Bone Densitometry in Clinical Practice: Application and Interpretation / Edition 3

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Bone densitometry (BD) is an extraordinary clinical tool. It provides a safe, non-invasive window to the skeleton. Through that window, a physician can obtain vital clinical information that enhances diagnosis and improves patient management. Further, much has changed in the last decade to make bone densitometry the especially fascinating field of medicine it is today, incorporating imaging, physics, quantitative analysis, statistics, and computer technology — all applied in the diagnosis and management of osteoporosis.

No text details the state-of-the-art and value of densitometry better than Bone Densitometry in Clinical Practice: Applications and Interpretation, Third Edition. Written by renowned expert Sydney Lou Bonnick, MD, this edition improves remarkably on her highly regarded previous volumes, with a significant update and expansion of material. New chapters reflect densitometry’s growing applications as well as the evolving needs of the densitometrist. New material on radiation safety and assessment for secondary causes of bone fragility is included, and the text also incorporates material from the recent ISCD Position Development Conferences (PDC’s), both the 4th adult and the 1st pediatric. Moreover, an entire appendix devoted to the PDCs has been added, providing solutions to many unanswered questions concerning bone densitometry applications.

Comprehensive and invaluable, Bone Densitometry in Clinical Practice: Application and Interpretation, Third Edition offers all primary care physicians and specialists the ideal reference for practicing state-of-the-art bone densitometry and caring for patients with, or at risk for, osteoporosis.

The book contains predominantly black-and-white illustrations, with some color illustrations.

This book is intended for practicing physicians involved in the care of patients affected by diseases in which bone densitometry is utilized for patient management and for physicians who must interpret bone densitometry data. It will enable the practitioner to knowingly select the appropriate densitometry techniques depending on the particular clinical scenario, and how to intepret the data and detect the effect of artifacts or structural changes indicated on the densitometry reading. They will further become experienced with the concepts of accuracy and precision in determining which site to measure. Dr. Bonnick has created an essential guide for the physician performing densitometry and the most comprehensive, yet easily readable explanation of densitometry results for primary care physicians.

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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is the third edition of a comprehensive book on bone densitometry. The first edition was published in 1998, the second in 2003.
Purpose: The author relates how his experience as a practitioner has matured along with the field as it has incorporated numerous other clinical states involving bone demineralization. The book has evolved as the field has grown and now includes chapters on patient selection and comparisons of guidelines from various professional organizations.
Audience: This compendium is essential for every clinician who routinely provides care and advice to patients who potentially could have bone demineralization. It can be used to obtain as little or as much information one is seeking, such as how to refer patients and the advantages and disadvantages of different equipment types. The author is a greatly respected clinician and researcher in bone densitometry.
Features: The beginning chapters relate the history of estimating bone density and how the subsequent physics brought medical science to the present. This is both informative and educational, giving the historical nuances that make the study of medicine fascinating. Of great importance is the author's careful description of the terms used in densitometry as these have been refined over time. The physics involve much statistics and the author has positioned this information in a separate chapter, which prevents readers from getting caught up with some of the difficult, albeit important aspects of the field. There are great chapters about quality control and patient safety and an extensive comparison and contrasting of the different models of commercially available densitometers. A unique offering is the option of obtaining 30 hours of accredited continuing medical education. An accompanying CD-ROM has a patient questionnaire, calculator, and fracture risk predictor software, as well as the CME review.
Assessment: This is one of the seminal books on bone densitometry and should be in every medical library of teaching institutions and practitioners caring for and advising patients with potential bone demineralization.
Stephen J. Spann
This book describes the basic science of bone densitometry, and the application of this diagnostic tool in clinical practice. The purpose is to help the reader become proficient in the application and interpretation of bone densitometry. There are a limited number of readers who will be interested in reading an entire book on this subject. The book meets the author's objectives. It is written for anyone interested in bone densitometry (primarily practitioners). It will be of most interest to those who specialize in the diagnosis or treatment of osteoporosis. The author is a highly credible authority in the subject matter. The content is comprised of basic science aspects of bone densitometry, including statistical issues and quality control/clinical aspects (fracture prediction; effects of age, disease, and drugs on bone density; techniques and instrumentation; and clinical indications). The book provides in-depth coverage of the subject. It is well referenced and well illustrated. This is an in-depth discussion of bone densitometry and its use in clinical practice. Most primary care physicians will not have the time or interest to read such a treatise. On the other hand, the book provides a reference source for those who would wish to gain a comprehensive understanding of this subject matter.
Explains the technique to physicians and technologists. First deals with technical issues in the performance of bone densitometry such as available equipment, skeletal nomenclatures, elementary statistics, precision testing, and machine quality control. Then explores the application and interpretation of the data that are generated from such perspectives as predicting fracture risk, reference databases, the effects on bone density of various factors, guidelines by several medical societies, and real case studies. Annotation c. by Book News, Inc., Portland, Or.

5 Stars! from Doody
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Product Details

  • ISBN-13: 9781603274982
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 10/30/2009
  • Series: Current Clinical Practice Series
  • Edition description: 3rd ed. 2010
  • Edition number: 3
  • Pages: 505
  • Sales rank: 1,257,057
  • Product dimensions: 7.10 (w) x 10.10 (h) x 1.10 (d)

Table of Contents

1 Densitometry Techniques
2 Skeletal Anatomy in Densitometry
3 A Statistical Overview for the Non-Statistician Densitometrist
4 Quality Control
5 Radiation Safety in X-ray Densitometry
6 Bone Density Data Among Technologies and Manufacturers
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 Secondary Causes of Osteoporosis
13 New Applications for DXA
14 Reporting Densitometry
15 FDA-Approved Densitometry Devices

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