It is effectively a pipe dream in rural backward regions. Bone mineral density (BMD)
alone cannot be the sole criterion for categorising people affected by osteoporotic fractures. Variables other than BMD should also be considered in the detection of future fracture risk. The general statistics affirm that a decreased rate of BMD is directly proportional
to the chances of osteoporotic fracture occurrence.
Nonetheless, low fracture thresholds are seen in subjects over 50 who could have
been diagnosed with the initial stage of osteoporosis as per WHO
standards.
One striking factor that has been noticed is the presence of fractures in women who were not diagnosed as osteoporotic in about half of all cases. It has been demonstrated
that BMD cannot be the sole criterion for proving the fragile bone abnormality in women affected by fractures because of the overlapping nature of BMD measurements between control and
fracture groups. The mechanical properties of trabecular bone have been greatly influenced by bone parameters other than BMD.
Out of these, trabecular bone micro-architecture can operationally define osteoporosis. Trabecular micro-architectural moderation (trabecular plate loss) has a greater role in decreased bone strength than trabecular thinning. The present study aims to devise a low-cost investigational tool from simple x-ray images in order to diagnose osteoporotic risk or low BMD