Evidence Based Medicine is a cornerstone of care for osteoporotic patients. Its principles in clinical osteology are based on Bone Mineral Density measurement.
The quality of bone tissue is more difficult to estimate - we used TBS - Trabecular Bone Score and some other data. Individualization of fracture risk prediction is around the world base on FRAX calculation of 10-years fracture risk.
FRAX has many advantages, but also some weak point - missing information about previous fracture, e.g.