Comparative analysis of MRI-based VBQ score and CT-based HU with DEXA-based T-score in assessing BMD in degenerative spine

Key Points

• The aim is to evaluate the reliability of MRI-based VBQ scores and CT HU values as alternatives to DEXA for assessing bone mineral density (BMD) in the degenerative spine.
• Conducted a comparative analysis of VBQ scores, CT HU values, and DEXA T-scores.
• Assessed the effectiveness of MRI and CT in measuring BMD against the standard DEXA method.
• Evaluated the implications of these modalities for opportunistic screening and preoperative planning.
• VBQ scores and CT HU values demonstrate reliability as markers for BMD assessment.
• These alternatives can enhance screening efficiency when DEXA is not feasible or presents confounding factors.