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Osteoporosis Health Centre
Diagnosis

Conventional Tests

DXA or Dual Energy X-Ray Absorptiometry

DXA is the "gold standard" for measuring bone density and diagnosing osteoporosis. DXA is a special X-ray that detects bone loss much earlier than conventional X-rays. Standard X-rays cannot detect bone loss until 30 percent of the bone has been lost. By this time, a person will already have osteoporosis and will be at higher risk of having painful fractures. DXA can even detect osteopenia, which is defined as mild bone loss.

DEXA machine

DXA:
measures the density of bones in the spine and the hip. These areas represent the two types of bone in the body: cortical and trabecular bones.

DXA:

  • is painless, accurate, non-invasive
  • is quick - it takes about 20 minutes
  • uses a low level of radiation (less than 1/3 of a chest x-ray)
  • can provide whole body scanning which gives information about body composition including lean (muscle) and fat mass

An alternative test for Osteoporosis - QCT

Quantitative Computed Tomography (QCT) is another test used to measure bone density. It is not as widely available as DEXA and its use is restricted.

QCT:

  • scans the trabecular bones of the lower spine - the type of bones that change with age
  • provides separate measurements of the two types of bone in the body. This makes it more sensitive and precise than other tests
  • uses a higher dose of radiation than other bone density tests (as much as a chest x-ray)
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