Posts Tagged ‘ISCD’

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”.

The International Society for Clinical Densitometry (ISCD) met last week.  Our society has been dedicated to properly evaluating DXA to determine Bone Mineral Density (BMD) and t-score.  Now ISCD is taking the next step.

The recurring theme at the 2014 ISCD joint meeting with the International Osteoporosis Foundation (IOF) was that DXA, BMD, and t-score are only tools to reach the real goal.  The real goal is Preventing Fractures.  DXA, BMD, and t-score alone do not get us to that goal.  As health care providers, we can best prevent fractures by evaluating the reasons for Fracture Risk, and correcting those issues.