Bone Densitometry in Clinical Practice Application and Interpretatio

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, muc

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EDITION

Sydney Lou Bonnick, MD, FACP

Bone Densitometry in Clinical Practice

BONE DENSITOMETRY IN CLINICAL PRACTICE APPLICATION AND INTERPRETATION THIRD EDITION Sydney Lou Bonnick, md, facp Clinical Research Center of North Texas, Denton, TX

Foreword by

Paul D. Miller, md, facp Colorado Center for Bone Research, Lakewood, CO

Sydney Lou Bonnick, MD, FACP Clinical Research Center of North Texas 2921 Country Club Road, #101 Denton, TX USA [email protected]

ISBN 978-1-60327-498-2 e-ISBN 978-1-60327-499-9 DOI 10.1007/978-1-60327-499-9 Library of Congress Control Number: 2009931580 © Humana Press, a part of Springer Science+Business Media, LLC 1998, 2003, 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, c/o Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper springer.com

Foreword The third edition of Bone Densitometry in Clinical Practice by Dr. Sydney Lou Bonnick is the crown jewel in her seminal efforts to educate us all in the fundamentals as well as the advanced applications of bone densitometry. This edition shares common themes of her life’s work: accuracy in all she does and precision in her science. One cannot, put very simply, find another book on bone densitometry that compares to the thoroughness of her work, and, in that regard, this book should be on the shelf of every medical library, medical student, house-officer, academic faculty member, practicing clinician, and radiology technologist – this edition offers each and every one at every level the latest and greatest in bone densitometry. Since her pioneering work in bone densitometry which preceded by years the publication of her First edition of Bone Densitometry in Clinical Practice in 1998, Dr Bonnick has provided us an enduring education of how the science of DXA can be applied in the management of osteoporosis as well as distinctly different metabolic diseases traditionally not considered for DXA use. These include, for example, aortic calcium scoring in assessing risk for cardiovascular disease and the associations between BMD lev