A Woman's View: Healthcare for Women by Women

Bone Density Screening

A Woman's View is now offering bone density scanning with the Norland's DEXA (Dual Energy X-ray Absorptiometry).  Bone densitometry is a noninvasive technology that is used to measure bone mass. Bone mass, simply put, is the weight of the skeleton, overall or in specific regions. Bone mineral density, or BMD, reveals a risk factor for fractures.

DEXA, the gold standard in densitometry, creates a dual-energy spectrum from an x-ray source. One method involves alternating pulses of low and high kV that are applied to the x-ray tube. The low- and high-energy spectra are then measured separately. The other method applies a constant potential to the x-ray source while using a K-edge filter to separate the energy spectrum into two narrow energy bands. An energy-discriminating detector with a dual-channel analyzer counts the resultant photons. The use of two energies allows bone mineral to be assessed independently of soft-tissue inhomogeneities. Bone mineral content (BMC) and bone mineral density (BMD) are calculated in g/cm and g/cm2, respectively.

Once you have been scanned, which is
completely non-invasive and painless, either Dr. Vickie Lovin or Dr. Denise Bilhorn will interpret your results.  They have been trained and certified by the International Society for Clinical Densitometry (ISCD).  This is a very easy, quick, non-invasive test to see if you are suffering osteopenia, or bone loss.  Severe bone loss leads to Osteoporosis, one of the most common diseases.  There are some links to web sites about this condition below.  The bad news is that often there are no visible symptoms of Osteoporosis until you have a broken bone.  The good news is that the earlier this disease is caught, the better the chance of slowing bone loss or even reversing it.

Since we started doing DEXA scans in May of 2003, approximately 75% of our patients we scan have at least mild bone loss.  Since this condition affects millions of people, this is not surprising.  Here are some of the risk factors for bone loss:

 
  •  Long-term steroid use

  •  Hyperthyroidism

  •  Anorexia or extreme thinness

  •  Heavy tobacco or alcohol use

  •  Lack of exercise

  •  A family history of osteoporosis

If you are over the age of 65 you should have a bone density scan every two years.  It should be noted that if you have any of the risk factors, you need to have a DEXA scan done rather than the heel screening.   Heel screening is not as accurate and can miss some cases.

The lace ribbon represents osteoporosis awareness because bones with loss if minerals begin to look like lace in latter stages.

The lace ribbon represents Osteoporosis Awareness, which is observed in May each year.  When bones begin to lose mineral mass, they first begin to look like Swiss cheese inside, then lace.  This is one of the reasons they are so brittle and easily broken.

To find out more about Osteoporosis Awareness Month and how you can observe it, visit http://www.nof.org/prevention/prevention_month_campaign.htm. If you need any information about osteoporosis or bone density scanning, please contact Dianne Keller, RNC at (828) 345-0800 or dkellerrn@charter.net.

Links to information about osteoporosis:

A Woman's View
915 Tate Blvd. SE
Suite 170
Hickory, North Carolina 28602
(828)345-0800

E-mail at awomansview@charter.net

© Copyright 1996-2006 by A Woman's View, Last Updated on August 1, 2006.

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