512 S. Nokomis Ave South Venice, FL 34285 Phone: 941-488-7781
Bone density scanning is an advanced form of radiology that is used to measure bone loss. DEXA is the most current standard for measuring bone mineral density (BMD). We now offer DEXA with TBS.
This scan masterfully combines DEXA technology with Integrated Trabecular Bone Score (TBS).
TBS is an advanced imaging software provided for use as a complement to BMD measurement. TBS stands for Trabecular Bone Score and is an indicator of bone microarchitecture’s quality and independent parameter for fracture risk prediction. TBS Scores are provided for all patients that have an AP Spine Scan. TBS algorithm analyses DEXA images in two dimensions to evaluate the three-dimensional bone structure.
TBS has the following clinical benefits in:
Primary Osteoporosis: Patient in Osteopenia category with low TBS have a risk of fracture as high as osteoporotic patients.
Secondary Osteoporosis: TBS identifies patient at risk for in Diabetes, Glucocorteroid induced osteoporosis, Kidney, and Thyroid disease.
Treatment initiation and monitoring: TBS, BMD, and clinical risk factors, can be used to determine whether treatment should be initiated in untreated patients, TBS is potentially useful for monitoring anabolic therapy.
Osteoporosis can be characterized by low mass and micro-architectural deterioration. BMD T-scores are the gold standard to diagnose osteoporosis but are related to mass only. 50% of fractured patients do not belong to “osteoporosis” category because bone is complex, and BMD cannot explain all fractures. A degraded bone structure (assessed by TBS) can explain most fractures, not identified by BMD. The conjunction of BMD and TBS helps identified more patients at risk of fracture.