii Densitometry Techniques in Medicine Today....Pages 1-30 Densitometric Anatomy....Pages 31-64 Statistics in Densitometry....Pages 65-82 The Importance of Precision in Densitometry....Pages 83-94 Quality-Control Procedures for Densitometry....Pages 95-109 The Prediction of Fracture Risk with Densitometry....Pages 111-126 Effects of Age, Disease, and Drugs on Bone Density....Pages 127-173 Bone Density Data from DPA to DXA and Manufacturer to Manufacturer....Pages 175-195 Clinical Indications for Bone Densitometry....Pages 197-212 Case Studies....Pages 213-245 Back Matter....Pages 247-258 The author illustrates the expert application of densitometry techniques in the treatment and management of patients with osteoporosis, showing how to select from them in a diverse number of clinical circumstances.