Opportunistic osteoporosis detection on CT may become a standalone diagnostic pathway

Advances in AI-enabled imaging may transform incidental osteoporosis findings into formally justified clinical referrals, shifting from opportunistic to diagnostic use on CT and other modalities.

• Opinion piece argues for a transition from incidental osteoporosis detection to justified diagnostic exams.
• Balance of diagnostic benefit vs ionizing radiation risk must be reassessed for opportunistic screening.
• AI technology is key enabler for automated bone density assessment on non-dedicated scans.

Automated summary

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