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confused by results of DEXA

Reply from: louise
Date: 21 Feb 2007, 03:02
confused by results of DEXA

I just had a repeat DEXA after about 2 years. My doctor
said it's ok, but I asked for a copy and when I took it
home, it didn't seem so ok to me. And....I don't understand
it all.

Spine:
"Based on analysis of L2-4, bone mineral density is 1.003
gm/cm2. T score is -1.6 and bone mass is low. Since the
prior exam of 8/6/04, bone mass has decreased by
approximately 3.2%. There is also evidence of sclerosis
which could result in overestimation of bone density values."

I am 63 years old and am taking HRT as well as calcium, Vit
D etc.

What does "sclerosis" mean?

Does this sound ok? I have a family history of osteoporosis
and is my doctor correct in saying this is ok?

TIA

Louise

Reply from: Pam
Date: 21 Feb 2007, 20:48
Re: confused by results of DEXA

Hi Louise: Here's the WHO's definition of T & Z scores... According to that,
you have Osteopenia not Osteoporosis. You can also read about the differences
between the two at the link below. I think this is a pretty good score, but you
still need to take the necessary precautions to prevent it from turning into
Osteoporosis, like you are doing already--weight bearing exercises, cal, mag,
vit d etc. Evidently you had a better score 2 years ago, so it would be up to
you if you wanted to do more to increase your score-like bone meds. If
sclerosis can over estimate your score, you *may* have a better score than what
they recorded. I would talk to your dr about any concerns you might have.

* courses.washington.edu/bonephys/opbmd.html

Good Luck...

Pam

"louise" <louise@invalid.invalid> wrote in message
news:541ni5F1u184hU1@mid.individual . net ...
>I just had a repeat DEXA after about 2 years. My doctor said it's ok, but I
>asked for a copy and when I took it home, it didn't seem so ok to me. And....I
>don't understand it all.
>
> Spine:
> "Based on analysis of L2-4, bone mineral density is 1.003 gm/cm2. T score
> is -1.6 and bone mass is low. Since the prior exam of 8/6/04, bone mass has
> decreased by approximately 3.2%. There is also evidence of sclerosis which
> could result in overestimation of bone density values."
>
> I am 63 years old and am taking HRT as well as calcium, Vit D etc.
>
> What does "sclerosis" mean?
>
> Does this sound ok? I have a family history of osteoporosis and is my doctor
> correct in saying this is ok?
>
> TIA
>
> Louise



Reply from: louise
Date: 22 Feb 2007, 06:30
Re: confused by results of DEXA

Pam wrote:
> Hi Louise: Here's the WHO's definition of T & Z scores... According to that,
> you have Osteopenia not Osteoporosis. You can also read about the differences
> between the two at the link below. I think this is a pretty good score, but you
> still need to take the necessary precautions to prevent it from turning into
> Osteoporosis, like you are doing already--weight bearing exercises, cal, mag,
> vit d etc. Evidently you had a better score 2 years ago, so it would be up to
> you if you wanted to do more to increase your score-like bone meds. If
> sclerosis can over estimate your score, you *may* have a better score than what
> they recorded. I would talk to your dr about any concerns you might have.
>
> * courses.washington.edu/bonephys/opbmd.html
>
> Good Luck...
>
> Pam
>
> "louise" <louise@invalid.invalid> wrote in message
> news:541ni5F1u184hU1@mid.individual . net ...
>> I just had a repeat DEXA after about 2 years. My doctor said it's ok, but I
>> asked for a copy and when I took it home, it didn't seem so ok to me. And....I
>> don't understand it all.
>>
>> Spine:
>> "Based on analysis of L2-4, bone mineral density is 1.003 gm/cm2. T score
>> is -1.6 and bone mass is low. Since the prior exam of 8/6/04, bone mass has
>> decreased by approximately 3.2%. There is also evidence of sclerosis which
>> could result in overestimation of bone density values."
>>
>> I am 63 years old and am taking HRT as well as calcium, Vit D etc.
>>
>> What does "sclerosis" mean?
>>
>> Does this sound ok? I have a family history of osteoporosis and is my doctor
>> correct in saying this is ok?
>>
>> TIA
>>
>> Louise
>
>
Thanks for the link - it was very informative and eased my
anxiety.

Do you happen to know what "sclerosis" means? I've never
seen it used in any previous report?

Louise

Reply from: Pam
Date: 22 Feb 2007, 14:36
Re: confused by results of DEXA

Louise: Sclerotic means hardening. When I was told that I had sclerotic bone,
they were referring to the arthritic changes they saw. I would ask your dr to
be sure what it means.


"louise" <louise@invalid.invalid> wrote in message
news:544o49F1v3sq2U1@mid.individual . net ...
> Pam wrote:
>> Hi Louise: Here's the WHO's definition of T & Z scores... According to
>> that, you have Osteopenia not Osteoporosis. You can also read about the
>> differences between the two at the link below. I think this is a pretty good
>> score, but you still need to take the necessary precautions to prevent it
>> from turning into Osteoporosis, like you are doing already--weight bearing
>> exercises, cal, mag, vit d etc. Evidently you had a better score 2 years
>> ago, so it would be up to you if you wanted to do more to increase your
>> score-like bone meds. If sclerosis can over estimate your score, you *may*
>> have a better score than what they recorded. I would talk to your dr about
>> any concerns you might have.
>>
>> * courses.washington.edu/bonephys/opbmd.html
>>
>> Good Luck...
>>
>> Pam
>>
>> "louise" <louise@invalid.invalid> wrote in message
>> news:541ni5F1u184hU1@mid.individual . net ...
>>> I just had a repeat DEXA after about 2 years. My doctor said it's ok, but I
>>> asked for a copy and when I took it home, it didn't seem so ok to me.
>>> And....I don't understand it all.
>>>
>>> Spine:
>>> "Based on analysis of L2-4, bone mineral density is 1.003 gm/cm2. T score
>>> is -1.6 and bone mass is low. Since the prior exam of 8/6/04, bone mass has
>>> decreased by approximately 3.2%. There is also evidence of sclerosis which
>>> could result in overestimation of bone density values."
>>>
>>> I am 63 years old and am taking HRT as well as calcium, Vit D etc.
>>>
>>> What does "sclerosis" mean?
>>>
>>> Does this sound ok? I have a family history of osteoporosis and is my
>>> doctor correct in saying this is ok?
>>>
>>> TIA
>>>
>>> Louise
>>
>>
> Thanks for the link - it was very informative and eased my anxiety.
>
> Do you happen to know what "sclerosis" means? I've never seen it used in any
> previous report?
>
> Louise



Reply from: ron
Date: 23 Feb 2007, 01:29
Re: confused by results of DEXA

On Feb 20, 7:02 pm, louise <lou...@invalid.invalid> wrote:
> I just had a repeat DEXA after about 2 years. My doctor
> said it's ok, but I asked for a copy and when I took it
> home, it didn't seem so ok to me. And....I don't understand
> it all.
>
> Spine:
> "Based on analysis of L2-4, bone mineral density is 1.003
> gm/cm2. T score is -1.6 and bone mass is low. Since the
> prior exam of 8/6/04, bone mass has decreased by
> approximately 3.2%. There is also evidence of sclerosis
> which could result in overestimation of bone density values."
>
> I am 63 years old and am taking HRT as well as calcium, Vit
> D etc.
>
> What does "sclerosis" mean?
>
> Does this sound ok? I have a family history of osteoporosis
> and is my doctor correct in saying this is ok?
>
> TIA
>
> Louise

Hi Loise...QCT (quantitative computed tomography) is more expensive,
generally only available at larger centers and involves a higher dose
of radiation. But it is much more accurate than DXA in determining
BMD as arthritic or other sclerotic conditions do not affect its
measurements as they to DXA measurements. Just a thought...Best
wishes and good health, ron





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