A DXA Primer for the Practicing Clinician
Autor Angelo A. Licata, Susan E. Williamsen Limba Engleză Paperback – 21 noi 2013
Observăm că în literatura de specialitate dedicată densitometriei osoase, A DXA Primer for the Practicing Clinician se poziționează ca un instrument pragmatic esențial. Manual de referință comparabil cu Dual Energy X-ray Absorptiometry de Yu-Ching Lin, dar axat pe o abordare pedagogică bazată pe cazuistică, acest volum publicat de Springer transformă teoria abstractă în competență clinică imediată. În timp ce alte ghiduri, precum Clark's Essential Guide to DXA in Clinical Practice, se concentrează pe protocoalele de scanare, lucrarea semnată de Angelo A. Licata și Susan E. Williams prioritizează interpretarea nuanțată a datelor în contextul real al pacientului. Remarcăm continuitatea viziunii clinice a lui Angelo A. Licata, care în lucrarea sa anterioară, Diseases of the Parathyroid Glands, demonstra aceeași preocupare pentru descifrarea subtilităților diagnostice în endocrinologie. Structura cărții este riguros organizată, pornind de la epidemiologia osteoporozei și evoluând spre aplicațiile clinice ale tehnologiei DXA. Autorii nu se limitează la prezentarea standardelor, ci analizează erorile comune de interpretare, oferind exemple de imagini „normale” versus „problematice”. Textul integrează natural discuții despre boala primară și secundară, inclusiv contextul pacienților cu chirurgie bariatrică sau boli cronice. Un element distinctiv este capitolul final care privește spre viitorul tehnologiilor non-invazive, precum analiza elementului finit (FEA), oferind clinicianului o perspectivă asupra evoluției evaluării calității osoase. Este o resursă care completează lacunele lăsate de cursurile de formare rapidă, punând accent pe problemele de zi cu zi ale utilizatorului de DXA.
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Specificații
ISBN-10: 1441913742
Pagini: 188
Ilustrații: XIX, 167 p. 120 illus., 20 illus. in color.
Dimensiuni: 155 x 235 x 10 mm
Greutate: 0.33 kg
Ediția:2014
Editura: Springer
Locul publicării:New York, NY, United States
Public țintă
Professional/practitionerDe ce să citești această carte
Această lucrare este indispensabilă medicilor endocrinologi, reumatologi și radiologi care doresc să rafineze interpretarea densitometriilor osoase. Cititorul câștigă acces la experiența unor experți naționali, învățând să identifice capcanele de diagnostic pe care software-urile automate le pot omite. Este un ghid practic care transformă un test de rutină într-un instrument de precizie pentru managementul osteoporozei.
Cuprins
Introduction
- What prompted the authors to write this text
- A brief comment on the Bone & Joint Decade
- A brief word on the epidemiology of osteoporosis
- Primary disease
- Secondary disease
- That seen in chronic disease, due to Rx, men, bariatric surgery pts.
- Introduction to Densitometry
- The gold standard for non-invasive skeletal assessment
- Ultimate goal: prevent fractures
- Limitations: only a ‘snap-shot’; can not reveal what has gone on with the bones up to that point
- The many challenges of DXA
- Obtaining the images
- Interpreting the data
- Even radiologists are prone to errors
- Specific training is essential
- Clinical application to the individual patient
- Looking into the future
- New technologies
- Vision of an ‘optimal’ noninvasive, accurate, measure of bone quality
- Chief Medical Officer aboard the USS Enterprise: Lt Commander Leonard "Bones" McCoy
- Hand-held ‘tricorder’
- 3D-QCT
- Finite element analysis (FEA)
- New technologies
SECTION I: Fundamental Concepts
1. The History of Non-Invasive Skeletal Assessment
- Imaging Techniques
- Radiographic absorptiometry
- SPA
- DPA
- QCT
- DXA
- QUS
- PIXI
- Imaging Techniques
2. Common Terms and Abbreviations Defined
- Accuracy
- Apparent bone mineral density
- BMD = areal density in g/cm2 in this text
- Areal vs. volumetric
- Bone accretion
- Bone markers
- Bone Mineral Density
- Coefficient of variation
- Database
- Distal 3rd Radius
- DPA
- DXA, Central
- DXA, Peripheral
- Femoral Neck
- Femoral Shaft
- FRAX – incl application limited to untreated pts. - should not be completed by Techs; emphasize importance of clinical judgment
- Hip, Total
- LSC
- Lumbar spine (L1 – L4)
Recenzii
“This book details the practical aspects of requesting and interpreting the results of the bone densitometry test. … This is a valuable book for clinicians who order this test, patients who are being referred for the examination, and administrators who fund the studies, because it has a relatively high value clinically although misunderstood. This book should be in every training program library.” (Vincent F. Carr, Doody’s Book Reviews, March, 2014)
Textul de pe ultima copertă
Dual-energy X-ray absorptiometry (DXA) is the principal x-ray technology used to diagnose osteoporosis in its early, asymptomatic stages, to assess treatment efficacy, and to guide treatment decisions. It remains the gold standard today. A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry is based on actual clinical encounters and treatment dilemmas encountered by the authors. The content is derived from years of clinical practice and presentations given by the authors at regional and national conferences. It exemplifies not only the complete body of knowledge provided through these lectures but also the full range of previously undiscussed nuances of DXA interpretation.
This practical, easy-to-read text captures many of the common challenges of DXA interpretation that clinicians often encounter. The central focus of the book is the presentation of what is normal and what is problematic when using DXA. It presents real-life case histories, their corresponding DXA images, the problems encountered and their solutions. Unique in approach and presentation, this one-of-a-kind case-based manual will be of immense value to all clinicians—and students—motivated to optimize their diagnostic skills and assessment of patients with abnormal bone densities
Caracteristici
Utilizes real life cases
Thoroughly explains problems and how to compensate or correct them
Descriere
Despite public perception, osteoporosis remains a widespread, devastating disease, and a very serious and costly public health threat. Early detection and treatment must be a priority for primary health care providers. Dual-energy X-ray absorptiometry (DXA) is the principal x-ray technology used to diagnose osteoporosis in its early, asymptomatic stages, to assess treatment efficacy, and to guide treatment decisions. It remains the gold standard today. A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry is developed around real cases of patients’ DXA measurements. The content is derived from presentations given by the authors at a national society training course and exemplifies not only the complete body of education provided through these lectures but the full range of previously undiscussed nuances as well. This practical, easy-to-read title provides the day to day problems of DXA usage that new users may encounter and that training courses do not have time to provide in detail. The central focus of the book is the presentation of what is normal and what is problematic in the use of DXA, depicting various scenarios with real case histories of patients, their corresponding DXA images and the data that explain the problems. Unique in approach and presentation, this case-based manual will be of immense value to all practitioners -- and students – interested in providing optimal diagnosis and treatment of osteoporosis.