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Liu Q, Liu Z, Guo H, Liang J, Zhang Y. The progress in quantitative evaluation of callus during distraction osteogenesis. BMC Musculoskelet Disord 2022; 23:490. [PMID: 35610718 PMCID: PMC9128294 DOI: 10.1186/s12891-022-05458-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 05/19/2022] [Indexed: 12/22/2022] Open
Abstract
The manual monitoring of callus with digital radiography (X-ray) is the primary bone healing evaluation, assessing the number of bridged callus formations. However, this method is subjective and nonquantitative. Recently, several quantitative monitoring methods, which could assess the recovery of the structure and biomechanical properties of the callus at different stages and the process of bone healing, have been extensively investigated. These methods could reflect the bone mineral content (BMC), bone mineral density (BMD), stiffness, callus and bone metabolism at the site of bone lengthening. In this review, we comprehensively summarized the latest techniques for evaluating bone healing during distraction osteogenesis (DO): 1) digital radiography; 2) dual-energy X-ray scanning; 3) ultrasound; 4) quantitative computed tomography; 5) biomechanical evaluation; and 6) biochemical markers. This evidence will provide novel and significant information for evaluating bone healing during DO in the future.
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Affiliation(s)
- Qi Liu
- Department of Orthopaedics, Xiangya Hospital, Central South University, Hunan Province, Changsha, 410008, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Ze Liu
- Department of Orthopaedics, Xiangya Hospital, Central South University, Hunan Province, Changsha, 410008, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Hongbin Guo
- Department of Orthopaedics, Xiangya Hospital, Central South University, Hunan Province, Changsha, 410008, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Jieyu Liang
- Department of Orthopaedics, Xiangya Hospital, Central South University, Hunan Province, Changsha, 410008, China. .,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
| | - Yi Zhang
- Department of Orthopaedics, Xiangya Hospital, Central South University, Hunan Province, Changsha, 410008, China. .,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
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Ghavami S, Denis M, Gregory A, Webb J, Bayat M, Kumar V, Fatemi M, Alizad A. Pulsed vibro-acoustic method for assessment of osteoporosis & osteopenia: A feasibility study on human subjects. J Mech Behav Biomed Mater 2019; 97:187-197. [PMID: 31125891 DOI: 10.1016/j.jmbbm.2019.05.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 04/14/2019] [Accepted: 05/03/2019] [Indexed: 12/01/2022]
Abstract
In this paper we propose a new non-invasive ultrasound method, pulsed vibro-acoustic, for evaluating osteoporotic and osteopenic bone in humans. Vibro-acoustic method uses acoustic radiation force (ARF) to stimulate bone and the resulting acoustic signal can be used to characterize bone. The resulting acoustic signal is collected by a hydrophone at the skin surface. Wave velocity and numbers of intrinsic modes are used for analysis. Wave velocity is estimated using the received signal and maximum power mode of the decomposed signal is estimated using variational mode composition from different push points of ARF based on the cross-correlation method. A total of 27 adult volunteers, including healthy and those diagnosed with osteopenia and osteoporosis, were tested. Results of pulsed vibro-acoustic test on tibia of volunteers showed that healthy group could be differentiated from osteoporosis or osteopenia (p < 2 × 10-5). The results of our study support the feasibility of pulsed vibro-acoustic method for measuring mechanical properties of bone and the potential clinical utility of the proposed method for assessment of bone health.
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Affiliation(s)
- Siavash Ghavami
- Department of Radiology, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA
| | - Max Denis
- Department of Radiology, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA
| | - Adriana Gregory
- Department of Radiology, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA
| | - Jeremy Webb
- Department of Radiology, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA
| | - Mahdi Bayat
- Department of Physiology and Biomedical Engineering, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA
| | - Viksit Kumar
- Department of Physiology and Biomedical Engineering, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA
| | - Mostafa Fatemi
- Department of Physiology and Biomedical Engineering, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA
| | - Azra Alizad
- Department of Radiology, Mayo Clinic, College of Medicine and Science, Rochester, MN, USA.
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Tran TNHT, Le LH, Sacchi MD, Nguyen VH. Sensitivity analysis of ultrasonic guided waves propagating in trilayered bone models: a numerical study. Biomech Model Mechanobiol 2018; 17:1269-1279. [DOI: 10.1007/s10237-018-1025-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Accepted: 04/29/2018] [Indexed: 11/28/2022]
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