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T-score

A comparison between measured BMD and a young-adult reference database, mainly used in older adult contexts.

What it is

A T-score compares a person's BMD with a young-adult reference. It is commonly used for postmenopausal women and men age 50 or older.[1,2]

Why it matters

It turns BMD into a standardized adult classification signal, but it does not replace fracture history or clinical assessment.[2]

What it affects

  • NIAMS describes T-score -1 or higher as healthy bone, between -1 and -2.5 as osteopenia / low bone density, and -2.5 or lower as a possible osteoporosis category.[1]
  • ISCD states osteoporosis may be diagnosed in postmenopausal women and men age 50 or older when central DXA T-score is -2.5 or lower at accepted skeletal sites.[2]

Interpretation traps

  • The same number means less when the person is younger, premenopausal, pediatric, has unusual skeletal disease, or has technical artifacts.[2]

Related conditions