Drawing on the proven qualities of her highly regarded first edition of Bone Densitometry in Clinical Practice: Application and Interpretation, Sydney Lou Bonnick, MD, has thoroughly updated and dramatically expanded this new edition so that family physicians and specialists-radiologists, endocrinologists, rheumatologists, internists, gynecologists, orthopedists, or nephrologists-will fully understand not only what must be done about osteoporosis, but also why. New to this edition-over half the book-are discussions of the clinical guidelines for selecting patients for densitometry measurements, various questionnaires and indices that have been developed to help patients identify themselves as candidates for bone mass measurements, and specific densitometry applications for diagnosis, fracture risk prediction, and monitoring changes in bone density. Thirteen new appendices conveniently locate guidelines, formulas, and reference data needed in daily practice. Updated material includes an expanded review of the effects of diseases and drugs on bone density, new standardization formulas for the hip subregions and forearm, statistical devices necessary to "test the test," and guidance on how to do a short-term precision study and apply the results in clinical practice. A concise but expanded presentation of the statistical concepts that are so important to making the best clinical decisions is included, along with an accompanying CD-ROM containing a Precision Calculator, a Statistical Confidence Calculator for Measured Change in BMD, OST Nomograms, a Patient Risk Factor Questionnaire, and a CME review, which, if successfully completed, makes the user eligible for up to 30 hours of CME Category 1 continuing education credit. Comprehensive and up-to-date, Bone Densitometry in Clinical Practice: Application and Interpretation, Second Edition offers both primary care physicians and specialists the best means to take part in the growing clinical use of bone densitometry to diagnose and manage osteoporosis
CONTENT
1: Densitometry Techniques -- 2: Skeletal Anatomy in Densitometry -- 3: Statistics in Densitometry -- 4: Quality Control -- 5: Bone Density Data: From DPA to DXA and Manufacturer to Manufacturer -- 6: The Effects of Age, Disease, Procedures, and Drugs on Bone Density -- 7: Selecting Patients for Bone Mass Measurements: Clinical Guidelines -- 8: Selecting Patients for Bone Mass Measurements: Self-Assessment Indices -- 9: Diagnosing Osteoporosis -- 10: Predicting Fracture Risk -- 11: Monitoring Changes in Bone Density -- 12: Reporting Densitometry -- 13: FDA-Approved Densitometry Devices -- Appendix I: Contacts for Bone Densitometry Manufacturers and Organizations of Interest -- Appendix II: Conversion Formulas -- Appendix III: Formulas and Tables Used in Serial Bone Density Measurements -- Appendix IV: World Health Organization Criteria for the Diagnosis of Osteoporosis Based on the Measurement of Bone Density -- Appendix V: Recent Guidelines for Bone Density Testing -- Appendix VI: Bone Mass Measurement Act of 1997 -- Appendix VII: CPT Codes for Bone Densitometry -- Appendix VIII: 2002 Medicare Reimbursement Rates -- Appendix IX: NHANES III Proximal Femur Reference Data -- Appendix X: Norland DXA Reference Data -- Appendix XI: Hologic DXA Reference Data -- Appendix XII: Lunar DXA Reference Data -- Appendix XIII: Densitometry Patient Questionnaire -- Appendix XIV: The CD-ROM Companion
