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Bone Densitometry in Transgender Individuals
In this lecture, Harold Rosen MD, CCD, presents his cutting-edge research on the topic of bone densitometry in transgender and gender nonconforming (TGNC) individuals. He provides insight into the correct terminology one must use when speaking about these individuals, discusses ways to appropriately screen and diagnose transgender individuals, and reviews guidelines for treatment in the most recent literature on the topic. This lecture is an excellent companion to the article titled "Bone Densitometry in Transgender and Gender Nonconforming (TGNC) Individuals: The 2019 ISCD Official Positions," also featured on the ISCD Learning Center.
Challenging DXA Cases
This lecture will discuss interesting and challenging DXA scans. Included in the presentation are problems with DXA scan analysis and challenging cases including how objects in the soft tissue affect analysis and how to do an analysis with spinal hardware present. Originally offered live as an On Demand session at the 2021 Virtual Annual meeting.
Osteoporosis in Special Populations: Rheumatic Diseases
Rheumatic diseases have the greatest impact on the musculoskeletal system and osteoporosis is a common and significant co-morbidity. In this talk I will briefly review skeletal manifestations of rheumatic diseases, with a special emphasis on osteoporosis and its prevention and management in patients with rheumatic diseases. Originally offered live as an On Demand session at the 2021 Virtual Annual meeting.
Non-standardized Densitometry Acquisition for Research Purposes
This didactic lecture will walk through steps to develop a research project and design novel approaches to DXA acquisition. This will include discussion regarding available technology and evaluation of various options to evaluate skeletal status.. Originally offered live as an On Demand session at the 2021 Virtual Annual meeting.
Underperformance of Human BMD Genetic Studies
Hundreds of genes have been identified in genome wide association studies of bone traits, but their total contribution to variation of these traits is small. This session will address the reasons why this is so. It will also inform listeners about the differences between human and model organism genetics and illustrate how genetic effects are measured. Originally offered live as an On Demand session at the 2021 Virtual Annual meeting.
A Proposed Musculoskeletal Failure Scale
Patients, doctors, and government officials routinely underestimate the impact of musculoskeletal (MSK) disease. Proper framing of the true burden of disease may improve awareness and management. A MSK failure scale is proposed. Its potential benefits, the work needed to establish it, and potential barriers to implementation are summarized. Originally offered live as an On Demand session at the 2021 Virtual Annual meeting.
Reading Abdominal Aortic Calcification from VFA Lateral Spine Images and Its Relationship with Cardiovascular Disease and Fractures
Abdominal aortic calcification or “AAC” is a stable marker of CVD that can be semi-quantified using images for vertebral fracture assessment. This session provides an overview of the methodology for scoring, pitfalls and tips for readers, as well as discussing the association between AAC with CVD and fractures and the potential for patient management. Originally offered live as an On Demand session at the 2021 Virtual Annual meeting.
What's Gone Wrong with Osteoporosis?
Fractures in older adults are often the precursor of disability, loss of independence, and premature death. Despite these consequences, treatment of osteoporosis after fracture is inadequate and declining. Clinicians and other healthcare professionals do not recognize all fractures in older adults as warranting a thoughtful evaluation and they are do not recognize that bone loss is not the entire problem but rather part of a syndrome leading to fracture. These providers do not know how to comprehensively evaluate a patient based on established guidelines in order to recognize fracture risk and its major adverse outcomes. As such, they do not know how to appropriately manage treatment of both pharmacological and non-pharmacological therapies.
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