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Osteoporosis screening (bone mineral density test - DXA)

Bone

Risk-based (commonly older adults; earlier with risk factors)Every 2–5 years depending on results and risk (clinician-guided)10–20 minutes

A DXA scan measures bone mineral density to diagnose osteoporosis and guide fracture prevention.

Guidance for your location

Location
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Recommended Age
Risk-based (commonly older adults; earlier with risk factors)
Frequency
Every 2–5 years depending on results and risk (clinician-guided)
Duration
10–20 minutes

Overview

DXA (dual-energy X-ray absorptiometry) is a low-radiation scan that measures bone mineral density, often at the hip and spine. It helps diagnose osteoporosis/osteopenia and refine fracture risk estimates. DXA is used for screening in higher-risk groups and for follow-up to track bone density over time.

Who Should Get This Screening

  • Older adults or people with higher fracture risk (risk-based).
  • People with a fragility fracture or long-term steroid use are often candidates for earlier testing.
  • Postmenopausal people and older men are commonly screened based on age and risk factors (clinician-guided).

What to Expect

You lie on a padded table while the scanner passes over you. The test is painless, and you remain still while images are taken.

How to Prepare

Follow these tips to prepare for your screening

  • Wear clothing without metal (zippers/buttons) near the scan area when possible.
  • Some clinics advise avoiding calcium supplements for 24 hours beforehand.
  • Tell staff if you recently had contrast imaging (CT/barium) or could be pregnant.

Benefits

  • Diagnoses osteoporosis early.
  • Guides treatment decisions to reduce fracture risk.
  • Very low radiation exposure.

Things to Consider

  • Very low radiation exposure.
  • Results can be affected by spinal arthritis or positioning; interpretation matters.

Guideline Source: Osteoporosis screening and management guidance

This information is provided for educational purposes only and should not replace professional medical advice. Always consult with your healthcare provider for personalized recommendations.