The Evaluation of Osteoporosis

by Blake, Glen M., Ph.D.; Wahner, Heinz W., M.D.; Fogelman, Ignac

• ISBN13: 9781853174728
• ISBN10: 1853174726
• Edition: 2nd
• Format: Hardcover
• Copyright: 1999-01-01
• Publisher: CRC Pr I Llc

Summary

This is a comprehensive review of the two techniques of DXA and ultrasound. Both are used to measure bone density and thus predict the likelihood of osteoporosis or to assess its severity. The use of DXA has become universally accepted as a routine test of bone density in recent years. Many technical advances have occurred, particularly in the speed of examination, and these are fully described. This book provides the reader with a full explanation of the procedures involved in and the advantages of both DXA and ultrasound. It is essential reading for all clinicians and technicians involved in the diagnosis, treatment and study of bone disease.

Author Biography

Glen Blake PhD Consultant Physicist and Honorary Senior Lecturer, Guy's Hospital, London, UK Heinz W Wahner MD FACP, Professor of Radiology and Consultant Physician in Nuclear Medicine, The Mayo Clinic, Rochester, Minnesota, USA Ignac Fogelman MD FRCP, Professor of Nuclear Medicine and Honorary Consultant Physician, Guy's Hospital, London, UK

Table of Contents

Guest Contributors	vii
Preface to the Second Edition	ix
Acknowledgements	x
Metabolic Bone Disease and Osteoporosis: Relevant Information for Bone Mineral Measurements	1	(10)
Bone Mass Measurements and Fracture Risk	11	(34)
Technical Principles of X-ray Absorptiometry	45	(28)
Commercial Instruments for Spine, Femur and Total-Body DXA	73	(16)
Commercial Instruments for X-ray Absorptiometry of the Peripheral Skeleton	89	(18)
Technical Principles of Ultrasound	107	(20)
Commercial Ultrasound Instruments	127	(20)
Assessment of Instrument Performance: Precision, Installation of New Equipment, and Radiation Dose	147	(26)
Instrument Quality Control and Phantoms for DXA Scanners	173	(20)
Measurement of Bone Density in the Lumbar Spine: The PA Spine Scan	193	(42)
Measurement of Bone Density in the Lumbar Spine: The Lateral Spine Scan	235	(24)
Measurement of Bone Density in the Proximal Femur	259	(42)
Measurement of Bone Density in the Distal Forearm	301	(12)
Total Body Bone Mineral and Body Composition by Absorptiometry	313	(34)
DXA in the Growing Skeleton	347	(14)
Clinical Interpretation of Bone Density Scans	361	(26)
The Use of Bone Densitometry in Clinical Trials	387	(8)
Bone Densitometry in Secondary Osteoporosis	395	(20)
Quantitation of Bone Density at Sites of Metal Implants	415	(14)
Vertebral Morphometry Studies using Dual X-Ray Absorptiometry	429	(32)
Index	461