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  • FRAX has been available since 2008 and is widely used worldwide. This lecture will provide a background to FRAX, its potential and limitations, and ongoing efforts to update the FRAX tool. These updates range from taking account of less-validated risk factors (adjustments) to a full redevelopment of the FRAX risk factor calculation engine.

  • Trabecular Bone Score (TBS) has recently become an additional analysis that can be undertaken using the DXA scans. The purpose of this lecture is to provide an overview of TBS, along with guidance in the short term, before there is an official ISCD position statement developed at the next annual meeting (2023).

  • The purpose of this session will be to provide an overview of the methods used to develop the PVA Bone Health CPG and the appropriate drug therapy for the prevention and treatment of osteoporosis in persons with SCI.

  • Topics to be covered include pre-screening, transferring onto and off of the scan table, positioning and scan acquisition, and analysis. The presentation will review the current state of the field regarding BMD of the knee as this is the most common fracture site for individuals with SCI and will reference the recent ISCD Position on BMD after SCI as well as two upcoming clinical practice guidelines for bone health and fracture management in this population.

  • This lecture is designed to provide information and tips to improve the technical quality of the BMD scans, improve the ability of clinicians to read the scan correctly, and improve patient outcomes.

  • This session will briefly review evidence supporting opportunistic use of existing abdominal and chest CT scans to evaluate patients bone status. How to perform this clinically will be demonstrated and practical considerations of potential confounders of this approach will be discussed. Additionally, the potential for opportunistic CT to evaluate sarcopenia will be considered.

  • The Least Significant Change (LSC) Principle helps us to provide relevant information to our patients. Without LSC values for the scans that are reported, we could only report "possible" changes. In serial DXA scanning, LSC values allow facilities to state with confidence whether a change seen between visits is "real" versus "not statistically significant". This session will discuss how these values are derived from Precision Studies and how they are used in clinical settings.