DEXA Scanning

 

DEXA Referral Form

NOTE:  Scans are not routinely repeated within 3 years

NOTE:  Clinicians please remember to sign the request form on the second page. This is mandatory under IR(ME)R 2000

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Forms should be sent to East Kent Hospitals using the following e-mail:  ekhuft.kch-nuc-medenquiries@nhs.net

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Referral criteria

Does the patient meet one or more of the following criteria:

  • Oestrogen deficient women
    • early or surgical menopause under 45 years without HRT (excluding hysterectomy without BSO)
    • prolonged secondary amenorrhoea (>1 year) not due to deliberate contraceptive measures
  • X-ray evidence of osteopenia (or vertebral abnormality suggestive of osteoporosis)
    • Please include copy of report or state X-ray date and type e.g. spine
    • NOTE Osteopenia on extremity or dental radiographs is not indicative of osteoporosis
  • Low impact fracture
    • e.g. fall from standing height or less
    • Give an indication of the number of fractures since the age of 50
    • NOTE:  Fractures of the phalanges, metacarpals and metatarsals are not indicative of osteoporosis
  • Oral corticosteroid therapy for 3 months or longer (or other predisposing medications such as:)
    • certain anti-convulsants
    • GnRH
    • anti-coagulants
    • anti-depressants
    • anti-rejection drugs
    • and levothyroxine
  • Predisposing conditions such as:
    • rheumatoid arthritis
    • primary hyperthyroidism
    • liver disease
    • renal disease
    • hypogonadism
    • polycystic ovary syndrome
    • hyperparathyroidism
    • malabsorption conditions (e.g. Crohns’, Coelic disease, ulcerative colitis)
    • anorexia / low BMI (less than 18)
    • heavy exercise
    • osteogenesis imperfecta
  • Strong family history of early osteoporosis demonstrated by maternal hip fracture under the age of 55
  • Other factors suggesting osteoporosis
    • height loss (>5cms/ 2 inches)
    • development of kyphosis

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Advice and Guidance is being made available for all specialties, and is being provided by consultant specialists at East Kent Hospitals.  To make a request or to check to if a query has been answered, you will need to log in via the electronic Referral System (eRS)

Click here for the "how to access" e-Referral Advice and Guidance Manual for instructions on how to make a request and check responses

Have a question or query?

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