Skip to main content
Erschienen in: Osteoporosis International 11/2009

01.11.2009 | Original Article

Radiographic trabecular 2D and 3D parameters of proximal femoral bone cores correlate with each other and with yield stress

verfasst von: D. Steines, S.-W. Liew, C. Arnaud, R. Vargas-Voracek, A. Nazarian, R. Müller, B. Snyder, P. Hess, P. Lang

Erschienen in: Osteoporosis International | Ausgabe 11/2009

Einloggen, um Zugang zu erhalten

Abstract

Summary

Radiographic images of bone cores taken from cadaver proximal femora provided two-dimensional parameters of projected trabecular patterns that correlated highly with conceptually equivalent three-dimensional parameters in the same cores. Measurements also highly correlated with yield stress, suggesting that both parameters have similar biomechanical qualities.

Introduction

We compared morphometric measurements of trabecular patterns in two-dimensional (2D) projection radiographic images of cores from cadaver proximal femoral bones with conceptually equivalent measurements from three-dimensional microcomputed tomography (3D µCT) images.

Methods

Seven cadaver proximal femora provided 47 excised cores from seven regions. Digitized radiographs of those cores were processed with software that extracts trabecular patterns. Measurements of their distribution, geometry, and connectivity were compared with 3D parameters of similar definition derived from µCT of those cores. The relationship between 2D and 3D measurements and yield stress was also examined.

Results

2D measurements strongly correlated with conceptually equivalent measurements obtained using 3D µCT. In all cases, the correlation coefficients were high, ranging from r = 0.84 (p < 0.001) to r = 0.93 (p < 0.001). The correlation coefficients between 2D and 3D measurements and yield stress of the cores were also high (r = 0.60 and 0.82, p < 0.001, respectively).

Conclusions

These findings provide correlative and biomechanical evidence supporting the qualitative similarity of 2D microstructural parameters extracted from plain proximal femoral core X-ray images to conceptually equivalent 3D microstructural measurements of those same cores.
Literatur
1.
Zurück zum Zitat Melton LJ 3rd (2003) Adverse outcomes of osteoporotic fractures in the general population. J Bone Miner Res 18:1139–1141CrossRefPubMed Melton LJ 3rd (2003) Adverse outcomes of osteoporotic fractures in the general population. J Bone Miner Res 18:1139–1141CrossRefPubMed
2.
Zurück zum Zitat Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22:465–475CrossRefPubMed Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22:465–475CrossRefPubMed
3.
Zurück zum Zitat Seeman E, Delmas PD (2006) Bone quality—the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261CrossRefPubMed Seeman E, Delmas PD (2006) Bone quality—the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261CrossRefPubMed
4.
Zurück zum Zitat Rockoff SD, Zettner A, Albright J (1967) Radiographic trabecular quantitation of human lumbar vertebrae in situ. II. Relation to bone quantity, strength and mineral content (preliminary results). Invest Radiol 2:339–352PubMedCrossRef Rockoff SD, Zettner A, Albright J (1967) Radiographic trabecular quantitation of human lumbar vertebrae in situ. II. Relation to bone quantity, strength and mineral content (preliminary results). Invest Radiol 2:339–352PubMedCrossRef
5.
Zurück zum Zitat Rockoff SD (1967) Quantitative microdensitometric x-ray analysis of vertebral trabecular bone. A preliminary report. Radiology 88:794–796PubMed Rockoff SD (1967) Quantitative microdensitometric x-ray analysis of vertebral trabecular bone. A preliminary report. Radiology 88:794–796PubMed
6.
Zurück zum Zitat Geraets WGM, van der Stelt PF, Lips P, van Ginkel FC (1998) The radiographic trabecular pattern of hips in patients with hip fractures and in elderly control subjects. Bone 22:165–173CrossRefPubMed Geraets WGM, van der Stelt PF, Lips P, van Ginkel FC (1998) The radiographic trabecular pattern of hips in patients with hip fractures and in elderly control subjects. Bone 22:165–173CrossRefPubMed
7.
Zurück zum Zitat Ouyang X, Majumdar S, Link TM, Lu Y, Augat P, Lin J, Newitt D, Genant HK (1998) Morphometric texture analysis of spinal trabecular bone structure assessed using orthogonal radiographic projections. Med Phys 25:2037–2045CrossRefPubMed Ouyang X, Majumdar S, Link TM, Lu Y, Augat P, Lin J, Newitt D, Genant HK (1998) Morphometric texture analysis of spinal trabecular bone structure assessed using orthogonal radiographic projections. Med Phys 25:2037–2045CrossRefPubMed
8.
Zurück zum Zitat Caligiuri P, Giger ML, Favus M (1994) Multifractal radiographic analysis of osteoporosis. Med Phys 21:503–508CrossRefPubMed Caligiuri P, Giger ML, Favus M (1994) Multifractal radiographic analysis of osteoporosis. Med Phys 21:503–508CrossRefPubMed
9.
Zurück zum Zitat Jennane R, Harba R, Lemineur G, Bretteil S, Estrade A, Benhamou CL (2007) Estimation of the 3D self-similarity parameter of trabecular bone from its 2D projection. Med Image Anal 11:91–98CrossRefPubMed Jennane R, Harba R, Lemineur G, Bretteil S, Estrade A, Benhamou CL (2007) Estimation of the 3D self-similarity parameter of trabecular bone from its 2D projection. Med Image Anal 11:91–98CrossRefPubMed
10.
Zurück zum Zitat Lin JC, Grampp S, Link T, Kothari M, Newitt DC, Felsenberg D, Majumdar S (1999) Fractal analysis of proximal femur radiographs: correlation with biomechanical properties and bone mineral density. Osteoporos Int 9:516–524PubMed Lin JC, Grampp S, Link T, Kothari M, Newitt DC, Felsenberg D, Majumdar S (1999) Fractal analysis of proximal femur radiographs: correlation with biomechanical properties and bone mineral density. Osteoporos Int 9:516–524PubMed
11.
Zurück zum Zitat Majumdar S, Weinstein RS, Prasad RR (1993) Application of fractal geometry techniques to the study of trabecular bone. Med Phys 20:1611–1619CrossRefPubMed Majumdar S, Weinstein RS, Prasad RR (1993) Application of fractal geometry techniques to the study of trabecular bone. Med Phys 20:1611–1619CrossRefPubMed
12.
Zurück zum Zitat Apostol L, Boudousq V, Basset O, Odet C, Yot S, Tabary J, Dinten JM, Boiler E, Kotzki PO, Peyrin F (2006) Relevance of 2D radiographic texture analysis for the assessment of 3D bone micro-architecture. Med Phys 33:3546–3556CrossRefPubMed Apostol L, Boudousq V, Basset O, Odet C, Yot S, Tabary J, Dinten JM, Boiler E, Kotzki PO, Peyrin F (2006) Relevance of 2D radiographic texture analysis for the assessment of 3D bone micro-architecture. Med Phys 33:3546–3556CrossRefPubMed
13.
Zurück zum Zitat Chappard D, Retailleau-Gaborit N, Legrand E, Basle MF, Audran M (2005) Comparison insight bone measurements by histomorphometry and microCT. J Bone Miner Res 20:1177–1184CrossRefPubMed Chappard D, Retailleau-Gaborit N, Legrand E, Basle MF, Audran M (2005) Comparison insight bone measurements by histomorphometry and microCT. J Bone Miner Res 20:1177–1184CrossRefPubMed
14.
Zurück zum Zitat Pothuaud L, Benhamou CL, Porion P, Lespessailles E, Harba R, Levitz P (2000) Fractal dimension of trabecular bone projection texture is related to three-dimensional microarchitecture. J Bone Miner Res 15:691–699CrossRefPubMed Pothuaud L, Benhamou CL, Porion P, Lespessailles E, Harba R, Levitz P (2000) Fractal dimension of trabecular bone projection texture is related to three-dimensional microarchitecture. J Bone Miner Res 15:691–699CrossRefPubMed
15.
Zurück zum Zitat Veenland JF, Grashius JL, van der Meer F, Beckers AL, Gelsema ES (1996) Estimation of fractal dimension in radiographs. Med Phys 23:585–594CrossRefPubMed Veenland JF, Grashius JL, van der Meer F, Beckers AL, Gelsema ES (1996) Estimation of fractal dimension in radiographs. Med Phys 23:585–594CrossRefPubMed
16.
Zurück zum Zitat Luo G, Kinney JH, Kaufman JJ, Haupt D, Chiabrera A, Siffert RS (1999) Relationship between plain radiographic patterns and three-dimensional trabecular architecture in the human calcaneus. Osteoporos Int 9:339–345CrossRefPubMed Luo G, Kinney JH, Kaufman JJ, Haupt D, Chiabrera A, Siffert RS (1999) Relationship between plain radiographic patterns and three-dimensional trabecular architecture in the human calcaneus. Osteoporos Int 9:339–345CrossRefPubMed
17.
Zurück zum Zitat Arnaud CD, Liew S, Steines D, Nazarian A, Mueller R, Linder BJ, Lang P (2003) Correlation of 2D trabecular structure parameters with 3D µCT and measurements of bone strength in femoral bone cores. J Bone Miner Res 18(Suppl 2):S56 Arnaud CD, Liew S, Steines D, Nazarian A, Mueller R, Linder BJ, Lang P (2003) Correlation of 2D trabecular structure parameters with 3D µCT and measurements of bone strength in femoral bone cores. J Bone Miner Res 18(Suppl 2):S56
18.
Zurück zum Zitat Arnaud CD, Steines D, Liew S, Nazarian A, Snyder B, Linder BJ, Lang P (2003) Fracture load of fresh-frozen cadaveric proximal femora correlates much better with non-invasive, 2D radiographically derived micro-structural and macro-anatomic indices than with BMD. J Bone Miner Res 18(Supp 2):M107 Arnaud CD, Steines D, Liew S, Nazarian A, Snyder B, Linder BJ, Lang P (2003) Fracture load of fresh-frozen cadaveric proximal femora correlates much better with non-invasive, 2D radiographically derived micro-structural and macro-anatomic indices than with BMD. J Bone Miner Res 18(Supp 2):M107
19.
Zurück zum Zitat Nazarian A, Muller J, Zurakowski D, Muller R, Snyder BD (2007) Densitometric, morphometric and mechanical distributions in the human proximal femur. J Biomech 40:2573–2579CrossRefPubMed Nazarian A, Muller J, Zurakowski D, Muller R, Snyder BD (2007) Densitometric, morphometric and mechanical distributions in the human proximal femur. J Biomech 40:2573–2579CrossRefPubMed
20.
Zurück zum Zitat Hildebrand T, Laib A, Muller R, Dequeker J, Ruegsegger P (1999) Direct three-dimensional morphometric analysis of human cancellous bone: microstructural data from spine, femur, iliac crest, and calcaneus. J Bone Miner Res 14:1167–1174CrossRefPubMed Hildebrand T, Laib A, Muller R, Dequeker J, Ruegsegger P (1999) Direct three-dimensional morphometric analysis of human cancellous bone: microstructural data from spine, femur, iliac crest, and calcaneus. J Bone Miner Res 14:1167–1174CrossRefPubMed
21.
Zurück zum Zitat White SC, Rudolph DJ (1999) Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:628–635CrossRefPubMed White SC, Rudolph DJ (1999) Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:628–635CrossRefPubMed
22.
Zurück zum Zitat Russ JC (1999) The image processing handbook. CRC, Boca Raton Russ JC (1999) The image processing handbook. CRC, Boca Raton
23.
Zurück zum Zitat Soille P, Rivest J (1996) On the validity of fractal dimension measurements in image analysis. J Vis Commun Image Represent 7:217–229CrossRef Soille P, Rivest J (1996) On the validity of fractal dimension measurements in image analysis. J Vis Commun Image Represent 7:217–229CrossRef
24.
Zurück zum Zitat Kleinbaum DG, Kupper LL, Muller KE (1988) Applied regression analysis and other multivariable methods. PWS, Boston Kleinbaum DG, Kupper LL, Muller KE (1988) Applied regression analysis and other multivariable methods. PWS, Boston
25.
Zurück zum Zitat Uchiyama T, Tanizawa T, Muramatsu H, Endo N, Takahashi HE, Hara T (1999) Three-dimensional microstructural analysis of human trabecular bone in relation to its mechanical properties. Bone 25:487–491CrossRefPubMed Uchiyama T, Tanizawa T, Muramatsu H, Endo N, Takahashi HE, Hara T (1999) Three-dimensional microstructural analysis of human trabecular bone in relation to its mechanical properties. Bone 25:487–491CrossRefPubMed
26.
Zurück zum Zitat Lespessailles E, Jullien A, Eynard E, Harba R, Jacquet G, Ildefonse JP, Ohley W, Benhamou CL (1998) Biomechanical properties of human os calcanei: relationships with bone density and fractal evaluation of bone microarchitecture. J Biomech 31:817–824CrossRefPubMed Lespessailles E, Jullien A, Eynard E, Harba R, Jacquet G, Ildefonse JP, Ohley W, Benhamou CL (1998) Biomechanical properties of human os calcanei: relationships with bone density and fractal evaluation of bone microarchitecture. J Biomech 31:817–824CrossRefPubMed
27.
Zurück zum Zitat Lochmuller EM, Poschl K, Wurstlin L, Matsuura M, Muller R, Link TM, Eckstein F (2008) Does thoracic or lumbar spine bone architecture predict vertebral failure strength more accurately than density? Osteoporos Int 19:537–545CrossRefPubMed Lochmuller EM, Poschl K, Wurstlin L, Matsuura M, Muller R, Link TM, Eckstein F (2008) Does thoracic or lumbar spine bone architecture predict vertebral failure strength more accurately than density? Osteoporos Int 19:537–545CrossRefPubMed
28.
Zurück zum Zitat Lochmuller EM, Kristin J, Matsuura M, Kuhn V, Hudelmaier M, Link TM, Eckstein F (2008) Measurement of trabecular bone microstructure does not improve prediction of mechanical failure loads at the distal radius compared with bone mass alone. Calcif Tissue Int 83:293–299CrossRefPubMed Lochmuller EM, Kristin J, Matsuura M, Kuhn V, Hudelmaier M, Link TM, Eckstein F (2008) Measurement of trabecular bone microstructure does not improve prediction of mechanical failure loads at the distal radius compared with bone mass alone. Calcif Tissue Int 83:293–299CrossRefPubMed
29.
Zurück zum Zitat JT PP, Lochmuller EM, Kuhn V, Nieminen MT, Eckstein F (2008) Experimental hip fracture load can be predicted from plain radiography by combined analysis of trabecular bone structure and bone geometry. Osteoporos Int 19:547–558CrossRef JT PP, Lochmuller EM, Kuhn V, Nieminen MT, Eckstein F (2008) Experimental hip fracture load can be predicted from plain radiography by combined analysis of trabecular bone structure and bone geometry. Osteoporos Int 19:547–558CrossRef
30.
Zurück zum Zitat Parfitt AM (1992) Implications of architecture for the pathogenesis and prevention of vertebral fracture. Bone 13(Suppl 2):S41–47CrossRefPubMed Parfitt AM (1992) Implications of architecture for the pathogenesis and prevention of vertebral fracture. Bone 13(Suppl 2):S41–47CrossRefPubMed
31.
Zurück zum Zitat Keaveny TM, Hoffmann PF, Singh M, Palermo L, Bilezikian JP, Greenspan SL, Black DM (2008) Femoral bone strength and its relation to cortical and trabecular changes after treatment with PTH, alendronate, and their combination as assessed by finite element analysis of quantitative CT scans. J Bone Miner Res 23:1974–1982CrossRefPubMed Keaveny TM, Hoffmann PF, Singh M, Palermo L, Bilezikian JP, Greenspan SL, Black DM (2008) Femoral bone strength and its relation to cortical and trabecular changes after treatment with PTH, alendronate, and their combination as assessed by finite element analysis of quantitative CT scans. J Bone Miner Res 23:1974–1982CrossRefPubMed
32.
Zurück zum Zitat Steines D, Arnaud D, Liew S, Vargas-Voracek R, Bauer DC, Cummings SR, Hess P (2005) Predicting hip fracture in a sub-group of subjects from the study of osteoporotic fracture using automated structural measurement of proximal femur in pelvic radiographs. J Bone Miner Res 20(Suppl 1):S66 Steines D, Arnaud D, Liew S, Vargas-Voracek R, Bauer DC, Cummings SR, Hess P (2005) Predicting hip fracture in a sub-group of subjects from the study of osteoporotic fracture using automated structural measurement of proximal femur in pelvic radiographs. J Bone Miner Res 20(Suppl 1):S66
Metadaten
Titel
Radiographic trabecular 2D and 3D parameters of proximal femoral bone cores correlate with each other and with yield stress
verfasst von
D. Steines
S.-W. Liew
C. Arnaud
R. Vargas-Voracek
A. Nazarian
R. Müller
B. Snyder
P. Hess
P. Lang
Publikationsdatum
01.11.2009
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 11/2009
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-009-0908-z

Weitere Artikel der Ausgabe 11/2009

Osteoporosis International 11/2009 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.