Evidence map›Paper›PMID 42823512›Full record

ReviewNature reviews. Rheumatology2026

Single-component imaging and ultrasound-based tools for the assessment of fracture risk.

Germain Honvo, Nicholas R Fuggle, Amal Alenad, Olivier Bruyère, Marguerite O'Riordan, Nicola Veronese, Nasser M Al-Daghri, Majed Alokail, Mylène Aubertin-Leheudre, Gulistan Bahat and 20 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Germain Honvo *WHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0002-6992-6712
Nicholas R Fuggle *WHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0001-5463-2255
Amal AlenadDepartment of Biochemistry, College of Science, King Saud University, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0002-5209-7196
Olivier BruyèreDivision of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium.
Marguerite O'RiordanLifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
Nicola VeroneseSaint Camillus International University of Health Sciences, Faculty of Medicine, Rome, Italy.ORCID http://orcid.org/0000-0002-9328-289X
Nasser M Al-DaghriWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0001-5472-1725
Majed AlokailWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Mylène Aubertin-LeheudreWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Gulistan BahatWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Charlotte BeaudartWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Christian BrabantWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Fanny BuckinxWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Nansa BurletWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Etienne CavalierWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Manju ChandranWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Cyrus CooperWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0003-3510-0709
Peter EbelingWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0002-2921-3742
Olivier EthgenWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Roger FieldingWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Mickaël HiligsmannWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Jean-Marc KaufmanWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Ali MobasheriWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0001-6261-1286
Daniel PintoWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
François RannouWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Shaun SabicoWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0002-5248-2350
Dolores Sanchez-RodriguezWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Jotheeswaran A ThiyagarajanScience, Innovation & Monitoring, Department of Sexual, Reproductive, Maternal, Newborn, Child, Adolescent Health and Ageing (LHR), World Health Organization, Geneva, Switzerland. amuthavallithiya@who.int.
René RizzoliGeneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-1537-422X
Jean-Yves ReginsterWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging imaging and computational technologies are reshaping how osteoporosis and low bone mass are assessed. Dual-energy X-ray absorptiometry (DXA) is key for the operational definition of osteoporosis, but advances in single-component tools such as finite element analysis, trabecular bone score, DXA-based 3D shape modelling, quantitative ultrasound, radiofrequency echographic multi-spectrometry and artificial-intelligence-driven interpretation of routine radiology offer complementary insights into bone strength, microarchitecture and fracture risk. Some of these approaches provide additional fracture-risk measures beyond areal bone mineral density, whereas others enable opportunistic identification of people with low bone density in populations who would otherwise be missed. Strong pre-clinical and encouraging observational data support the use of these technologies and, although their current use in clinical practice varies with the age of the technology, they all have a potential role in the assessment of fracture risk at a variety of points in the patient journey (from screening to monitoring response to therapy). As their use becomes more widespread, monitoring performance, assessing the equitability of implementation and evaluating the health-service benefits of these tools in clinical practice will be key.

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.