Five-Year CT Follow-Up of Vertebral Fracture Risk Using Opportunistic Osteoporosis Screening
NCT07487688 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 2799
Last updated 2026-03-31
Summary
This study evaluates whether opportunistic osteoporosis screening using routinely acquired computed tomography (CT) scans improves fracture risk prediction compared with guideline-recommended FRAX-based screening from age 50. In current practice, few high-risk individuals identified by FRAX actually receive confirmatory dual-energy X-ray absorptiometry (DXA), despite the growing health and economic burden of osteoporotic fractures. Volumetric bone mineral density (vBMD) and CT-based detection of vertebral fractures can be extracted from existing CT images obtained for other indications, offering a non-invasive way to capture key determinants of fracture and mortality risk, including low BMD, age, and prevalent fractures. The trial therefore compares the diagnostic performance of FRAX major osteoporotic fracture risk versus CT-derived vBMD and CT-identified vertebral fractures for predicting incident vertebral fractures in older adults.
Conditions
- Osteoporosis
- Fracture Risk Assessment
- Osteoporotic Fracture of Vertebra
Interventions
- DIAGNOSTIC_TEST
-
Opportunistic osteoporosis screening
Automatic assessment of CT-based biomarkers of bone health
Sponsors & Collaborators
-
Technical University of Munich
lead OTHER
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2003-02-25
- Primary Completion
- 2021-10-15
- Completion
- 2021-10-15
Countries
- Germany
Study Locations
More Related Trials
-
Analysis of Bone Micro-Architecture as a Clinical Biomarker for Image-Based Fracture Risk Estimation.
NCT03463850 ·Status: COMPLETED ·Phase: NA
-
A Study Evaluating the Performance of Using AI Software and Chest X-rays to Screen for Osteoporosis as Compared to Standard DXA Scans in Patients 50 Years and Older
NCT07421713 ·Status: RECRUITING
-
Clinical Study to Estimate Bone Mineral Density With the POROUS Ultrasound Device
NCT07187518 ·Status: RECRUITING ·Phase: NA
-
Longitudinal Evaluation of a Fracture Liaison Service
NCT06847776 ·Status: ENROLLING_BY_INVITATION
-
Effects of FRAX+SARC-F Pre-screening on Preventing Fragility Fracture and Fall in Community-dwelling Older Adults
NCT04709393 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
The Osteoporotic Fracture Classification-based Scoring System for Treatment Decision in Thoracolumbar Osteoporotic Fractures
NCT07027306 ·Status: RECRUITING
-
Osteoporosis and Fall Prevention Education
NCT01934400 ·Status: COMPLETED
-
DeFRA Questionnaire as an Anamnestic Form
NCT02003716 ·Status: COMPLETED
-
Develop and Validate Ultrasonic Device for Osteoporotic Fracture Risk Assessment
NCT01123421 ·Status: COMPLETED
-
Radiological Biological Genetic and Micro-architectural Bone Determinants of Fractures in Men With Low Bone Mineral Density
NCT01250314 ·Status: COMPLETED ·Phase: NA
-
Fracture and Fall Prevention in Elderly With Osteoporosis
NCT01844154 ·Status: UNKNOWN
-
Immunophenotyping in Patients With Osteoporosis
NCT05132348 ·Status: RECRUITING
-
CT-Based Deep Learning for Differentiating Acute and Chronic Osteoporotic Vertebral Compression Fractures
NCT07306858 ·Status: NOT_YET_RECRUITING
-
CT-Based Modeling of Bone Micro-Architecture and Fracture-Risk in COPD
NCT03534934 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Cone Beam Computed Tomography in Diagnosing Osteoporosis
NCT04365504 ·Status: UNKNOWN
-
Height Loss, Kyphosis Indicators, Bone Mineral Density and Vertebral Fractures in Chinese Postmenopausal Women
NCT03798444 ·Status: COMPLETED
-
Osteoporotic Precisely Screening Using Chest Radiograph and Artificial Neural Network (OPSCAN)
NCT05721157 ·Status: COMPLETED ·Phase: NA
-
Opportunistic Screening for Osteoporotic Vertebral Fractures in Patients With Diffuse Interstitial Lung Disease
NCT05714787 ·Status: COMPLETED
-
Assessment of Cortical Bone Mechanics Technology (CBMT) Fracture Discrimination Capability
NCT05721898 ·Status: COMPLETED
-
Quality of the Detection & Treatment of Osteoporotic Fractures in a Swiss Trauma Center
NCT02157753 ·Status: COMPLETED
-
Improved Screening for Osteoporosis
NCT02066480 ·Status: COMPLETED
-
Imaging Parameters to Predict Future Vertebral Fracture in Osteoporosis
NCT01653873 ·Status: UNKNOWN
-
Bone Strength and Physical Activity in Patients With a Recent Clinical Fracture
NCT05138640 ·Status: COMPLETED
-
Bone Microarchitectural Database Constitution From HR-pQCT Device in Clinical Situation Potentially Associated With Bone Loss
NCT02532439 ·Status: TERMINATED ·Phase: NA
-
Osteoporosis and Knee Insufficiency Fracture
NCT02332681 ·Status: UNKNOWN