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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 two most common techniques for estimating bone age are based on a posterior-anterior x-ray of a patient's left hand, fingers, and wrist. [5] [17] The reason for imaging only the left hand and wrist are that a hand is easily x-rayed with minimal radiation [18] and shows many bones in a single view. [19]
A scanner used to measure bone density using dual energy X-ray absorptiometry. Bone density, or bone mineral density, is the amount of bone mineral in bone tissue.The concept is of mass of mineral per volume of bone (relating to density in the physics sense), although clinically it is measured by proxy according to optical density per square centimetre of bone surface upon imaging. [1]
The standard in bone mineral density scanning developed in the 1980s is called Dual X-ray Absorptiometry, known as DXA. The DXA technique uses two different x-ray energy levels to estimate bone density. DXA scans assume a constant relationship between the amounts of lean soft tissue and adipose tissue.
A bone mineral density test, such as dual-energy X-ray absorptiometry, is commonly used to assess bone strength, particularly in the hip and spine. [20] Screening is generally recommended for women aged 65 and older, postmenopausal women with risk factors, [18] [21] and some men based on clinical evaluation. [18]
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The trabecular bone has much higher metabolic activity than the cortical bone and so is affected by age, disease and therapy-related changes earlier and to a greater degree than cortical bone. This means that QCT of the spine has an advantage compared to other bone density tests because earlier changes in bone mineral density may be detected . [1]
Growth arrest lines, also known as Harris lines, are lines of increased bone density that represent the position of the growth plate at the time of insult to the organism and formed on long bones due to growth arrest. They are only visible by radiograph or in cross-section. The age at which the lines were formed can be estimated from a radiograph.