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

Bone densitometry (BD) is an extraordinary clinical tool. It provides a safe, non-invasive window to the skeleton. Through that window, a physician can obtain vital clinical information that enhances diagnosis and improves patient management. Further, much has changed in the last decade to make bone densitometry the especially fascinating field of medicine it is today, incorporating imaging, physics, quantitative analysis, statistics, and computer technology — all applied in the diagnosis and management of osteoporosis. No text details the state-of-the-art and value of densitometry better than Bone Densitometry in Clinical Practice: Applications and Interpretation, Third Edition. Written by renowned expert Sydney Lou Bonnick, MD, this edition improves remarkably on her highly regarded previous volumes, with a significant update and expansion of material. New chapters reflect densitometry’s growing applications as well as the evolving needs of the densitometrist. New material on radiation safety and assessment for secondary causes of bone fragility is included, and the text also incorporates material from the recent ISCD Position Development Conferences (PDC’s), both the 4th adult and the 1st pediatric. Moreover, an entire appendix devoted to the PDCs has been added, providing solutions to many unanswered questions concerning bone densitometry applications. Comprehensive and invaluable, Bone Densitometry in Clinical Practice: Application and Interpretation, Third Edition offers all primary care physicians and specialists the ideal reference for practicing state-of-the-art bone densitometry and caring for patients with, or at risk for, osteoporosis. The book contains predominantly black-and-white illustrations, with some color illustrations. This book is intended for practicing physicians involved in the care of patients affected by diseases in which bone densitometry is utilized for patient management and for physicians who must interpret bone densitometry data. It will enable the practitioner to knowingly select the appropriate densitometry techniques depending on the particular clinical scenario, and how to intepret the data and detect the effect of artifacts or structural changes indicated on the densitometry reading. They will further become experienced with the concepts of accuracy and precision in determining which site to measure. Dr. Bonnick has created an essential guide for the physician performing densitometry and the most comprehensive, yet easily readable explanation of densitometry results for primary care physicians. Front Matter....Pages i-xxvii Densitometry Techniques....Pages 1-34 Skeletal Anatomy in Densitometry....Pages 35-78 A Statistical Overview for the Non-statistician Densitometrist....Pages 79-104 Quality Control....Pages 105-126 Radiation Safety in X-Ray Densitometry....Pages 127-139 Bone Density Data Among Technologies and Manufacturers....Pages 141-161 Selecting Patients for Bone Mass Measurements: Clinical Guidelines....Pages 163-186 Selecting Patients for Bone Mass Measurements: Self-Assessment Indices....Pages 187-207 Diagnosing Osteoporosis....Pages 209-226 Predicting Fracture Risk....Pages 227-255 Monitoring Changes in Bone Density....Pages 257-278 Secondary Causes of Osteoporosis....Pages 279-295 New Applications for DXA....Pages 297-355 Reporting Densitometry....Pages 357-370 FDA-Approved Densitometry Devices....Pages 371-425 Appendices....Pages 427-502 Back Matter....Pages 511-520