A routine X-ray can suggest osteoporosis of the bone, which appears much thinner and lighter than normal bones. Unfortunately, by the time X-rays can detect osteoporosis, at least 30% of the bone has already been lost. In addition, X-rays are not accurate indicators of bone density. The appearance of the bone on the X-ray is often affected by variations in the degree of exposure of the X-ray film.
The National Osteoporosis Foundation, the American Medical Association, and other major medical organizations are recommending a dual energy X-ray absorptiometry scan (DEXA or DXA) for diagnosing osteoporosis. The test measures bone density in the hip and the spine, takes only five to 15 minutes to perform, uses very little radiation (less than one-tenth to one-hundredth the amount used on a standard chest X-ray), and is quite precise.
Who should have bone density testing?
The National Osteoporosis Foundation guidelines state that there are several groups of people who should consider DXA testing:
- all postmenopausal women below age 65 who have risk factors for osteoporosis;
- all women aged 65 and older;
- postmenopausal women with fractures, although this is not mandatory because treatment may well be started regardless of bone density;
- women with one of the many medical conditions associated with osteoporosis; and
- women whose decision to use medication might be aided by bone density testing
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