DXA reports, automatically populated based on customizable logic for simple review.
DXA reporting is an optional feature of Rho Enterprise. It drafts the DXA report in your template, with your style, content and logic, from two sources. The first is the structured report (DICOM SR) from GE Lunar Prodigy DXA systems, for BMD, T-scores and comparison with the prior DXA. The second is the Patient Questionnaire the technologist completes in Rho, for risk factors. The radiologist reviews the draft, confirms or changes the risk factors, and copies it into the final report.
Drafting a DXA report with Rho
Patient information
- Patient ID:
- P-40726
- Accession:
- A-55318
- Study date:
- 2026-10-14
- Sex:
- M
- Age:
- 72
Risk factors
- Degenerative change (checked)
- Osteoporotic medication (not checked)
- Steroids (not checked)
- 0Hip fractures
- 0Vertebral fractures
- 0Other fractures
Lumbar level inclusion
- L1 (checked)
- L2 (checked)
- L3 (not checked)
- L4 (checked)
Followup comparison
- Greater than 10% weight change (not checked)
- Greater than 2 cm height loss (checked)
- Lumbar spine precision loss (not checked)
- Left hip precision loss (not checked)
- Right hip precision loss (not checked)
Followup comparison table
| Measure | Oct 02, 2023 | Oct 14, 2026 | Change |
|---|---|---|---|
| Ht (cm) | 169.0 | 166.0 | -3.0 (significant, in bold red) |
| Wt (kg) | 74.1 | 71.6 | -3.4% |
| Areas (cm²) | |||
| L1-L4 (L3) | 41.12 | 41.30 | +0.4% |
| L Hip | 34.10 | 34.24 | +0.4% |
| R Hip | 34.02 | 34.65 | +1.9% |
Report / Findings
Copy to clipboard Back to dashboardBONE MINERAL DENSITOMETRY EXAM
SCAN QUALITY: Degenerative change in the lumbar spine. L3 is excluded from the analysis.
COMPARISON: 02-Oct-2023
Lumbar spine (L1-L4, excluding L3) T-score: -1.0 (BMD: 1.042 g/cm²)
Lowest femoral neck T-score: -2.7 (BMD: 0.722 g/cm²)
Lowest total hip T-score: -2.0 (BMD: 0.813 g/cm²)
DIAGNOSTIC CATEGORY: Osteoporosis
BMD RISK ASSESSMENT: The 10-year absolute fracture risk for this patient is Moderate (10-20%), by CAROC.
INTERVAL CHANGE: Lumbar spine -0.008 g/cm² (-0.8%), not significant. Left total hip -0.031 g/cm² (-3.7%), statistically significant.
Height loss of 3.0 cm since the prior study. Lateral views of the thoracic and lumbar spine may be considered to assess for vertebral fractures.
A follow-up BMD is suggested in 2-3 years.
- From the DXA scanner
- Calculated by Rho
- From risk factors and checks
- Template text
Availability. DXA reporting is not available in CE mark regions, such as the European Union, or in Taiwan.
From the DXA room to a reviewed report.
No new hardware. DXA reporting uses the DXA studies in your PACS and your existing Rho Enterprise installation.
The draft is a starting point. Before using it, the radiologist confirms that it will not be used without review and clinical judgment.
One template to standardize your reporting.
Every draft comes from your site’s template, so reports read the way your radiologists write them. Plain text appears in every report; placeholders and logic fill in the rest.
- Placeholders for DICOM values, Rho calculations, and the radiologist’s inputs, picked from menus.
- Conditions and loops, so a sentence appears only when it applies. Templates use Jinja2, a widely used template language.
- A site default template, plus alternate templates for individual radiologists.
- 16 Bit will help you create a template that meets your needs.
BONE MINERAL DENSITOMETRY EXAM
STUDY: Study Description, Study Date
DIAGNOSTIC CATEGORY: CAROC 2024 Diagnostic Function
The 10-year absolute fracture risk for this patient is CAROC Fracture Risk.
{% if Height Loss %}
Height loss of more than 2 cm since the prior study.
{% endif %}
A follow-up BMD is suggested in Follow Up Period.
- DICOM variable
- Computed variable
- User input
Your template rules, applied to every report.
Rho templates can apply logic rules to data extracted from the DXA, the patient questionnaire, or radiologist input.
-
Diagnostic category
CAROC 2013 or 2024 categories from the lowest T-score of the femoral neck, total hip, L1 to L4, or 33% radius: normal bone mass, low bone mass, or osteoporosis. For patients under 50, the category comes from the Z-score.
-
10-year fracture risk
The CAROC risk category from the femoral neck T-score and the confirmed risk factors: low (under 10%), moderate (10 to 20%), or high (over 20%).
-
Follow-up interval
A suggested interval for the next DXA scan from the risk category.
-
Interval change
Current and prior values from both SRs, with the change in BMD, so your template can compare it with your site’s least significant change.
FRAX® in DXA reporting.
FRAX® 10-year probabilities of a major osteoporotic fracture and of a hip fracture, calculated from the femoral neck BMD and the patient’s clinical risk factors, ready for your template.
FRAX® fracture risk calculations provided under licence from FRAX International SA.
The history, taken at the scan.
The technologist completes the questionnaire in Rho with the patient. When the radiologist uses Rho to draft a DXA report for that patient, answers from the questionnaire pre-populate risk factors in the draft, so the radiologist starts from what the patient reported. The submitted questionnaire can be stored in PACS as a secondary capture.
- Tech entries
- DXA planning
- DXA history
- Medical history
- Medications
- Fracture history
Tech entries
Fracture history
Questionnaire modules
-
Tech entries
Scan type, height and weight (BMI is calculated), the sites scanned, initials, and notes. Always included.
-
DXA planning
Possible pregnancy, recent barium, nuclear medicine scan or X-ray dye, spine or hip surgery, and calcium or a multivitamin taken today.
-
DXA history
Whether the patient had a prior DXA, and roughly when.
-
Medical history
Family history, parental hip fracture, conditions associated with secondary osteoporosis, menopause, smoking, and alcohol.
-
Medications
Osteoporosis medication, supplements, prednisone 7.5 mg or more for over 3 months in the last year, and other medications that affect bone.
-
Fracture history
Each fracture’s site, year or age, cause, and whether it was a fragility fracture.
Height, weight, and precision, checked against the prior.
When the prior DXA has an SR, Rho fills a comparison table and presets the checks. A significant change shows in bold red, and its box is already checked.
- Weight changeFlagged when weight changed by more than 10% since the prior DXA.
- Height lossFlagged when height fell by more than 2 cm, and by more than 0.66 cm per year.
- Precision lossFlagged for the lumbar spine, left hip, or right hip when the area change from the prior is above your site’s threshold (e.g. 5%).
- Outlier vertebraeA vertebra whose T-score differs from each neighbor by more than your threshold, 1.5 by default, is left out. Sites can require contiguous levels.
L3 left outIts T-score differs from both neighbors by more than 1.5, the site's threshold.
- Reported levels
- L1-L4 (L3)
- If the site requires contiguous levels
- L1-L2
The radiologist can check or uncheck any level, and the draft follows.
Adjust a risk factor. The draft follows.
The DXA scanner does not allow for easy modification of risk factors or treatment, patient questionnaire entries may need revision, and which lumbar levels to include is a judgment call. Rho displays risk factors and inputs beside the draft, for the radiologist to easily confirm or modify.
Risk factors
Degenerative change, osteoporotic medication, steroids, and prior fractures. Medication, steroids, and prior fractures are suggested from the completed patient questionnaire; the radiologist confirms the entries or modifies them as appropriate.
Lumbar levels
Check or uncheck L1 to L4. Rho can automatically exclude outlier vertebrae, but the radiologist can override it and include or exclude vertebrae as they see fit. The reported levels and the comparisons follow the selection if comparisons are available as SR data.
Follow-up checks
Weight change, height loss, and precision loss, preset from the comparison with the prior DXA. The radiologist can override any of them.
Built around the DXA worklist.
Every DXA in one list
DXA studies appear as Rho finds them in PACS, with filters for date, sex, age, and whether the report has been copied.
Pull a recent study
Fetch any DXA from the last 30 days by accession number, from the list or from the report screen.
Roles that fit the work
IT administrators manage templates and settings. Clinical users report. DXA technologists see the questionnaire worklist.
Lunar and Prodigy are trademarks of GE HealthCare.
See DXA reporting with your own template.
We will walk through your DXA volume, your reporting standard, and how DXA reporting fits your reading room.