Download Manual of Bone Densitometry Measurements: An Aid to the by R. Madhok, T. Allison (auth.), Dr. John N. Fordham MD, FRCP, PDF
By R. Madhok, T. Allison (auth.), Dr. John N. Fordham MD, FRCP, BSc (eds.)
The value of osteoporosis within the uk as a reason for demise and incapacity is now good recognized. There are in far more than 200,000 osteoporotic-related fractures within the united kingdom each year asso ciated with an expected rate of £942,000,000. Following hip fracture it really is identified that approximately 50% of sufferers are not able to stay indepen dently and approximately 20% of such sufferers die in the first 6 months. those figures, compelling as they're, mirror poorly on present scientific practices which obviously have did not determine sufferers with low bone density prone to fracture. The desire is that the techni cal advances that have enabled bone mineral density, and different allied indices, to be measured with excessive precision and accuracy bargains the opportunity of settling on sufferers susceptible to fracture and guiding the clinician to make remedy judgements that can decrease the sufferers' danger of fracture. within the united kingdom, prone for picking sufferers prone to fracture are nonetheless of their infancy and aren't uniformly to be had in the course of the nation. this case is, despite the fact that, prone to enhance really fol lowing the book of the Royal university of Physicians document "Osteoporosis -clinical guidance for prevention and remedy" and the popularity in "Our more healthy kingdom" that osteoporosis pre vention might be integrated as a objective to accomplish a discount of 20% in injuries through 2010.
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Additional resources for Manual of Bone Densitometry Measurements: An Aid to the Interpretation of Bone Densitometry Measurements in a Clinical Setting
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Discussion For many years researchers have compared BMD measurements at various sites in the body. Unsurprisingly significant correlations were found between, for Measurement of Bone Density: Current Techniques 33 example, the BMD value in the lumbar spine and the BMD value in the hip. Although significant these correlations were not strong enough to be predictive. Similar work has recently been done comparing ultrasonic measurements made in the os-calcis with bone mineral density measurements made at the spine and hip.
All things considered one of the pencil beam systems is likely to be the instrument of choice for use in osteoporosis clinics in district general hospitals. Fan beam systems are currently relatively expensive compared to other modalities and are likely to be confined to research establishments in the near future. Clinicians may be better served by considering the ability of a given system to predict future fracture rather than to define osteoporosis, which will automatically limit them to the DXA systems.
Recent work using modalities together has shown increased power to predict fracture when both modalities give "low" values. This synergy should be exploited, where possible, to further benefit the patient. In these terms it seems unwise to rate one modality as inherently "better" than any other as they seem to offer different and complementary information. Similar arguments may be used when considering the use of axial or peripheral measurements. G. Truscott fracture risk prediction is best served by measurement at that particular site.