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.