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The in vivo evaluation of Trabecular Bone Structure (TBS) is a major challenge in bone study. The modern definition of osteoporosis involves low Bone Mineral Density (BMD) and TBS alterations. BMD is well measured in clinical practice by DEXA (Double Energy X-ray Absorptiometry). On the other hand, TBS cannot be measured in routine at the present time. The aim of the present process is to exploit the increased quality of DEXA bone images in order to characterize the gray level properties of such bone projection images and to evaluate a parameter TBS by considerations of projection effects. Moreover, a mathematical model is proposed that allows to evaluate a combined parameter BDS (Bone Density Structure).

Process of Interpretation of Two-Dimensional Densitometry Images for the Prediction of Bone Mechanical Strength