Osteoporosis is characterized by reduced bone mass and a deterioration
of bone structure which results in an increased fracture risk. The pu
rpose of this review is to evaluate structure analysis techniques in t
he diagnosis of osteoporosis. Several imaging techniques were applied
to analyze trabecular bone, such as conventional radiography, high-res
olution computed tomography (HR-CT) and high-resolution magnetic reson
ance imaging (HR-MRI). The best results were obtained using high-resol
ution tomographic techniques. The highest spatial resolutions in vivo
were achieved using HR-MRI. These studies show that texture parameters
and bone mineral density predict bone strength and osteoporotic fract
ures in a complementary fashion. Combining both techniques yields the
best results in the diagnosis of osteoporosis.