DEXA vs Ultrasound Densitometry: Which to Choose | DS.Med
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DEXA vs Ultrasound Densitometry: Which to Choose

Densitometry · DS.Med editorial

Both technologies assess bone condition, but they answer different clinical questions. Understanding the difference helps a clinic build an effective osteoporosis pathway — and avoid buying the wrong instrument.

DEXA: the diagnostic standard

WHO criteria for osteoporosis are defined for DEXA measurements of the spine and femur. Only axial DEXA provides the T-score on which diagnosis and therapy decisions are based, and it is the method used to monitor treatment. It requires a dedicated room and a trained operator.

Ultrasound: screening without radiation

Quantitative ultrasound measures the speed and attenuation of sound in bone. There is no ionizing radiation, no shielded room and no license requirements — the device works in a GP office, health-check program or pharmacy. Its role is to find patients who need referral to DEXA, not to replace it.

  • Diagnosis and therapy monitoring → axial DEXA
  • Mass screening, mobile programs → ultrasound
  • Optimal pathway: ultrasound screening + DEXA confirmation

Frequently asked questions

Can ultrasound densitometry diagnose osteoporosis?
No — it is a screening method. A low ultrasound result should be confirmed with axial DEXA, on which WHO diagnostic criteria are based.
Why choose ultrasound at all?
No radiation, no dedicated room, instant results and low cost per test make it ideal for mass screening and outreach programs.
Can one clinic use both?
Yes — the most effective model: ultrasound units filter the patient flow, the DEXA room confirms diagnoses and monitors therapy.
Related equipment: DS.Densi DEXA densitometers DS.Densi Smart & Light

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