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Claus Glüer

Estimating fracture risk with DXA and other techniques

Outline of topics

Areal bone mineral density (BMD) results as measured by Dual X-Ray Absorptiometry are closely related to relative fracture risk. However, in order to determine whether treatment is indicated for a given patient, that patient’s absolute risk of fracture should be estimated. As a consequence, the confounding impact of age and clinical risk factors need to be taken in account.

Similar calculations can also be preformed for other measurement techniques such as Quantitative Computed Tomography (QCT) and Quantitative Ultrasound (QUS) approaches. We will discuss how these techniques can be used to estimate absolute fracture risk.

Educational goals

  • To become familiar with typical levels of absolute fracture risk of osteoporotic patients
  • To understand how combinations of age and BMD results are related to absolute fracture risk
  • To get insight how measurement results of techniques other than DXA could be used to estimate absolute fracture risk

Who should attend

Physicians considering to replace treatment decision based solely on DXA T-Scores by criteria based on absolute fracture risk.

Teaching methods

Based on case studies with specific levels of age, BMD etc. the audience will be asked to estimate the absolute level of fracture risk; methods for estimation of risk will be presented and discussed.

 

   
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