Stronger Bones, Clearer Numbers
Located in Orchard, Tanjong Pagar, Jurong East & Novena
|
View our DEXA scan prices
Located in Orchard, Tanjong Pagar, Jurong East & Novena
|
View our DEXA scan prices
Medically Reviewed By: Dr Jana Lim | MBChB, MMed (FM) | Board-Accredited Family Physician
MBChB, MMed (FM) | Board-Accredited Family Physician
Last updated:
A DEXA (dual-energy X-ray absorptiometry) scan, also known as a DXA or bone densitometry scan, is a non-invasive imaging test that measures your bone mineral density (BMD), the amount of mineral in your bones.
It works by passing two X-ray beams of different energy levels through the body, which lets the scanner separate bone from soft tissue and measure the bone on its own. The lower your bone mineral density, the weaker the bone and the more likely it is to fracture. Readings are typically taken at the hip and lower spine, where fractures from weakened bone most
commonly occur.
No injection or contrast dye is involved, and the radiation dose is less than a tenth of a
standard chest X-ray.
A DEXA scanner can also measure body composition, meaning the amounts of fat, lean muscle and bone that make up your body weight, reported separately for your arms, legs and trunk.
Bone densitometry and body composition scans are performed using the same machine, but they serve different purposes. A body composition scan cannot tell you whether you have osteoporosis, and a bone densitometry scan will not tell you your body fat percentage.
| Scan | Description & Purpose |
|---|---|
| DEXA Bone Densitometry (Hip & Spine) |
Measures bone density at the places where weakened bone most often breaks. It is typically used to:
|
| DEXA Body Composition (Full Body, with VAT) |
Splits your body weight into fat, muscle and bone, region by region. It also estimates visceral
adipose tissue (VAT), the fat stored deep around your abdominal organs. It is typically used to:
|
A DEXA scan is usually recommended based on your age, and sooner if you have risk factors that speed up bone loss.
Bone loss has no symptoms, so most people only find out when a bone breaks.
Testing is typically suggested for:
You may be advised to test earlier if you have any of the following:
No age guideline applies to body composition scans. People usually book one to get a starting point before changing their training or diet, or to check that the weight they are losing is fat rather than muscle.
Oestrogen helps keep bone strong throughout adult life. When levels fall during menopause, bone breaks down faster than the body can rebuild it. Density can drop noticeably within about ten years, most often at the hip, spine and wrist.
An early menopause (periods stopping before the age of 45) may be a reason to test sooner, whether it happened naturally or after surgery to remove the ovaries (oophorectomy). Bone density is worth knowing at this stage because it can still be acted on, through calcium and vitamin D, weight-bearing and resistance exercise, and where appropriate, medication or menopausal hormone therapy.
A DEXA scan is a painless procedure, and you stay awake and fully clothed throughout. Here is what you can typically expect:
You do not need to fast, so eat and drink as normal on the day. The following can affect the accuracy of the reading:
Check with your doctor before your appointment, and before stopping any supplement or medication you take regularly, as preparation can vary depending on your medical history and the type of scan being done.
Your DEXA scan report shows different figures depending on which scan you had. A bone densitometry report gives your bone mineral density at each site scanned, along with two scores: a T-score and a Z-score. A body composition report gives measurements in kilograms rather than scores.
The T-score compares your bone density against the average for a healthy adult in their mid to late twenties, when bone density is at its highest. This is the score used to diagnose osteoporosis.
| T-Score | What It Means |
|---|---|
| −1.0 or above | Normal bone density. Routine bone health measures apply, with repeat testing guided by your risk factors. |
| Below −1.0 to above −2.5 | Osteopenia, meaning bone density is lower than ideal but has not reached the threshold for osteoporosis. This is the stage where diet, exercise and risk-factor changes make the most difference. |
| −2.5 or below | Osteoporosis. Fracture risk is raised, and your doctor will discuss the treatment options most suitable for your situation alongside measures to prevent falls. |
The Z-score compares your bone density against the average for people of your own age, sex and body size.
It is more useful for assessing bone density in children and younger adults, whose bones are still building.
A result well below average for your age group suggests a cause other than ageing, such as a medical
condition or a medication affecting bone. That normally leads to follow-up tests to identify the cause.
A body composition report lists your fat, muscle and bone both in total and region by region, along with your body fat percentage and a figure for visceral fat. There is no normal range for these numbers, so they are most useful for tracking change between scans.
A DEXA scan is widely considered the most reliable way to measure bone density, and it is usually precise enough to detect small changes between scans. Repeat scans are usually done on the same machine where possible, since readings can vary slightly between machines.
Factors such as arthritis in the spine, past spinal surgery, healed fractures and calcium deposits in the
aorta can add extra density that is not bone, which may make your bone density appear higher than it actually is and hide bone loss. The hip is usually scanned alongside the spine for this reason.
Metal in clothing and recent contrast
dye can also distort the image, and for body composition, hydration and whether you have just eaten may
shift the numbers slightly.
Your doctor will usually take any of these into account when interpreting your scan.
The interval between DEXA scans depends on your results and your risk, not on a fixed schedule. Bone changes slowly, so scanning too often picks up small differences from the scan itself rather than real change in your bones.
If you are on treatment for osteoporosis, repeat scans are generally advised every one to two years, and sooner if bone is being lost quickly. If you are not on treatment, the frequency depends on your fracture risk, and scans are usually spaced further apart when that risk is low. Your doctor may also recommend an earlier scan after a new fragility fracture, a medication known to affect bone, or a new diagnosis affecting bone strength.
For body composition, scans are commonly repeated every three to six months, because fat and muscle respond to training and diet far faster than bone does.
At Singapore Women's Clinic, we offer DEXA bone densitometry and body composition scans, along with the blood tests that help explain a low reading. Our prices are as follows:
| Test | Price* |
|---|---|
| Consultation | $49.05 |
| Teleconsultation (for review of results) | $38.15 |
| Bone Mineral Densitometry | |
| DEXA Bone Densitometry (Hip & Spine) | $141.70 |
| Ultrasound Heel (Bone Mass Density) | $43.60 |
| DEXA Body Composition | |
| DEXA Body Composition with Visceral Adipose Tissue (VAT) | $308.47 |
| Related Blood Tests | |
| Vitamin D Deficiency Test | $130.80 |
| Deficiency Screen (Folate, Vitamin B12, Vitamin D, Iron, Total Iron Binding Capacity, % Iron Saturation, Ferritin) | $161.32 |
| Total Testosterone | $38.15 |
| Free Testosterone | $147.15 |
| Men & Women Wellness (Full Body Screening) Note: fasting of 8 hours is required for your blood test |
From $152 |
*Prices are NETT and inclusive of GST.
For a more comprehensive review of your health, consider our health screening packages, as some include the Ultrasound Heel (Bone Mass Density) test.
MediSave cannot be used to pay for a DEXA scan, because it only covers
specific outpatient treatments
such as chronic disease management and vaccinations.
Your own insurance plan may cover the scan if it was ordered to investigate a symptom rather than as a
general check, so please confirm this with your insurer directly.
Do note that DEXA Bone Densitometry (Hip & Spine) and DEXA Body Composition scans are carried out at our partner radiology clinic in Orchard (Shaw House).
Convenient, accessible, and caring. Here's what sets us apart.
Our clinic is registered with the Ministry of Health (MOH) and meets regulatory standards for diagnostic imaging services.
We arrange your DEXA scan at our partner radiology clinic and review the report with you afterwards.
Book your DEXA scan consultation on the same day. Our friendly team is here to help you every step of the way.