Osteoporosis & bone health

The diagnostic value of MRI-based vertebral bone quality score for osteoporosis or osteopenia in patients undergoing lumbar surgery: a meta-analysis

Osteoporos IntPublished Systematic review and meta-analysis of diagnostic accuracy studies

Authors' conclusion

The MRI-based VBQ score could provide useful information for identifying patients with low bone mass who need further evaluation.

Study context

Population
Patients with lumbar disease undergoing lumbar surgery (mean age 66.4 years; 72.5% female)
Participants
2,815 patients17 studies
Comparison
MRI-based Vertebral Bone Quality (VBQ) score for osteoporosis or osteopenia
Outcome
Diagnostic accuracy of the VBQ score for osteoporosis/osteopenia (pooled sensitivity, specificity, summary ROC)
Methodological detailsPRISMA, QUADAS-2 quality assessment, meta-regression, Quality of included studies relatively high (QUADAS-2)
  • PRISMA
  • QUADAS-2 quality assessment
  • Meta-regression
  • Quality of included studies relatively high (QUADAS-2)

Pooled result

As reported in the abstract

Diagnostic accuracy of VBQ score
StrategyAUCPooled sensitivityPooled specificity
VBQ score (osteoporosis)0.810.760.74
VBQ score (osteopenia)0.760.780.58

AUC

VBQ score (osteoporosis)0.81
VBQ score (osteopenia)0.76

Pooled sensitivity

VBQ score (osteoporosis)0.76
VBQ score (osteopenia)0.78

Pooled specificity

VBQ score (osteoporosis)0.74
VBQ score (osteopenia)0.58

Further pooled results

Significantly higher VBQ score in the osteoporosis/osteopenia group vs control group

Original publication

The diagnostic value of MRI-based vertebral bone quality score for osteoporosis or osteopenia in patients undergoing lumbar surgery: a meta-analysis. Osteoporos Int. Published 1 August 2024. doi:10.1007/s00198-024-07190-6

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