Interpreting a DEXA Bone Scan
Many people, especially post-menopausal women, go to the doctor because of weak bones and get sent for a DEXA Bone Scan. This video is created in order to briefly explain how to understand that report from a lay person or health professional point of view.
Disclaimer: I am a 3rd year medical student and not a physician. Please always consult your own doctor for medical advice.
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Пікірлер: 68
Your explanation is superb. My DEXA scan of two years ago has always been a mystery,and,a little scarey. Now I'm trying to fully understand what happens with a DEXA scan,in particular the neck of the femur score,one of my biggest fears! Excellent video Prof Roofs.
@ProfRoofs
6 жыл бұрын
Allison Wilson Thank you. Yes, make sure to take that Vitamin D and calcium as per your doctor’s recommendation and check that Vitamin D levels. It should help out. If not, there are more medicines as well.
Your explanation is very much appreciated!!
Love your graph, very helpful
Very well explained, thank you
Thanks for that explanation. I just got my scan yesterday and was confused to some of the numbers
Great video, thank you Dr. Roofs!
@ProfRoofs
Жыл бұрын
You’re welcome!
Thank you for explaining this.
Excellent video.
Many thanks for the explanation! I'm not a native speaker, but I've got everything! Thanks a lot!
very very verrrry good , thanksssssss
Nicely explained thanks
@ProfRoofs
7 жыл бұрын
Abdullah Ahmed Alramadhani you're welcome and thank you too
Thank you for explaining this information so clearly and truthfully where we all can understand it. My Doctor freaked me out saying Oh my Goodness you have to start doing something about your bones before you fall apart and break all your bones. I was so scared and thought I would maybe fall and end up in a home somewhere. She wanted me to take those awful shots, but I said no. I'm on a Vitamin and Mineral and working out. I eat tons of Protein. and drink a couple of Fair Life Protein drinks too. 9000 mg of Vit D and K2Mk7 Magnesium, Copper, Calicum, Phrosphrous I hope I'm doing enough
thank you sir for your enlightening lecture
@ProfRoofs
2 жыл бұрын
You’re welcome ☺️
thank u very much i finally understood it! :)
Thanks doctor
thank you so much
Thank you
@ProfRoofs
Ай бұрын
You’re welcome ☺️
A very useful video on reading a DEXA score, thanks. Interesting that you say taking oestrogen can cause cancer. This is quite an old post and there are oestrogen drugs now that are body identical and research says thy are less likely to cause cancer. What is your view on this now? As a 56 year old who is looking into hormone replacement i am trying to gather as much information on this. My mother had OP and I don't want to go down the same road.
@ProfRoofs
Жыл бұрын
Hi, Jane. Thanks for the comment. Unopposed estrogen can cause an increase in growth of your uterus and hence cause uterine cancer. I am not an expert in this field, but it is definitely worth discussing with your physician (Generalist, Gynecology).
@janemackenzie532
Жыл бұрын
@@ProfRoofs Thanks so much for your quick and informative response. Yes aware of this and will be seeking advise from a HRT specialist as there are so many options. I have read up on it and as you say it needs to have progestogen too balance the estrogen. Thanks
Perfect thanks
@ProfRoofs
6 жыл бұрын
joshua Izadi you’re welcome
Thank you for sharing. I can't really see the test results you are showing but I'm 65 and 1.6SD below the best and 0.813 gm/cm2 is my BMD. The BMD is the part I don't understand. Can you help? Thank you.
Can a cochlear implant patient go for dexa test?
What does the blue area in the graphic mean?
My report says T score not applicable? is it because of my age (26)? I have a Z score however but I'm not sure what that means
Thanks
@ProfRoofs
3 жыл бұрын
You’re welcome!
I was given a t-score and z-score of 3.3 I’m having a difficult time understanding if this is really bad because it seems way too high
I just had a DEXA scan for full spine and results were normal. Does that mean that I very likely do not have osteoporosis in other places like the leg?
@ProfRoofs
5 жыл бұрын
I am glad to hear your spine DEXA scan turned out well. If you are asking what is the chance that another area of your body has osteoporosis if your spine does not, then I don’t know the answer to that question. If you want to know if osteoporosis can effect certain areas of the body (i.e. the femur head/your hip) and not others (i.e. your spine), then yes, especially in early stages. The best thing to do is to speak with your physician if you have concerns about other parts of the body that you may feel weaknesses/pain and see if they think a DEXA scan of that region is advised or not.
@raultennis7320
5 жыл бұрын
@@ProfRoofsThanks. The T score reference is a 30 year old adult. Does that mean a T score of +1.0 is better than a T score of +0.5?
@ProfRoofs
5 жыл бұрын
Yes it does
Iam 70 years.two months back I had dexa scan my neck T score is-3.1,L1-2.2,L2-2.1,L3 -3.2,L4 -3.4. What supplements should I use.
So my question for you is that my T score for my spine is much lower than for the other areas tested, the spine is -3.3 left total hip is -1.4, left femoral neck is -0.9, right FN is -1.1 and right total hip is -1.0. Does this mean that I have a higher risk of fracture in my spine? I have had 3 stress fractures in the past year; each tibia and the left knee (medial tibial plateau and medial femoral condyle)
@ProfRoofs
6 жыл бұрын
Bobbi Lynn Bolton I am sorry to hear about the pain you have endured and wish you well and to continue to follow up with your Orthopedic physician. In regards to your question, the simple answer is “no.” DEXA is certainly the standard in assessing fracture risk, however there are many other clinical factors as well too and the different supporting anatomical structures also play a role in fracture prevention. There is an assessment tool called FRAX (Fracture Risk Assessment) tool that will tell you your probability of having a fracture in the next 10 years. Here is a link to input your values with instructions below it on that page. Wishing you the best! www.sheffield.ac.uk/FRAX/tool.jsp
@highphysics3617
6 жыл бұрын
I am in the early stages of trying to interpret my dexa scan,and,your Explanation of DEXA scan is wonderful as is,this reply from you to Bobby Lynn Bolton. Excellent information.
@highphysics3617
6 жыл бұрын
By adding a lot of your personal information,you have given me the impetus to try to understand my DEXA scan. I think I was a little afraid to know all the ins,and,out of it,but,you have given me some confidence to follow it through,and,fully understand what is happening to my bones. Thank you,Bobby Lynn.
Age 30femel vitamin d 8.22ng/mL tha.mene bmd wo jo per rakh ke machine pe test karte he wo -1.33 aaya tha.
Estrogen is not cancer causing.
My T score in low spine came in at -4.0 ranges. Do I have hight risk of fracture? I'm only 36.
@LT-pp1je
2 жыл бұрын
Yes!!! You got osteoporosis
Wait... so the lab result misspelled the very NAME of the scan? lol
@billytheweasel
6 жыл бұрын
Thanks for making this vid Prof. Roofs, MD
@CorbinAllred
5 жыл бұрын
No, it is DXA, pronounced "DEXA".
How far negative does a score go? Does it mean the lower the number the worse the osteoporosis is? Does osteoporosis have different stages?
@ProfRoofs
5 жыл бұрын
Tonya Perry Correct, the lower (more negative) the score the weaker the bone. Osteoporosis itself does not have different stages (in terms of related to T score). Osteoporosis is the stage after osteopenia, as defined in the video.
Can someone who is out of shape do it before starting weight loss journey?
@ProfRoofs
Жыл бұрын
It would be pending your doctor’s approval per your health condition and goals
👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼❤️
It was a good presentation , Can you able to translate in Spanish please ?
@ProfRoofs
3 жыл бұрын
mario mercado I would love to do it or if you can then do you know how to put Spanish subtitles for this video?
@mariomercado8561
3 жыл бұрын
I maybe tray for the Spanish peoples
@ProfRoofs
3 жыл бұрын
mario mercado ok thank you
Do small boned Caucasian women have bad bone density
@ProfRoofs
Жыл бұрын
Yes, statistically speaking from evidenced-based investigations, white women have the lowest bone mineral density.
@mojavewolf1
Жыл бұрын
So we lose because we are just petite . We all are destined for this bone issue ? That’s scary
OCHS
Hey f Right Hip T- score Neck - 2.0 Total - 1.4 Which one is more important Neck or Total?
Didn't help me.
@ProfRoofs
Жыл бұрын
Please let me know how I can make a video to help you. Is there something specific you want to know about DEXA?