Neutron activation analysis provides a useful clinical test to assess bone mass status in vivo. The neutron flux is obtained from Pu/Be sources and49Ca activity is measured by NaI detectors. For diagnostic value, the49Ca measurement is related to the mean value for normal subjects of the same body size. This normalized index, our CaBI, is used extensively to diagnose the bone loss associated with osteoporosis and to asses changes in bone mass with progression of disease and in response to treatments. Our facility operates at maximum capacity (35 tests/wk.). The hospital location and the dependability and ease of operation (provided by neutron sources) have facilitated extensive clinical use.