System and method for automatically extracting at least one region of a first type of bone tissue from a target bone. A digital radiograph image with the target bone is received. Based on the digital radiograph image, at least one region of a first type of bone tissue is automatically identified or extracted. This region can then be utilized for different purposes, such as assessment, qualitative assessment, quantitative assessment, analysis, spatial domain analysis, frequency domain analysis, and calculation of one or more target bone features.