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The results of a DEXA bone density exam are interpreted by a physician specially trained in Bone Densitometry.I am a Certified Clinical Densitometrist with
International Society for Clinical Densitometry (www.iscd.org). I send an interpretation of your results and a signed report to your primary care physician, who will work with you to develop a treatment plan. Usually available within a few days, your test results will be in
form of two scores:
T score — This number shows
amount of bone you have compared to a young adult of
same gender with peak bone mass. A score above -1 is considered normal. A score between -1 and -2.5 is classified as osteopenia,
first stage of bone loss. A score below -2.5 is defined as osteoporosis. It is used to estimate your risk of developing a fracture.
Z score — This number reflects
amount of bone you have compared to other people in your age group and of
same size and gender. If it is unusually high or low, it may indicate a need for further medical tests.
Despite its effectiveness as a method of measuring bone density, DEXA is of limited use in people with a spinal deformity or those who have had previous spinal surgery. The presence of vertebral compression fractures or osteoarthritis may interfere with
accuracy of
test. CT scans may be more useful in such instances. DEXA cannot predict who will experience a fracture, but can provide indications of relative risk.
Central DEXA devices are more sensitive than pDEXA devices, but they are also somewhat more expensive. The peripheral devices don't accurately follow changes in your bones during therapy. A test done on a peripheral location, such as your heel or wrist, may help predict
risk of fracture in your spine or hip. But because bone mass tends to vary from one location to
other, measuring
heel is not as accurate as measuring
spine or hip.
Adrian J Rawlinson MD http://www.osteoporosis-advisor.com

Dr. Rawlinson is the Medical Director of The Osteoporosis Center in San Francisco. He hails from Manchester, England and earned his medical degree from the University of Leeds, England in 1983.