Bone Densitometry in Clinical Practice Application and by Sydney Lou Bonnick

By Sydney Lou Bonnick

A thought-provoking e-book in regards to the way forward for bone and joint problems. this is often the last decade of Bone and Joint, a time the place fast advancements in our realizing of those issues cope with tremendous raises in those power stipulations in the course of the international. by means of drawing on present wisdom and services, the ebook considers destiny situations corresponding to the improvement of medical theories, expertise, prevention, prognosis and therapy.

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01/Bonn/001-028/F 6 7/30/03, 1:35 PM Chapter 1 / Densitometry Techniques 7 Fig. 1-4. A radiographic photodensitometry hand film taken in 1965 of one of the Gemini astronauts. The Texas Woman’s University aluminum wedge is seen next to the little finger. and to perform computerized analysis of such images largely eliminated the errors introduced by differences in radiographic exposure techniques and overlying soft tissue thickness. In an early version of RA, two X-rays of the left hand using nonscreened film were taken at slightly different exposures.

Total body studies required 20 minutes in the medium scan mode and only 10 minutes in the fast scan mode. Newer DXA units scan even faster, with studies of the PA spine or proximal femur requiring less than 1 minute to perform. The values obtained with DXA studies of the skeleton are highly correlated with values from earlier studies performed with DPA. Consequently, the accuracy of DXA is consid8 A central device is a bone densitometer that can be used to quantify bone density in the spine and proximal femur.

1. The clinical and radiological problem of thin bones. Br J Radiol 1961;34:683–692. 15. Bouxsein ML, Palermo L, Yeung C, Black DM. Digital X-ray radiogrammetry predicts hip, wrist and vertebral fracture risk in elderly women: a prospective analysis from the Study of Osteoporotic Fractures. Osteoporos Int 2002;12:358–365. 16. Cummings S, Black D, Nevitt M, et al. Appendicular bone density and age predict hip fractures in women. JAMA 1990;263:665–668. 17. Mack PB, Brown WN, Trapp HD. The quantitative evaluation of bone density.

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