Download presentation
Presentation is loading. Please wait.
1
Osteoporosis Diagnosis 9/21/2018 OSTEOPOROSIS
2
NOF 9/21/2018 OSTEOPOROSIS
3
Diagnosis Osteoporosis S P I N E 9/21/2018 OSTEOPOROSIS
4
SPINE Outside look Inside structure NORMAL or OSTEOPOROTIC 9/21/2018
OSTEOPOROSIS
5
Osteoporosis by looking at the teeth
You can not diagnose Osteoporosis by looking at the teeth 9/21/2018 OSTEOPOROSIS
6
Diagnosis of Postmenopausal Osteoporosis (PMO): Clinical Evaluation
Medical history Risk factor assessment Physical examination Height assessment Laboratory tests, as appropriate Bone mineral density (BMD) testing 9/21/2018 OSTEOPOROSIS
7
Osteoporotic Patient Diagnosis Osteoporosis 9/21/2018 OSTEOPOROSIS
8
Types of Vertebral fractures
Diagnosis Osteoporosis Types of Vertebral fractures Normal Concave deformity Wedge Fracture Compression Fracture 9/21/2018 OSTEOPOROSIS
9
Lumbar Vertebrae: PATHOLOGY
Diagnosis Osteoporosis Lumbar Vertebrae: PATHOLOGY Osteoporotic (Fractured) vertebra From Remagen W 1989, Sandoz 9/21/2018 OSTEOPOROSIS
10
Spinal CT vertebral body Abnormal Normal No Bone left inside 9/21/2018
OSTEOPOROSIS
11
Routine Blood work: NORMAL
Diagnosis Osteoporosis Osteoporosis Routine Blood work: NORMAL Including biochemical bone profile 9/21/2018 OSTEOPOROSIS
12
NOT an easy test to interpret
Diagnosis Osteoporosis Bone Markers NOT an easy test to interpret AM PM 9/21/2018 OSTEOPOROSIS
13
9/21/2018 OSTEOPOROSIS
14
Testing Bone Strength Oh, no 9/21/2018 OSTEOPOROSIS
15
… instead, we measure Bone Mineral Density 9/21/2018 OSTEOPOROSIS
16
… we only measure the minerals
Which means… … we only measure the minerals 9/21/2018 OSTEOPOROSIS
17
NOF 9/21/2018 OSTEOPOROSIS
18
DXA is the gold standard
Densitometer 9/21/2018 OSTEOPOROSIS
19
DXA images / Reports Spine Hip Total Body 9/21/2018 OSTEOPOROSIS
20
Forget the Ward’s triangle
Regions of the proximal femur Inter -troch Troch Neck Forget the Ward’s triangle 9/21/2018 OSTEOPOROSIS
21
WHO Criteria For Osteoporosis based on comparisons to the Young Adult Mean BMD
Normal < 1 SD below mean Osteopenia (low bone mass) 1 SD < BMD < 2.5 below Osteoporosis > 2.5 SD below ‘Severe’ Osteoporosis > 2.5 SD below and fragility fractures T - score Kanis et al. JBMR 1994; 9: 9/21/2018 OSTEOPOROSIS
22
high-resolution image accurate determination
Instant Vertebral Assessment IVA generates a high-resolution image of the entire lateral spine in just 10 seconds, enabling physicians to visually assess vertebral status for a more accurate determination of fracture risk than just BMD alone 9/21/2018 OSTEOPOROSIS
Similar presentations
