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Bone Densitometry (DEXA)

DEXA photoWhat is Bone Densitometry (DEXA)?
What will my test be like and how should I prepare?
Osteoporosis Facts
Osteoporosis Risk Factors

What Is Bone Densitometry (DEXA)?

DEXA (dual-energy x-ray absorptiometry) is the most accurate and advanced bone densitometry testing technique available. This test measures the bone mineral density of the spine and hip, sites where osteoporotic fracture most frequently occurs. DEXA is the standard diagnostic tool recommended for patients at risk of developing osteoporosis. It is also used to monitor those under treatment for the disease.

A safe, painless and highly accurate way to measure the density of bones.
Bone densitometry testing can help your healthcare provider in making a diagnosis about your bone status and fracture risk. Bone densitometry testing uses very small amounts of radiation. Results of your test are compared to a reference population based on your age, weight, height, sex and ethnic background. The test may be repeated to determine your rate of bone loss or the effect of treatment over time.

A good way to find out if you have osteoporosis.
Osteoporosis is a disease that causes bones to become more porous, gradually making them brittle. Healthy bones are dense and strong. Osteoporosis weakens bones so they become more fragile and more likely to break.

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What will my test be like and how should I prepare?

DEXA examinations do not require any special preparation. You may eat and drink normally and take any medications you regularly take before and after your exam. For this test, please avoid wearing clothing with metal buttons or zippers for your examination. A loose fitting outfit with an elastic waist is best. To complete this examination, expect to lie still on a padded scanning bed, breathe normally and rest comfortably. The scan takes about 15 minutes. After your examination, you may resume your normal activities.

Please advise our staff at the time of scheduling if you have had a recent upper GI or barium enema examination.

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Osteoporosis Facts

Osteoporosis: A disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fractures of the hip, spine and wrist.

Prevalence
Osteoporosis is a major public health threat for an estimated 44 million Americans.

In the U.S. today, 10 million individuals are estimated to already have the disease and almost 34 million more are estimated to have low bone mass, placing them at increased risk for osteoporosis.

Of the 10 million Americans estimated to have osteoporosis, eight million are women and two million are men.

Osteoporosis is responsible for more than 1.5 million fractures annually. One in two women and one in four men over the age of 50 will have an osteoporosis-related fracture in their lifetime.

Symptoms
Osteoporosis is often called the “silent disease” because bone loss occurs without symptoms. People may not know that they have osteoporosis until their bones become so weak that a sudden strain, bump or fall causes a fracture or a vertebra to collapse.

Collapsed vertebra may be detected by severe back pain, loss of height, or spinal deformities such as stooped posture.

Detection
Safe, quick, comfortable and precise bone densitometry testing can detect low bone density before a fracture occurs and predict the chance of fracturing in the future. If testing is conducted at intervals of a year or more, it can be used to determine the rate of bone loss and/or monitor the effects of treatment.

Prevention
By about age 20, the average woman has acquired 98 percent of her skeletal mass. Building strong bones during childhood and adolescence can be the best defense against developing osteoporosis later. A good prevention program includes a balanced diet rich in calcium and Vitamin D, weight-bearing exercise, a healthy nonsmoking lifestyle with limited alcohol intake, bone density testing and medication when appropriate.

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Common Risk Factors for Osteoporosis

  • Being female
  • Thin and/or small frame
  • Advanced age
  • Family history of osteoporosis
  • Post menopause, including early or surgically-induced menopause
  • Abnormal absence of menstrual periods
  • Eating disorders
  • A diet low in calcium
  • Use of certain medications, such as steroids
  • Low testosterone in men
  • Inactive lifestyle
  • Cigarette smoking
  • Excessive use of alcohol
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