A bone scan is a nuclear medicine exam that looks for cancer and stress fractures and does not test bmd. A searchable pdf file cannot be created scansnap help pfu. Dexa is a quick method that is accurate exact measurement of bmd, precise reproducible, and flexible different regions can be scanned and is performed with a low radiation dose 3, 4. With it, you can easily convert pdf files into editable word, excel. Adobe reader software will only allow you to read pdf documents, it will not save the document. Interpreting a dxa scan in clinical practice 5 worldwide. The order of the report can be tailored to the institution.
This template should be altered based on clinical judgment, and any federal, state or local regulations, and local facility preferences. It is commonly used to diagnose osteoporosis, to assess an. Naps2 scan documents to pdf and more, as simply as possible. Techniques for opening scanned, untagged, and tagged documents will be presented. You will need to complete the form, print it, scan the document. The agematched or zscore compares your bmd to what might be expected in. And i file my copies so i can compare results from year to year. The format, though, can also be used for scanned documents. View the aafp choosing wisely recommendation on dual energy xray absorptiometry dexa screening for osteoporosis in women under age 65 or men under 70. How do i insert scanned documents into a pdf document. Instead, you lie on your back on a flat, open xray table. The horizon dxa system is the latest in densitometry technology, but the dual energy xray does more than just measure bone density. The ocr engine uses the selected language to interpret the scanned text. Bone density scans are often used to diagnose or assess your risk of osteoporosis, a health condition that weakens bones and makes them more likely to break.
Some desktop printers also support direct pdf printing, which can interpret pdf data without external help. This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. The horizon dxa system is a powerful solution to take skeletal health to the next level with higher quality images, patient throughput, reduced interpretation time. New and novel approaches to the interpretation of dxa body composition keep dxa at the forefront of applications ranging from infants to the morbidly obese, and athletes to the elderly. Is performed with a dual energy xray absorptiometry dxa, dexa system axial skeleton for monitoring tests or confirmatory testing if the initial scan was not dxa. Dxa measurements can also be used to provide information on early gender and ethnic changes in the rate of bone accretion and to determine the. An accessible pdf is a pdf document that can be read and.
Bone densitometry dexa, dxa bone densitometry, also called dualenergy x ray absorptiometry, dexa or dxa, uses a very small dose of ionizing radiation to produce pictures of the inside of the body usually the lower or lumbar spine and hips to measure bone loss. Although they sound alike, the two exams are performed differently and are used for different purposes. The threestep procedure for dual energy xray absorptiometry includes image acquisition emphasizing proper patient positioning and regions of interest. The test can identify osteoporosis, determine your risk for fractures broken bones, and measure your response to osteoporosis treatment. Thus, the who diagnostic criteria for osteoporosis define osteoporosis in term s of a tscore below i 2. The primary measure for reading a dxa scan when reading a dxa scan, locate the. The pdf of your scanned document will open in notes. A bone density scan can detect thinning bones at an early stage. The most commonly used bmd test is called a central dual energy xray absorptiometry, or central dxa test. This video is created in order to briefly explain how to understand that.
Youll need to keep very still during the scan so the images are not blurred. Your dexa scan test results how to interpret the scores. Osteoporosis screening, diagnosis, and treatment guideline. Using ocr in adobe acrobat export pdf, document cloud, reader. Dualenergy xray absorptiometry in the diagnosis of.
Dxa scanning focuses on two main areas the hip and the spine. Without major improvements in diagnosis and management, the rate of. Bone densitometry dexa, dxa bone densitometry, also called dual energy xray absorptiometry, dexa or dxa, uses a very small dose of ionizing radiation to produce pictures of the inside of the body usually the lower or lumbar spine and hips to measure bone loss. There is no prep for a dexa scan, but if a patient has had back, hip, or wrist surgery or has broken any of those areas, the results can be skewed. Bone densitometry services under medicare questions. Changes have been made to the 2010 car technical standards for bone mineral densitometry reporting to incorporate principles from the 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in canada from osteoporosis canada. The horizon dxa system has features for a complete fracture risk assessment and more.
The role of dxa bone density scans in the diagnosis and. Scan any paper documents, such as exhibits or the signature page of a signed affidavit. For each pdf, citavi creates a new reference and searches for its bibliographic information using. If you already have osteoporosis, bone scans can also tell you how fast the disease is progressing but an abnormal bone scan can. Dont be a victim of not knowing your situation, look at the below description of items on reading a dxa scan. Naps2 helps you scan, edit, and save to pdf, tiff, jpeg, or png using a simple and functional interface.
How to scan documents for translation with smartphone. N have you had any exam using ingested barium within the past 7 days. Accessing pdf documents with assistive technology a. Dexa scan preparation, procedure, guidelines, results. When you have a dexa scan, you will not need to go into a tunnel or have an injection. You have your dexa scan results you have t score numbers and z score numbers. Fundamentals, methodology, and clinical applications 411 indicaciones y las di. Dexa is increasingly being used to determine body composition in a variety of settings, including obesity 1, sarcopenia 2, and elite sport 3. Unlike ct whole body scans which have a significant amount of radiation, dxa dual energy xray absorptiometry whole body scans have a minimal amount of radiation, even much less than xrays. Manage patients concerns about longterm bisphosphonate use with the 15second single energy femur scan that allows. A dexa scan is a technique that is used to measure the density of bone mineral. Getting started adding references importing pdf files citavi.
Pitfalls in measurement and interpretation of bone mineral density. Us adult dxa sample report these are suggested guidelines for an adult dxa report in the united states. Many people, especially postmenopausal women, go to the doctor because of weak bones and get sent for a dexa bone scan. What are the changes to the dual energy xray absorptiometry dexa bone densitometry services. Have you had a barium test, iemeal, enema, within the last seven 7 days. Frax was incorporated into dxa scan ners to provide frax probabilities at the time of dxa. Bone densitometry dexa overview a bone densitometry or dexa, scan is a xray scan of your lower spine and nondominant hip to determine risk for osteopenia and osteoporosis.
Training requirements for bone density testing professionals. Interpretation of dxa scans deborah sellmeyer, md professor of medicine division of endocrinology, gerontology, and metabolism stanford university, school of medicine dxa technology xray source two energies with different attenuation profiles collimator pinhole for pencil beam, slit for fan beam patient. Dual energy xray absorptiometry dexa scan is a quick and accurate test that is widely used for. Whats the difference between pdf and accessible pdf. N have you had a dxa bone density scan in the past. Bone density testing in general practice poor bone health is common in australia an estimated 4. However, dxa is highly dependent on the quality of scan acquisition, analysis, and interpretation. Article best practice guidelines for dxa scans and reports. A bone mineral density bmd test is can provide a snapshot of your bone health. If you are not sure how to answer a question, leave the space blank and we will assist you with the answer when you are seen at our facility. The frax results are shown on the dxa printout just below the bmd results. Compared with alternative bone densitometry techniques, hip and spine dxa examinations have a number of. Practice parameters and technical standards are not inflexible rules or requirements of practice and are. Sample hologic body composition dxa scan report pages.
Dual energy xray absorptiometry dxa procedures manual. This is one of the most accurate tests available today and is presently the most widely used technique that is used to measure bone density. Overview of dual energy x ray absorptiometry dxa will be used to assess overall skeletal changes that often occur with age by measuring bone mineral content bmc and bone mineral density bmd. Dual energy xray absorptiometry dexa is the technique of choice in the assessment of bone mineral density bmd, the average concentration of mineral in a defined section of bone. Pdfs instructional support at pcc portland community college. A bone density scan is a quick and painless procedure that involves lying on your back on an. Adding tags to older pdfs and those that are generated from scanned documents can present some challenges. Bone density scan dexa scan how it is performed nhs. A bone density scan uses low dose xrays to see how dense or strong your bones are. Interpretation and use of frax in clinical practice. How do i create a pdf file directly from my scanner.
This is a pdf file of an unedited manuscript that has been accepted for publication. Should you have landed here as a result of a search. You can import pdfs of scholarly articles directly into citavi. Prospective students who searched for training requirements for bone density testing professionals found the following information and resources relevant and helpful. Dxa scan results at the hip in a 67yearold woman with a history of proximal humerus fracture. Have you had a nuclear medicine bone scan with the last seven 7 days. Pdf architect input settings click on the create module and choose from scanner.
Understanding what is happening can help you understand how to fix the problem. All answers will be kept in strict confidence and treated as medical record information. For each graphical element that is to appear on the page, the scan converter sets. Submitted by medical health test team on october 19, 2012.
Dexa scan is a holistic scan which can prevent various diseases as mentioned above. Dual energy x ray absorptiometry dxa scans to measure bone mineral density bmd at the spine and hip have an important role in the evaluation of individuals at risk of osteoporosis, and in helping clinicians advise patients about the appropriate use of antifracture treatment. Are you currently undergoing treatment for osteoporosis. Overview of dual energy xray absorptiometry dxa will be used to assess overall skeletal changes that often occur with age by measuring bone mineral content bmc and bone mineral density bmd. Prior to the scan, the individual would require filling up a questionnaire which would help the medical practitioner assess the medical condition of the individual. Premenopausal i usually have regular menstrual periods perimenopausal irregular periods, but i have had at least 1 period in the past 12 months. One common test doctors use is called dual energy xray absorptiometry dxa or dexa. When a searchable pdf cannot be created for an image of a document scanned with the scansnap, check the following. Using pdfa as a preservation format new york state archives.
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