Laboratory of Biomechanics and Implant Research, Clinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, Heidelberg, Germany.
J Biomed Mater Res B Appl Biomater. 2020 Jan;108(1):225-233. doi: 10.1002/jbm.b.34382. Epub 2019 Apr 12.
Polyethylene wear is one of the major factors influencing the survivorship of joint replacements. Depending on the number, size and morphology of the polyethylene particles, biological responses of the periprosthetic soft tissue in terms of inflammatory processes can occur, leading to loosening of the implant. Various parameters are used to analyze wear particles, which are usually determined by examining scanning electron microscopy (SEM) images with a particle analysis program. In this study, three different software solutions for particle analysis (self-developed Particleanalyzer_HD, Leica QWin and ImageJ) were compared regarding particle number, size and morphology. These solutions were also compared to the American Society for Testing and Materials (ASTM) F1877-16 specifications regarding particle morphology. SEM image analysis revealed no differences for the equivalent circle diameter (p = 0.969). However, a significant difference was found for the aspect ratio between the Particleanalyzer_HD and the other two software solutions (p < 0.001) and between Leica QWin and the other two software solutions regarding the roundness (p < 0.001). Only the Particleanalyzer_HD showed an excellent agreement with the ASTM standard for both morphology parameters (intraclass correlation = 1.000). Only the Particleanalyzer_HD calculated the two morphology parameters according to the ASTM standard. A comparison of the particle morphology between different studies is barely possible, as different algorithms for particle analysis are used. It is strongly recommended that the calculation according to the ASTM standard is used to improve future comparability of findings from wear analysis studies. © 2019 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 108B:225-233, 2020.
聚乙烯磨损是影响关节置换物存活率的主要因素之一。根据聚乙烯颗粒的数量、大小和形态,假体周围软组织会发生生物反应,导致植入物松动。人们使用各种参数来分析磨损颗粒,这些参数通常是通过用颗粒分析程序检查扫描电子显微镜(SEM)图像来确定的。在这项研究中,三种不同的颗粒分析软件解决方案(自主开发的 Particleanalyzer_HD、Leica QWin 和 ImageJ)在颗粒数量、大小和形态方面进行了比较。这些解决方案还与美国材料试验协会(ASTM)F1877-16 关于颗粒形态的规范进行了比较。SEM 图像分析显示等效圆直径(p = 0.969)没有差异。然而,Particleanalyzer_HD 与其他两种软件解决方案之间的形态比(p < 0.001)以及 Leica QWin 与其他两种软件解决方案之间的形态比(p < 0.001)存在显著差异。只有 Particleanalyzer_HD 在两个形态参数上都与 ASTM 标准表现出极好的一致性(组内相关系数= 1.000)。只有 Particleanalyzer_HD 根据 ASTM 标准计算了这两个形态参数。由于使用了不同的颗粒分析算法,不同研究之间的颗粒形态比较几乎不可能。强烈建议根据 ASTM 标准进行计算,以提高未来磨损分析研究结果的可比性。© 2019 威利父子公司。J 生物医学材料研究部分 B:应用生物材料 108B:225-233,2020 年。