Bone and Body Healthscan offers a number of services to help clinicians monitor and manage their patients' healthcare needs. These include Total Body Composition and Bone Density studies in adults and paediatrics from 5 years of age.
We accept any radiology referral for bone density tests. If you would like some printed referrals sent to you please call us on 03 9041 6633 or send us an email at info@boneandbodyhealth.com.au
Total Body Composition
-
VAT (visceral adipose tissue)
-
Sarcopenia assessment
DEXA Bone Density Scans
-
Lateral Vertebral Assessment (VFA) Morphometry
-
Anterior Vertebral Assessment (APVA)
-
Atypical Femoral Fracture (AFF)
-
Orthopaedic hip and knee
-
Paediatric total body bone density and body composition
-
Paediatric AP spine and femur
FitTrace App
We are the first and only Victorian participating DXA partner with FitTrace. This app provides user-friendly analysis of body composition measurements so you can optimise athletic performance, fitness and health.
Available for download to your smart phone and computer.
Paediatrics (5-19 years of age)
-
Whole Body Bone Density
-
Whole Body Composition
TOTAL BODY COMPOSITION
​
(Medical Practitioner, Accredited Practicing Dietitian, Sports and Exercise Physician, Physiotherapist, Accredited Exercise Physiologist (ESSA) or Sports Medicine Doctor may refer clients for a Body Composition scan.)
Body composition scan measures regional (arms,legs and trunk) and whole-body lean, fat tissue mass and percentage fat which are compared to reference populations.
​
​
​
​
​
​
​
​
​
​
​
​
​
​
​
​
​
​
​
Scans can be useful in the monitoring/management/assessment of:
-
Muscle weakness or poor physical functioning
-
Health screening programs
-
Research projects
-
Limb asymmetry or wasting post-injury or surgery
-
Endocrine imbalances
-
Metabolic syndromes
-
Visceral adipose fat (VAT)
-
Weight loss regimens
-
After undergoing bariatric surgery to assess fat and lean mass changes
-
Sarcopenia in patients 65 years and older
-
Monitoring weight disorders (obesity/metabolic disorders and anorexia)
-
Sports performance
-
Risk of Relative Energy Deficiency in Sport (RED-S)
​
​
VAT (Visceral Adipose Tissue)
​
The software can determine estimates of VAT within the android region. Visceral fat is associated with several health problems including Type 2-diabetes, heart disease, colon cancer and stroke.
​
Core Scan results have been validated for adults between the ages of 18-90 and with a BMI (Body Mass Index) in the range of 18.5 – 40. CoreScan software for quantifying VAT is accurate reproducible and practical.
SACROPENIA (65 Years and Over)
​
Sarcopenia is a significant risk factor for disability in old age(1) and when coupled with osteoporosis, the risk of falling with a significant fracture is increased(2).
​
Total body composition measures appendicular lean mass (ALM). When we add values of muscle strength and gait speed (as supplied by the referring doctor), a complete integrated Sarcopenia assessment is made.
​
Our body composition scans provide the following:
-
A color mapped image of the whole body showing fat, muscle and bone
-
Percentage fat within the whole body and regional areas (arms,legs and trunk)
-
Lean muscle mass within the whole body and regional areas.
-
Android/gynoid fat ratios
-
Estimate of visceral fat
-
Basal Metabolic Rate
-
Relative Skeletal Muscle Index (gives indication of sarcopenia risk)
-
Bone mineral Density of the whole body (indication of osteoporosis risk)
-
We can track results over time to ensure patients are achieving their health, fitness or sporting goals.
DEXA BONE MINERAL DENSITY
​
The goal of the prevention and treatment of osteoporosis is to reduce a person’s overall fracture risk, not just to maintain bone density.(3) We offer a number of services at Bone and Body Healthscan, not only to assess for osteoporosis but also to determine vertebral fractures, atypical femoral fractures and orthopaedic hip and knee assessments.
​
​
STANDARD BONE MINERAL DENSITY SCAN
We measure lumbar spine (l1-L4) and both hips as standard in our bone mineral density (DXA) sccans. Forearm is included when necessary or as requested.
​
​
​
​
​
​
​
​
​
LATERAL VERTEBRAL ASSESSMENT (VFA) MORPHOMETRY)
DXA of the full length of the lateral spine used to detect vertebral fractures.
LVA identifies vertebral deformations and estimates vertebral heights
​
​
​
​
​
​
​
​
​
​
​
​
ANTERIOR VERTEBRAL ASESSMENT
DXA of the full length of the anterior spine used to detect vertebral fractures.
Can be done in conjunction with the LVA.
​
​
​
​
​
​
​
​
​
​
​
TOTAL BONE MINERAL DENSITY
Offers a comprehensive view of total bone mineral density for the entire body
​
​
​
​
​
​
​
​
​
​
​
​
​
ATYPICAL FEMORAL FRACTURE (AFF)
Atypical Femoral Fracture (AFF) provides an x-ray image of the entire femur to allow the visualization of any focal reaction or thickening of the lateral cortex.
In addition, the software displays quantitative measurements of the cortical width along the femoral shaft.
This is a valuable tool for clinicians whose patients have been on long term treatment for the prevention of osteoporotic fractures and are susceptible to developing AFF(s).
​
​
​
​
ORTHOPAEDIC HIP
This gives an estimate of bone mineral density around the prosthesis.
It allows you to determine standard or extended Gruen zones of the hip, measuring the interface between the prosthetic material and the surrounding bone to determine prosthesis loosening.
​
​
​
​
​
​
​
ORTHOPAEDIC KNEE
This measurement and analysis provides a bone mineral density for pre and post-surgery.
Can be useful for determining prosthetic loosening.
​
​
​
​
​
​
​
PAEDIATRIC WHOLE BODY BONE DENSITY AND COMPOSITION SCAN
​
Sketelal Health Assessment in Children and Adolescents (ages 5-19)
​
​
​
​
​
​
​
​
​
​
​
​
​
​
​
Our DXA scans in children and teenagers can be used to provide:
-
BMD (bone mineral density),
-
BMC (bone mineral content),
-
fat mass and lean mass.
-
BMD calculated to bone age (results from a bone age xray required).
-
monitoring of disease and/or the effects of medication on the body
Assessing and monitoring children and teenagers with:
-
developmental problems
-
chronic conditions associated with malnutrition i.e. anorexia nervosa, inflammatory bowel disease, cystic fibrosis
-
both muscle and skeletal deficits i.e. idiopathic juvenile osteoporosis.
All paediatrics have a whole body scan as well as separate AP spine and hips. AP spine and TBLH (total body less head) are the most accurate and reproducible skeletal sites for performing BMC and BMD measurements.
​
​
CLINICAL INDICATIONS FOR MEDICARE REBATES
​
​
​
​
​
​
*Glucocorticoid Therapy For Item 12312
​
(a) ‘Prolonged glucocorticoid therapy’ is defined as the commencement of a dosage of inhaled glucocorticoid equivalent to or greater than 800 micrograms beclomethasone dipropionate or budesonide per day; or
(b) A supraphysiological glucocorticoid dosage equivalent to or greater than 7.5 mg prednisolone in an adult taken orally per day;
For a period anticipated to last for at least 4 months.
Glucocorticoid therapy must be contemporaneous with the current scan. Patients no longer on steroids would not qualify for benefits.
*A malabsorptive disorder is defined as one or more of the following:
​
(a) Malabsorption of fat, defined as faecal fat estimated at greater than 18 gm per 72 hours on a normal fat diet; or
(b) Bowel disease with presumptive vitamin D malabsorption as indicated by a sub-normal circulating 25-hydroxyvitamin D level; or
(c) Histologically proven Coeliac disease.
​
​
CLINICAL INDICATIONS BUT NO MEDICARE REBATES
​
-
recurrent falls
-
breast cancer on aromatase inhibitors
-
treatment with antiepileptic medications
-
low body weight
-
HIV and its treatment
-
Major depression/SSRI treatment
-
Type 1 and type 2 diabetes mellitus
-
Multiple myeloma/monoclonal gammopathy
-
organ or bone marrow transplant (item 12312 applies if treated with glucocorticoids or if kidney disease present)
REFERRAL FORMS
​
​
​