The invention provides method,
system and device for determining
trabecular bone structure and strength by digital topological analysis, and offers, for the first time, a demonstration of superior associations between vertebral
deformity and a number of architectural indices measured in the distal
radius, thus permitting reliable and noninvasive detection and determination of the
pathogenesis of
osteoporosis. A preferred embodiment provides imaging in three dimension of a region of
trabecular bone, after which the 3D image is converted into a skeletonized surface representation. Digital topological analysis is applied to the converted image, and each image
voxel is identified and classified as a curve, a surface, or a junction; and then associated with microarchitectural indices of
trabecular bone to quantitatively characterize the trabecular bone network. The invention is applicable
in vivo, particularly on human subjects, or
ex vivo.