Bone Density Test (DEXA or DEX)

What Is a Bone Density Test?

A bone density test, also known as a DEXA scan (dual-energy X-ray absorptiometry), is a quick, painless exam that measures the strength and density of your bones. It helps assess your risk for fractures, especially if you are at risk for osteoporosis.

How It Works

During the scan, you lie on a table while a scanner passes over your body. It typically focuses on your hips and spine, using low-dose X-rays to evaluate bone density. The test is noninvasive and usually takes 10 to 20 minutes.

Why You Might Need a Bone Density Test

Bone density testing is commonly used to:

  • Assess your risk for osteoporosis 
  • Evaluate bone health in postmenopausal women
  • Determine fracture risk in older adults 
  • Monitor the effects of long-term steroid use on bones 

Understanding Your T-score 

Your scan results include a T-score, which compares your bone density to that of a healthy young adult:

  • Normal: Above -1.0
  • Osteopenia (low bone mass): Between -1.0 and -2.5
  • Osteoporosis: -2.5 or lower

Your T-score helps your doctor determine your risk of fractures and recommend appropriate care.

Preparing for Your DEXA Scan

To get the most accurate results, keep the following in mind:

Clothing: Wear comfortable clothes without metal snaps, zippers or buttons. You may be asked to change into a gown if your clothing contains metal.

Supplements: Avoid taking calcium supplements for 24 hours before the scan.

Other tests: Don’t schedule your DEXA within 24 hours of any imaging tests that use contrast dye. 

After Your Scan

A radiologist will review your results, and your doctor will go over them with you. If your bone density is low, your care team may recommend lifestyle changes, calcium and vitamin D supplements or medications to strengthen your bones and help prevent fractures.

Patient Help Center

We know that navigating health care can feel overwhelming. Our team is here to make your experience as smooth and supportive as possible. Below, you’ll find resources to guide you every step of the way, from scheduling your appointments to accessing your results.

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