Bone Densitometry

DEXA (Dual-Energy X-ray Absorptiometry) is an x-ray procedure which is used to measure bone mineral density. A DEXA Scan is a simple and non-invasive procedure. Measurements of the lower spine, hips and sometimes the wrist are taken. The procedure is painless and radiation exposure is minimal.

A Bone Density Scan is recommended if you:

• Are a post-menopausal women and not taking hormone replacement therapy.
• Have a history of smoking.
• Have experienced bone loss or bone trauma.
• Have a family history of osteoporosis, fracture(s), hyperthyroidism and other related clinical conditions such as diabetes, liver or kidney disease.
• Use certain medication known to contribute to bone loss as a side effect such as corticosteroids, prednisone, some barbiturates, as well as thyroid replacement medications.

Preparations

There are little or no preparations for a DEXA Scan. You should eat as you normally do; however, it is recommended that you DO NOT take any calcium supplements 24 hours prior to the exam.

You may have to wait 10-14 days before undergoing a DEXA test if you have had another diagnostic study which required the use of a contrast agent such as a barium enema, an upper/lower GI series esophagram; or have been injected with a contrast material for a computed tomography (CT) Scan or radioisotope scan for a bone or PET/CT Scan.

As with all radiological procedures, patients should inform the technologist if there is any chance of pregnancy.

How is a DEXA Scan performed?

You will be asked to lie on the examination table for a short time while the arm of the machine passes over your body taking measurements. It is important that you stay as still as possible during the procedure to ensure a clear, useful image. One of our Board-Certified Sub-Specialty Radiologists will interpret the results of the DEXA Scan and provide a report for the physician who made the referral for the exam. DEXA reports are given with two scores, a “T” score and a “Z” score:

T score — indicates the amount of bone you have when compared with a young adult of the same gender with peak bone mass. A score above -1 is considered normal. A score between -1 and -2.5 is classified as osteopenia, the first stage of bone loss. A score below -2.5 is defined as osteoporosis. It is used to estimate your risk of developing a fracture.

Z score — indicates the amount of bone you have when compared to other people in your age group and of the same size and gender. If it is unusually high or low, it may indicate a need for further medical tests.

For your convenience, please download the appropriate forms prior to your appointment.

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