At MedStar Georgetown, we use our state of the art bone densitometer to assess bone density in the hip and spine, as well as in the wrist and total body, if clinically indicated. We also perform vertebral fracture assessment. These techniques allow the physician to:
- Evaluate the degree of bone loss
- Diagnose osteoporosis
- Look for the presence of vertebral or spine fractures
- Assess the risk for future fracture
The unit does DXA testing not only for patients who are being cared for in the Department of Obstetrics and Gynecology, but also for patients who are seen elsewhere at MedStar Georgetown University Hospital and who are referred from outside physicians.
The tests are interpreted by Dr. Andrea Singer, a leading expert in osteoporosis. She is a member of the National Osteoporosis Foundation Professional Partners Network and is a certified clinical densitometrist (certified by the International Society of Clinical Densitometry). Dr. Singer is also available for consultation regarding osteoporosis diagnosis, prevention, and treatment.
Bone Densitometry: What to Expect
Bone density testing is performed as an outpatient procedure. No special preparation is required. It is simple, safe and painless and uses very little radiation. You will need to lie on your back for a short period of time.
Bone Densitometry: Who Should Have a Bone Density Test?
- Women age 65 or older
- Postmenopausal women under age 65 with risk factors
- Men age 70 or older
- Men age 50-69 with risk factors
- Anyone with a low-trauma or fragility fracture
- Anyone with a disease, condition or medication associated with osteoporosis
- Anyone who is considering therapy for osteoporosis, if bone density testing would facilitate the decision
- Women who have been on hormone replacement therapy for prolonged periods
- Anyone being treated for osteoporosis, to monitor the effects of therapy
Bone Densitometry: Are You At Risk?
Several factors can increase your chances of developing osteoporosis:
- Gender – women are more likely to develop osteoporosis than men due to thinner, lighter bones and the decrease in estrogen production that occurs during menopause.
- Age – the longer you live, the greater the likelihood of developing osteoporosis.
- Family History – of osteoporosis and fracture, especially a history of hip fracture in a parent
- Body Size – low body weight (under 127 lbs.) and a small-boned frame
- Lifestyle – a diet low in calcium, inadequate vitamin D, little or no exercise, current cigarette smoking or excessive use of alcohol are all risk factors
- Certain medications, such as steroids and seizure medications, and certain diseases can increase risk
How Do I Prepare For My Bone Density Test?
- Do NOT wear clothing with metal buttons, zippers, hooks, or buckles. You may not need to undress if you wear clothing such as sweatpants or sweatshirts that do not have zippers or buttons.
- Wear shoes that can easily be removed.
- Take medicines normally, BUT do not take any calcium supplements the day of your bone density test.
- Bring a list of your medicines.
- Please call and reschedule your bone density test if you have had a barium x-ray, CT scan with contrast, or any studies with oral, rectal or intravenous contrast in the 2 weeks prior to your bone density test.