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Doctor insights on: Osteopenia T Score

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How can I convert bone scan t-scores to z-scores?

How can I convert bone scan t-scores to z-scores?

Not usually: T scores are for patients over 18 yr and z scores for children under 18 yr. The controls for children are bases on ages, color, and sex. The t scores are compared to other adults. Dexa centers who perform studies on children have software to generate both values. T scores cannot be used accurately for children and z scores not in adults. ...Read more

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Dr. David Djang
239 doctors shared insights

Osteopenia (Definition)

Osteopenia is a low bone mineral density which puts one at ...Read more


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I'm confused by the bone density t score?

I'm confused by the bone density t score?

Relates to max dense: T score compares patient to age/sex/race matched individuals at age 32 (or so)-peak bone density. Relates to statistcs, bell shaped curve. Nl is (-)1 standard deviation and better (top 80+%). Low bone mass (osteopenia) (-)1.0-(-) 2.5 std dev (about #5-20 in a classof 100); osteoporosis (-)2.5 or more (bottom of the class). These vary with age, sex, race. Z score compares pt to same age, sex, race. ...Read more

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Parathyroid hormone at 170pg/ml, vit d at 8ng/ml, calcium serum 10.2 yesterday and 9.1 today, bone mineral density t-score -1.5.. What does this mean?

Parathyroid hormone at 170pg/ml, vit d at 8ng/ml, calcium serum 10.2 yesterday and 9.1 today, bone mineral density t-score -1.5.. What does this mean?

Bones, Vit D: This is complex, and a precise answer cannot be given on line. Several thoughts: the PTH is high. But this may not reflect anything wrong with the parathyroid glands. Low vit d will result in a reflex increase in pth, and usually the serum ca stays normal, but there is increased bone resorption. Why is the vit d so low? ...Read more

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Diag psoriatic arthritis, chronic renal stones since age 14, osteoporosis, low vit d, pthand serum ca nor. Comb seem rare. Any idea why ca loss?

Diag psoriatic arthritis, chronic renal stones since age 14,  osteoporosis, low vit d, pthand serum ca nor. Comb seem rare. Any idea  why ca loss?

Related!: Psoriatic arthritis stems from low grade bowel inflammation, and you get resportion of oxalate, which forms calcium oxalate stones, which i sure is what you had. The low vitamin d will decrease calcium absorption until your parathyroid gland is ratched and takes cacium out of bones, which causes osteoporosis. Hope you are taking high dose d3. ...Read more

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"coronary calcium score" test, at what score you should be concer\ned. 300, 200 or 400?

"coronary calcium score" test, at what score you should be concer\ned.  300, 200 or 400?

Any of those: Normal coronary arteries do not have a detectible amount of coronary calcium, so normal is 0. A dectectible amount indicates a degree of cholesterol in the arteries which has calcified, so any of those numbers indicate coronary atherosclerosis. An elevated score does not mean you have obstructive heart disease; it may be nonobstructive heart disease. It does mean you have increased risk. ...Read more

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Do Underweight Patients have Low Bone Density ?

Do Underweight Patients have Low Bone Density ?

Bone density: depends upon other factors than weight, including sex, race,genetics, nutrition, calcium intake, exercise, medical disorders and many other factors. ...Read more

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My bone densitometry results are T Score.......+ 0.4 Bone quality index..... 111.6 Do I need to continue taking my daily calcium tablet?

My bone densitometry results are
T Score.......+ 0.4
Bone quality index..... 111.6
Do I need to continue taking my daily calcium tablet?

Your T score can be : just because you have high T score it does not mean that you do not have osteoporosis. In my experience, people with arthritic changes in the lumbar spine, they can't have very good T score while they have significant osteoporosis. You need to review this T score with your healthcare provider who can read one density more carefully. ...Read more

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Had a 10.3 serum calc, discontinued calc supp repeat test dropped to 10.1 Endo says quit calc but I am also osteopenia, PTH 28 but worry about bones?

  Had a 10.3 serum calc, discontinued calc supp repeat test dropped to 10.1 Endo says quit calc but I am also osteopenia, PTH 28 but worry about bones?

Stop calcium: Taking calcium alone probably will not help your osteopenia. I find that the best treatment is weight training. Loading your skeleton with weight (initially under supervision) is the best treatment. ...Read more

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Does a high psa score mean cancer?

Does a high psa score mean cancer?

Not always: Usually the change in a psa value from one to the next is more concerning than the sole value itself. Rate of change is important too. Psa is a tool that helps us determine who is at highest risk for prostate cancer and therefore who needs a biopsy to diagnose cancer. Normal values slowly increase as one ages. However psa values over 20ng/ml are very concerning for cancer and need a biopsy. ...Read more

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Dr. James Lin Dr. Lin
4 doctors agreed:
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Age 75, PSA 12.5, Gleason score 3+4=7. What should we do?

Dr. James Lin Dr. Lin
4 doctors agreed:
Age 75, PSA 12.5, Gleason score 3+4=7. What should we do?

Here are some...: If your are in a healthy state overall, proceeding with treatment is advised. But, one has to take the state of medical coexisting illnesses, the findings of DRE and prostate US, more detail in microscopic exam, ... etc. into consideration before finalizing a care decision. To put related things together correctly for good care, peruse articles listed in http://www.formefirst.com/onPSA-P-Ca.html. ...Read more

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No symptoms. Healthy. Heart disease in family. Had CT heart scan to calc my calcium score of 83. Thoracic aorta ascending aorta was 3.8 cm, atherosclerosis . What does that mean? Age 50, 162lbs, BP 130/80, male, 6-1 height. No meds. Aspirin daily

No symptoms.  Healthy. Heart disease in family. Had CT heart scan to calc my calcium score of 83.  Thoracic aorta ascending aorta was 3.8 cm, atherosclerosis .  What does that mean? Age 50, 162lbs, BP 130/80, male, 6-1 height. No meds.  Aspirin daily

Heart: http://www.umm.edu/programs/diagnosticrad/services/technology/ct/cardiac-calcium-scoring

BMI OK. Calcium score 83 is mild . Watch lifestyle , check lipids, repeat in 3-5 yrs - progression is more indicative of risk. Aorta is upper limits repeat in 1 year. Also check abdominal aorta size. You are OK but are in the category of follow up and monitor healthy lifestyle. Don't worry f/w/u w/doc ...Read more

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My PTH is 130, calcium 8.5 I have metastatic breast Cancer w/mets to bones. What does the above mean?

My PTH is 130, calcium 8.5 I have metastatic breast Cancer w/mets to bones. What does the above mean?

Not related: Hi. I'm very sorry about your cancer. I hope treatment is going very well. Breast cancer can make a "hormone" related to PTH, but it cannot make PTH. The PTH-like cancer hormone causes hi blood calcium. Your low-normal calcium with hi PTH is called secondary hyperparathyroidism. Your PTH is hi to PROTECT you from LOW blood calcium. Causes: GI malabsorption, vit. D deficiency, kidney calcium leak. ...Read more

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Does a partially calcified thyroid nodule measuring 1cm indicate higher risk for ca? I had stage 2 ov ca at age 26(3yrs ago) does that raise risk too?

Does a partially calcified thyroid nodule measuring 1cm indicate higher risk for ca? I had stage 2 ov ca at age 26(3yrs ago) does that raise risk too?

Slightly higher: Papillary thyroid cancer can be calcified, but this ultrasound finding is non-specific. Papillary thyroid ca is very treatable. See an endocrinologist who can do an ultrasound-guided biopsy. There is no known relationship between the ovarian ca. ...Read more

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Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol 30 with dexona 1 mg, biopsy needed ?

Perhaps: Discuss your situation with your primary doctor or the one who ordered those tests. If you are feeling uncomfortable, it may be good to get a second opinion from an oncologist (a cancer specialist). Do not wait. Time can make a difference in how you do. ...Read more

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Positive AMA m2 antibody. Normal alp...but fibroscan score is 9,1. Does that score indicate damage to my liver?

Positive AMA m2 antibody. Normal alp...but fibroscan score is 9,1. Does that score indicate damage to my liver?

Maybe: This is very slightly increased over the reference range assuming the units are kPa. The burning question is whether you should be treated for primary biliary cholangitis (primary biliary cirrhosis). The liver has a fair ability to repair itself. This is best discussed with your personal physician based on the big picture -- the first rule in pathology is, "Don't treat just a lab value." ...Read more

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My pth level161 low vitatamin d high calcium and diabetes how danger is?

My pth level161 low vitatamin d high calcium and diabetes how danger is?

Primary hyperparathy: If you have a high calcium and high PTH level, you most likely have primary hyperparathyroidism.This is a relatively common condition, especially in women after menopause. It has nothing to do with your diabetes. In your age group, this would be treated by removing the abnormal parathyroid (likely 1 of 4 parathyroid glands is abnormal). Without treatment it can lead to kidney stones and bone loss. ...Read more

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Age 65, Vit D3 level 101 (100 is high at Labcorp). Calcium is 9.2 to 10 (normal). Do I need to continue extra calcium for bones? Prior ca patient

Age 65,  Vit D3 level 101 (100 is high at Labcorp).  Calcium is 9.2 to 10 (normal). Do I need to continue extra calcium for bones? 
Prior ca patient

No problem: Hi. That 25-hydroxyvitamin D level is no problem. If you're taking vitamin D supplements, you could cut the dose back, because I doesn't help more to have it that high, but it will do no harm. Vitamin D helps your body absorb calcium in the intestines, but it does not take the place of calcium. Reasonable total daily calcium intake (diet + any supplements) should be in the neighborhood of 1,500 mg ...Read more

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Have bone density scan tomo morn. No calcium supplmnts BUT drank 3 glasses almondMilk:135% daily value calcium (fortified w/tricalcium phosphate).Bad?

Have bone density scan tomo morn. No calcium supplmnts BUT drank 3 glasses almondMilk:135% daily value calcium (fortified w/tricalcium phosphate).Bad?

If too much sugar: It can be bad if the almond milk has sugar added, which it probably does. Drinking sweetened drinks is a fast way to down many, many grams of sugar. Sugar is bad stuff (but a little bit is ok). As for the bone density scan, no worries. Calcium-fortified foods and drinks won't alter one's bone density overnight. ...Read more

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I had a DEXA scan today & it showed a -1.1 on the T score card at my lower spine. I was advised this very mild osteopenia. Shud I be concerned?

No: No, I would not be overly concerned. It would be good to do things that help maintain bone mass including weight bearing exercise, adequate calcium and vitamin d intake, avoid smoking, and probably a fu study in about 5 years would be standard recommendations. ...Read more

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Osteopenia of left femur neck. BMD g/cm2 0.649, T-score -1.8, Z-Score, -0.4. Would this require drug treatment. Total hip and Spine classified normal.

Osteopenia: At age 62 you should be a bit concerned but for now I would strongly suggest you check with the doctor whether or not your need drug therapy. Please let me know what your doctor said. ...Read more

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Spinal t-score of =5.2 just diagnosed. With proper exercise, diet, & medication is it possible to return to ostopenia level or better?

Spinal t-score of =5.2 just diagnosed. With proper exercise, diet, & medication is it possible to return to ostopenia level or better?

Significant: A t score of -5.2 is fairly severe osteoporosis. It can be improved, but, if possible, please work with a physician who specializes and/or has plenty of experience with this process. Depending on your state of health otherwise, you'll probably want to do a combination of proper nutrition, exercise and medication. ...Read more

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What is the lowest osteoporosis T-score on the DXA scan.?

What is the lowest  osteoporosis T-score on the DXA scan.?

< -2.5 requires tx: What is important is that a t-score < -2.5 is considered significant, and requires treatment. ...Read more

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Is a T-score of -3.7 osteo in the spine almost at the end of the score chart, and how dangerous is it? It was at -2.5 two years before ooph & meds?

Fracture: With a t-score that low, you are at great risk for fracture of your spine and perhaps other bones. You should see a specialist in mineral metabolism. You should receive treatment for your bone loss. ...Read more

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I know the T-score for osteoporosis is -2.5 but what is the lowest level recorded does it go to -7 or more I am worried incase mine gets any worse.

Osteoporosis: The t-score is not a measurement of actual bone density. It is a statistical comparison of how your bone density compares to normal females. The dexa scan will measure actual bone density and this can be tracked if necessary. ...Read more

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My t-score is low. What are the things I should do or shouldn't do?

My t-score is low. What are the things I should do or shouldn't do?

Weight bearing. : Not sure why t score measured at such young age. Makes me wonder if you have some predisposition to low t score. If so, risk factors should be identified and treated specifically. If this was measured just because, treatment should be regular wt bearing exercise plus a good diet with calcium approx 600 mg twice a day and vit d approx 800 mg daily. Repeat bmd in a few yrs to eval efficacy. ...Read more

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In simple terms, what is a t-score? Nothing to add but it's making me.

In simple terms, what is a t-score? Nothing to add but it's making me.

This : This is the way we describe how your bone density compares with average people your age and sex. Anything less than -2.5 is considered the disease osteoporosis. Scores between -1.0 and -2.5 is osteopenia. There are treatment options in both categories. The most important thing you can do for your bone health is to stay active. ...Read more

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My T score was -2.3 (41 years old, female). Is this serious? What does it mean?

My T score was -2.3 (41 years old, female). Is this serious? What does it mean?

Osteoporosis: If this was a bone scan or DEXA scan that indicates you have osteoporosis. I would discuss with your doctor as to how to mitigate or improve this. ...Read more

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What would cause a spinal T-score of -6.0 in a 28 yr old female? Im really scared of my osteoporosis diagnoses! Help

What would cause a spinal T-score of -6.0 in a 28 yr old female? Im really scared of my osteoporosis diagnoses! Help

Very low LS T-score: A lumbar spine T-score of -6.0 is extremely low, but is difficult to interpret before menopause because the scoring system was designed for postmenopausal women. Young women with a family history of osteoporosis and/or with anorexia nervosa can have T-scores this low. Fortunately, peak (highest) bone mass is not reached until your early 30s, so your bone density can improve with weight gain. ...Read more

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With a T-score of minus 3.5 in spine is there any hope for recovery, and to what extent, and what is the normal care for someone in my position?

With a T-score of minus 3.5 in spine is there any hope for recovery, and to what extent, and what is the normal care for someone in my position?

Needs evaluation: A T-score of -3.5 in your age group is very low. You should have evaluation to see if there is a secondary cause for bone loss (other than menopause). You will need treatment with calcium and vitamin d, and likely should be on an antiresorptive medication to prevent further bone loss. ...Read more

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My mom is 61 years. T-score - 2,7. What drugs should be used for osteoporosis ?

Many 2 choose. .: ..from. The proper 1 depends on many factors. Including family history, history of prior fractures, and age is always a factor in the decision making. All have pros & cons, so C an internist who specializes in treating osteoporosis/osteopenia.Hosteopenia.Have a discussion of Rx choices & make Ur decision on hes/her recommendations. ...Read more

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Does Alendronate and Prolia produce the same results? I want to choose just taking only one and my t-score is -2.7.

Essentially: There are no good "head to head" trials of the meds so I can not say for sure one does not do slightly better than the other, but the avail studies do not show this. They do work very diff though and some individuals may respond better to one than the other. However, the choice of which to use often has to do with other factors. For example GERD & Barret's Esoph may sway you one way cost another. ...Read more

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What is the lowest T-score on the osteo scoring chart? Can the whole skeleton just crumble? I am terrified with my scores and am being left too long.

What is the lowest T-score on the osteo scoring chart? Can the whole skeleton just crumble? I am terrified with my scores and am being left too long.

Family practice : What is your t score. Your dr can interpret the level for you. If you have a bone density lower than 3.5. You may be a candidate for injections to rebuild bone. Other wise oral medication to maintain existing bone is usually done. ...Read more

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I'm 66, had a dexascan & there was an 8 pt drop in spine from +3.7 t-score on previous test 3 yrs ago. Hip was good. How bad is this? I'm terrified!

I'm 66, had a dexascan & there was an 8 pt drop in spine from +3.7   t-score on previous test 3 yrs ago. Hip was good. How bad is this? I'm terrified!

Terrified?: Its wonderful you found out about this before a fracture there are many effective treatments endocrinologist can help diagnose cause of osteoporosis and guide treatment think about fall prevention dont engage in high energy high risk activities concentrate on avoiding future fractures spine wrists hips.Sacrum avoid falls no ice did you have relative that came to be bent? ...Read more

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I'm confused by the bone density t score?

Relates to max dense: T score compares patient to age/sex/race matched individuals at age 32 (or so)-peak bone density. Relates to statistcs, bell shaped curve. Nl is (-)1 standard deviation and better (top 80+%). Low bone mass (osteopenia) (-)1.0-(-) 2.5 std dev (about #5-20 in a classof 100); osteoporosis (-)2.5 or more (bottom of the class). These vary with age, sex, race. Z score compares pt to same age, sex, race. ...Read more

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T score for hip went from -3.5 to -4.7 over an 8 year period. Is this to be expected?

T score for hip went from -3.5 to -4.7 over an 8 year period.  Is this to be expected?

No: No it is not to be expected. The bone density is getting worse. Whatever you are doing is not working and you need more extensive work up and different treatment. ...Read more

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How serious is a -1.3 t-score for spine? Can bone be regenerated with exercise and diet at age 66?

How serious is a -1.3 t-score for spine? Can bone be regenerated with exercise and diet at age 66?

Not horrible but it: It is not normal. Need to check for any secondary reasons for bone loss like hypothyroid dx, smoking, steroid use, etc. Check vit. D level & make sure good calcium intake along with vit d intake as well as with good nutrition & weight bearing exercise to build bone mass at any age! ...Read more

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