Bone Mineral Densitometry. the Importance of Bmd in Endocrinologist Practice

REZUMAT Endocrinology Department, Gr.T.Popa University of Medicine and Pharmacy, Iasi, Romania Osteoporoza este o boal\ endocrin\. Indiferent de tipul de osteoporoz\, implicarea sistemului endocrin este major. Endocrinologul clinician trebuie s\ fac\ parte în mod obligatoriu din echipa de speciali[ti care se ocup\ de bolnavul osteoporotic. Autorii trec în revist\ principalele metode de determinare a densit\]ii minerale osoase, element major al diagnosticului osteoporozei. Sunt prezentate indica]iile BMD, metodele, locurile scheletale unde trebuie f\cute m\sur\torile, date privind riscurile, performan]ele aparatelor, reproductibilitatea m\sur\torilor, controlul de calitate, standardizarea. Se prezint\ date personale ale determin\rilor DXA vs. QUS. Osteoporosis is a endocrine disease. Endocrine factors have a major impact in all types of osteoporosis. The endocrinologist has to be part of specialists’ team taking care of osteoporotic patient. The authors review the main methods for the assessment of bone mineral density, a key element in the diagnosis of osteoporosis. Several aspects are presented: BMD indications, methods, bone sites to be measured, risk prediction, instruments quality, reproductibility, quality control. Personal data concerning DXA vs. QUS comparison are presented.