Interpreting a DEXA Bone Scan
ฝัง
- เผยแพร่เมื่อ 28 ก.ย. 2024
- Many people, especially post-menopausal women, go to the doctor because of weak bones and get sent for a DEXA Bone Scan. This video is created in order to briefly explain how to understand that report from a lay person or health professional point of view.
Disclaimer: I am a 3rd year medical student and not a physician. Please always consult your own doctor for medical advice.
For more videos and updates, please subscribe to my channel and visit www.ProfRoofs.com
Facebook: / professorroofsaandp
Instagram: / profroofs
SnapChat: ProfRoofs
Twitter: @ProfRoofs
![DEXA scans, protein, time-restricted feeding, fasting & more [AMA 40 sneak peek] | Peter Attia, M.D.](/img/n.gif)
Thank you for explaining this information so clearly and truthfully where we all can understand it. My Doctor freaked me out saying Oh my Goodness you have to start doing something about your bones before you fall apart and break all your bones. I was so scared and thought I would maybe fall and end up in a home somewhere. She wanted me to take those awful shots, but I said no. I'm on a Vitamin and Mineral and working out. I eat tons of Protein. and drink a couple of Fair Life Protein drinks too. 9000 mg of Vit D and K2Mk7 Magnesium, Copper, Calicum, Phrosphrous I hope I'm doing enough
Your explanation is superb. My DEXA scan of two years ago has always been a mystery,and,a little scarey. Now I'm trying to fully understand what happens with a DEXA scan,in particular the neck of the femur score,one of my biggest fears! Excellent video Prof Roofs.
Allison Wilson Thank you. Yes, make sure to take that Vitamin D and calcium as per your doctor’s recommendation and check that Vitamin D levels. It should help out. If not, there are more medicines as well.
Many thanks for the explanation! I'm not a native speaker, but I've got everything! Thanks a lot!
Estrogen is not cancer causing.
Great video, thank you Dr. Roofs!
You’re welcome!
thank you sir for your enlightening lecture
You’re welcome ☺️
Nicely explained thanks
Abdullah Ahmed Alramadhani you're welcome and thank you too
A very useful video on reading a DEXA score, thanks. Interesting that you say taking oestrogen can cause cancer. This is quite an old post and there are oestrogen drugs now that are body identical and research says thy are less likely to cause cancer. What is your view on this now? As a 56 year old who is looking into hormone replacement i am trying to gather as much information on this. My mother had OP and I don't want to go down the same road.
Hi, Jane. Thanks for the comment. Unopposed estrogen can cause an increase in growth of your uterus and hence cause uterine cancer. I am not an expert in this field, but it is definitely worth discussing with your physician (Generalist, Gynecology).
@@ProfRoofs Thanks so much for your quick and informative response. Yes aware of this and will be seeking advise from a HRT specialist as there are so many options. I have read up on it and as you say it needs to have progestogen too balance the estrogen. Thanks
Excellent video.
I was given a t-score and z-score of 3.3
I’m having a difficult time understanding if this is really bad because it seems way too high
Iam 70 years.two months back I had dexa scan my neck T score is-3.1,L1-2.2,L2-2.1,L3 -3.2,L4 -3.4.
What supplements should I use.
Thank you!
You’re welcome!
Age 30femel vitamin d 8.22ng/mL tha.mene bmd wo jo per rakh ke machine pe test karte he wo -1.33 aaya tha.
Thank you
You’re welcome ☺️
thank u very much i finally understood it! :)
Thank you for sharing. I can't really see the test results you are showing but I'm 65 and 1.6SD below the best and 0.813 gm/cm2 is my BMD. The BMD is the part I don't understand. Can you help? Thank you.
Can a cochlear implant patient go for dexa test?
What does the blue area in the graphic mean?
Thanks
You’re welcome!
So my question for you is that my T score for my spine is much lower than for the other areas tested, the spine is -3.3 left total hip is -1.4, left femoral neck is -0.9, right FN is -1.1 and right total hip is -1.0. Does this mean that I have a higher risk of fracture in my spine? I have had 3 stress fractures in the past year; each tibia and the left knee (medial tibial plateau and medial femoral condyle)
Bobbi Lynn Bolton I am sorry to hear about the pain you have endured and wish you well and to continue to follow up with your Orthopedic physician. In regards to your question, the simple answer is “no.” DEXA is certainly the standard in assessing fracture risk, however there are many other clinical factors as well too and the different supporting anatomical structures also play a role in fracture prevention. There is an assessment tool called FRAX (Fracture Risk Assessment) tool that will tell you your probability of having a fracture in the next 10 years. Here is a link to input your values with instructions below it on that page. Wishing you the best! www.sheffield.ac.uk/FRAX/tool.jsp
I am in the early stages of trying to interpret my dexa scan,and,your Explanation of DEXA scan is wonderful as is,this reply from you to Bobby Lynn Bolton. Excellent information.
By adding a lot of your personal information,you have given me the impetus to try to understand my DEXA scan. I think I was a little afraid to know all the ins,and,out of it,but,you have given me some confidence to follow it through,and,fully understand what is happening to my bones. Thank you,Bobby Lynn.
I just had a DEXA scan for full spine and results were normal. Does that mean that I very likely do not have osteoporosis in other places like the leg?
I am glad to hear your spine DEXA scan turned out well. If you are asking what is the chance that another area of your body has osteoporosis if your spine does not, then I don’t know the answer to that question. If you want to know if osteoporosis can effect certain areas of the body (i.e. the femur head/your hip) and not others (i.e. your spine), then yes, especially in early stages. The best thing to do is to speak with your physician if you have concerns about other parts of the body that you may feel weaknesses/pain and see if they think a DEXA scan of that region is advised or not.
@@ProfRoofsThanks. The T score reference is a 30 year old adult. Does that mean a T score of +1.0 is better than a T score of +0.5?
Yes it does
thank you so much
Hey
f Right Hip
T- score
Neck - 2.0
Total - 1.4
Which one is more important Neck or Total?
My T score in low spine came in at -4.0 ranges. Do I have hight risk of fracture? I'm only 36.
Yes!!! You got osteoporosis
How far negative does a score go? Does it mean the lower the number the worse the osteoporosis is? Does osteoporosis have different stages?
Tonya Perry Correct, the lower (more negative) the score the weaker the bone. Osteoporosis itself does not have different stages (in terms of related to T score). Osteoporosis is the stage after osteopenia, as defined in the video.
Can someone who is out of shape do it before starting weight loss journey?
It would be pending your doctor’s approval per your health condition and goals
Great video but please educate yourself on estrogen… it is not cancer causing….
👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼❤️
Didn't help me.
Please let me know how I can make a video to help you. Is there something specific you want to know about DEXA?
Thanks for that explanation. I just got my scan yesterday and was confused to some of the numbers
Wait... so the lab result misspelled the very NAME of the scan?
lol
Thanks for making this vid Prof. Roofs, MD
No, it is DXA, pronounced "DEXA".
Very well explained, thank you
Who is this woman because I haven't seen much of her lol
very very verrrry good , thanksssssss
Love your graph, very helpful
Perfect thanks
joshua Izadi you’re welcome
My report says T score not applicable? is it because of my age (26)? I have a Z score however but I'm not sure what that means
Your explanation is very much appreciated!!
It was a good presentation , Can you able to translate in Spanish please ?
mario mercado I would love to do it or if you can then do you know how to put Spanish subtitles for this video?
I maybe tray for the Spanish peoples
mario mercado ok thank you
Thank you for explaining this.
Thanks doctor
OCHS
Do small boned Caucasian women have bad bone density
Yes, statistically speaking from evidenced-based investigations, white women have the lowest bone mineral density.
So we lose because we are just petite . We all are destined for this bone issue ? That’s scary