Comparison of measurements of phase velocity in human calcaneus to Biot theory

Biot's theory for elastic propagation in porous media has previously been shown to be useful for modeling the dependence of phase velocity on porosity in bovine cancellous bone in vitro. In the present study, Biot's theory is applied to measurements of porosity-dependent phase velocity in 53 human calcanea in vitro. Porosity was measured using microcomputed tomography for some samples (n = 23) and estimated based on bone mineral densitometry for the remaining samples (n = 30). The phase velocity at 500 kHz was measured in a water tank using a through-transmission technique. Biot's theory performed well for the prediction of the dependence of sound speed on porosity. The trend was quasilinear, but both the theory and experiment show similar slight curvature. The root mean square error (RMSE) of predicted versus measured sound speed was 15.8 m/s.     

Cancellous bone analysis with modified least squares Prony's method and chirp filter: phantom experiments and simulation

The presence of two longitudinal waves in porous media is predicted by Biot's theory and has been confirmed experimentally in cancellous bone. When cancellous bone samples are interrogated in through-transmission, these two waves can overlap in time. Previously, the Modified Least-Squares Prony's (MLSP) method was validated for estimation of amplitudes, attenuation coefficients, and phase velocities of fast and slow waves, but tended to overestimate phase velocities by up to about 5%. In the present paper, a pre-processing chirp filter to mitigate the phase velocity bias is derived. The MLSP/chirp filter (MLSPCF) method was tested for decomposition of a 500 kHz-center-frequency signal containing two overlapping components: one passing through a low-density-polyethylene plate (fast wave) and another passing through a cancellous-bone-mimicking phantom material (slow wave). The chirp filter reduced phase velocity bias from 100 m/s (5.1%) to 69 m/s (3.5%) (fast wave) and from 29 m/s (1.9%) to 10 m/s (0.7%) (slow wave). Similar improvements were found for 1) measurements in polycarbonate (fast wave) and a cancellous-bone-mimicking phantom (slow wave), and 2) a simulation based on parameters mimicking bovine cancellous bone. The MLSPCF method did not offer consistent improvement in estimates of attenuation coefficient or amplitude.     

Ultrasonic pulse waves in cancellous bone analyzed by finite-difference time-domain methods

The trabecular frame of cancellous bone has a high degree of porosity, anisotropy and inhomogeneity. The propagation of ultrasonic waves in cancellous bone is significantly affected by the trabecular structure. In this paper, two two-dimensional finite-difference time-domain (FDTD) methods, which were the popular viscoelastic FDTD method for a viscoelastic medium and Biot's FDTD method for a fluid-saturated porous medium, have been applied to numerically analyze the ultrasonic pulse waves propagating through bovine cancellous bone in the directions parallel and perpendicular to the trabecular alignment. The Biot's fast and slow longitudinal waves, which were identified in previous experiments for the propagation parallel to the trabecular orientation, could be analyzed using Biot's FDTD method rather than the viscoelastic FDTD method. For the single wave propagation in the perpendicular direction, on the other hand, the viscoelastic FDTD result was found to be in more good agreement with the experimental result.     

超声诊断骨质疏松症中松质骨的模型

骨质疏松症(OP)是老龄化社会中影响健康的一个重要问题，超声技术已成为诊断骨质疏松症的一种常用方法。文中综述了近年来用超声诊断骨质疏松症中松质骨模型研究的进展，对棒状模型、流体多孔介质模型(Biot理论)和层状模型(schoenberg理论)进行了分析和讨论，指出了各理论模型存在的缺陷，对下一步的研究工作提出了建议。     

Investigation of an anisotropic tortuosity in a biot model of ultrasonic propagation in cancellous bone

The modeling of ultrasonic propagation in cancellous bone is relevant to the study of clinical bone assessment. Historical experiments revealed the importance of both the viscous effects of bone marrow and the anisotropy of the porous microstructure. Of those propagation models previously applied to cancellous bone, Biot's theory incorporates viscosity, but has only been applied in isotropic form, while Schoenberg's anisotropic model does not include viscosity. In this paper we present an approach that incorporates the merits of both models, by utilizing the tortuosity, a key parameter describing pore architecture. An angle-dependent tortuosity for a layered structure is used in Biot's theory to generate the "Stratified Biot Model" for cancellous bone, which is compared with published bone data. While the Stratified Biot model was inferior to Schoenberg's model for slow wave velocity prediction, the proposed model improved agreement fast wave velocity at high propagation angles, particularly when sorted for porosity. An attempt was made to improve the fast wave agreement at low angles by introducing an angle-dependent Young's Modulus, which, while improving the agreement of predicted fast wave velocity at low angles, degraded agreement at high angles. In this paper the utility of the tortuosity in characterizing the architecture of cancellous bone is highlighted.     

Application of Biot's theory to ultrasonic characterization of human cancellous bones: determination of structural, material, and mechanical properties

This paper is devoted to the experimental determination of distinctive macroscopic structural (porosity, tortuosity, and permeability) and mechanical (Biot-Willis elastic constants) properties of human trabecular bones. Then, the obtained data may serve as input parameters for modeling wave propagation in cancellous bones using Biot's theory. The goal of the study was to obtain experimentally those characteristics for statistically representative group of human bones (35 specimens) obtained from a single skeletal site (proximal femur). The structural parameters were determined using techniques devoted to the characterization of porous materials: electrical spectroscopy, water permeametry, and microcomputer tomography. The macroscopic mechanical properties, Biot-Willis elastic constants, were derived based on the theoretical consideration of Biot's theory, micromechanical statistical models, and experimental results of ultrasonic studies for unsaturated cancellous bones. Our results concerning structural parameters are consistent with the data presented by the other authors, while macroscopic mechanical properties measured within our studies are situated between the other published data. The discrepancies are mainly attributed to different mechanical properties of the skeleton frame, due to strong structural anisotropy varying from site to site. The results enlighten the difficulty to use Biot's theory for modeling wave propagation in cancellous bone, implying necessity of individual evaluation of input parameters.     

Fabric dependence of quasi-waves in anisotropic porous media

Assessment of bone loss and osteoporosis by ultrasound systems is based on the speed of sound and broadband ultrasound attenuation of a single wave. However, the existence of a second wave in cancellous bone has been reported and its existence is an unequivocal signature of poroelastic media. To account for the fact that ultrasound is sensitive to microarchitecture as well as bone mineral density (BMD), a fabric-dependent anisotropic poroelastic wave propagation theory was recently developed for pure wave modes propagating along a plane of symmetry in an anisotropic medium. Key to this development was the inclusion of the fabric tensor--a quantitative stereological measure of the degree of structural anisotropy of bone--into the linear poroelasticity theory. In the present study, this framework is extended to the propagation of mixed wave modes along an arbitrary direction in anisotropic porous media called quasi-waves. It was found that differences between phase and group velocities are due to the anisotropy of the bone microarchitecture, and that the experimental wave velocities are more accurately predicted by the poroelastic model when the fabric tensor variable is taken into account. This poroelastic wave propagation theory represents an alternative for bone quality assessment beyond BMD.     

Ultrasonic characterization of orthotropic elastic bovine bones

The aim of the present study was to determine the mechanical properties of bovine bones. An ultrasonic method was used to determine acoustical parameters such as the longitudinal and transverse velocities in the longitudinal and two radial directions of compact bone, i.e., in all directions of the plane. Waves propagating through bovine femoral bones were studied using an ultrasonic scanner for linear and sectorial scanning. The mechanical parameters of compact bone, such the Young's modulus and Poisson's ratio in the orthotropic case, were then determined from the measured velocities. The results are in line with those in the literature.     

Ultrasonically determined thickness of long cortical bones: Three-dimensional simulations of in vitro experiments

It was reported in a previous study that simulated guided wave axial transmission velocities on two-dimensional (2D) numerically reproduced geometry of long bones predicted moderately real in vitro ultrasound data on the same bone samples. It was also shown that fitting of ultrasound velocity with simple analytical model yielded a precise estimate (UTh) for true cortical bone thickness. This current study expands the 2D bone model into three dimensions (3D). To this end, wave velocities and UTh were determined from experiments and from time-domain finite-difference simulations of wave propagation, both performed on a collection of 10 human radii (29 measurement sites). A 3D numerical bone model was developed with tuneable fixed material properties and individualized geometry based on X-ray computed tomography reconstructions of real bones. Simulated UTh data were in good accordance (root-mean-square error was 0.40 mm; r(2)=0.79, p<0.001) with true cortical thickness, and hence the measured phase velocity can be well estimated by using a simple analytical inversion model also in 3D. Prediction of in vitro data was improved significantly (by 10% units) and the upgraded bone model thus explained most of the variability (up to 95% when sites were carefully matched) observed in in vitro ultrasound data.     

Scattering of acoustic waves by macroscopically inhomogeneous poroelastic tubes

Wave propagation in macroscopically inhomogeneous porous materials has received much attention in recent years. For planar configurations, the wave equation, derived from the alternative formulation of Biot's theory of 1962, was reduced and solved recently: first in the case of rigid frame inhomogeneous porous materials and then in the case of inhomogeneous poroelastic materials in the framework of Biot's theory. This paper focuses on the solution of the full wave equation in cylindrical coordinates for poroelastic tubes in which the acoustic and elastic properties of the poroelastic tube vary in the radial direction. The reflection coefficient is obtained numerically using the state vector (or the so-called Stroh) formalism and Peano series. This coefficient can then be used to straightforwardly calculate the scattered field. To validate the method of resolution, results obtained by the present method are compared to those calculated by the classical transfer matrix method in the case of a two-layer poroelastic tube. As an example, a long bone excited in the sagittal plane is considered. Finally, a discussion is given of ultrasonic time domain scattered field for various inhomogeneity profiles, which could lead to the prospect of long bone characterization.     

Influence of microarchitecture alterations on ultrasonic backscattering in an experimental simulation of bovine cancellous bone aging

An experimental model which can simulate physical changes that occur during aging was developed in order to evaluate the effects of change of mineral content and microstructure on ultrasonic properties of bovine cancellous bone. Timed immersion in hydrochloric acid was used to selectively alter the mineral content. Scanning electron microscopy and histological staining of the acid-treated trabeculae demonstrated a heterogeneous structure consisting of a mineralized core and a demineralized layer. The presence of organic matrix contributed very little to normalized broadband ultrasound attenuation (nBUA) and speed of sound. All three ultrasonic parameters, speed of sound, nBUA and backscatter coefficient, were sensitive to changes in apparent density of bovine cancellous bone. A two-component model utilizing a combination of two autocorrelation functions (a densely populated model and a spherical distribution) was used to approximate the backscatter coefficient. The predicted attenuation due to scattering constituted a significant part of the measured total attenuation (due to both scattering and absorption mechanisms) for bovine cancellous bone. Linear regression, performed between trabecular thickness values and estimated from the model correlation lengths, showed significant linear correlation, with R(2)=0.81 before and R(2)=0.80 after demineralization. The accuracy of estimation was found to increase with trabecular thickness.     

Ultrasonic slow waves in air-saturated cancellous bone

This paper describes preliminary observations of ultrasonic wave propagation in air-saturated defatted cancellous bone from the human vertebra. Using a broadband pulse transmission system, attenuation and phase velocity were measured over a wide frequency range (100 kHz-1 MHz). The observed behaviour was consistent with that expected for the decoupled slow wave predicted by Biot's theory. Velocity was lower than that of free air, and there was marked frequency-dependent attenuation and velocity dispersion. The tortuosity (alpha) of the trabecular microstructure was estimated from the high frequency limit of the dispersion curve, with a mean value of alpha = 1.040 +/- 0.004 obtained in five specimens. Ultrasonic measurements in air represent a valuable new approach, capable of yielding parameters that directly characterise bone structure. Furthermore, they may give useful insights into wave propagation in bone in vivo, where the trabecular framework is saturated with marrow fat rather than air.     

Correlations between ultrasonic guided wave velocities and bone properties in bovine tibia in vitro

Correlations between ultrasonic guided wave velocities and bone properties were investigated in bovine tibia in vitro. The velocities of the first arriving signal and the slow guided wave, termed V(FAS) and V(SGW), along the long axis of the tibia were measured at 200 kHz in 20 bovine tibiae using the axial transmission technique. V(FAS) yielded significant negative correlation coefficients of -0.54 to -0.66 with the bone properties. In contrast, V(SGW) yielded strong positive correlation coefficients of 0.68-0.84. The best univariate predictor of V(FAS) and V(SGW) was the cortical thickness yielding adjusted squared correlation coefficients of 0.41 and 0.69, respectively.     

Waveguides in medical ultrasonics

Propagation of ultrasound in a number of thin solid elastic waveguides is described from the Pochhammer theory. The waveguides discussed have radii equal to the radii of stylets of the most frequently used biopsy needles. The group velocities of the modes and the form of the particle amplitudes of the lowest longitudinal and flexural modes in each of the styles at a frequency of 3.5 MHz are presented.     

Relationships of quantitative ultrasound parameters with cancellous bone microstructure in human calcaneus in vitro

Ultrasound parameters (attenuation, phase velocity, and backscatter), bone mineral density (BMD), and microarchitectural features were measured on 29 human cancellous calcaneus samples in vitro. Regression analysis was performed to predict ultrasound parameters from BMD and microarchitectural features. The best univariate predictors of the ultrasound parameters were the indexes of bone quantity: BMD and bone volume fraction (BV/TV). The most predictive univariate models for attenuation, phase velocity, and backscatter coefficient yielded adjusted squared correlation coefficients of 0.69-0.73. Multiple regression models yielded adjusted correlation coefficients of 0.74-0.83. Therefore attenuation, phase velocity, and backscatter are primarily determined by bone quantity, but multiple regression models based on bone quantity plus microarchitectural features achieve slightly better predictive performance than models based on bone quantity alone.     

Scattering by a fluid cylinder in a porous medium: application to trabecular bone

In a trabecular bone, considered as a nondissipative porous medium, the scattering of an incident wave by cylindrical pores larger than the wavelength is studied. The goal is to know if scattering alone may cause such a high attenuation as that observed in calcaneus. The porous medium is modelized via Biot's theory and the scattering by a single pore is characterized from the definition of a scattering matrix. An approximation of weakly disordered medium is then discussed to estimate the effective attenuation and dispersion as a function of frequency. These effective properties are shown to be different of those measured on calcaneus, due to the neglect of wave conversions during the scattering process.     

Ultrasonically determined thickness of long cortical bones: two-dimensional simulations of in vitro experiments

Previously it has been demonstrated that cortical bone thickness can be estimated from ultrasonic guided-wave measurements, in an axial transmission configuration, together with an appropriate analytical model. This study considers the impact of bone thickness variation within the measurement region on the ultrasonically determined thickness (UTh). To this end, wave velocities and UTh were determined from experiments and from time-domain finite-difference simulations of wave propagation, both performed on a set of ten human radius specimens (29 measurement sites). A two-dimensional numerical bone model was developed with tunable material properties and individualized geometry based on x-ray computed-tomography reconstructions of human radius. Cortical thickness (CTh) was determined from the latter. UTh data for simulations were indeed in a excellent accordance (root-mean-square error was 0.26 mm; r2=0.94, p<0.001) with average CTh within the measurement region. These results indicate that despite variations in cortical thickness along the propagation path, the measured phase velocity can be satisfactorily modeled by a simple analytical model (the A(0) plate mode in this case). Most of the variability (up to 85% when sites were carefully matched) observed in the in vitro ultrasound data was explained through simulations by variability in the cortical thickness alone.     

The preliminary evaluation of a 1 MHz ultrasound probe for measuring the elastic anisotropy of human cortical bone

Our objective is to evaluate an ultrasound probe for measurements of velocity and anisotropy in human cortical bone (tibia). The anisotropy of cortical bone is a known and mechanically relevant property in the context of osteoporotic fracture risk. Current in vivo quantitative ultrasound devices measuring the velocity of ultrasound in long bones can only be applied in the axial direction. For anisotropy measurements a second direction for velocity measurements preferably perpendicular to the axial direction is necessary. We developed a new ultrasound probe which permits axial transmission measurements with a simultaneous second perpendicular direction (tangential). Anisotropy measurements were performed on isotropic and anisotropic phantoms and two excised human female tibiae (age 63 and 82). Anisotropy ratios (AI; ratio of squared ultrasound velocities in the two directions) were for the isotropic phantom 1.06 ± 0.01 and for the anisotropic phantom 1.14 ± 0.03 (mean ± standard deviation). AI was 1.83 ± 0.29 in the tibia from the older donor and 1.37 ± 0.18 in the tibia from the younger donor. The AIs were in the expected range and differed significantly (p < 0.05, t-test) between the tibiae. Measured sound velocities were reproducible (mean standard deviation of short time precision of both channels for phantom measurements 31 m/s) and in agreement with reported velocities of the phantom material. Our results document the feasibility of anisotropy measurements at long bones using a single probe. Further improvements in the design of the probe and tests in vivo are warranted. If this approach can be evaluated in vivo an additional tool for assessing the bone status is available for clinical use.     

Ultrasonic wave propagation in human cancellous bone: application of Biot theory

Ultrasonic wave propagation in human cancellous bone is considered. Reflection and transmission coefficients are derived for a slab of cancellous bone having an elastic frame using Biot's theory modified by the model of Johnson et al. [J. Fluid Mech. 176, 379-402 (1987)] for viscous exchange between fluid and structure. Numerical simulations of transmitted waves in the time domain are worked out by varying the modified Biot parameters. The variation is applied to the governing parameters and is about 20%. From this study, we can gain an insight into the sensitivity of each physical parameter used in this theory. Some parameters play an important role in slow-wave wave form, such as the viscous characteristic length lambda and pore fluid bulk modulus Kf. However, other parameters play an important role in the fast-wave wave form, such as solid density rhos and shear modulus N. We also note from these simulations that some parameters such as porosity phi, tortuosity alpha(infinty), thickness, solid bulk modulus Ks, and skeletal compressibility frame Kb, play an important role simultaneously in both fast and slow wave forms compared to other parameters which act on the wave form of just one of the two waves. The sensitivity of the modified Biot parameters with respect to the transmitted wave depends strongly on the coupling between the solid and fluid phases of the cancellous bone. Experimental results for slow and fast waves transmitted through human cancellous bone samples are given and compared with theoretical predictions.