Meet the Professor
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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