Gaucher Disease: Bone Imaging. DXA (Dual-Energy X-ray Absorptiometry)

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Gaucher Disease: Bone Imaging

Transcript of Gaucher Disease: Bone Imaging. DXA (Dual-Energy X-ray Absorptiometry)

Page 1: Gaucher Disease: Bone Imaging. DXA (Dual-Energy X-ray Absorptiometry)

Gaucher Disease: Bone Imaging

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DXA (Dual-Energy X-ray Absorptiometry)

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DXA Spine Image and Test Results

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DXA Hip Image and Test Results

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Absorptiometry

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BMD ↓

BMD ↓

BMD ↓

DXA: Trabecular Bone Change

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BMD ↓

BMD ↓

BMD ↓

DXA: Cortical Bone Change

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1

2

MeasurementSlice

Computed Tomography

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Whole-body CT Scan With Vertebra

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Close-up of Vertebra

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Forearm CT Scan

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Image of Radius and Ulna

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TBD ↓

TBD ↓

TBD ↔

Quantitative Computed Tomography (QCT): Trabecular Bone Change

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CBD ↓

CBD ↔

CBD ↔

QCT: Cortical Bone Change

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Possible Conditions for Bone Loss

Resorption ↑ Formation ↔

Resorption ↔

Formation ↓

Resorption ↑

Formation ↓

Negative Balance

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Follow-up Measurements

1 2 3

Measurement

0.5

0.6

0.7

0.8

BM

D [

g/c

m2 ]

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Significant Differences

1 2

Measurement Point

0.60

0.65

0.70

0.75

0.80

0.85

BM

D [

g/c

m2]

2.8 sd(p>95%)

sd