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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 ...
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. A Z score is just a comparison of what a patient's bone mineral density is in comparison to the average bone mineral density of a male or female of their age and weight.
In educational assessment, T-score is a standard score Z shifted and scaled to have a mean of 50 and a standard deviation of 10. [14] [15] [16] In bone density measurements, the T-score is the standard score of the measurement compared to the population of healthy 30-year-old adults, and has the usual mean of 0 and standard deviation of 1. [17]
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 ...
There is no single accepted name for this number; it is also commonly referred to as the "standard normal deviate", "normal score" or "Z score" for the 97.5 percentile point, the .975 point, or just its approximate value, 1.96. If X has a standard normal distribution, i.e. X ~ N(0,1),
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A score above -1 indicates a low risk for osteoporosis; below -1 to -2.5 indicates a risk of developing osteoporosis; and a score below -2.5 indicates more intensive testing should be performed and that osteoporosis is likely present. The Z-score reports how much bone the patient has as compared to others his age.
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