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Resource "102" Version "1" (DiagnosticReport)

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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 Henry Seven 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

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    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n&#9;&#9;&#9;<h2>DXA BONE DENSITOMETRY</h2>\n&#9;&#9;&#9;<table>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>NAME</td>\n&#9;&#9;&#9;&#9;&#9;<td>XXXXXXX</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>DOB</td>\n&#9;&#9;&#9;&#9;&#9;<td>10/02/1974</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>REFERRING DR</td>\n&#9;&#9;&#9;&#9;&#9;<td>Smith, Jane</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>INDICATIONS</td>\n&#9;&#9;&#9;&#9;&#9;<td>Early menopause on estrogen levels. No period for 18 months</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>PROCEDURE</td>\n&#9;&#9;&#9;&#9;&#9;<td>Dual energy x-ray absorptiometry (DEXA)</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;</table>\n&#9;&#9;&#9;<h3>Bone Mineral Density</h3>\n&#9;&#9;&#9;<table>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>Scan Type</td>\n&#9;&#9;&#9;&#9;&#9;<td>Region</td>\n&#9;&#9;&#9;&#9;&#9;<td>Measured</td>\n&#9;&#9;&#9;&#9;&#9;<td>Age</td>\n&#9;&#9;&#9;&#9;&#9;<td>BMD</td>\n&#9;&#9;&#9;&#9;&#9;<td>T-Score</td>\n&#9;&#9;&#9;&#9;&#9;<td>Z-Score</td>\n&#9;&#9;&#9;&#9;&#9;<td>?BMD(g/cm2)</td>\n&#9;&#9;&#9;&#9;&#9;<td>?BMD(%)</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>AP Spine</td>\n&#9;&#9;&#9;&#9;&#9;<td>L1-L4</td>\n&#9;&#9;&#9;&#9;&#9;<td>17/06/2008</td>\n&#9;&#9;&#9;&#9;&#9;<td>34.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>1.148 g/cm&#178;</td>\n&#9;&#9;&#9;&#9;&#9;<td>-0.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>-0.5</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>Left Femur</td>\n&#9;&#9;&#9;&#9;&#9;<td>Neck</td>\n&#9;&#9;&#9;&#9;&#9;<td>17/06/2008</td>\n&#9;&#9;&#9;&#9;&#9;<td>34.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>0.891 g/cm&#178;</td>\n&#9;&#9;&#9;&#9;&#9;<td>-1.0</td>\n&#9;&#9;&#9;&#9;&#9;<td>-0.9</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>Left Femur</td>\n&#9;&#9;&#9;&#9;&#9;<td>Total</td>\n&#9;&#9;&#9;&#9;&#9;<td>17/06/2008</td>\n&#9;&#9;&#9;&#9;&#9;<td>34.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>0.887 g/cm&#178;</td>\n&#9;&#9;&#9;&#9;&#9;<td>-1.2</td>\n&#9;&#9;&#9;&#9;&#9;<td>-1.3</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>Right Femur</td>\n&#9;&#9;&#9;&#9;&#9;<td>Neck</td>\n&#9;&#9;&#9;&#9;&#9;<td>17/06/2008</td>\n&#9;&#9;&#9;&#9;&#9;<td>34.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>0.885 g/cm&#178;</td>\n&#9;&#9;&#9;&#9;&#9;<td>-1.0</td>\n&#9;&#9;&#9;&#9;&#9;<td>-1.0</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;&#9;<tr>\n&#9;&#9;&#9;&#9;&#9;<td>Right Femur</td>\n&#9;&#9;&#9;&#9;&#9;<td>Total</td>\n&#9;&#9;&#9;&#9;&#9;<td>17/06/2008</td>\n&#9;&#9;&#9;&#9;&#9;<td>34.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>0.867 g/cm&#178;</td>\n&#9;&#9;&#9;&#9;&#9;<td>-1.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>-1.4</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;&#9;<td>-</td>\n&#9;&#9;&#9;&#9;</tr>\n&#9;&#9;&#9;</table>\n&#9;&#9;&#9;<p>Assessment:</p>\n&#9;&#9;&#9;<ul>\n&#9;&#9;&#9;&#9;<li>The Spine L1-L4 BMD is normal.</li>\n&#9;&#9;&#9;&#9;<li>The Left Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n&#9;&#9;&#9;&#9;<li>The Left Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n&#9;&#9;&#9;&#9;<li>The Right Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n&#9;&#9;&#9;&#9;<li>The Right Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li>\n&#9;&#9;&#9;</ul>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b>COMMENT</b>\n&#9;&#9;&#9;</p>\n&#9;&#9;&#9;<p>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.</p>\n&#9;&#9;&#9;<p>Thank you for your referral. Dr Henry Seven 17/06/2008</p>\n&#9;&#9;&#9;<pre>\nNote:\nWHO classification of osteoporosis (WHO Technical Report Series 1994: 843)\n- Normal: T-score equal to -1.0 s.d. or higher\n- Osteopenia: T-score between -1.0 and -2.5 s.d.\n- Osteoporosis: T-score equal to -2.5 s.d. or lower\n- Severe/Established osteoporosis: Osteoporosis with one or more fragility fracture.\nT-score: The number of s.d. from the mean BMD for a gender-matched young adult population.\nZ-score: The number of s.d. from the mean BMD for an age-, weight- and gender-matched population.\nReference 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.\nGE LUNAR PRODIGY DENSITOMETER\n</pre>\n&#9;&#9;</div>"
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