<?xml version="1.0" encoding="UTF-8"?><DiagnosticReport xmlns="http://hl7.org/fhir"><id value="102"/><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><h2>DXA BONE DENSITOMETRY</h2><table><tr><td>NAME</td><td>XXXXXXX</td></tr><tr><td>DOB</td><td>10/02/1974</td></tr><tr><td>REFERRING DR</td><td>Smith, Jane</td></tr><tr><td>INDICATIONS</td><td>Early menopause on estrogen levels. No period  for 18 months</td></tr><tr><td>PROCEDURE</td><td>Dual energy x-ray absorptiometry (DEXA)</td></tr></table><h3>Bone Mineral Density</h3><table><tr><td>Scan Type</td><td>Region</td><td>Measured</td><td>Age</td><td>BMD</td><td>T-Score</td><td>Z-Score</td><td>?BMD(g/cm2)</td><td>?BMD(%)</td></tr><tr><td>AP Spine</td><td>L1-L4</td><td>17/06/2008</td><td>34.4</td><td>1.148 g/cm²</td><td>-0.4</td><td>-0.5</td><td>-</td><td>-</td></tr><tr><td>Left Femur</td><td>Neck</td><td>17/06/2008</td><td>34.4</td><td>0.891 g/cm²</td><td>-1.0</td><td>-0.9</td><td>-</td><td>-</td></tr><tr><td>Left Femur</td><td>Total</td><td>17/06/2008</td><td>34.4</td><td>0.887 g/cm²</td><td>-1.2</td><td>-1.3</td><td>-</td><td>-</td></tr><tr><td>Right Femur</td><td>Neck</td><td>17/06/2008</td><td>34.4</td><td>0.885 g/cm²</td><td>-1.0</td><td>-1.0</td><td>-</td><td>-</td></tr><tr><td>Right Femur</td><td>Total</td><td>17/06/2008</td><td>34.4</td><td>0.867 g/cm²</td><td>-1.4</td><td>-1.4</td><td>-</td><td>-</td></tr></table><p>Assessment:</p><ul><li>The Spine L1-L4 BMD is normal.</li><li>The Left Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li><li>The Left Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li><li>The Right Femur Neck BMD is in the osteopenic range. Relative fracture risk is about 2.</li><li>The Right Femur Total BMD is in the osteopenic range. Relative fracture risk is about 2.</li></ul><p><b>COMMENT</b></p><p>Osteopenia on measured BMD. The estimated 10-year probability of fracture based on present age, gender and measured BMD is less than 10%. This absolute fracture risk remains low. A follow-up assessment may be considered in 2 to 3 years to monitor the trend in BMD.</p><p>Thank you for your referral.  Dr Henry Seven  17/06/2008</p><pre>
Note:
WHO classification of osteoporosis (WHO Technical Report Series 1994: 843)
- Normal: T-score equal to -1.0 s.d. or higher
- Osteopenia: T-score  between -1.0 and -2.5 s.d.
- Osteoporosis: T-score equal to -2.5 s.d. or lower
- Severe/Established osteoporosis: Osteoporosis with one or more fragility fracture.
T-score: The number of s.d. from the mean BMD for a gender-matched young adult population.
Z-score: The number of s.d. from the mean BMD for an age-, weight- and gender-matched population.
Reference for 10-year probability of fracture risk: Kanis JA, Johnell O, Oden A, Dawson A,  De Laet C, Jonsson B. Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos.Int. 2001;12(12):989-995.
GE LUNAR PRODIGY DENSITOMETER
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