The New York Center for Biomedical Engineering, Departments of Biomedical and Mechanical Engineering, School of Engineering of The City College and Graduate School of The City University of New York, New York, NY 10031, USA.
Biomech Model Mechanobiol. 2011 Feb;10(1):39-65. doi: 10.1007/s10237-010-0217-7. Epub 2010 May 12.
Current diagnosis of bone loss and osteoporosis is based on the measurement of the bone mineral density (BMD) or the apparent mass density. Unfortunately, in most clinical ultrasound densitometers: 1) measurements are often performed in a single anatomical direction, 2) only the first wave arriving to the ultrasound probe is characterized, and 3) the analysis of bone status is based on empirical relationships between measurable quantities such as speed of sound (SOS) and broadband ultrasound attenuation (BUA) and the density of the porous medium. However, the existence of a second wave in cancellous bone has been reported, which is an unequivocal signature of poroelastic media, as predicted by Biot's poroelastic wave propagation theory. In this paper, the governing equations for wave motion in the linear theory of anisotropic poroelastic materials are developed and extended to include the dependence of the constitutive relations upon fabric-a quantitative stereological measure of the degree of structural anisotropy in the pore architecture of a porous medium. This fabric-dependent anisotropic poroelastic approach is a theoretical framework to describe the microarchitectural-dependent relationship between measurable wave properties and the elastic constants of trabecular bone, and thus represents an alternative for bone quality assessment beyond BMD alone.
目前的骨质流失和骨质疏松症的诊断是基于骨密度(BMD)或表观质量密度的测量。不幸的是,在大多数临床超声密度计中:1)测量通常在单一解剖方向上进行,2)仅对到达超声探头的第一波进行特征描述,3)基于可测量量(例如声速(SOS)和宽带超声衰减(BUA)与多孔介质密度之间的经验关系)来分析骨状态。然而,已经报道了松质骨中存在第二波,这是多孔弹性介质的明确特征,正如比奥多孔弹性波传播理论所预测的那样。在本文中,发展了各向异性多孔弹性材料线性理论中波的运动控制方程,并将其扩展到包括对构造成分的依赖性,这是多孔介质孔结构结构各向异性程度的定量体视学度量。这种依赖于织物的各向异性多孔弹性方法是描述可测量波特性与小梁骨弹性常数之间微观结构依赖性关系的理论框架,因此代表了 BMD 之外的骨质量评估的另一种选择。