
A DEXA scan, also known as a bone density test, is a quick and painless procedure that uses a very small dose of ionizing radiation to produce images of the inside of the body. It is commonly used to diagnose osteoporosis and assess an individual's risk of developing osteoporotic fractures. The procedure requires patients to lie on their back on a flat, open X-ray table, and they may be asked to wear a gown. As metal items can interfere with the results of the scan, patients are typically asked to remove large items of jewellery, including wedding rings.
| Characteristics | Values |
|---|---|
| What is a DEXA scan? | A Dual Energy X-Ray Absorptiometry scan used to diagnose osteoporosis and assess the risk of osteoporotic fractures. |
| Who should get a DEXA scan? | Patients with symptoms of osteoporosis, such as painful fractures, and those at high risk of developing osteoporosis, including those with a family history of the condition, low body weight, advanced age, or specific medication use. |
| How to prepare for a DEXA scan | Refrain from taking calcium supplements 24 hours before the scan. Fast or eat lightly four hours beforehand. Avoid heavy exercise for four hours before the scan. Arrive hydrated. Remove metal objects and jewellery, including wedding rings. Wear loose, comfortable clothing without zippers, belts, or buttons made of metal. |
| During the DEXA scan | You will lie down on a soft surface while a mechanical device moves over parts of your body to provide bone density images. |
| DEXA scan results | The scan provides a T-score indicating bone density compared to a young adult of the same gender with peak bone mass. A Z-score reflects bone density compared to individuals in your age group, size, and gender. |
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What You'll Learn
- DEXA scans are similar to X-rays and can detect osteoporosis
- Remove all metal items and jewellery, including wedding rings
- Wear loose, comfortable clothing without zips, belts, or metal buttons
- Avoid eating a large meal or drinking excessive water before the scan
- The procedure is non-invasive and safe, requiring little to no preparation

DEXA scans are similar to X-rays and can detect osteoporosis
DEXA scans are a special type of X-ray that measures bone density to screen for osteoporosis and other conditions that weaken the bones. It is a quick, simple, non-invasive, and painless procedure that requires little to no special preparation.
The full form of DEXA is Dual Energy X-ray Absorptiometry. It uses a very small dose of ionizing radiation to produce pictures of the inside of the body, usually the lower spine and hips, to measure bone loss. The procedure is similar to a regular X-ray but measures the strength and mineral content of the bones instead of just taking pictures of them.
A DEXA scan is often recommended for patients with symptoms of osteoporosis, which include the development of painful fractures in different areas of the body, including the spine and back. Patients at a high risk of developing osteoporosis will also likely get a DEXA scan. This includes patients with a family history of the condition, low body weight, advanced age, and use of certain medications.
Preparing for a DEXA scan involves wearing loose, comfortable clothing, avoiding garments with zippers, belts, or buttons made of metal. You should also remove large items of jewellery, such as wedding rings, as metal can interfere with the X-ray images. You should also avoid taking calcium supplements 24 hours before the scan as they can skew the results.
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Remove all metal items and jewellery, including wedding rings
It is important to remove all metal items and jewellery, including wedding rings, before a DEXA scan. DEXA, which stands for Dual Energy X-Ray Absorptiometry, is a type of bone density scan that uses a small dose of ionizing radiation to produce images of the inside of the body. This procedure is commonly used to diagnose osteoporosis and assess the risk of developing osteoporotic fractures.
To ensure the accuracy and safety of the DEXA scan, it is necessary to remove all metal objects and jewellery. Metal items can interfere with the X-ray images, causing distortions or artefacts that may affect the interpretation of the results. As such, it is recommended to leave all jewellery at home or remove them before the scan. This also includes metal items such as keys, watches, earrings, belts, glasses, and any other metal accessories.
Additionally, it is advised to wear loose and comfortable clothing that does not have metal fasteners like zippers, buttons, or belts. These metal items can also interfere with the X-ray images and impact the scan results. Therefore, choosing clothing without metal components is essential to ensure the best possible outcome for the DEXA scan.
It is worth noting that small pieces of metal, such as piercings, zips, or underwire bras, will not affect the results of the body composition scan. These denser items will show up on the image but will not contribute to the overall fat mass and lean mass measurements. However, it is still recommended to remove all metal items, including jewellery, to facilitate the image interpretation process and ensure the most accurate results.
In summary, removing all metal items and jewellery, including wedding rings, is a crucial step in preparing for a DEXA scan. By eliminating potential sources of interference, you help ensure the accuracy and reliability of the scan results, allowing for a more comprehensive evaluation of your bone health and body composition.
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Wear loose, comfortable clothing without zips, belts, or metal buttons
A DEXA scan is a Dual Energy X-Ray Absorptiometry procedure that uses two X-ray beams to scan your body in a thorough yet non-invasive way. It is used to identify any problems, diseases, and conditions in the body by looking at bone mass, bone mineral density, and body composition.
To prepare for a DEXA scan, it is recommended that you wear loose, comfortable clothing without zips, belts, or metal buttons. This is because the scan is similar to an X-ray, and metal objects can interfere with the X-ray images. You should also avoid wearing restrictive or tight-fitting clothing, such as skinny jeans, Lycra, or figure-hugging clothes, as you will need to undress and these items can be difficult and time-consuming to remove. Instead, opt for light, loose-fitting clothing, such as a T-shirt, sports vest, or yoga vest, and sports shorts, a sports skirt, or light leggings.
Small buttons or zippers that cannot be removed from clothing are usually fine, but it is preferable to avoid them if possible. You should also remove any large items of jewellery, such as rings, earrings, necklaces, and bracelets, as these can also interfere with the X-ray images. However, if you are unable to remove certain items, you can usually leave them in, as they will not affect the results of the body composition scan.
In addition to your clothing, there are a few other things to keep in mind when preparing for a DEXA scan. Firstly, it is recommended that you fast or eat very lightly for four hours beforehand, as a full stomach can affect the accuracy of the scan. Secondly, you should avoid heavy exercise for the same period before the scan, as it can affect your body water levels and muscle tissue, impacting the results. Lastly, make sure you are normally hydrated and that you empty your bladder immediately before the scan.
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Avoid eating a large meal or drinking excessive water before the scan
Preparing for a DEXA scan is simple and does not require fasting. However, for the most accurate results, it is best to avoid eating large meals within 2-4 hours before your scan. This is because food and beverages can temporarily affect body composition readings, especially when measuring lean mass, fat mass, and hydration levels.
For instance, if you eat a salty meal right before your scan, your body may retain more water, slightly altering lean mass readings. Therefore, it is recommended to eat light meals such as fruit, a slice of bread, or a small bowl of cereal before the scan.
It is also important to note that while you should stay hydrated, you should avoid drinking excessive amounts of water before the scan. This is because water can artificially inflate your lean mass measurement. Drinking a lot of water before the scan may also cause temporary bloating or water retention, which could affect the results.
Additionally, it is best to avoid consuming caffeinated drinks such as coffee, energy drinks, or tea, as they can affect hydration and metabolism. Alcohol should also be avoided 12-24 hours before the scan, as it can dehydrate the body and impact body composition readings.
In summary, while there are no strict fasting requirements, it is important to avoid large meals and excessive water intake before a DEXA scan to ensure the most accurate results.
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The procedure is non-invasive and safe, requiring little to no preparation
A DEXA scan, which stands for Dual Energy X-Ray Absorptiometry, is a simple, quick, and non-invasive procedure that requires little to no preparation. The scan is used to diagnose osteoporosis and assess an individual's risk of developing osteoporotic fractures. It is also used to measure bone mass, bone mineral density, and body composition, including visceral fat, to help identify and diagnose certain diseases and health problems such as cardiovascular disease, breast cancer, and type-2 diabetes.
The procedure involves lying down on a soft surface while a mechanical device moves over parts of your body, usually the lower spine and hips, to produce bone density images. The scan uses a very small dose of ionizing radiation to create pictures of the inside of the body, and it is considered safer than regular X-rays, with minimal radiation exposure.
To prepare for the scan, it is recommended to wear loose, comfortable clothing that is easy to remove, such as a T-shirt, sports bra, and leggings or a hospital gown. Metal objects, such as jewellery, glasses, and belts, should be removed as they can interfere with the X-ray images. It is also important to avoid consuming calcium supplements for 24 hours before the scan as they can skew the results. Fasting or eating lightly for four hours beforehand is suggested to ensure consistent results, although staying normally hydrated is also recommended.
Overall, the DEXA scan is a safe and non-invasive procedure that requires minimal preparation. By following the simple steps of dressing appropriately, removing metal objects, and avoiding calcium supplements, individuals can ensure an accurate and safe scanning experience.
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Frequently asked questions
Yes, it is recommended that you remove all jewellery, including your wedding ring, before a DEXA scan.
DEXA scans use X-rays to measure your bone density. Metal items like jewellery can interfere with the results of the scan.
Any items of jewellery, piercings, zips, metal buttons, belts, and underwire bras should be removed before a DEXA scan.
If your wedding ring is difficult or impossible to remove, you can leave it on. However, it may show up on the scan image and could affect the results.











































