ASPIRE™

Vertebral fracture case finding service

1 in 7 CT scan patients have a vertebral fracture. We will find them for you.

  • – Vertebral fragility fractures are the most prevalent fracture but remain largely undiagnosed
  • – They are imaged every day whilst investigating other conditions
  • – Identify them with our CQC-regulated ASPIRE™ case finding service

Download the ASPIRE™ brochure.

Finding vertebral fractures is challenging

Detection of subclinical or undiagnosed vertebral fractures on routine chest CT scans has been shown to identify individuals who are at triple the risk of future hip fracture*. Yet even the best Fracture Liaison Services in the world perform poorly with identifying vertebral fractures. Opportunistic detection is encouraged by national and international guidelines.

Recent studies found that approximately 7 in 10 hip fracture patients had prevalent vertebral fractures**.

The ASPIRE™ workflow

  • An average NHS Trust acquires approximately 10,000 CT volumes a year that contain spinal vertebrae
  • Suitable CT volumes are identified and transferred to Optasia for analysis
  • CT volumes undergo sagittal reformat prior to analysis
  • Deformities are suggested by sophisticated machine learning algorithms and all images are over read by a radiologist
  • A list of identified fracture patients are passed back to the Fracture Liaison Service or GP for follow up
  • ‘Spend to Save’ pricing within NHS England limits ensures the service is funded through prevented secondary fractures

Care Quality Commission Registered

Optasia Medical is registered with the CQC as a provider, under the Health and Social Care Act 2008, for the following regulated activity: diagnostic & screening procedures. Registration requires us to continually monitor and improve all aspects of our ASPIRE™ service.

Ask us about a Service Pilot to baseline your current performance

To see the value of ASPIRE™ at your Institution, we offer a no-cost service pilot on retrospective patient scans. This is usually performed as a small audit or service assessment and the results provide a baseline measurement of your current performance at opportunistically identifying CT vertebral fracture patients for your Fracture Liaison Service. Please complete the form below to express interest and we’ll get back to you shortly.

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*Buckens CF, de Jong PA, Mali WP, et al. Prevalent vertebral fractures on chest CT: higher risk for future hip fracture. J Bone Miner Res. 2014 Feb;29(2):392-8.
**78% – Imai N, Endo N, Hoshino T, et al. Mortality after hip fracture with vertebral compression fracture is poor. J Bone Miner Metab. 2016;34:51.
63% – Sosa Henriquez M, Saavedra Santana P; grupo de trabajo en osteoporosis de la Sociedad Española de Medicina Interna (SEMI). Prevalence of vertebral fractures in hip fracture patients. [Article in Spanish]. Rev Clin Esp. 2007 Oct;207(9):464-8.