Trabecular Bone Score: A New DXA–Derived Measurement for Fracture Risk Assessment

• Barbara C. Silva ^[1] ; William D. Leslie ^[2]
  1. [1] Santa Casa Hospital

     Santa Casa Hospital

     Brasil

     
  2. [2] University of Manitoba

     University of Manitoba

     Canadá

     
• Localización: Endocrinology and metabolism clinics of North America, ISSN 0889-8529, Vol. 46, Nº. 1, 2017, págs. 153-180
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Trabecular bone score (TBS) is a novel method that assesses skeletal texture from spine dual-energy X-ray absorptiometry (DXA) images. TBS improves fracture-risk prediction beyond that provided by DXA bone mineral density (BMD) and clinical risk factors, and can be incorporated to the Word Health Organization Fracture Risk Assessment tool (FRAX®) to enhance fracture prediction. There is insufficient evidence that TBS can be used to monitor treatment with bisphosphonates. TBS may be particularly helpful to assess fracture risk in diabetes. This article reviews technical and clinical aspects of TBS and its potential utility as a clinical tool to predict fracture risk.