BMD

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%