Overview
See fracture risk more clearly
While DXA measures BMD, an important indicator of fracture risk, it doesn’t capture the full picture1.
Bone microarchitecture (TBS) plays a critical role in bone strength and helps identify patients at risk who may otherwise be missed.
Are high-risk patients being missed by BMD alone?
BMD alone does not identify all high-risk patients, particularly those with normal or osteopenic BMD.
Adding TBS (Trabecular Bone Score) to DXA can help identify up to 30% more patients at risk of fracture2.
TBS Osteo is the only solution that evaluates bone microarchitecture during a routine lumbar spine DXA, delivering critical insight beyond bone density.
Benefits
Get more with your DXA with TBS Osteo Advanced
CLINICAL CONFIDENCE
Improve fracture risk assessment beyond BMD to support more confident clinical decisions and optimized patient care.
SEAMLESS INTEGRATION
Fully integrated, secure TBS reporting with real-time access across connected DXA systems* without disrupting workflow or adding scan time.
ECONOMIC VALUE
Drive institutional value through improved referrals, reimbursement alignment, and measurable return on investment.
Deliver quality care
TBS Osteo enables comprehensive fracture risk assessment by integrating bone microarchitecture into osteoporosis evaluation and management.
- Improves patient risk stratification when used with BMD and/or FRAX®
- Supports treatment decision-making and monitoring in primary and secondary osteoporosis, including chronic kidney disease, type 2 diabetes, and glucocorticoid-induced osteoporosis, where fracture risk may be underestimated by BMD alone
- Adjusts for soft tissue thickness to improve applicability across body phenotypes*
Greater productivity
Seamlessly integrated into your daily clinical workflow:
- No additional scan time or radiation
- Automated, easy-to-interpret reporting
- Compatible with DXA systems2
How TBS Osteo works: bone insights within seconds
Easily installed on a DXA machine, TBS Osteo computes a patient’s Trabecular Bone Score (TBS) which is a measure of bone texture highly correlated with bone microarchitecture.
Standard DXA scan
TBS Osteo is seamlessly integrated into your DXA system and analyzes routine spine BMD images, no additional scan or radiation required.
Automatic TBS analysis
TBS is computed automatically from DXA images to assess trabecular bone microarchitecture.
Instant, structured reporting
Results are delivered in an easy-to-interpret, editable report and sent as a DICOM structured report directly to PACS.
Empowering clinicians with informed decision-making
TBS Osteo simplifies workflow with an automated, all-in-one report, delivering a complete view of fracture risk in the treatment decision-making.
Supports monitoring to prevent future fractures and improves overall bone health.
Experience how TBS Osteo improves fracture risk prediction and supports treatment decisions.
USA Reimbursement
TBS Osteo is reimbursed in the U.S. under four dedicated CPT® codes and can be billed alongside DXA when ordered by a referring / treating physician3.
Clinically-proven
World wide clinical evidence
TBS is supported by a strong scientific foundation, with recognition in more than :
- 35 clinical guidelines
- Over 1,500 peer-reviewed publications.
- Commercially available in 90 countries
- TBS is used in more than 4.5 million procedures annually
Resources
TBS Osteo brochure
Explore how TBS Osteo adds the TBS to standard DXA scans, delivering a clearer picture of bone.
TBS Osteo white paper
Explore the scientific basis, clinical utility, and value of TBS in osteoporosis management.
TBS Osteo report
Explore the report that supports timely, confident assessment of bone fragility.
TBS Osteo report: easy interpretation
Learn how to easily interpret the all-in-one report (BMD, FRAX®, TBS) for fracture risk assessment.
TBS Osteo guide in clinical practice
Learn how TBS is used in clinical practice for fracture risk prediction (ESCEO-IOF, 2023).
U.S. Reimbursement & coding guide
Explore the report that supports timely, confident assessment of bone fragility.
Request a demo
See how TBS Osteo improves fracture risk prediction and supports treatment decisions.
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. 2011;26(11):2762-2769. doi:10.1002/jbmr.499
2. Compatible with GE Healthcare and Hologic DXA systems. Contact your local distributor or sales representative to learn more about the DXA versions that support the all-in-one report.
3. Coverage may vary depending on payer, plan and region. Original Medicare routinely reimburses TBS procedures.
*Not all features are available in all countries and DXA models, for more information please contact Medimaps.
