BMD: Difference between revisions
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(Created page with "=== Regions to report: === L1-L4 (if focal artifact / DDD, exclude affected vertebra but try to avoid reporting only 1 level) Hip (Lowest of femoral neck or total hip) Forear...") |
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=== Regions to report: === | === Regions to report: === | ||
L1-L4 (if focal artifact / DDD, exclude affected vertebra but try to avoid reporting only 1 level) | * L1-L4 (if focal artifact / DDD, exclude affected vertebra but try to avoid reporting only 1 level) | ||
Hip (Lowest of femoral neck or total hip) | * Hip (Lowest of femoral neck or total hip) | ||
Forearm (if needed) (33% or 1/3 radius) | * Forearm (if needed) (33% or 1/3 radius) | ||
Diagnosis is from lowest T-score above: | Diagnosis is from lowest T-score above: | ||
-1.0 or better - Normal | * -1.0 or better - Normal | ||
-1.01 to -2.49 - Osteopenia | * -1.01 to -2.49 - Osteopenia | ||
-2.5 or worse - Osteoporosis | * -2.5 or worse - Osteoporosis | ||
Ignore changes in BMD <3% | Ignore changes in BMD <3% | ||
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Pts treated if >50 AND [ osteoporotic OR hip/spine fracture OR { osteopenic AND (hip fracture risk >=3% OR major osteoporotic fracture risk >=20%) } ] | Pts treated if >50 AND [ osteoporotic OR hip/spine fracture OR { osteopenic AND (hip fracture risk >=3% OR major osteoporotic fracture risk >=20%) } ] | ||
Only report FRAX in osteopenic patients, not already being treated, >50 y/o, without prior hip or vertebral fracture | Only report FRAX in osteopenic patients, not already being treated, >50 y/o, without prior hip or vertebral fracture | ||
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Fracture grading: | Fracture grading: | ||
Grade 1: 20-25% height loss | * Grade 1: 20-25% height loss | ||
Grade 2: 25-40% | * Grade 2: 25-40% | ||
Grade 3: >40% | * Grade 3: >40% | ||
Latest revision as of 13:55, 30 October 2018
Regions to report:
- L1-L4 (if focal artifact / DDD, exclude affected vertebra but try to avoid reporting only 1 level)
- Hip (Lowest of femoral neck or total hip)
- Forearm (if needed) (33% or 1/3 radius)
Diagnosis is from lowest T-score above:
- -1.0 or better - Normal
- -1.01 to -2.49 - Osteopenia
- -2.5 or worse - Osteoporosis
Ignore changes in BMD <3%
Changes in BMD >10% are usually measurement error
FRAX:
Pts treated if >50 AND [ osteoporotic OR hip/spine fracture OR { osteopenic AND (hip fracture risk >=3% OR major osteoporotic fracture risk >=20%) } ]
Only report FRAX in osteopenic patients, not already being treated, >50 y/o, without prior hip or vertebral fracture
VFA:
Fracture grading:
- Grade 1: 20-25% height loss
- Grade 2: 25-40%
- Grade 3: >40%