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Diagnosing Osteoporosis: 
Bone Densitometry (Bone Mineral Test)
By Dr. B. Jankharia

What is bone densitometry

Bone densitometry, using an advanced technology called DXA (Dual-energy X-ray Absorption), is a procedure that accurately and painlessly measures bone density and the mineral content of bone.  This helps in determining a woman's risk of developing osteoporosis.
 

How does the bone densitometry work

Most common examination sites are the fracture-prone hip, spine and sometimes the forearm.  Evaluation also includes measurement of height and weight, a thorough history and risk assessment.  Bone Mineral Density (BMD) is calculated and compared to normal BMD values, matched for age and sex to confirm or rule out osteoporosis.  A low BMD by DXA may predict the likelihood of developing osteoporosis and can help determine a treatment plan.
 

How is it performed

During a comprehensive bone evaluation with DXA, the patient lies comfortably still on a padded table while the DXA unit scans one or more areas, usually the fracture-prone spine or the hip.  Unlike typical x-ray machines, radiation exposure during bone densitometry is extremely low - less than the radiation exposure during a coast-to-coast airline flight.  The entire process takes only minutes to complete, depending on the number of sites scanned.  It involves no injections or invasive procedures, and the patient remains fully clothed.
 

Is any special preparation required before taking the test
 

  • Unless instructed otherwise by the clinician, eat normally on the day of the exam; but avoid taking any calcium supplements for at least 24 hours prior to the appointment. 
  • Wear loose, comfortable clothing.  Sweat suits and other casual attire without zippers, buttons, grommets or any other metal are preferred.
  • You should not have had a barium study, radioisotope injection, oral or intravenous contrast material from a CT scan or MRI within seven days prior to your DXA test.

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