Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Good bone, bad bone

25.03.2015

Scientists explore a new parameter of bone quality that measures strength instead of density

For people taking glucocorticoids such as prednisone, the increased risk of bone fracture is a well-documented side effect. Used to treat a variety of medical conditions, including autoimmune diseases and allergies, glucocorticoids are known to cause rapid deterioration in bone strength.


The bottom image shows that the OsteoProbe indentation is comparable to naturally occurring irregularities on the bone surface.

Credit: UCSB

Until now, doctors have been able to measure bone loss -- a process that happens slowly, over time -- but haven't had the means for gauging actual bone strength. That has changed thanks to a new hand-held instrument developed in the Hansma Lab at UC Santa Barbara. Called the OsteoProbe, the device uses reference point indentation (RPI) to measure mechanical properties of bone at the tissue level.

A new clinical trial, conducted at the Hospital del Mar in Barcelona, Spain, shows that RPI is sensitive enough to reflect changes in cortical bone indentation following treatment with osteoporosis therapies in patients newly exposed to glucocorticoids. Standard measurement techniques were unable to detect bone changes in this patient population. The trial results are reported in the Journal of Bone and Mineral Research.

"This new paper is a real breakthrough because it's the first time it's been possible to do a longitudinal study of bone material properties in patients," said co-author Paul Hansma, professor emeritus in UCSB's Department of Physics. "Up until now, medical professionals have been limited to doing bone mineral density studies, which can take a year or more to show bone changes."

According to Hansma, measuring bone mineral density (BMD) using today's standard, dual X-ray absorptiometry (DXA) provides only a partial picture. "DXA measures density, which sounds like a material property but isn't," he said. "DXA measures how much calcium bone contains but provides no information about bone quality, and it's not just how much bone you have that's important, it's how good that bone is."The OsteoProbe works similarly to a center punch -- the tool that makes a slight indentation on a surface to indicate the correct placement of a nail. It sets a localized reference point at the bone's surface that enables precise indentation measurements of bone strength. It was developed by Hansma and colleagues Connor Randall and Dan Bridges, staff research associate and development assistant engineer, respectively, in UCSB's Department of Physics.

The instrument is now manufactured for commercial research applications by ActiveLife Scientific, a Santa Barbara company founded by UCSB graduates Davis Brimer and Alex Proctor. Brimer and Proctor won the campus's annual New Venture Competition in 2007 and used the $10,000 prize as startup capital.

About the device

The OsteoProbe measures the bone material strength index (BMSi), which in previously published papers has been shown to be a valuable predictor of bone fracture risk. The index values are similar to percentage scores on an exam. A BMSi of 90 or greater is excellent, 80 to 90 good, 70 to 80 fair, 60 to 70 poor and below 60 very poor.

A study conducted at the Mayo Clinic in Rochester, Minnesota, demonstrated the device's ability to successfully detect bone quality deterioration in diabetic patients, independent of BMD. In another study conducted at Leiden University in the Netherlands, the tool successfully distinguished between patients with and without fracture, not only in patients with osteoporosis but also in those with osteopenia, the precursor to osteoporosis.

"Bone fracture is becoming more and more of a serious problem as people live longer," Hansma said. "It's exciting that it's now possible to measure BMSi in living patients and hopefully this can guide physicians in the future in choosing appropriate therapies to prevent bone fracture, especially in elderly people."

Research is ongoing

Exactly how the BMSi relates to the specialized quantities measured by conventional mechanical testing is a focus of current research. In fact, in a recent paper published in the Journal of the Mechanical Behavior of Biomedical Materials, UCSB Chancellor Henry T. Yang and two of his graduate students used finite element analysis to investigate the link between BMSi and the mechanical properties of bone itself.

"What's new in this paper is the ability to correlate indentation measurements from patients' bones to computer simulations that can predict the strength of the bones," said Yang, who is also a professor of mechanical engineering. "Such predictions are based on the measured material properties of the bone samples. The results open the door to clinical applications in diagnosis and monitoring, in performing orthopedic surgeries and in developing new therapies."

The paper's lead author, Kevin Hoffseth, a graduate student in the Department of Mechanical Engineering, noted that the study results suggest RPI could become an integral part in linking clinical results to the mechanical properties of bone related to its health. "Combining theory and experiment with finite element simulations and indentation testing was an effective approach to study bone indentation and failure -- and the link to mechanical properties," he said.

Clinical trials currently underway in some 20 locations are exploring bone health in a variety of ways. One European study is comparing the bone quality of patients in Norway to that of patients in Spain. People in Norway tend to have higher BMD and a greater frequency of fracture than do people in Spain, Hansma noted.

"That's the opposite of what it should be if BMD were all that mattered," he added. "So that means that BMD isn't all that matters and the hope is that this instrument will reveal the difference in the BMSi between patients in Norway and in Spain."

Hansma posited that such medical bone diagnostics could become an important feature of future therapeutic treatments. "Now that it is possible to measure whether bone is good or bad in research studies, we can begin learning what diet, exercises, vitamins and pharmaceutical drugs contribute to making bone good," he said. "After the OsteoProbe gets FDA approval, individual physicians will be able to use it to help them decide about the best therapeutic treatments for their patients."

Media Contact

Julie Cohen
julie.cohen@ucsb.edu
805-893-7220

 @ucsantabarbara

http://www.ucsb.edu 

Julie Cohen | EurekAlert!

More articles from Health and Medicine:

nachricht Cystic fibrosis alters the structure of mucus in airways
28.06.2017 | University of Iowa Health Care

nachricht Mice provide insight into genetics of autism spectrum disorders
28.06.2017 | University of California - Davis

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Can we see monkeys from space? Emerging technologies to map biodiversity

An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.

Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...

Im Focus: Climate satellite: Tracking methane with robust laser technology

Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.

Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...

Im Focus: How protons move through a fuel cell

Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.

As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...

Im Focus: A unique data centre for cosmological simulations

Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.

With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...

Im Focus: Scientists develop molecular thermometer for contactless measurement using infrared light

Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine

Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Plants are networkers

19.06.2017 | Event News

Digital Survival Training for Executives

13.06.2017 | Event News

Global Learning Council Summit 2017

13.06.2017 | Event News

 
Latest News

Supersensitive through quantum entanglement

28.06.2017 | Physics and Astronomy

X-ray photoelectron spectroscopy under real ambient pressure conditions

28.06.2017 | Physics and Astronomy

Mice provide insight into genetics of autism spectrum disorders

28.06.2017 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>