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Special Knickers to Trick DXA into a Lower T-score?
US insurance companies may require a T-score < -2.5 before they will authorize a PTH analogue, ie. [b]Forteo®, [b]Teriparatide. [/b][/b]
PTH analogues may be useful more generally in bone healing.
DXA is subject to many types of error. There must be a way to beat it? [8|]
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1 Reply
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If you have a GE scanner, you could inject them with a dose of 99mTc a few minutes before starting the scan.
Or, you could tissue type some of the ischium in the hip scans as “soft-tissue:.
On Hologic, or GE, you could extend the bone map outline a few pixels into soft tissue using the bone mapping feature.
And then you can hire a lawyer to keep you from going to jail for fraud, or federal prison if you did this to defraud Medicare into paying for something not needed.
It would be better for the AMA or ACR or others to convince payors that a high risk of fracture (like FRAX) or multiple prior fragility fractures is a much better indicator for who would benefit from anabolic therapies.
