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Updated: Feb 26, 2026
Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population
Published on: January 31, 2025
[Use of Trabecular Bone Score as a complementary approach to DXA for fracture risk assessment in clinical practice]
Didier Hans1, Enisa Shevroja1, Olivier Lamy1,2
1Centre des maladies osseuses, Département de l'appareil locomoteur, CHUV, 1011 Lausanne.
Abstract:
Physicians can assess the risk of fracture based on bone density (BMD) and several risk factors. Some of them and BMD are incorporated into FRAX, an assessment tool that estimates the 10-years probability of fracture. BMD didn't take into account the microarchitecture. TBS is a texture parameter related to bone microarchitecture. A low TBS is associated with a history of fracture and the incidence of new fracture independently of BMD, clinical risk factors and FRAX. TBS is yet integrated in the FRAX tool, and this effect is of greatest utility for individuals who are close to an intervention threshold. It is particularly useful for the evaluation of secondary osteoporosis, including type 2 diabetes, Gluco-corticoïd induced osteoporosis. It responds to osteoporosis treatments and is not influenced by lumbar degenerative disorders.
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