The use of TBS for the management of primary and secondary osteoporosis


Download the practical guide of TBS in clinical practice to:

  • Learn more about the use of TBS in the prediction of fracture risk 
  • Gain understanding about the use of TBS for the initiation and monitoring of treatment. 
  • See a workflow example to facilitate the integration of TBS in clinical practice. 

TBS enhances fracture risk assessment and treatment decision-making

This document provides a guide on the use and interpretation of TBS in the clinical workflow, from scan acquisition and fracture risk assessment to treatment decision-making. Step-by-step, it also summarizes Appendix 1 of the article by the 2023 International Expert Working Group of the ESCEO-IOF1 published in Osteoporosis International. 

The 22 statements of the article recommend that TBS enhances fracture risk assessment and treatment decision-making and should be used alongside FRAX and/or bone mineral density (BMD). They cover primary osteoporosis, secondary osteoporosis, treatment initiation and treatment monitoring. 

1under the auspices of WHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging