- BONE DENSITOMETRY REPORT 5/16/2025 2:52 PM
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- Lumbar spine and hip DXA (Dual Energy X-ray Absorptiometry)
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- CLINICAL DATA: 83 years old Male
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- COMPARISON: 5/29/2007
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- TECHNIQUE:
A DXA was performed of the lumbar spine and the proximal femur (total femur, neck) using a Hologic densitometer. BMD values were determined in gms/cm2 and compared to a young normal reference population (T-score = SDs below or above the young normal mean) as well as to an aged-matched normal reference population (Z-score = SDs below or above the age-matched normal mean). The reference BMD values for the hip were derived from the NHANES data, for the spine the Hologic reference data were used. According to ISCD (International Society of Clinical Densitometry) criteria osteoporosis is defined by T-scores in post-menopausal women and men older than 50 years.
RESULTS:
- L1-L4 Total
- BMD values= 1.163 T-score= 0.7 Z-score= 1.9
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- Total Femur
- BMD values= 0.745 T-score= -1.9 Z-score= -0.7
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- Femur Neck
- BMD values= 0.637 T-score= -2.2 Z-score= -0.5
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- Positioning, artifacts and morphologic findings:
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- IMPRESSION:
- The BMD of the lumbar spine is 0.7 standard deviations above that of a normal, young reference population.
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- The BMD of the proximal femur is 2.2 standard deviations below that of a normal, young reference population.
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- According to WHO-criteria these findings are consistent with osteopenia. The fracture risk is increased.
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- Compared to prior examination, bone mineral density within the lumbar spine has increased by 16.6 %, which is not statistically significant.
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- RECOMMENDATIONS:
- Vitamin D, calcium, and weight bearing exercise have been shown to reduce fracture risk and bone loss.
- Follow-up DXA in > two years to monitor BMD.
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- Report dictated by: ASG, MD, PhD, signed by: ASG, MD, PhD
- Department of Radiology and Biomedical Imaging