Bone Densitometry in Clinical Practice: Application and Interpretation (Current Clinical Practice)

This fully updated and dramatically expanded edition will allow family physicians and specialists to fully understand not only what they need to do, but also why. New to this edition - over half the book - are discussions of the clinical guidelines for selecting patients for densitometry measurements, various questionnaires and indices that have been developed to help patients identify themselves as candidates for bone mass measurements, and specific densitometry applications of diagnosis, fracture risk prediction, and monitoring changes in bone density. Updated material includes an expanded review of the effects of diseases and drugs on bone density, new standardization formulas for the hip subregions and forearm, statistical devices necessary to test the test, and guidance on how to do a short-term precision study and apply the result to clinical practice. An accompanying CD-ROM contains a Precision Calculator, a Statistical Confidence Calculator for Measured Change in BMD, OST Nomograms, a Patient Risk Factor Questionnaire, and a CME review, which, if successfully completed, can lead to 30 hours of AMA Category I continuing education credit. Drawing on the proven qualities of her highly regarded first edition of Bone Densitometry in Clinical Practice: Application and Interpretation, Sydney Lou Bonnick, MD, has thoroughly updated and dramatically expanded this new edition so that family physicians and specialists-radiologists, endocrinologists, rheumatologists, internists, gynecologists, orthopedists, or nephrologists-will fully understand not only what must be done about osteoporosis, but also why. New to this edition-over half the book-are discussions of the clinical guidelines for selecting patients for densitometry measurements, various questionnaires and indices that have been developed to help patients identify themselves as candidates for bone mass measurements, and specific densitometry applications for diagnosis, fracture risk prediction, and monitoring changes in bone density. Thirteen new appendices conveniently locate guidelines, formulas, and reference data needed in daily practice. Updated material includes an expanded review of the effects of diseases and drugs on bone density, new standardization formulas for the hip subregions and forearm, statistical devices necessary to "test the test," and guidance on how to do a short-term precision study and apply the results in clinical practice. A concise but expanded presentation of the statistical concepts that are so important to making the best clinical decisions is included, along with an accompanying CD-ROM containing a Precision Calculator, a Statistical Confidence Calculator for Measured Change in BMD, OST Nomograms, a Patient Risk Factor Questionnaire, and a CME review, which, if successfully completed, makes the user eligible for up to 30 hours of CME Category 1 continuing education credit. Comprehensive and up-to-date, Bone Densitometry in Clinical Practice: Application and Interpretation, Second Edition offers both primary care physicians and specialists the best means to take part in the growing clinical use of bone densitometry to diagnose and manage osteoporosis

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.

The second edition of Dr. Sydney Lou Bonnick's text Bone Densitometry in Clinical Practice is an expansion of her highly regarded first edition, which has provided the bone densitometry community with simply the best, most accurate, and most precisely written resource in our field. Dr. Bonnick has applied her very careful and exact scientific approaches to expand and improve on her widely regarded initial text. In addition to the chapters in the first edition on the science of bone densitometry and its clinical appli- tion, this text has new chapters and a CD-ROM that come at a very critical time in our field. The clinical use of bone densitometry is increasing exponentially as more professional societies have endorsements and guidelines on the application of bone densitometry in the assessment and management of osteoporosis. The recent endorsement of population screening by the US Preventive Services Task Force (USPSTF) has now provided g- ernmental validation to this technology, whose proper use Dr. Bonnick has pioneered. In a new chapter, Dr. Bonnick compares the similarities and differences in the recent gui- lines from the USPSTF and the National Osteoporosis Foundation, American Assoc- tion of Clinical Endocrinologists, American College of Obstetrics and Gynecology, and the North American Menopause Society. Front Matter....Pages i-xxvi Densitometry Techniques....Pages 1-27 Skeletal Anatomy in Densitometry....Pages 29-67 Statistics in Densitometry....Pages 69-91 Quality Control....Pages 93-109 Bone Density Data....Pages 111-126 The Effects of Age, Disease, Procedures, and Drugs on Bone Density....Pages 127-178 Selecting Patients for Bone Mass Measurements....Pages 179-195 Selecting Patients for Bone Mass Measurements....Pages 197-216 Diagnosing Osteoporosis....Pages 217-232 Predicting Fracture Risk....Pages 233-266 Monitoring Changes in Bone Density....Pages 267-285 Reporting Densitometry....Pages 287-300 FDA-Approved Densitometry Devices....Pages 301-343 Back Matter....Pages 345-411 This book's features include comprehensive and cutting-edge review of all facets of clinical bone densitometry; clinical guidelines and self-assessment indices for selecting patients for bone measurements; review and technical specifications of some 33 densitometry machines; new chapters on diagnosing osteoporosis and reporting densitometry; appendices with guidelines, formulas, and reference data needed in daily practice; painless and accessible primer on the use of statistics in desitometry; discussion of statistial devices necessary to "test the test"; and step-by-step guide on how to do a short-term precision study and apply it clinically Densitometry techniques Skeletal anatomy in densitometry Statistics in densitometry Quality control Bone density data: from DPA to DXA and manufacturer to manufacturer The effects of age, disease, procedures, and drugs on bone density Selecting patients for bone mass measurements: clinical guidelines Selecting patients for bone mass measurements: self-assessment indices Diagnosing osteoporosis Predicting fracture risk Monitoring changes in bone density Reporting densitometry FDA-approved densitometry devices.