title: Trabecular Bone Score: A New DXA-Derived Measurement for Fracture Risk Assessment.
abstract: 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.
authors.affiliation: Department of Medicine, UNI-BH, Santa Casa Hospital, Uberaba, 370/705, Belo Horizonte, MG 30180-010, Brazil. Electronic address: barbarasilva2131@gmail.com.
authors.forename: Barbara C
authors.initials: BC
authors.lastname: Silva
authors.affiliation: Department of Medicine, University of Manitoba, (C5121) 409 Tache Avenue, Winnipeg, MB R2H 2A6, Canada.
authors.forename: William D
authors.initials: WD
authors.lastname: Leslie
mesh_terms: D015502:Absorptiometry, Photon; D015519:Bone Density; D000071556:Cancellous Bone / Q000000981:diagnostic imaging*; D050723:Fractures, Bone / Q000503:physiopathology*; D006801:Humans; D018570:Risk Assessment
keywords: Bone mineral density; FRAX; Fracture risk; Osteoporosis; Trabecular bone score