Bone Density (DEXA)

[Audio] Welcome to Bone Density Training. In this presentation, we'll give you a clear, easy to understand overview of what bone density testing is, why it's important, and how your role as a scheduler supports our patients through the process. Whether you're scheduling appointments or answering questions, your understanding of bone density will help you guide the patients to schedule their appointments. Let's get started!.

[Audio] Bone density refers to how strong and dense someone's bones are. It's measured by checking how much calcium and other minerals are packed into a section of bone. When bone density is low, it means the bones are weaker and more likely to break, even from minor falls or injuries. Higher bone density means the bones are stronger, which lowers the risk of fractures. This is why bone density exams are such an important part of preventing serious health issues down the line..

[Audio] A bone density scan, often called a DEXA scan, stands for Dual Energy X-ray Absorptiometry. This test uses a very low dose of X-ray to measure how strong the bones are and how much mineral content they have. It's performed using a special DEXA scan machine and is completely non-invasive. The exam is quick, usually taking between 10 to 30 minutes, and is a safe and reliable way to check for conditions like osteoporosis..

[Audio] Bone density scans play a key role in protecting a patient's long-term bone health. First, they help diagnose osteoporosis, a condition where bones become weak due to low bone mass. These scans also help assess a person's risk of fractures, especially in older adults. In addition to diagnosis, DEXA scans are used to monitor bone loss over time, which is important when tracking treatment progress. Patients may need ongoing scans if they're going through or recovering from: Menopause Long-term steroid use Certain cancer treatments Understanding the reasons behind this test helps you better support patients and answer their questions confidently..

[Audio] Bone density exams can scan different parts of the body, depending on the purpose of the test and the patient's needs. The most common type is the Central DEXA scan, which measures bone density in the spine, hip, and the forearm. This is the most accurate and widely used method for diagnosing bone loss. There's also the Peripheral DEXA scan, which checks smaller areas like the wrist, heel, or finger. These are usually used for screening or when a central scan can't be performed. Knowing which areas are scanned can help you explain the process clearly to patients..

[Audio] To get the most accurate results, patients need to follow a few simple prep steps before a bone density scan. First, they should avoid solid calcium or multivitamin supplements for 24 hours before the test. However, chewable calcium and dairy products like milk, cheese, or yogurt are okay to consume. Patients should also wear loose, comfortable clothing without any metal, like zippers or buttons, since metal can interfere with the scan. It's also important that the patient hasn't had recent imaging with contrast, as this can affect the results. Here is the wait times recommend for patients to wait: CT scan: wait 48 hours MRI: wait 24 hours Fluoroscopy: wait 7 days Nuclear Medicine: wait 7 days Following these steps helps ensure the scan is accurate and reliable..

[Audio] When scheduling bone density exams, there are a few important things to keep in mind. If a patient needs a follow-up scan for comparison, it's very important to schedule them at the same location and on the same machine. This ensures consistent results over time. Also, keep in mind that most insurance plans only cover a bone density scan once every two years. However, there are exceptions. If the patient is taking certain osteoporosis medications, like Actonel, Boniva, Fosamax, Reclast, Prolia, or is undergoing hormone replacement therapy, they may qualify for more frequent testing. Always double-check coverage if the patient is unsure or if it's been less than two years since their last scan.".

[Audio] Here are a few key terms that schedulers might hear when dealing with bone density results or provider notes. First, the T-score compares a patient's bone density to that of a healthy 30-year-old adult. This is the standard reference point used to detect bone loss. The Z-score, on the other hand, compares the patient's bone density to others in the same age group, which can be more helpful for younger patients or those with certain medical conditions. You may also hear the term osteopenia, this refers to the early stage of bone loss, before it reaches the level of osteoporosis. While schedulers don't interpret results, knowing these terms can help you better understand provider requests and patient concerns..

[Audio] In addition to measuring bone density, a DEXA scan can also be used to analyze body composition through a full-body scan. This specialized exam provides detailed measurements of: Fat mass, which appears in yellow Lean mass, shown in red or orange Bone mass, displayed in blue The DEXA body composition scan is highly accurate and helps providers understand the patient's overall health by measuring fat, lean muscle, and bone mineral content all at once. It's often used in sports medicine, weight management, or for patients undergoing certain treatments..

[Audio] When scheduling bone density exams, there are a few important things to keep in mind. If a patient needs a follow-up scan for comparison, it's very important to schedule them at the same location and on the same machine. This ensures consistent results over time. Also, keep in mind that most insurance plans only cover a bone density scan once every two years. However, there are exceptions. If the patient is taking certain osteoporosis medications, like Actonel, Boniva, Fosamax, Reclast, Prolia, or is undergoing hormone replacement therapy, they may qualify for more frequent testing. Always double-check coverage if the patient is unsure or if it's been less than two years since their last scan..