Recognition and reporting of vertebral fractures in thoracic and abdominal computed tomography images — have we learnt our lesson?
Authors' conclusion
Despite increasing awareness of osteoporosis, VFs remain underreported on routine thoracic and abdominal CT scans.
Study context
- Population
- Thoracic and abdominal computed tomography (CT) scans for non-musculoskeletal indications, large Austrian tertiary-care hospital, 20231,481 CT scans analysed
- Participants
- 1,364 participants
- Outcome
- Detection and reporting rates of VFs (Genant Grade ≥ 2) on thoracic and abdominal CT
Methodological detailsretrospective, single-centre, random selection of CT scans, two independent readers, Genant's semiquantitative method
- Retrospective
- Single-centre
- Random selection of CT scans
- Two independent readers
- Genant's semiquantitative method
Main finding
As reported in the abstract
Reporting of VFs in radiology reports
Vertebral fractures (VFs) documented in impression section
14.7%
VFs mentioned in narrative interpretation section
50.0%
85/170
Observational data: associations, not effects.
Further findings
Prevalence of VFs
- VFs identified
- 170 (11.5%)
- Patients with VFs
- 164
- Lumbar
- 35.9% (n = 61)
- Thoracic
- 52.4% (n = 89)
- Both regions
- 11.8% (n = 20)
Inter-reader agreement
- κ
- 0.94
- Excellent
Original publication
Recognition and reporting of vertebral fractures in thoracic and abdominal computed tomography images — have we learnt our lesson? Osteoporos Int. Published 31 August 2026. doi:10.
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