Bone Densitometry for Technologists (None)
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Certified Bone Densitometry Technologist CBDT
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Our Day return guarantee still applies. You may be told to not wear clothes with metal zippers, belts or buttons on the day of the scan. Or you may change into a gown for the test. If you are wearing glasses, jewellery or other objects that could interfere with the test, you will be asked to take them off.
Certified Bone Densitometry Technologist (CBDT®)
You will lie on a table and be placed in position. When the scan is being done, you must stay very still and you may be asked to hold your breath. The scanner moves over the area to be scanned and uses low-dose x-rays to produce images on a computer screen. X-rays are taken of the bones of the lower spine and hip. Sometimes x-rays are also taken of the forearms. In some cases, the whole body is scanned. Bone density scans use low levels of ionizing radiation. Ionizing radiation is strong enough to damage cells in our bodies and increase the chance of developing cancer.
But the risk associated with any one scan is very small. Scans and other x-rays are strictly monitored and controlled to make sure they use the least possible amount of radiation. The benefits of having a bone density scan outweigh the risk of exposure to the small amount of radiation received during the scan.
Bone Density Technologist
A bone density scan tells your doctor how strong your bones are by using a numbered score. Your doctor will use this score to discuss whether you have normal bone mass, low bone mass or osteoporosis.
A bone density scan can also predict how likely you are to break a bone over the next 10 years by using a percentage. Your doctor will use this percentage to discuss if you have a low, moderate or high risk. Open in a separate window. Box 1 Definitions of T-score and Z-score. Table 2 Bone mineral density testing technologies.
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- Why a bone density scan is done?
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Table 3 WHO classification of bone mineral density. Dual-energy X-ray absorptiometry DXA can be used to diagnose osteoporosis, assess fracture risk and monitor changes in bone mineral density BMD over time.
Quality control, acquisition, analysis, interpretation and reporting of DXA studies require training and experience for the DXA technologist and interpreter. Quantitative comparison of BMD values on the same instrument cannot be made unless precision assessment has been done and the least significant change calculated. Quantitative comparison of BMD values obtained on different instruments cannot be made unless a cross-calibration study has been done. Poor-quality DXA reports may result in inappropriate patient care decisions that can be costly and sometimes harmful to patients.
Eligibility
Footnotes Competing interests The authors declared no competing interests. Bone health and osteoporosis: Shepherd JA, et al. Cross-calibration and minimum precision standards for dual-energy X-ray absorptiometry: Bonnick SL, et al. Importance of precision in bone density measurements. Lewiecki EM, et al. Update on bone density testing. Lotz JC, et al. Fracture prediction for the proximal femur using finite element models: Marshall D, et al. Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures.
Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Cranney A, et al. Systematic reviews of randomized trials in osteoporosis: Antifracture efficacy of antiresorptive agents are related to changes in bone density. J Clin Endocrinol Metab. Mazess R, et al. Enhanced precision with dual-energy X-ray absorptiometry.
Njeh CF, et al. Radiation exposure in bone mineral density assessment. Siris ES, et al.
How a bone density scan is done
Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women: Uses and misuses of quantitative ultrasonography in managing osteoporosis. Cleve Clin J Med. Krieg MA, et al. Quantitative ultrasound in the management of osteoporosis: Faulkner KG, et al. Discordance in patient classification using T-scores. Hans DB, et al. Peripheral dual-energy X-ray absorptiometry in the management of osteoporosis: Engelke K, et al.
Clinical use of quantitative computed tomography and peripheral quantitative computed tomography in the management of osteoporosis in adults: Baim S, et al. Official positions of the International Society for Clinical Densitometry and executive summary of the Position Development Conference.
Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis. Binkley NC, et al. What are the criteria by which a densitometric diagnosis of osteoporosis can be made in males and non-Caucasians? Lenchik L, et al. What is the role of serial bone mineral density measurements in patient management? Leslie WD, et al. Application of the WHO classification to populations other than postmenopausal Caucasian women: Premenopausal bone health assessment. Assessment of osteoporosis at the primary health-care level. National Osteoporosis Foundation; Support Center Support Center.
Please review our privacy policy. Not doing bone density test in a high-risk patient Doing bone density test when it is unlikely to change clinical management. Healthy year-old woman not tested Healthy year-old woman is tested. Phantom scanning never done Results of phantom scanning not reviewed or instrument servicing not requested when calibration has changed It is not possible to quantitatively compare BMD tests if LSC is not known. Improper patient positioning Wrong scan mode Invalid skeletal site Artifacts not removed from scanned area Incorrect demographic information.