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BMD—BONE MINERAL DENSITY (DEXA SCAN)

Dr. Gregory HinnProcedure Overview
Osteoporosis is a disease in which bone density decreases, making bones brittle and prone to fractures. It is estimated that at age 50, a woman has nearly a 40% chance of developing an osteoporotic fracture during her remaining lifetime. A woman’s lifetime risk of hip fracture alone is equal to the combined risk of developing breast, uterine, and ovarian cancer—and up to 20% more women who suffer hip fractures die within one year of the fracture than those of a similar age who haven’t suffered a hip fracture. It is therefore important to identify those women who are at risk for developing osteoporosis.

Procedure Description
DEXA Dual Energy X-ray Absorptiometry.DEXA is the most accurate and advanced test available for measuring bone density (strength). Its results are reproducible, therefore allowing measurements to be taken over time showing progression of disease or improvement in bone density due to treatment. Minimal radiation (less than 1/20 of a chest x-ray) is used to determine the bone density of the spine, hip or wrist. A DEXA test is more sensitive than ordinary x-rays, more accurate than heel measurements and can diagnose bone loss at an earlier stage. Safe and painless, the 10 minute DEXA scan is the most reliable test to determine even the earliest stages of bone loss associated with osteoporosis.

  • More than 25 million Americans have osteoporosis.
  • Four out of five of them are women.
  • Osteoporosis is the cause of over 1.3 million fractures annually, including more than 500,000 vertebral fractures, 250,000 hip fractures, and 240,000 wrist fractures.
  • The direct medical costs of osteoporosis exceed $10 billion annually in the U.S.

Patient Preparation for the Procedure
Wear comfortable clothing. You cannot have a DEXA exam if you have had a barium study within the last five days.

Frequently asked questions

Q: Am I at risk for osteoporosis?
In the years following menopause, women will naturally experience bone loss because of a decrease in estrogen. Most will have no symptoms, even while the disease progresses. These factors add to your risk of developing osteoporosis.

  • Age
  • Caucasian or Asian Descent
  • Thin or Small Build
  • Previous Fracture
  • Family History of Osteoporosis
  • Early Menopause
  • Smoking
  • Inactive Lifestyle
  • Certain Medications (including steroids & thyroid hormones)
  • Alcohol Abuse
  • Inadequate Calcium Intake

Q: Why is early diagnosis important?
Prevention of osteoporosis, delaying its onset or lessening its severity will result in decreasing the chance of osteoporotic fractures, which can lead to pain, lack of mobility and even increase the chance of death. There are now treatments to prevent osteoporosis, once it has been diagnosed.

Q: Is the Dexa scan painful?
No. The test takes less than 15 minutes and involves lying on a table. There are no injections.

Q: Are there medicines that I should not take before the procedure?
Yes, do not take anything that contains Calcium or Milk of Magnesia the day before or the day of the exam.

 

 

National Osteoporosis Foundation

 

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