Overview

Osteoporosis: the silent risk you can now see

Osteoporosis affects millions, often going undiagnosed until a fracture occurs. More than 70% of patients with fragility fractures are never tested or treated for osteoporosis1.

Traditional care pathways are failing, leaving millions at risk and driving up healthcare costs.

TBS Reveal* is designed to help close this gap by detecting fragility earlier, directly from routine X-rays.

Capture patients with high bone fragility earlier

TBS Reveal* provides instant bone quality assessments from many commonly performed X-ray exams.

The only opportunistic AI X-ray software that assesses combined bone mass (BMD) and bone microarchitecture (TBS).

Seamlessly integrated into PACS, TBS Reveal* delivers results effortlessly within daily workflows.

Turn routine X-rays into early insights with TBS Reveal*

PROACTIVE DETECTION

Automatic AI bone fragility detection. Seamlessly integrated into PACS.

COMBINED ASSESSMENTS

Assessing combined bone mass (BMD) and bone microarchitecture (TBS).

LARGER POPULATION

Support inclusive care by extending detection of patients at risk of bone fragility from 20 years old.

SMART FLAG

Sustainable AI model to identify high-risk cases with accurate detection and efficient resource use.

Bone Fragility Assessment report for clinicians

TBS Reveal* enables the automatic generation of reports powered by AI-driven analysis, supporting timely and informed decisions.

Instant report combining:

  • Trabecular Bone Score (TBS): a measure of bone quality microarchitecture.
  • Bone Fragility Index: combines TBS and bone mass (BMD) into one indicator.
  • AI Heatmap: visual overlay highlighting areas of bone fragility.
  • DICOM: secondary capture and structured report options.

The report is seamlessly integrated into PACS for immediate access.

See more. Detect earlier. Treat smarter

See more in every X-ray

All patients with routine X-rays

Identify patients with high bone fragility

Combined bone microarchitecture and bone mass

Accelerate diagnosis

Based on the TBS Reveal report, clinicians can accelerate osteoporosis detection by recommending a

DXA test & TBS Osteo assessment for early diagnosis

Experience how TBS Reveal* uncovers bone fragility in routine X-rays.

 

 

Powered by clinically robust insights

  • Over 18,500 paired DXA and X-ray images
    A broad dataset powering opportunistic AI X-ray analysis, providing the most robust foundation for fragility risk modeling.
  • High-specificity design
    Fewer patients flagged, but with higher accuracy — ensuring sustainable referrals.
  • Multi-ethnicity validation
    Proven across diverse cohorts and generalizable across imaging systems.
AUC Accuracy Specificity
85% 90% 95%

Resources

Explore how TBS Reveal* helps clinicians detect patients with high bone fragility earlier.

Explore the report that supports timely, confident assessment of bone fragility.


Request a demo

Contact us to experience how TBS Reveal* uncovers bone fragility risk in routine X-rays.

* TBS Reveal is currently pending FDA clearance
1. Compstson 2020; Bluic et al.; 2021

2. Gatineau et al., under review 2025