European Radiology

, Volume 18, Issue 7, pp 1484–1496

Vertebral morphometry: current methods and recent advances


    • Department of RadiologyUniversity of Foggia
    • Department of RadiologyScientific Institute Hospital “Casa Sollievo della Sofferenza”
  • D. Diacinti
    • Department of RadiologyUniversity “La Sapienza”
  • C. van Kuijk
    • Department of RadiologyUniversity of Amsterdam
  • F. Aparisi
    • Department of Diagnostic RadiologyHospital Dr Peset
  • C. Krestan
    • Department of RadiologyMedical University of Vienna
  • J. E. Adams
    • Imaging Science and Biomedical EngineeringThe University
  • T. M. Link
    • Department of RadiologyUniversity of California

DOI: 10.1007/s00330-008-0899-8

Cite this article as:
Guglielmi, G., Diacinti, D., van Kuijk, C. et al. Eur Radiol (2008) 18: 1484. doi:10.1007/s00330-008-0899-8


Vertebral fractures are the hallmark of osteoporosis and are associated with increased morbility and mortality. Because a majority of vertebral fractures often occur in absence of specific trauma and are asymptomatic, their identification is radiographic. The two most widely used methods to determine the severity of vertebral fractures are the visual semiquantitative (SQ) assessment and the morphometric quantitative approach, involving the measurements of vertebral body heights. The measurements may be made on conventional spinal radiographs (MRX: morphometric X-ray radiography) or on images obtained from dual X-ray absorptiometry (DXA) scans (MXA: morphometric X-ray absorptiometry).The availability of a rapid, low-dose method for assessment of vertebral fractures, using advanced fan-beam DXA devices, provides a practical method for integrated assessment of BMD and vertebral fracture status. The visual or morphometric assessment of lateral DXA spine images may have a potential role for use as a prescreening tool, excluding normal subjects prior to performing conventional radiographs.


OsteoporosisVertebral fracturesVertebral heightsSemiquantitative vertebral assessmentQuantitative vertebral morphometryMorphometric X-ray radiographyDual X-ray absorptiometryMorphometric X-ray absorptiometry

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© European Society of Radiology 2008