Diagnosticreport-example-dxa

DXA BONE DENSITOMETRY

NAME	XXXXXXX
DOB	10/02/1974
REFERRING DR	Smith, Jane
INDICATIONS	Early menopause on estrogen levels. No period for 18 months
PROCEDURE	Dual energy x-ray absorptiometry (DEXA)

Bone Mineral Density

Scan Type	Region	Measured	Age	BMD	T-Score	Z-Score	?BMD(g/cm2)	?BMD(%)
AP Spine	L1-L4	17/06/2008	34.4	1.148 g/cm²	-0.4	-0.5	-	-
Left Femur	Neck	17/06/2008	34.4	0.891 g/cm²	-1.0	-0.9	-	-
Left Femur	Total	17/06/2008	34.4	0.887 g/cm²	-1.2	-1.3	-	-
Right Femur	Neck	17/06/2008	34.4	0.885 g/cm²	-1.0	-1.0	-	-
Right Femur	Total	17/06/2008	34.4	0.867 g/cm²	-1.4	-1.4	-	-

Assessment:

• The Spine L1-L4 BMD is normal.
• The Left Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.
• The Left Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.
• The Right Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.
• The Right Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.

COMMENT

Osteopenia on measured BMD. The estimated 10-year probability of fracture based on present age, gender and measured BMD is less than 10%. This absolute fracture risk remains low. A follow-up assessment may be considered in 2 to 3 years to monitor the trend in BMD.

Thank you for your referral. Dr Peter Ng 17/06/2008

Note:
WHO classification of osteoporosis (WHO Technical Report Series 1994: 843)
- Normal: T-score equal to -1.0 s.d. or higher
- Osteopenia: T-score  between -1.0 and -2.5 s.d.
- Osteoporosis: T-score equal to -2.5 s.d. or lower
- Severe/Established osteoporosis: Osteoporosis with one or more fragility fracture.

T-score: The number of s.d. from the mean BMD for a gender-matched young adult population.
Z-score: The number of s.d. from the mean BMD for an age-, weight- and gender-matched population.

Reference for 10-year probability of fracture risk: Kanis JA, Johnell O, Oden A, Dawson A,  De Laet C, Jonsson B. Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos.Int. 2001;12(12):989-995.

GE LUNAR PRODIGY DENSITOMETER