Osteoporosis: Diagnosis and Treatment

What is Osteoporosis?

Osteoporosis is a skeletal disease characterized by a decrease in bone mineral density and a deterioration of the microarchitecture of bone tissue. This leads to increased fragility and risk of fractures, especially in the hip, spine, and wrist. Often called the 'silent epidemic', osteoporosis presents no symptoms until a fracture occurs. In Spain, it affects approximately three million people, with a higher incidence in postmenopausal women.

David J. Sartoris's work, Osteoporosis: Diagnosis & Treatment, is a reference text that thoroughly addresses the fundamental aspects of this pathology. Edited with scientific rigor, this book provides healthcare professionals with a solid foundation for understanding the disease, from its epidemiology to the latest advances in diagnosis and clinical management.

Diagnosis: The Role of Radiology

Accurate diagnosis of osteoporosis is essential to prevent fractures and improve patients' quality of life. In this book, Sartoris —renowned for his work in radiology— devotes special attention to imaging techniques. Bone densitometry (DXA) is the gold standard, but quantitative computed tomography, ultrasound, and magnetic resonance imaging are also explored.

Each modality is analyzed in terms of its clinical utility, sensitivity, and specificity. The text emphasizes the importance of correct image interpretation and offers guidelines for report standardization. Furthermore, the WHO criteria for classifying bone density and how to apply them in daily practice are discussed.

Current Treatment Options

The treatment of osteoporosis ranges from lifestyle modifications to advanced pharmacological therapies. This book presents an updated review of the available options: bisphosphonates, denosumab, teriparatide, selective estrogen receptor modulators (SERMs), and the new class of sclerostin inhibitors.

Each drug is described in detail: mechanism of action, efficacy, adverse effects, and selection criteria. The importance of calcium and vitamin D, physical exercise, and fall prevention are also addressed. The work emphasizes a comprehensive and individualized approach, considering patient comorbidities and preferences.

Who is This Book For?

Osteoporosis: Diagnosis & Treatment is intended for radiologists, rheumatologists, endocrinologists, traumatologists, and internists. It is also of great value to residents and postgraduate students who wish to delve deeper into this area. The clear structure and technical but accessible language facilitate its use as a quick reference book in clinical practice.

The editor, David J. Sartoris, has brought together internationally renowned collaborators, ensuring a multidisciplinary and evidence-based perspective. Each chapter includes updated bibliographic references, allowing the reader to expand their knowledge according to their needs.

Why This Book is a Reference

Since its publication, this work has become a fundamental text in the field of osteoporosis. Unlike other manuals, it combines the pathophysiological basis with a practical guide for imaging diagnosis and treatment. The editor's experience in musculoskeletal radiology provides a unique approach that integrates the interpretation of tests with clinical decision-making.

The book includes numerous illustrations, tables, and algorithms that facilitate the understanding of complex concepts. Its didactic approach makes it a useful tool for both learning and professional updating. In a constantly evolving field, having a reliable and complete source is indispensable.

Important note: This book is a medical reference work and does not substitute the advice of a healthcare professional. For any health questions, consult your doctor.