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Comparison of the various grading methods in a normal distribution, including: standard deviations, cumulative percentages, percentile equivalents, z-scores, T-scores. In statistics, the standard score is the number of standard deviations by which the value of a raw score (i.e., an observed value or data point) is above or below the mean value of what is being observed or measured.
Bone densities are often given to patients as a T score or a Z score. A T score tells the patient what their bone mineral density is in comparison to a young adult of the same gender with peak bone mineral density. A normal T score is -1.0 and above, low bone density is between -1.0 and -2.5, and osteoporosis is -2.5 and lower.
The Z-score for bone density is the comparison to the "age-matched normal" and is usually used in cases of severe osteoporosis. This is the standard score or number of standard deviations a patient's bone mineral density differs from the average for their age, sex, and ethnicity. This value is used in premenopausal women, men under the age of ...
At the hip, a DXA-equivalent T-score may be calculated for comparison to the WHO classification at the proximal femur as normal, osteopenia (T-Score < -1.0 and > -2.5) or osteoporosis (T-Score < -2.5). [17] This T-Score may also be used for fracture risk probability calculation in the WHO FRAX tool [18] with "T-Score" as the appropriate DXA ...
where z is the standard score or "z-score", i.e. z is how many standard deviations above the mean the raw score is (z is negative if the raw score is below the mean). The reason for the choice of the number 21.06 is to bring about the following result: If the scores are normally distributed (i.e. they follow the "bell-shaped curve") then
With DXL technology, the region of interest is scanned using low and high energy x-rays as with a DXA scan. The improvement to DXA with DXL is that, for each pixel scanned by DXA, the exact thickness of the measured object is also measured using lasers. The DXL results allow for a more accurate estimation of bone density by using three separate ...
Z tables use at least three different conventions: Cumulative from mean gives a probability that a statistic is between 0 (mean) and Z. Example: Prob(0 ≤ Z ≤ 0.69) = 0.2549. Cumulative gives a probability that a statistic is less than Z. This equates to the area of the distribution below Z. Example: Prob(Z ≤ 0.69) = 0.7549.
A wide variety of body composition measurement methods exist. The gold standard measurement technique for the 4-compartment model consists of a weight measurement, body density measurement using hydrostatic weighing or air displacement plethysmography, total body water calculation using isotope dilution analysis, and mineral content measurement by dual-energy X-ray absorptiometry (DEXA). [1]