{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T22:57:51Z","timestamp":1776207471869,"version":"3.50.1"},"reference-count":20,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Densitometry"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.jocd.2026.101687","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T08:55:46Z","timestamp":1772096146000},"page":"101687","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Degenerative changes and trabecular bone score in patients with high bone mass by DXA"],"prefix":"10.1016","volume":"29","author":[{"given":"L\u00e9o Canterle","family":"Dal Osto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Mendon\u00e7a da Silva","family":"Chakr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Odirlei Andr\u00e9","family":"Monticielo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo Machado","family":"Xavier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Poli Mara","family":"Spritzer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tayane Muniz","family":"Fighera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.jocd.2026.101687_bib0001","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.jbspin.2018.01.007","article-title":"High bone mass in adults","volume":"85","author":"Paccou","year":"2018","journal-title":"Jt Bone Spine"},{"key":"10.1016\/j.jocd.2026.101687_bib0002","doi-asserted-by":"crossref","DOI":"10.1016\/j.bone.2020.115476","article-title":"Prevalence and causes of elevated bone mass","volume":"138","author":"Nottez","year":"2020","journal-title":"Bone"},{"key":"10.1016\/j.jocd.2026.101687_bib0003","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2020.595653","article-title":"The genetic architecture of high bone mass","volume":"11","author":"Gregson","year":"2020","journal-title":"Front Endocrinol"},{"issue":"6","key":"10.1016\/j.jocd.2026.101687_bib0004","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1093\/rheumatology\/ket007","article-title":"Friend or foe: high bone mineral density on routine bone density scanning, a review of causes and management","volume":"52","author":"Gregson","year":"2013","journal-title":"Rheumatol (Oxf)"},{"issue":"3","key":"10.1016\/j.jocd.2026.101687_bib0005","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.endonu.2011.10.010","article-title":"High bone density and bone health","volume":"59","author":"Sed\u00f3 Sarkis","year":"2012","journal-title":"Endocrinol Nutr"},{"issue":"6","key":"10.1016\/j.jocd.2026.101687_bib0006","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1002\/jbmr.3078","article-title":"Understanding bone strength is not enough","volume":"32","author":"Hernandez","year":"2017","journal-title":"J Bone Min Res"},{"key":"10.1016\/j.jocd.2026.101687_bib0007","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/s12020-021-02806-x","article-title":"DXA parameters, trabecular bone score (TBS) and Bone Mineral Density (BMD), in fracture risk prediction in endocrine-mediated secondary osteoporosis","volume":"74","author":"Shevroja","year":"2021","journal-title":"Endocrine"},{"key":"10.1016\/j.jocd.2026.101687_bib0008","doi-asserted-by":"crossref","first-page":"4147","DOI":"10.3390\/jcm12124147","article-title":"Trabecular bone score significantly influences treatment decisions in secondary osteoporosis","volume":"12","author":"Al-Hashimi","year":"2023","journal-title":"J Clin Med"},{"key":"10.1016\/j.jocd.2026.101687_bib0009","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.bone.2017.01.035","article-title":"Trabecular bone score (TBS): method and applications","volume":"104","author":"Martineau","year":"2017","journal-title":"Bone"},{"key":"10.1016\/j.jocd.2026.101687_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.semarthrit.2022.152077","article-title":"Physical frailty in patients with systemic sclerosis","volume":"56","author":"Hax","year":"2022","journal-title":"Semin Arthritis Rheum"},{"issue":"12","key":"10.1016\/j.jocd.2026.101687_bib0011","doi-asserted-by":"crossref","first-page":"3603","DOI":"10.1007\/s10067-020-05119-y","article-title":"Cachexia in patients with rheumatoid arthritis: a cohort study","volume":"39","author":"Santo","year":"2020","journal-title":"Clin Rheumatol"},{"key":"10.1016\/j.jocd.2026.101687_bib0012","article-title":"The sensitivity and specificity of the WHO's ICOPE screening tool, and the prevalence of loss of intrinsic capacity in older adults: a scoping review","volume":"177","author":"de Oliveira","year":"2024","journal-title":"Maturitas"},{"issue":"4","key":"10.1016\/j.jocd.2026.101687_bib0013","article-title":"Power and sample size for health researchers: uma ferramenta para c\u00e1lculo de tamanho amostral e poder do teste voltado a pesquisadores da \u00e1rea da sa\u00fade","volume":"40","author":"Borges","year":"2021","journal-title":"Clin Biomed Res"},{"issue":"6","key":"10.1016\/j.jocd.2026.101687_bib0014","first-page":"469","article-title":"Clinical applications of bone density testing for osteoporosis","volume":"95","author":"Lewiecki","year":"2004","journal-title":"Minerva Med"},{"issue":"8","key":"10.1016\/j.jocd.2026.101687_bib0015","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1016\/j.ejrad.2016.04.004","article-title":"DXA: technical aspects and application","volume":"85","author":"Bazzocchi","year":"2016","journal-title":"Eur J Radiol"},{"issue":"5","key":"10.1016\/j.jocd.2026.101687_bib0016","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1359\/jbmr.070204","article-title":"Summary of the International society for clinical densitometry 2005 position development conference","volume":"22","author":"Binkley","year":"2007","journal-title":"J Bone Min Res"},{"issue":"5","key":"10.1016\/j.jocd.2026.101687_bib0017","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1002\/jbmr.2734","article-title":"A meta-analysis of trabecular bone score in fracture risk prediction and its relationship to FRAX","volume":"31","author":"McCloskey","year":"2016","journal-title":"J Bone Min Res"},{"issue":"6","key":"10.1016\/j.jocd.2026.101687_bib0018","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1007\/s00198-014-2685-6","article-title":"TBS result is not affected by lumbar spine osteoarthritis","volume":"25","author":"Kolta","year":"2014","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.jocd.2026.101687_bib0019","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12891-016-0886-1","article-title":"Simulated increased soft tissue thickness artefactually decreases trabecular bone score: a phantom study","volume":"17","author":"Amnuaywattakorn","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"issue":"8","key":"10.1016\/j.jocd.2026.101687_bib0020","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1007\/s00198-023-06817-4","volume":"34","author":"Shevroja","year":"2023","journal-title":"Osteoporos Int"}],"container-title":["Journal of Clinical Densitometry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1094695026000211?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1094695026000211?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T22:13:41Z","timestamp":1776204821000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1094695026000211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S1094695026000211"],"URL":"https:\/\/doi.org\/10.1016\/j.jocd.2026.101687","relation":{},"ISSN":["1094-6950"],"issn-type":[{"value":"1094-6950","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Degenerative changes and trabecular bone score in patients with high bone mass by DXA","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Densitometry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jocd.2026.101687","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of The International Society for Clinical Densitometry.","name":"copyright","label":"Copyright"}],"article-number":"101687"}}