Lumbar vertebral osteoporosis (LvOPO) in women is clinically important. It is affected by mixed causes, including but not limited to the aging, lumbar vertebral fat fraction (LvFF), and estrogen. In the current study, the LvOPO in women was diagnosed by a newly proposed hybrid scoring system, i.e., the LvOPO score (LvOPOS). By integrating the independent predictors including age, LvFF, and menopause-MR interval (MMI), the LvOPOS achieved an AUC higher than the LvFF (0.802), age (0.794), and MMI (0.788). Our results provide a new insight in diagnosing the LvOPO specific to women with relevant to both clinical and MR features.
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