de Sá Cavalcante D,da Silva Castro MG, Quidute ARP, et al. - Via a case-control study carried out with 30 Sheehan syndrome (SHS, a rare condition linked to osteoporosis risk) patients from an Endocrinology and Diabetology Service of reference in Brazil and 30 age- and sex-matched healthy controls, researchers assessed bone texture parameters in digital panoramic radiographs of these patients. In all regions of interest, the fractal analysis exhibited a statistically important variation between the studied groups. In the SHS group as well as lacunarity in R1, the fractal dimension in F1, M1, and R1 was significantly reduced. In the SHS group, various morphologic characteristics were statistically significant. Patients with SHS demonstrated altered imaging texture parameters on panoramic radiographs, which highlighted a smaller spatial organization of the bone trabeculae and, perhaps, a state of decreased mineral bone density.