Osteoporosis, bone & mineral

Use of DXA-based software to identify astronauts at risk for persisting spaceflight-induced bone loss

Osteoporos IntPublished Mechanistic study

Authors' conclusion

3D-Shaper software predicts QCT-detected trabecular bone loss better than DXA and has the potential to serve as a screening tool for QCT-detection of trabecular bone loss.

Study context

Population
ISS astronauts (19 M/4F) with pre- and postflight QCT and DXA of the hip after 6-month missions
Participants
23 participants
Comparison
3D-Shaper vs DXA vs QCT for hip bone loss
Outcome
Ability of DXA (total hip aBMD) and 3D-Shaper (Trab vBMD) to predict persisting trabecular bone deficits by QCT (regression R2)
Follow-up
1-year post-flight

Main finding

As reported in the abstract

R2 for prediction of QCT Trab vBMD change

3D-Shaper

0.40

R2

DXA

0.14

R2

Further findings

OutcomeDXAQCT3D-Shaper
Total hip bone change from pre-flight · immediately post-flightmean 3.9 (SD 2.4) % reductionmean 9.0 (SD 7.2) % reductionmean 6.8 (SD 4.5) % reduction
Total hip bone change from pre-flight — Greater loss demonstrated by QCT and Shaper than DXA aBMD
p < 0.001

Original publication

Use of DXA-based software to identify astronauts at risk for persisting spaceflight-induced bone loss. Osteoporos Int. Published 19 May 2026. doi:10.1007/s00198-026-07875-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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