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TBS Osteo™ Trabecular Bone Score

Creating an Era Where Healthy Bones are The Norm

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.

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Clinician Friendly

Designed with clinicians in mind, our software tools seamlessly integrate into clinical routine.

Patient-Focused

Non-invasive and pain-free technology requiring no additional radiation and time for patients.

Time Efficient

Fast processing time freeing-up clinician's time to focus on patient care.

CPT 77089

Trabecular Bone Score structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation and report on fracture-risk.

CPT 77090

TBS technical preparation and transmission of data for analysis to be performed elsewhere.

CPT 77091

Trabecular Bone Score (TBS), structural condition of the bone microarchitecture; technical calculation only.

CPT 77092

TBS structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional.

TBS Osteo™ 

Trabecular Bone Score
The GOLD Standard in Fracture Risk Assessment

Enhance every DEXA scan with TBS Osteo™ and give your patients the complete picture of their bone health. TBS Osteo™ adds vital insight into bone quality — information that standard bone density alone can’t provide — helping you detect fracture risk earlier, personalize treatment, and improve patient outcomes.

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Understanding TBS

Understanding Trabecular Bone Score Trabecular bone score (TBS) is a helpful tool for detecting osteoporosis early and providing a more comprehensive overview of your bone health. It works alongside a bone density test, providing additional information about the quality of your bones. TBS can identify changes in bone structure that may indicate osteoporosis risk, helping your healthcare provider tailor treatment plans to better protect your bones and overall health.

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Frequently asked questions

What is Trabecular Bone Score (TBS)?

TBS is a special analysis that can be added to your DEXA scan to give your doctor more information about the quality of your bones — not just the density. It looks at the bone’s internal structure (microarchitecture) and can detect weaknesses that a regular bone density test might miss.

Why is TBS important?

Bone density tells us how much bone you have. TBS tells us how strong and well-structured your bone is. This is important because even people with normal bone density can have fragile bones and be at higher risk for fractures.

How does TBS help me?

● Better fracture risk prediction — especially if you have risk factors like menopause, diabetes, or long-term steroid use. ● More personalized care — your doctor can choose the right treatment based on both bone density and bone quality. ● Early detection — helps catch bone health issues before they lead to a fracture.

Does TBS require a separate scan?

No. TBS is calculated from the images your DEXA scan already takes. It adds no extra time, no extra radiation, and no extra discomfort.

Who should ask for TBS?

You should consider TBS if you:
● Are postmenopausal or over age 50
● Have a family history of osteoporosis
● Have type 2 diabetes or other metabolic conditions
● Take long-term medications like corticosteroids
 ● Have had a fracture after a minor injury
● Want the most complete picture of your bone health

How do I get TBS with my DEXA scan?

Ask your healthcare provider if TBS is available where you have your DEXA scan. If they don’t offer it, request a referral to a facility that does — or visit DEXASCAN locations that provide TBS testing.

What will my doctor do with my TBS results?

Your doctor will combine your TBS with your bone density and other health information to create a personalized plan — whether that’s starting medication, adjusting lifestyle habits, or scheduling follow-up scans to track changes.

Bottom Line: Bone density is only part of the story — TBS gives the rest. Asking for TBS means you and your doctor have the best information possible to protect your bones.

To find a provider offering TBS, visit DEXASCAN.com and select the filter for TBS. It will provide a list of locations in the US that offer this additional service as part of their DEXA offering

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