Other Imaging Modalities

In New Zealand, numerous lateral X-rays, CT scans, and MRI scans are conducted daily, presenting a valuable opportunity for identification of undiagnosed vertebral fractures. These fractures, often indicative of underlying osteoporosis, are frequently missed during imaging conducted for other clinical reasons.

X-rays, CT scans, and MRIs offer a valuable opportunity to identify undiagnosed vertebral fractures, often indicating underlying osteoporosis.

The Royal Osteoporosis Society (ROS) in the UK has developed a quality improvement initiative focused on improving the identification of vertebral fractures, particularly through CT scans. Key aspects of the ROS initiative include training radiologists to actively look for vertebral fractures on all relevant scans, ensuring that these fractures are clearly reported, and integrating these findings into patient care pathways, including Fracture Liaison Services (FLS).

By adopting a similar approach in New Zealand, hospital radiology departments and private radiology providers could play a crucial role in early osteoporosis detection. Implementing systematic processes to identify vertebral fractures and incorporating AI-assisted tools could enhance the accuracy of diagnoses.

Collaboration between radiologists, general practitioners, and FLS teams would ensure that patients identified with vertebral fractures receive timely and appropriate management, ultimately reducing the risk of subsequent fractures.