Gaucher Disease: Bone Imaging. DXA (Dual-Energy X-ray Absorptiometry)

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Gaucher Disease: Bone Imaging

DXA (Dual-Energy X-ray Absorptiometry)

DXA Spine Image and Test Results

DXA Hip Image and Test Results

Absorptiometry

BMD ↓

BMD ↓

BMD ↓

DXA: Trabecular Bone Change

BMD ↓

BMD ↓

BMD ↓

DXA: Cortical Bone Change

1

2

MeasurementSlice

Computed Tomography

Whole-body CT Scan With Vertebra

Close-up of Vertebra

Forearm CT Scan

Image of Radius and Ulna

TBD ↓

TBD ↓

TBD ↔

Quantitative Computed Tomography (QCT): Trabecular Bone Change

CBD ↓

CBD ↔

CBD ↔

QCT: Cortical Bone Change

Possible Conditions for Bone Loss

Resorption ↑ Formation ↔

Resorption ↔

Formation ↓

Resorption ↑

Formation ↓

Negative Balance

Follow-up Measurements

1 2 3

Measurement

0.5

0.6

0.7

0.8

BM

D [

g/c

m2 ]

Significant Differences

1 2

Measurement Point

0.60

0.65

0.70

0.75

0.80

0.85

BM

D [

g/c

m2]

2.8 sd(p>95%)

sd

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