Posts Tagged ‘ISCD’

ISCD 2015

March 3, 2015 @ 7:37 pm
posted by Dr Ginther

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

 

Not Just DXA – Fracture Risk !!

February 22, 2015 @ 9:39 pm
posted by Dr Ginther

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

You Need The Rest Of The Story

April 7, 2014 @ 10:50 pm
posted by Dr Ginther

Last week a patient lamented that according to TV and Radio, “just about everything is bad for me”.  So we discussed that reporters are paid to get people to watch and listen.  Nobody wants to hear that their mother was right when she said “Drink your Milk”.  But everyone will listen to a report that “Calcium is Bad for you if you take Daily Supplements “.  This is true ONLY IF you take enough daily supplements and enough additional Calcium in your food to total way over 1500 mg in a day, but that ruins the story. 

We miss Paul Harvey.  He always told “The Rest of the Story”.

“Bisphosphonate Holiday” 2014

March 8, 2014 @ 8:56 pm
posted by Dr Ginther

“You are entering a Data-Free Zone”   That was unfortunately the messasge at the joint meeting of the International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) last month.  We simply do not have data from a study involving tens of thousands of patients.  We do know some things that are helpful.

Bisphosphonates build up in bone over time.  After about 5 years of Bisphosphonate therapy, you should have enough medication in your bones to last for additional years.  How many years?  That depends.  Different individuals lose Bisphosphonates from their bones at different rates.  Different Bisphosphonates tend to stay in bone longer or shorter than others.  We call the time you are able to stop taking medication for a while (because you have enough in your bones already) “Bisphosphonate Holiday”.