Slide 2 - DXA Flashcards

1
Q

DXA is the

A

Gold standard for measuring body composition

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2
Q

DXA uses

To determine…

A

Very low radiation x rays

to determine the density of various tissues

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3
Q

DXA can measure what types of composition

A

General

Regional

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4
Q

What was DXA originally used for

A

Measuring bone mineral density

To diagnose osteoporosis

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5
Q

What does DXA measure

A

The attenuation of x rays with HIGH and LOW Photon energies

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6
Q

How does DXA work

How many energy peaks

A

Sends thin invisible beam of LOW DOSE XRAYS

2 distinct energy peaks

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7
Q

What do the 2 peaks get absorbed by

A

One by soft tissue

Other by bone

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8
Q

What does attenuation of xrays mean

A

Weakening of xrays

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9
Q

What do the attenuation of xray energies pass through

A

Bone
Fat
Lean mass

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10
Q

What effects the passage of the xrays through bone, fat and lean mass

A

Thickness
Chemical composition
Density

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11
Q

What does the DXA machine featured software display

A

Bone density
Fat (adipose)
Lean mass

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12
Q

What is the radiation in DXA equivalent to

A

Less than a days exposure to natural radiation

Less than 1/10 dose of chest xray

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13
Q

Does radiation remain in patient after the dxa

A

NO

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14
Q

How much does the machine cost

What is the yearly maintenance and repairs

How much is the scan without insurance

A

80,000 - 275,000

4600

250

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15
Q

DXA is a what component model

A

3 component model

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16
Q

What components does DXA measure

A

Bone mineral content
Fat
Lean tissue

17
Q

What assumptions does the DXA machine make

A

The amount of fat over bone is the same as the amount of fat over bone-free tissue

Measurements are not affected by the anteroposterior thickness of the body

The hydration and electrolyte content of LEAN TISSUE MASS is CONSTANT

18
Q

What is the change in hydration that does NOT affect the accuracy of measurements

A

1 kg of water

19
Q

How many water content will affect the %BF by in the DXA

A

5% change in water

Cause a 1-2.5% change in %BF

20
Q

What is required to test using a DXA

A

California limited license

No calcium supplements on testing day

No metal on clothing

Low radiation exposure that day

DO NOT SCAN if possibility of pregnancy

21
Q

What errors may occur when doing a DXA scan

A

Body size = too tall or wide

Body movement

22
Q

What can you still do fine during a dxa scan

A

Breath normally

Little effect on hydration