Diagnostic accuracy of MRI-Based vertebral bone quality score for detecting low bone mass and osteoporosis: A systematic review and meta-analysis.
INTRODUCTION Dual-energy X-ray absorptiometry (DXA) is the reference standard for osteoporosis diagnosis, but access remains limited in many settings. MRI-based vertebral bone quality (VBQ) has emerged as an opportunistic screening tool derived from routine lumbar imaging; however, its diagnostic performance is uncerta...