scholarly journals Applications of a New Handheld Reference Point Indentation Instrument Measuring Bone Material Strength

2013 ◽  
Vol 7 (4) ◽  
Author(s):  
Connor Randall ◽  
Daniel Bridges ◽  
Roberto Guerri ◽  
Xavier Nogues ◽  
Lluis Puig ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Soft Tissue ◽  
Reference Point ◽  
Material Strength ◽  
Bone Material ◽  
Reference Point Indentation ◽  
Instrument Measuring ◽  
Bone Material Strength ◽  
Large Animals

A novel, hand-held Reference Point Indentation (RPI) instrument, measures how well the bone of living patients and large animals resists indentation. The results presented here are reported in terms of Bone Material Strength, which is a normalized measure of how well the bone resists indentation, and is inversely related to the indentation distance into the bone. We present examples of the instrument's use in: (1) laboratory experiments on bone, including experiments through a layer of soft tissue, (2) three human clinical trials, two ongoing in Barcelona and at the Mayo Clinic, and one completed in Portland, OR, and (3) two ongoing horse clinical trials, one at Purdue University and another at Alamo Pintado Stables in California. The instrument is capable of measuring consistent values when testing through soft tissue such as skin and periosteum, and does so handheld, an improvement over previous Reference Point Indentation instruments. Measurements conducted on horses showed reproducible results when testing the horse through tissue or on bare bone. In the human clinical trials, reasonable and consistent values were obtained, suggesting the Osteoprobe® is capable of measuring Bone Material Strength in vivo, but larger studies are needed to determine the efficacy of the instrument's use in medical diagnosis.

scholarly journals Advanced Glycation Endproducts and Bone Material Strength in Type 2 Diabetes

2016 ◽  
Vol 101 (6) ◽  
pp. 2502-2510 ◽  
Author(s):  
Jessica R. Furst ◽  
Leonardo C. Bandeira ◽  
Wen-Wei Fan ◽  
Sanchita Agarwal ◽  
Kyle K. Nishiyama ◽  
...  
Keyword(s):  
Material Properties ◽  
Reference Point ◽  
Advanced Glycation Endproducts ◽  
Material Strength ◽  
Advanced Glycation ◽  
Bone Material ◽  
Glycation Endproducts ◽  
Reference Point Indentation ◽  
Bone Material Strength

Abstract Context: Skeletal deterioration, leading to an increased risk of fracture, is a known complication of type 2 diabetes mellitus (T2D). Yet plausible mechanisms to account for skeletal fragility in T2D have not been clearly established. Objective: The objective of the study was to determine whether bone material properties, as measured by reference point indentation, and advanced glycation endproducts (AGEs), as determined by skin autofluorescence (SAF), are related in patients with T2D. Design: This was a cross-sectional study. Setting: The study was conducted at a tertiary medical center. Patients: Sixteen postmenopausal women with T2D and 19 matched controls participated in the study. Main Outcome Measures: Bone material strength index (BMSi) by in vivo reference point indentation, AGE accumulation by SAF, and circulating bone turnover markers were measured. Results: BMSi was reduced by 9.2% in T2D (P = .02) and was inversely associated with the duration of T2D (r = −0.68, P = .004). Increased SAF was associated with reduced BMSi (r = −0.65, P = .006) and lower bone formation marker procollagen type 1 amino-terminal propeptide (r = −0.63, P = .01) in T2D, whereas no associations were seen in controls. SAF accounted for 26% of the age-adjusted variance in BMSi in T2D (P = .03). Conclusions: Bone material properties are impaired in postmenopausal women with T2D as determined by reference point indentation. The results suggest a role for the accumulation of AGEs to account for inferior BMSi in T2D.

scholarly journals Bone material strength index as measured by impact microindentation in vivo is altered in patients with primary hyperparathyroidism

Bone Reports ◽  
2020 ◽  
Vol 13 ◽  
pp. 100630
Author(s):  
Manuela Schoeb ◽  
Elizabeth M. Winter ◽  
Abbey Schepers ◽  
Marieke Snel ◽  
Natasha M. Appelman-Dijkstra
Keyword(s):  
Primary Hyperparathyroidism ◽  
Material Strength ◽  
Strength Index ◽  
Bone Material ◽  
Bone Material Strength ◽  
Impact Microindentation

MO576ASSOCIATION OF BONE MATERIAL STRENGTH WITH BONE DENSITY IN PATIENTS WITH END-STAGE RENAL DISEASE

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Matilda Johnsson ◽  
Abdul Rashid Tony Qureshi ◽  
Magdalena Jankowska ◽  
Bengt Lindholm ◽  
Mathias Haarhaus
Keyword(s):  
Bone Mineral Density ◽  
Alkaline Phosphatase ◽  
Fracture Risk ◽  
Bone Mineral ◽  
Material Strength ◽  
Mineral Density ◽  
Bone Material ◽  
Bone Material Strength ◽  
Stage Renal Disease

Abstract Background and Aims Patients with end-stage renal disease (ESRD) have an increased risk of skeletal complications, including an increased fracture risk, which is only partially identified by determination of bone mineral density (BMD). Experimentally, the complex bone-and mineral disorders in ESRD cause disturbances of bone material properties, but these have not been studied in vivo. Determination of bone material strength index (BMSi) by reference point indentation (RPI) is a novel method to determine bone material quality in vivo and can identify patients at increased fracture risk, even in the presence of normal BMD. We determined BMSi in ESRD patients and investigated its association with BMD and serum markers of mineral metabolism. Method 15 Adult patients with ESRD, scheduled for a living-donor kidney transplantation, were included in this cross-sectional study. Laboratory analyses included calcium, phosphate, PTH 1-84 and alkaline phosphatase. BMSi was determined by RPI with the OsteoProbe RUO in the tibia. Bone mineral density was measured by dual X-ray absorptiometry. Results Patients with bone mineral strenght index above median had higher bone mineral density of the right hip and total body than patients below median (p = 0.04). Alkaline phosphatase was lower in patients with BMSi below the median (47 (35-71) U/L vs. 103 (53-318) U/L, p = 0.009). There was a trend towards a significant relationship between length and BMSi (p = 0.09). Conclusion We identified for the first time an association of BMSi with BMD and alkaline phosphatase in patients with ESRD. Our findings of an association of BMSi with BMD are in accordance with findings in other populations with increased fracture risk.

Bone material properties as measured by Reference Point Indentation are low in subjects with acromegaly

2016 ◽  
Author(s):  
Frank Malgo ◽  
Neveen A T Hamdy ◽  
Alberto M Pereira ◽  
Nienke R Biermasz ◽  
Natasha M Appelman-Dijkstra
Keyword(s):  
Material Properties ◽  
Reference Point ◽  
Bone Material ◽  
Bone Material Properties ◽  
Reference Point Indentation

scholarly journals High-Impact Mechanical Loading Increases Bone Material Strength in Postmenopausal Women-A 3-Month Intervention Study

2018 ◽  
Vol 33 (7) ◽  
pp. 1242-1251 ◽  
Author(s):  
Daniel Sundh ◽  
Martin Nilsson ◽  
Michail Zoulakis ◽  
Courtney Pasco ◽  
Melis Yilmaz ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Mechanical Loading ◽  
Intervention Study ◽  
High Impact ◽  
Material Strength ◽  
Bone Material ◽  
Bone Material Strength

scholarly journals Determination of Elastic Modulus in Mouse Bones Using a Nondestructive Micro-Indentation Technique Using Reference Point Indentation

2018 ◽  
Vol 140 (7) ◽  
Author(s):  
Ganesh Thiagarajan ◽  
Mark T. Begonia ◽  
Mark Dallas ◽  
Nuria Lara-Castillo ◽  
JoAnna M. Scott ◽  
...  
Keyword(s):  
Elastic Modulus ◽  
Reference Point ◽  
Ex Vivo ◽  
Numerical Procedure ◽  
Indentation Modulus ◽  
Three Point Bending ◽  
Bending Modulus ◽  
Reference Point Indentation

The determination of the elastic modulus of bone is important in studying the response of bone to loading and is determined using a destructive three-point bending method. Reference point indentation (RPI), with one cycle of indentation, offers a nondestructive alternative to determine the elastic modulus. While the elastic modulus could be determined using a nondestructive procedure for ex vivo experiments, for in vivo testing, the three-point bending technique may not be practical and hence RPI is viewed as a potential alternative and explored in this study. Using the RPI measurements, total indentation distance (TID), creep indentation distance, indentation force, and the unloading slope, we have developed a numerical analysis procedure using the Oliver–Pharr (O/P) method to estimate the indentation elastic modulus. Two methods were used to determine the area function: (1) Oliver–Pharr (O/P—based on a numerical procedure) and (2) geometric (based on the calculation of the projected area of indentation). The indentation moduli of polymethyl methacrylate (PMMA) calculated by the O/P (3.49–3.68 GPa) and geometric (3.33–3.49 GPa) methods were similar to values in literature (3.5–4 GPa). In a study using femurs from C57Bl/6 mice of different ages and genders, the three-point bending modulus was lower than the indentation modulus. In femurs from 4 to 5 months old TOPGAL mice, we found that the indentation modulus from the geometric (5.61 ± 1.25 GPa) and O/P (5.53 ± 1.27 GPa) methods was higher than the three-point bending modulus (5.28 ± 0.34 GPa). In females, the indentation modulus from the geometric (7.45 ± 0.86 GPa) and O/P (7.46 ± 0.92 GPa) methods was also higher than the three-point bending modulus (7.33 ± 1.13 GPa). We can conclude from this study that the RPI determined values are relatively close to three-point bending values.

scholarly journals In vivo reference point indentation measurement variability in skeletally mature inbred mice

2015 ◽  
Vol 4 ◽  
Author(s):  
Andrew Srisuwananukorn ◽  
Matthew R Allen ◽  
Drew M Brown ◽  
Joseph M Wallace ◽  
Jason M Organ
Keyword(s):  
Reference Point ◽  
Inbred Mice ◽  
Measurement Variability ◽  
Reference Point Indentation ◽  
Indentation Measurement

Significant correlation of bone material strength index as measured by the OsteoProbe with Vickers and Rockwell hardness

2020 ◽  
Vol 91 (8) ◽  
pp. 084102
Author(s):  
Franklin S. Ly ◽  
Alexander Proctor ◽  
Kevin Hoffseth ◽  
Henry T. Yang ◽  
Paul K. Hansma
Keyword(s):  
Material Strength ◽  
Rockwell Hardness ◽  
Strength Index ◽  
Bone Material ◽  
Bone Material Strength

MO567PILOT STUDY OF BONE RESISTANCE MEASURED IN VIVO BY IMPACT MICROINDENTATION IN KIDNEY TRANSPLANTATION

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Maria Jesus Lloret ◽  
Cristina Canal ◽  
Silvana Di Gregorio ◽  
Carmen Facundo Molas ◽  
Ana Vila Santandreu ◽  
...  
Keyword(s):  
Vitamin D ◽  
Trabecular Bone Score ◽  
Individual Risk ◽  
Control Group ◽  
Material Strength ◽  
Bone Material Strength ◽  
History Of ◽  
The Individual ◽  
Impact Microindentation

Abstract Background and Aims Impact microindentation (IMI) is a new technique that measures bone material strength (BMS). Results are expressed as a BMS index (BMSi) which represents the ratio between the IMI distance [penetration of the needle-probe in patient’s bone (mid-shaft tibia)] versus a reference material (polimethylmethacrylate). Method Observational, prospective, single-center study. Baseline IMI (Osteoprobe®, Active Life Scientific, USA) and bone densitometry (iDXA, Lunar Health Care GE) were performed and data collected in the peritransplantation period of kidney transplant (KT) patients from May 2019 to May 2020, following our current clinical bone and transplant protocols. Based on the individual risk of fracture and current Spanish Society of Rheumathology/Nephrology guidelines, antirresorptive treatment (bisphosphonates or denosumab) was added on top of calcium and vitamin D supplements. We hereby present preliminary results of the control IMI performed 6 months after KT. Results Baseline IMI was performed in 45 patients, 62% men, 56±14 y/o, and a BMI of 24.9±3.5 kg/m2, reasonably controlled for classical serum bone mineral parameters. 70% were on dialysis prior to KT, 20% were diabetic, and 33.3% of women suffered from early menopause. 15.9% had a history of previous fragility fracture, 13% had a parent history of hip fracture, and 14% fell more than twice during the last year. Mean baseline FRAX® (https://www.sheffield.ac.uk/FRAX/tool.aspx?lang=sp) for a major osteoporotic fracture and hip were 4.3% and 2.3%, respectively. Baseline lumbar, femoral neck, hip and ultradistal radius DXA T-score were respectively -0.9, -1.7, -1.5, -2.0 SD. Mean BMSi was 78.5±7.6. Osteopenic/osteoporotic patients had a significantly lower BMSi than those who were not (76.3 vs 83; r = 0.37; p = 0.012). A statistically significant positive correlation was observed between BMSi and the trabecular bone score [(TBS), r = 0.346 ; p = 0.036). On a visual-analogic scale of pain, puncture was rated on average 1.1±1.6 over 10 (82% 0-2). 37.2% of patients began bisphosphonates (alendronic acid) and 9.3% denosumab. Control IMI was performed at 6 months in 24 patients, with a mean BMSi of 76.9±10.5. Mean difference between baseline and 6 months BMSi in this subgroup was 1.18±11.5. The group of patients treated with antiresorptives showed on average an increase in BMSi at 6 months, compared with a decrease in the control group (+5.2 vs -5.3; p = 0.054). Conclusion IMI is a technique with excellent tolerance that may offer complementary information on bone quality in the global assessment of bone resistance. IMI may allow the detection of EARLY changes in bone resistance in corticosteroid-treated KT patients with/without antiresorptives added to prophylactic treatment with calcium and vitamin D.

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