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Peer-Reviewed Publication
Bone2026;203117735.February 1, 2026Journal Article

AI-supported opportunistic detection of vertebral fractures on routine CT scans: Diagnostic performance and clinical relevance.

Martina Behanova1, Anton Sokhan1, Judith Haschka2, Shahin Zandieh3, Christoph Salzlechner4, Richard Ljuhar4, Jochen Zwerina2, Roland Kocijan5
1Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of OEGK and AUVA Trauma Centre Meidling, 1(st) Medical Department, Hanusch Hospital, 1140, Vienna, Austria; Sigmund Freud University Vienna, School of Medicine, Metabolic Bone Diseases Unit, Vienna, Austria.
2Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of OEGK and AUVA Trauma Centre Meidling, 1(st) Medical Department, Hanusch Hospital, 1140, Vienna, Austria.
3Department for Radiology and Nuclear Medicine at Hanusch hospital of OEGK, Hanusch Hospital, 1140, Vienna, Austria.
4Department for Research and Development, IB Lab GmbH, Zehetnergasse 6/2/2, 1140, Vienna, Austria.
5Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of OEGK and AUVA Trauma Centre Meidling, 1(st) Medical Department, Hanusch Hospital, 1140, Vienna, Austria; Sigmund Freud University Vienna, School of Medicine, Metabolic Bone Diseases Unit, Vienna, Austria. Electronic address: roland.kocijan@lbg.ac.at.

Abstract

BACKGROUND: Vertebral fractures (VFs) are among the most common osteoporotic fractures, yet they are frequently underdiagnosed and left untreated. The use of an artificial intelligence (AI) tool may support improved detection rates. This study aimed to evaluate the diagnostic performance of the AI-based software (IB Lab FLAMINGO) in identifying VFs on thoracic and abdominal CT scans, using radiolo…

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