Providing the full bone health picture
TBS Osteo is a state-of-the-art software powered by TBS iNsight, AI-ready technology, to evaluate bone microarchitecture in patients during a standard lumbar spine DXA scan.
Adding TBS to your clinical practice will allow you to identify up to 30% more patients at risk of fracture1, support you in the treatment decision-making and monitoring to prevent future fractures and improve overall bone health.
Since 2022 TBS Osteo benefits from 4 dedicated CPT® codes enabling its reimbursement in the USA2.
Assessing bone microarchitecture to prevent fractures
While the measurement of Bone Mineral Density (BMD) is a key factor in assessing fracture risk, it can only give information related to bone density and cannot identify all patients who are at high risk of bone fracture3.
Bone microarchitecture is a determinant aspect of bone strength and is needed to provide a complete diagnosis. This is where TBS Osteo becomes instrumental by computing a patient’s Trabecular Bone Score (TBS) which is a measure of bone texture highly correlated with bone microarchitecture.
TBS is a BMD-FRAX® independent parameter for fracture risk prediction and prevention. This means that two patients can have the same BMD but different TBS, leading to varying fracture risks. For example, one patient might have a moderate fracture risk due to a higher TBS, while another with a lower TBS could have a significant fracture risk, even though their BMD values are identical.
The clinical relevance of TBS extends to secondary osteoporosis, having an important role in the assessment and management of patients with conditions that affect bone health.
TBS Osteo benefits
Clinical
- Identify more patients at risk of fracture by combining TBS with BMD and/or FRAX®.
- Fine-tune therapy decisions and monitor changes in primary and secondary osteoporosis.
- Improve patient management.
Operational
- Seamlessly integrated into daily clinical workflow.
- Zero additional scan time and no additional radiation for both patient and technician.
- Automated and easy-to-interpret report with editable conclusions option.
FINANCIAL
- Increase the value of your existing DXA practice with more patient referrals and returning patients.
- Retrospective analysis can identify patients at risk and trigger earlier follow-up scans.
- Reimbursement available in the USA
TBS is widely recognized and established
TBS Osteo is commercially present in more than 60 countries. Over 3 million TBS procedures per year are performed globally. Moreover, there is a substantial body of research supporting TBS, with over 1,200 scientific publications underscoring its clinical utility in enhancing fracture risk assessment. TBS is also recommended in over 30 national and international guidelines for assessing bone health and fracture risk.
How does TBS Osteo work?
DXA scan
Easily installed on your DXA machine
TBS automatic detection
DXA 2-D images produced during a regular spine BMD scan are used to compute a patient’s TBS
Easy to interpret report
Result displayed in an automated report. Conclusions are editable
DICOM structured report
DICOM structured report sent to PACS
All-in-one report
All-in-one automatic report combining BMD, clinical risk factors or FRAX®, and TBS score to provide you with the full picture of a patient’s risk of fracture.
- Automatic and editable conclusions based on medical society guidelines.
- Easy to interpret.
- TBS adjusted FRAX® and TBS adjusted BMD T-Score.
- Option to print and/or send to PACS (DICOM SR).
Medical reimbursement for Trabecular Bone Score (TBS)
Since 2022, TBS procedures are reimbursable in the USA, representing a major advancement in osteoporosis care.
Learn more about TBS reimbursement, coding and billing.
More about TBS Osteo
TBS Osteo brochure
All-in-one bone health report
All-in-one bone health report is available for Hologic and GE Healthcare DXA devices2. Depending on the version, the report is easy to interpret in 7 or 8 steps.
1. Hans D, Goertzen AL, Krieg MA, Leslie WD. Bone microarchitecture assessed by TBS predicts osteoporotic fractures independent of bone density: the Manitoba study. J Bone Miner Res. 2021;26(11):2762-2769. doi:10.1002/jbmr.499
2. Coverage may vary depending on payer, plan and region. Original Medicare routinely reimburses TBS procedures.
3. ECR 2024 Congress Contact your local distributor or sales representative to learn more about the DXA version DXA versions that support the all-in-one report
4. Product under development.
