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The trabecular bone score is a measure of bone texture correlated with bone microarchitecture and a marker for the risk of osteoporosis. Introduced in 2008, [ 1 ] its main projected use is alongside measures of bone density in better predicting fracture risk in people with metabolic bone problems.
The trabecular bone has much higher metabolic activity than the cortical bone and so is affected by age, disease and therapy-related changes earlier and to a greater degree than cortical bone. This means that QCT of the spine has an advantage compared to other bone density tests because earlier changes in bone mineral density may be detected . [1]
Computed tomography (CT) scans cannot directly diagnose bone marrow edema, but it is sometimes used to supplement MRI scans for differential diagnosis. It is due to its ability to show any lesions or fractures in trabecular, subchondral or chondral structures, which aids physicians to understand if there are any underlying bone pathologies ...
Not only is bone density decreased, but the microarchitecture of bone is also disrupted. The weaker spicules of trabecular bone break ("microcracks"), and are replaced by weaker bone. Common osteoporotic fracture sites, the wrist, the hip, and the spine, have a relatively high trabecular bone to cortical bone ratio.
Dual-energy X-ray absorptiometry (DXA, or DEXA [1]) is a means of measuring bone mineral density (BMD) with spectral imaging.Two X-ray beams, with different energy levels, are aimed at the patient's bones.
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Inside of a bone showing the trabecular structure A typical carcinoid tumor of the lung showing a trabecular pattern of elongated groups of cells.. A trabecula (pl.: trabeculae, from Latin for 'small beam') is a small, often microscopic, tissue element in the form of a small beam, strut or rod that supports or anchors a framework of parts within a body or organ.
CT contributes much to the diagnosis of occult fractures by depicting subtle fracture lines, depressed, or distracted articular surfaces and by assessing bone loss It also detects late bony changes such as increased medullary density, endosteal sclerosis, sclerotic lines in trabecular bone, and periosteal thickening.
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