Archive for the ‘Evaluation and Screening’ Category
Driving to Chicago in February was cold and snowing. But it was hot indoors at the ISCD (International Society for Clinical Densitometry) Annual Meeting and Position Development Conference (PDC).
While no new technologies were introduced, the PDC evaluated the scientific studies of several recent innovations. Most are best done in research centers. One recent innovation could make it to clinical centers. Trabecular Bone Score (TBS) is a software addition to DXA that adds information about the quality of bone by re-analyzing the L1, L2, L3 vertebrae.
We have discussed how adding Vertebral Fracture Assessment (VFA) to a DXA Bone Mineral Density (BMD) improves Fracture Risk calculation. TBS has the same potential. The main issues blocking TBS are software cost, added time, and the fact that all insurances (including Medicare) currently do not pay for it.
We also attended presentations about patient treatment issues. Fracture Prevention is much more than just checking a T-score with DXA. National experts shared their knowledge of medical issues that can strongly influence Bone Health and Fracture Risk. More about these sessions next time.
You can Take Control of your Future with action to decrease your fracture risk.
Jay Ginther, MD
DXA is very good at determining Bone Mineral Density (BMD), provided you look at the images and over-read the computer. DXA alone is less good at predicting Fracture Risk. But, Fractures are what we want to avoid.
At the International Society for Clinical Densitometry (ISCD) meeting this week, we will discuss the other modalities, which supplement DXA to obtain greater accuracy. Vertebral Fracture Assessment (VFA) helps evaluate bone quality. FRAX was specifically designed to predict Fracture Risk. QCT (Quantitative Computerized Tomography) has been added in recent years as an alternative to DXA.
ISCD will discuss adding TBS (Trabecular Bone Score), Hip Structural Analysis, Hip Axis Length, and uses of Central CT. We are constantly pushing toward our goal – Prevent Fractures.
Preventing Fractures is not just DXA. Get a Complete Bone Health Evaluation.
Take Control of your future. Check your bone health.
Jay Ginther, MD
I often hear: “I do not have osteoporosis, but my friend…” How are you certain that you do not have a bone health issue that could be improved upon? By the simple belief of “not me !!!” This I understand all too well after doing the same.
In bone health, the first sign of trouble is often a fracture, possibly a hip fracture, with a 20-30% chance of death. This is not good. In heart health, a rhythm problem, can lead to “V fib”, which often leads to death within minutes, unless you get to a defibrillator. Also not good.
I now have a new 2-lead pacemaker with defibrilator. I was completely unaware that my heart had become a ticking time bomb. I was lucky to have a routine annual heart check-up scheduled. Otherwise, my first warning could have been “V fib” with sudden death. Really not good.
Once I realized I had a problem, I moved quickly to the solution – pacemeker defibrillator. I wasted no time. Now I am able to do all the things I want to – travel, grandchildren, etc.
You do not need to be as clueless as I was. Take Control of your health. Check on your risks for diabetes, high blood pressure, heart disease, and bone health. Then take action to correct problems. Get a Complete Bone Health Evaluation as well as evaluation of the rest of your body.
Jay Ginther, MD
Fractures are NOT FUN. Not something you want to repeat. Any fracture is a Bone Attack. It is a warning that you probably have Bone Health issues that can be improved. Get a Complete Bone Health Evaluation and work to prevent a second fracture. Most people can succeed in preventing that second fracture.
I see many individuals who have had a first fracture. Often the DXA, BMD, and T-score are not that bad. I even see many who have good DXA test scores. But they still fractured with relatively minor trauma. They proved that they have increased Fracture Risk. Why?