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The influence of lumbar vertebra and cage related factors on cage-endplate contact after lumbar interbody fusion: An in-vitro experimental study 腰椎和椎笼相关因素对腰椎椎间融合术后椎笼-端板接触的影响:体外实验研究
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-21 DOI: 10.1016/j.jmbbm.2024.106754
Yihang Yu , Dale L. Robinson , David C. Ackland , Yi Yang , Peter Vee Sin Lee
Lumbar interbody fusion (LIF) using interbody cages is an established treatment for lumbar degenerative disc disease, but fusion results are known to be affected by risk factors such as bone mineral density (BMD), endplate geometry and cage position. At present, direct measurement of endplate-cage contact variables that affect LIF have not been fully identified. The aim of this study was to use cadaveric experiments to investigate the dependency between BMD, endplate geometry, cage parameters like type, orientation, position, and contact variables like stress and area. One vertebral body specimen from each of the five lumbar positions was harvested from five male donors. The lower half of each vertebra was potted and placed in a material testing machine (Instron 8874). A spinal cage was clamped to the machine then lowered to bring it into contact against the superior endplate. A lockable ball-joint was used to rotate the cage such that its inferior surface was congruent with the local endplate surface. A pressure sensor (Tekscan) was placed between the cage and endplate to record contact area and the peak and average contact pressures. Axial compression of 400 N was performed for five positions using a straight cage, and in one anterior position using a curved cage. The linear mixed model was utilised to perform data analyses for experimental results with statistical significance set at p < 0.05. The results indicated two trends toward significance for contact area, one for volumetric BMD (vBMD) of the vertebra (p = 0.081), and another for predicted contact area (p = 0.057). Peak contact pressure correlated significantly with vBMD (p = 0.041), and there was a trend between average contact pressure and lateral position of cage (p = 0.051). In addition, predicted contact area correlated significantly with cage orientation (p < 0.001). These results indicated that high vBMD of vertebra and a medially positioned cage led to higher contact pressures. Logically, low vBMD of vertebra and transverse cage orientation increased the contact area between the cage and endplate. In conclusion, the study identified significant influence of vBMD of vertebra, cage position and orientation on cage-endplate contact which may help to inform cage selection and design for LIF.
使用椎间融合器进行腰椎间盘融合术(LIF)是治疗腰椎间盘退行性疾病的一种成熟疗法,但众所周知,融合术的效果会受到骨矿密度(BMD)、椎板末端几何形状和椎间融合器位置等风险因素的影响。目前,对影响 LIF 的终板-椎弓根接触变量的直接测量尚未完全确定。本研究的目的是利用尸体实验研究 BMD、终板几何形状、保持架参数(如类型、方向、位置)与接触变量(如应力和面积)之间的关系。从五名男性捐献者的五个腰椎位置各采集了一个椎体标本。每个椎体的下半部分被装入盆中,并放入材料试验机(Instron 8874)中。将脊柱保持架夹在机器上,然后放下,使其与上椎体终板接触。用一个可锁定的球形关节旋转脊柱笼,使其下表面与局部终板表面一致。压力传感器(Tekscan)被放置在保持架和终板之间,以记录接触面积以及接触压力的峰值和平均值。使用直笼对五个位置进行了400 N的轴向加压,并使用弯笼对一个前方位置进行了轴向加压。实验结果采用线性混合模型进行数据分析,统计显著性设定为 p <0.05。结果表明,接触面积有两个显著性趋势,一个是椎体体积 BMD(vBMD)(p = 0.081),另一个是预测接触面积(p = 0.057)。峰值接触压力与 vBMD 显著相关(p = 0.041),平均接触压力与保持架的侧向位置之间存在趋势(p = 0.051)。此外,预测的接触面积与椎弓根方向有显著相关性(p < 0.001)。这些结果表明,椎体的高vBMD和保持架的内侧位置会导致较高的接触压力。从逻辑上讲,低vBMD椎体和横向保持架方向增加了保持架和终板之间的接触面积。总之,该研究发现了椎体vBMD、保持架位置和方向对保持架与终板接触的重要影响,这可能有助于为LIF选择和设计保持架提供参考。
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引用次数: 0
A benchmark of muscle models to length changes great and small 肌肉模型的基准,以适应大大小小的长度变化
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-20 DOI: 10.1016/j.jmbbm.2024.106740
Matthew Millard , Norman Stutzig , Jörg Fehr , Tobias Siebert
Digital human body models are used to simulate injuries that occur as a result of vehicle collisions, vibration, sports, and falls. Given enough time the body’s musculature can generate force, affect the body’s movements, and change the risk of some injuries. The finite-element code LS-DYNA is often used to simulate the movements and injuries sustained by the digital human body models as a result of an accident. In this work, we evaluate the accuracy of the three muscle models in LS-DYNA (MAT_156, EHTM, and the VEXAT) when simulating a range of experiments performed on isolated muscle: force–length–velocity experiments on maximally and sub-maximally stimulated muscle, active-lengthening experiments, and vibration experiments. The force–length–velocity experiments are included because these conditions are typical of the muscle activity that precedes an accident, while the active-lengthening and vibration experiments mimic conditions that can cause injury. The three models perform similarly during the maximally and sub-maximally activated force–length–velocity experiments, but noticeably differ in response to the active-lengthening and vibration experiments. The VEXAT model is able to generate the enhanced forces of biological muscle during active lengthening, while both the MAT_156 and EHTM produce too little force. In response to vibration, the stiffness and damping of the VEXAT model closely follows the experimental data while the MAT_156 and EHTM models differ substantially. The accuracy of the VEXAT model comes from two additional mechanical structures that are missing in the MAT_156 and EHTM models: viscoelastic cross-bridges, and an active titin filament. To help others build on our work we have made our simulation code publicly available.
数字人体模型用于模拟车辆碰撞、振动、运动和跌倒造成的伤害。只要有足够的时间,人体的肌肉组织就能产生力量,影响身体的运动,并改变某些伤害的风险。有限元代码 LS-DYNA 通常用于模拟数字人体模型在事故中的运动和受伤情况。在这项工作中,我们评估了 LS-DYNA 中的三种肌肉模型(MAT_156、EHTM 和 VEXAT)在模拟对孤立肌肉进行的一系列实验时的准确性:最大和次最大刺激肌肉的力-长度-速度实验、主动延长实验和振动实验。之所以包括力-长度-速度实验,是因为这些条件是事故发生前肌肉活动的典型条件,而主动拉长和振动实验则模拟了可能导致损伤的条件。三种模型在最大和次最大激活力-长度-速度实验中的表现相似,但在主动拉长和振动实验中的反应明显不同。VEXAT 模型能够在主动拉长过程中产生生物肌肉的增强力,而 MAT_156 和 EHTM 产生的力都太小。在振动响应方面,VEXAT 模型的刚度和阻尼与实验数据非常接近,而 MAT_156 和 EHTM 模型则差别很大。VEXAT 模型的准确性来自于 MAT_156 和 EHTM 模型中缺少的另外两个机械结构:粘弹性交叉桥和活性 titin 丝。为了帮助其他人在我们的工作基础上更进一步,我们公开了我们的模拟代码。
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引用次数: 0
Designs and mechanical responses of 3D-printed Ti6Al4V porous structures based on triply periodic minimal surfaces with different iso-values 基于具有不同等值的三重周期性极小表面的 3D 打印 Ti6Al4V 多孔结构的设计和机械响应
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-19 DOI: 10.1016/j.jmbbm.2024.106752
Xin Zhang , Dekun Zhang , Rizhi Wang
With the increasing applications of additive manufacturing in orthopaedic implants and numerous designs of porous structures available, there is a strong need and opportunity to optimize the structure designs for improved bone integration. Here we created a unique group of sheet structures based on triply periodic minimal surface (TPMS) by varying the iso-value and systematically examined how iso-value influences the mechanical performance of sheet diamond TPMS structures compared to the Octet truss structure. Four iso-values (C) 0, 0.25, 0.5, and 0.75 were designed for sheet Diamond (OSD) TPMS with varying porosity, and Ti6Al4V powder bed fusion was used to produce the porous structures. Compressive tests revealed that iso-value C significantly affected mechanical performance, and interestingly, the impact was porosity-dependent. At high relative density (>0.25), OSD0 (C = 0) displayed the highest elastic modulus and yield strength, whereas at low relative density (<0.25), OSD0.5 showed the highest among all OSD structures. Regarding failure mechanisms, OSD0, OSD0.25, and OSD0.75 showed a mixed domination of stretching and bending, while OSD0.5 was predominantly stretching-dominated. Finite Element Analysis (FEA) found that local yielding initiated at cell nodes upon loading, followed by surface bending and the formation of single or multiple shear bands near the cell nodes. This work demonstrated the feasibility of improving the mechanical performance of porous TPMS structures by simple adjustments in their governing trigonometric functions, serving as a starting point to customize porous structures for specific applications.
随着增材制造技术在骨科植入物中的应用日益广泛,多孔结构的设计也层出不穷,因此亟需优化结构设计以提高骨整合度。在此,我们通过改变等值创建了一组基于三重周期性最小表面(TPMS)的独特片状结构,并系统地研究了与 Octet 桁架结构相比,等值如何影响片状金刚石 TPMS 结构的机械性能。设计了四种等值(C)为 0、0.25、0.5 和 0.75 的具有不同孔隙率的片状金刚石 (OSD) TPMS,并使用 Ti6Al4V 粉末床熔融技术生产多孔结构。压缩测试表明,等值 C 对机械性能有显著影响,有趣的是,这种影响与孔隙率有关。在高相对密度(0.25)条件下,OSD0(C = 0)的弹性模量和屈服强度最高,而在低相对密度(0.25)条件下,OSD0.5 的弹性模量和屈服强度在所有 OSD 结构中最高。在破坏机制方面,OSD0、OSD0.25 和 OSD0.75 显示出拉伸和弯曲的混合主导性,而 OSD0.5 则主要以拉伸为主。有限元分析(FEA)发现,加载时细胞节点处开始局部屈服,随后是表面弯曲,细胞节点附近形成单个或多个剪切带。这项工作证明了通过简单调整多孔 TPMS 结构的三角函数来改善其机械性能的可行性,这也是为特定应用定制多孔结构的一个起点。
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引用次数: 0
Increased cancellous bone mass accompanies decreased cortical bone mineral density and higher axial deformation in femurs of leptin-deficient obese mice 瘦素缺陷型肥胖小鼠股骨中松质骨量增加,同时皮质骨矿物质密度降低,轴向变形增大
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-18 DOI: 10.1016/j.jmbbm.2024.106745
F. Graef , Y. Wei , A. Garbe , R. Seemann , M. Zenzes , S. Tsitsilonis , G.N. Duda , P. Zaslansky

Introduction

Leptin is a pleiotropic hormone that regulates food intake and energy homeostasis with enigmatic effects on bone development. It is unclear if leptin promotes or inhibits bone growth. The aim of this study was to characterize the micro-architecture and mechanical competence of femur bones of leptin-deficient mice.

Materials and methods

Right femur bones of 15-week old C57BL/6 (n = 9) and leptin-deficient (ob/ob, n = 9) mice were analyzed. Whole bones were scanned using micro-CT and morphometric parameters of the cortex and trabeculae were assessed. Elastic moduli were determined from microindentations in midshaft cross-sections. Mineral densities were determined using quantitative backscatter scanning electron microscopy. 3D models of the distal femur metaphysis, cleared from trabecular bone, were meshed and used for finite element simulations of axial loading to identify straining differences between ob/ob and C57BL/6 controls.

Results

Compared with C57BL/6 controls, ob/ob mice had significantly shorter bones. ob/ob mice showed significantly increased cancellous bone volume and trabecular thickness. qBEI quantified a ∼7% lower mineral density in ob/ob mice in the distal femur metaphysis. Indentation demonstrated a significantly reduced Young's modulus of 12.14 [9.67, 16.56 IQR] GPa for ob/ob mice compared to 23.12 [20.70, 26.57 IQR] GPa in C57BL/6 mice. FEA revealed greater deformation of cortical bone in ob/ob as compared to C57BL/6 mice.

Conclusion

Leptin deficient ob/ob mice have a softer cortical bone in the distal femur metaphysis but an excessive amount of cancellous bone, possibly as a response to increased deformation of the bones during axial loading. Both FEA and direct X-ray and electron microscopy imaging suggest that the morphology and micro-architecture of ob/ob mice have inferior biomechanical properties suggestive of a reduced mechanical competence.
导言瘦素是一种多效激素,可调节食物摄入量和能量平衡,对骨骼发育具有神秘的影响。目前还不清楚瘦素是促进还是抑制骨骼生长。本研究旨在描述瘦素缺乏小鼠股骨的微观结构和机械能力。材料和方法分析了 15 周大的 C57BL/6(n = 9)和瘦素缺乏(ob/ob,n = 9)小鼠的右股骨。使用显微 CT 扫描整个骨骼,评估皮质和骨小梁的形态参数。根据中轴横截面的微压痕确定弹性模量。使用定量反向散射扫描电子显微镜测定了矿物密度。结果与 C57BL/6 对照组相比,肥胖/肥胖小鼠的骨骼明显较短。肥胖/肥胖小鼠的松质骨体积和骨小梁厚度显著增加。压痕试验显示,肥胖/肥胖小鼠的杨氏模量为12.14 [9.67, 16.56 IQR] GPa,明显低于C57BL/6小鼠的23.12 [20.70, 26.57 IQR] GPa。有限元分析表明,与 C57BL/6 小鼠相比,肥胖/ob 小鼠的皮质骨变形更大。结论瘦素缺乏的肥胖/ob 小鼠股骨远端干骺端皮质骨较软,但松质骨过多,这可能是轴向加载时骨骼变形增加的反应。有限元分析以及直接 X 射线和电子显微镜成像都表明,ob/ob 小鼠的形态和微结构具有较差的生物力学特性,表明其机械能力下降。
{"title":"Increased cancellous bone mass accompanies decreased cortical bone mineral density and higher axial deformation in femurs of leptin-deficient obese mice","authors":"F. Graef ,&nbsp;Y. Wei ,&nbsp;A. Garbe ,&nbsp;R. Seemann ,&nbsp;M. Zenzes ,&nbsp;S. Tsitsilonis ,&nbsp;G.N. Duda ,&nbsp;P. Zaslansky","doi":"10.1016/j.jmbbm.2024.106745","DOIUrl":"10.1016/j.jmbbm.2024.106745","url":null,"abstract":"<div><h3>Introduction</h3><div>Leptin is a pleiotropic hormone that regulates food intake and energy homeostasis with enigmatic effects on bone development. It is unclear if leptin promotes or inhibits bone growth. The aim of this study was to characterize the micro-architecture and mechanical competence of femur bones of leptin-deficient mice.</div></div><div><h3>Materials and methods</h3><div>Right femur bones of 15-week old C57BL/6 (n = 9) and leptin-deficient (ob/ob, n = 9) mice were analyzed. Whole bones were scanned using micro-CT and morphometric parameters of the cortex and trabeculae were assessed. Elastic moduli were determined from microindentations in midshaft cross-sections. Mineral densities were determined using quantitative backscatter scanning electron microscopy. 3D models of the distal femur metaphysis, cleared from trabecular bone, were meshed and used for finite element simulations of axial loading to identify straining differences between ob/ob and C57BL/6 controls.</div></div><div><h3>Results</h3><div>Compared with C57BL/6 controls, ob/ob mice had significantly shorter bones. ob/ob mice showed significantly increased cancellous bone volume and trabecular thickness. qBEI quantified a ∼7% lower mineral density in ob/ob mice in the distal femur metaphysis. Indentation demonstrated a significantly reduced Young's modulus of 12.14 [9.67, 16.56 IQR] GPa for ob/ob mice compared to 23.12 [20.70, 26.57 IQR] GPa in C57BL/6 mice. FEA revealed greater deformation of cortical bone in ob/ob as compared to C57BL/6 mice.</div></div><div><h3>Conclusion</h3><div>Leptin deficient ob/ob mice have a softer cortical bone in the distal femur metaphysis but an excessive amount of cancellous bone, possibly as a response to increased deformation of the bones during axial loading. Both FEA and direct X-ray and electron microscopy imaging suggest that the morphology and micro-architecture of ob/ob mice have inferior biomechanical properties suggestive of a reduced mechanical competence.</div></div>","PeriodicalId":380,"journal":{"name":"Journal of the Mechanical Behavior of Biomedical Materials","volume":"160 ","pages":"Article 106745"},"PeriodicalIF":3.3,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751616124003771/pdfft?md5=4588c950b963a6772b47736c784a3291&pid=1-s2.0-S1751616124003771-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142312544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multimodal three-dimensional characterization of murine skeletal muscle micro-scale elasticity, structure, and composition: Impact of dysferlinopathy, Duchenne muscular dystrophy, and age on three hind-limb muscles 小鼠骨骼肌微尺度弹性、结构和组成的多模态三维表征:铁蛋白沉积症、杜氏肌营养不良症和年龄对三块后肢肌肉的影响
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-17 DOI: 10.1016/j.jmbbm.2024.106751
Erin M. Lloyd , Matt S. Hepburn , Jiayue Li , Alireza Mowla , Ji Hoon Jeong , Yongsung Hwang , Yu Suk Choi , Connie Jackaman , Brendan F. Kennedy , Miranda D. Grounds
Skeletal muscle tissue function is governed by the mechanical properties and organization of its components, including myofibers, extracellular matrix, and adipose tissue, which can be modified by the onset and progression of many disorders. This study used a novel combination of quantitative micro-elastography and clearing-enhanced three-dimensional (3D) microscopy to assess 3D micro-scale elasticity and micro-architecture of muscles from two muscular dystrophies: dysferlinopathy and Duchenne muscular dystrophy, using male BLA/J and mdx mice, respectively, and their wild-type (WT) controls. We examined three muscles with varying proportions of slow- and fast-twitch myofibers: the soleus (predominantly slow), extensor digitorum longus (EDL; fast), and quadriceps (mixed), from BLA/J and WTBLA/J mice aged 3, 10, and 24 months, and mdx and WTmdx mice aged 10 months. Both dysferlin deficiency and age reduced the elasticity and variability of elasticity of the soleus and quadriceps, but not EDL. Overall, the BLA/J soleus was 20% softer than WT and less mechanically heterogeneous (−14% in standard deviation of elasticity). The BLA/J quadriceps at 24 months was 72% softer than WT and less mechanically heterogeneous (−59% in standard deviation), with substantial adipose tissue accumulation. While mdx muscles did not differ quantitatively from WT, regional heterogeneity was evident in micro-scale elasticity and micro-architecture of quadriceps (e.g., 11.2 kPa in a region with marked pathology vs 3.8 kPa in a less affected area). These results demonstrate differing biomechanical changes in hind-limb muscles of two distinct muscular dystrophies, emphasizing the potential for this novel multimodal technique to identify important differences between various myopathies.
骨骼肌组织的功能受其组成部分(包括肌纤维、细胞外基质和脂肪组织)的机械特性和组织结构的影响,而这些特性和组织结构会因多种疾病的发生和发展而改变。本研究采用定量微弹性成像和透明增强三维(3D)显微镜的新颖组合,以雄性BLA/J小鼠和mdx小鼠及其野生型(WT)对照组为对象,分别评估了两种肌肉萎缩症(钝铁病和杜氏肌肉萎缩症)肌肉的三维微尺度弹性和微结构。我们研究了三块肌肉,它们的慢速肌纤维和快速肌纤维的比例各不相同:比目鱼肌(主要是慢速肌)、伸肌(EDL;快速肌)和股四头肌(混合肌),分别来自 3 个月、10 个月和 24 个月大的 BLA/J 和 WTBLA/J 小鼠,以及 10 个月大的 mdx 和 WTmdx 小鼠。dysferlin 缺乏和年龄都会降低比目鱼肌和股四头肌的弹性和弹性变异性,但不会降低 EDL。总体而言,BLA/J比目鱼肌比WT柔软20%,机械异质性较低(弹性标准偏差-14%)。24 个月时,BLA/J 股四头肌比 WT 软 72%,机械异质性较低(标准偏差-59%),并有大量脂肪组织堆积。虽然 mdx 肌肉与 WT 肌肉在数量上没有差异,但在股四头肌的微尺度弹性和微结构上却存在明显的区域异质性(例如,病变明显的区域为 11.2 kPa,而病变较轻的区域为 3.8 kPa)。这些结果表明,两种不同肌肉萎缩症的后肢肌肉发生了不同的生物力学变化,强调了这种新型多模态技术在识别各种肌病之间重要差异方面的潜力。
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引用次数: 0
A first step towards the detection of damage processes in endodontic Ni-Ti alloy files, using acoustic emission 利用声发射检测牙髓镍钛合金锉损坏过程的第一步
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-17 DOI: 10.1016/j.jmbbm.2024.106743
Jeanne Davril , Romain Hocquel , Marin Vincent , Rémy Balthazard , Stéphane Claude , Eric Mortier , Adrien Baldit , Rachid Rahouadj

Despite major instrumental developments over the last decade, endodontic files are still not infallible. It is well known that NiTi rotary files can break without any visible sign of deformation. Instrument breakage under combined flexion-torsion loading is still common in clinical practice. Unfortunately, breakage of this type of instrument mainly occurs in narrow canals, through pinching in the apical region. When such an incident occurs, the endodontist must adopt a debris retrieval strategy that is both stressful and not guaranteed success. This study proposes a new method for experimental damage detection leading to the fracture of Ni-Ti shape memory alloy endodontic files. It is based on the acoustic emission (AE) technique and mechanical parameters measured in real-time and image analysis. It has been shown that the AE results correlate with the damage observations and torque and force measurements recorded during the tests.

Having carried out numerous root canal treatment on resin blocks, it appears that this new detection and analysis technique can be used to analyze and anticipate the first signs of damage leading to endodontic file failure. The technological development of such a method, at the level of the engine itself, associated with the act in service procedure, would constitute a revolution in the field of endodontics.

尽管在过去的十年中器械技术有了很大的发展,但根管治疗锉仍然不是无懈可击的。众所周知,镍钛旋转锉可以在没有任何明显变形迹象的情况下折断。在临床实践中,弯曲扭转联合加载下的器械折断仍然很常见。不幸的是,这种器械的断裂主要发生在狭窄的牙槽中,是由于根尖部位的挤压造成的。发生这种情况时,牙髓病学家必须采取一种既紧张又不能保证成功的碎屑回收策略。本研究提出了一种新方法,用于导致镍钛形状记忆合金根管针断裂的实验性损伤检测。该方法基于声发射(AE)技术和实时测量的机械参数以及图像分析。在对树脂块进行了多次根管治疗后,这种新的检测和分析技术似乎可以用来分析和预测导致根管锉损坏的最初迹象。这种方法的技术发展,在发动机本身的层面上,与使用过程中的行为相关联,将构成根管治疗领域的一场革命。
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引用次数: 0
Patient-specific surrogate model to predict pelvic floor dynamics during vaginal delivery 预测阴道分娩过程中盆底动态的患者特异性替代模型
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-17 DOI: 10.1016/j.jmbbm.2024.106736
Rita Moura , Dulce A. Oliveira , Marco P.L. Parente , Nina Kimmich , Luděk Hynčík , Lucie H. Hympánová , Renato M. Natal Jorge

Childbirth is a challenging event that can lead to long-term consequences such as prolapse or incontinence. While computational models are widely used to mimic vaginal delivery, their integration into clinical practice is hindered by time constraints. The primary goal of this study is to introduce an artificial intelligence pipeline that leverages patient-specific surrogate modeling to predict pelvic floor injuries during vaginal delivery. A finite element-based machine learning approach was implemented to generate a dataset with information from finite element simulations. Thousands of childbirth simulations were conducted, varying the dimensions of the pelvic floor muscles and the mechanical properties used for their characterization. Additionally, a mesh morphing algorithm was developed to obtain patient-specific models. Machine learning models, specifically tree-based algorithms such as Random Forest (RF) and Extreme Gradient Boosting, as well as Artificial Neural Networks, were trained to predict the nodal coordinates of nodes within the pelvic floor, aiming to predict the muscle stretch during a critical interval. The results indicate that the RF model performs best, with a mean absolute error (MAE) of 0.086 mm and a mean absolute percentage error of 0.38%. Overall, more than 80% of the nodes have an error smaller than 0.1 mm. The MAE for the calculated stretch is equal to 0.0011. The implemented pipeline allows loading the trained model and making predictions in less than 11 s. This work demonstrates the feasibility of implementing a machine learning framework in clinical practice to predict potential maternal injuries and assist in medical-decision making.

分娩是一项具有挑战性的事件,可能导致脱垂或尿失禁等长期后果。虽然计算模型被广泛用于模拟阴道分娩,但由于时间限制,这些模型与临床实践的结合受到阻碍。本研究的主要目的是引入一种人工智能管道,利用患者特异性替代模型来预测阴道分娩过程中的盆底损伤。本研究采用了一种基于有限元的机器学习方法,利用有限元模拟产生的信息生成数据集。我们进行了数千次分娩模拟,改变了盆底肌肉的尺寸和用于表征肌肉的机械性能。此外,还开发了一种网格变形算法,以获得针对特定患者的模型。对机器学习模型,特别是基于树的算法,如随机森林(RF)和极梯度提升,以及人工神经网络进行了训练,以预测骨盆底内节点的坐标,目的是预测关键间隔期间的肌肉拉伸。结果表明,射频模型表现最佳,平均绝对误差(MAE)为 0.086 毫米,平均绝对百分比误差为 0.38%。总体而言,超过 80% 的节点误差小于 0.1 毫米。计算拉伸的 MAE 等于 0.0011。这项工作证明了在临床实践中实施机器学习框架来预测潜在的孕产妇损伤并辅助医疗决策的可行性。
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引用次数: 0
Anisotropic swelling due to hydration constrains anisotropic elasticity in biomaterial fibers 水合引起的各向异性膨胀限制了生物材料纤维的各向异性弹性
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-17 DOI: 10.1016/j.jmbbm.2024.106749
Xander A. Gouws, Ana Mastnak, Laurent Kreplak, Andrew D. Rutenberg
Naturally occurring protein fibers often undergo anisotropic swelling when hydrated. Within a tendon, a hydrated collagen fibril’s radius expands by 40% but its length only increases by 5%. The same effect, with a similar relative magnitude, is observed for single hair shafts. Fiber hydration is known to affect elastic properties. Here we show that anisotropic swelling constrains the anisotropic linear elastic properties of fibers. First we show, using data from disparate previously reported studies, that anisotropic swelling can be described as an approximately linear function of water content. Then, under the observation that the elastic energy of swelling can be minimized by the anisotropic shape, we relate swelling anisotropy to elastic anisotropy — assuming radial (transverse) symmetry within a cylindrical geometry. We find an upper bound for the commonly measured axial Poisson ratio νzx<1/2. This is significantly below recently estimated values for collagen fibrils extracted from tissue-level measurements, but is consistent with both single hair shaft and single collagen fibril mechanical and hydration studies. Using νzx, we can then constrain the product γ(1νxy)Ez/Ex — where νxy is the seldom measured transverse Poisson ratio and Ez/Ex is the ratio of axial to radial Young’s moduli.
天然蛋白质纤维在水合时通常会发生各向异性的膨胀。在肌腱中,水合胶原纤维的半径会扩大 40%,但长度仅增加 5%。在单根头发轴上也能观察到相同的效果,但相对幅度相似。众所周知,纤维水合会影响弹性特性。在这里,我们展示了各向异性膨胀会限制纤维的各向异性线性弹性特性。首先,我们利用之前报告的不同研究数据表明,各向异性膨胀可被描述为含水量的近似线性函数。然后,根据各向异性形状可使膨胀的弹性能量最小化这一观点,我们将膨胀各向异性与弹性各向异性联系起来--假设在圆柱形几何体内径向(横向)对称。我们发现了通常测量的轴向泊松比 νzx<1/2 的上限。这明显低于最近从组织级测量中提取的胶原纤维的估计值,但与单根发轴和单根胶原纤维的机械和水合研究结果一致。利用νzx,我们就可以约束乘积γ≡(1-νxy)Ez/Ex--其中νxy 是很少测量的横向泊松比,Ez/Ex 是轴向与径向杨氏模量之比。
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引用次数: 0
Dedifferentiation- and aging-induced loss of mechanical contractility and polarity in vascular smooth muscle cells: Heterogeneous changes in macroscopic and microscopic behavior of cells in serial passage culture 脱分化和老化导致血管平滑肌细胞丧失机械收缩性和极性:连续培养中细胞宏观和微观行为的异质性变化
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-16 DOI: 10.1016/j.jmbbm.2024.106744
Kazuaki Nagayama, Kenzo Nogami, Shunta Sugano, Miku Nakazawa

Dedifferentiation and aging of vascular smooth muscle cells (VSMCs) are associated with serious vascular diseases, such as arteriosclerosis and aneurysm. However, how cell dedifferentiation and aging affect cellular mechanical behaviors at the single-cell and intracellular structure levels remains unclear. An in-depth understanding of these interactions is extremely important for understanding the mechanism underlying VSMC mechanical integrity and homeostatic regulation of vascular walls. Herein, we systematically investigated changes in VSMC morphology, structure, contractility, and motility during dedifferentiation and aging induced by serial passage culture using traction force microscopy with elastic micropillar substrates, laser nanodissection of cytoskeletons, confocal fluorescence microscopy, and atomic force microscopy. We found that VSMC dedifferentiation started in the middle stage of serial passage culture, accompanied by a transient cell spreading in the cell width and decrease in contractile protein expression. Dedifferentiated VSMCs showed a significant decrease in the contraction and stiffness of individual actin stress fibers; however, their overall cell traction forces were maintained. Simultaneously, a significant increase in cell motility and the number of actin fibers was observed in dedifferentiated VSMCs, which may be associated with the enhancement of cell migration and disruption of cell/tissue integrity during the early stage of vascular diseases. As cell senescence progressed in the later stage of serial passage culture, VSMCs displayed reduced cell spreading and migration with decrease in the overall cell traction forces and drastic reduction in mechanical polarity of cell structures and forces. These results suggested that cell senescence causes loss of mechanical contractility and polarity in VSMCs, which may be an important factor in vascular disease progression. The experimental systems established in this study can be powerful tools for understanding the mechanisms underlying cellular dedifferentiation and aging from a biomechanical perspective.

血管平滑肌细胞(VSMC)的去分化和衰老与动脉硬化和动脉瘤等严重血管疾病有关。然而,细胞的去分化和老化如何在单细胞和细胞内结构水平上影响细胞的机械行为仍不清楚。深入了解这些相互作用对于理解 VSMC 机械完整性和血管壁平衡调节的内在机制极为重要。在此,我们利用弹性微柱基底的牵引力显微镜、细胞骨架的激光纳米切割、共聚焦荧光显微镜和原子力显微镜,系统地研究了连续培养诱导的 VSMC 在去分化和老化过程中形态、结构、收缩力和运动的变化。我们发现,VSMC 的去分化始于连续培养的中期阶段,伴随着细胞宽度的短暂扩展和收缩蛋白表达的减少。脱分化的 VSMC 单个肌动蛋白应力纤维的收缩力和硬度显著下降,但其整体细胞牵引力保持不变。与此同时,在去分化的 VSMC 中观察到细胞运动性和肌动蛋白纤维数量明显增加,这可能与血管疾病早期的细胞迁移增强和细胞/组织完整性破坏有关。随着连续培养后期细胞衰老的进展,VSMC 的细胞铺展和迁移能力减弱,整体细胞牵引力下降,细胞结构和力量的机械极性急剧下降。这些结果表明,细胞衰老会导致 VSMC 失去机械收缩性和极性,这可能是血管疾病进展的一个重要因素。本研究建立的实验系统可以成为从生物力学角度理解细胞去分化和衰老机制的有力工具。
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引用次数: 0
Promotion effect of proanthocyanidin on dentin remineralization via the polymer induced liquid precursor process 原花青素通过聚合物诱导液体前体工艺对牙本质再矿化的促进作用
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-16 DOI: 10.1016/j.jmbbm.2024.106750
Chaoqun Chen , Haiyan Lai , Pingping Song , Xinhua Gu

Proanthocyanidin (PA) has demonstrated promise as a dental biomodifier for maintaining dentin collagen integrity, yet there is limited evidence regarding its efficacy in dentin repair. The aim of this study was to investigate the effect of PA on dentin remineralization through the polymer induced liquid precursor (PILP) process, as well as to assess the mechanical properties of the restored dentin. Demineralized dentin was treated with a PA-contained remineralization medium, resulting in the formation of PA-amorphous calcium phosphate (ACP) nanoparticles via the PILP process. The kinetics and microstructure of remineralized dentin were examined through the use of Fourier transform infrared spectroscopy(FTIR), attenuated total reflectance-FTIR, scanning electron microscopy, transmission electron microscopy. The results showed that the application of PA facilitated the process of dentin remineralization, achieving completion within 48 h, demonstrating a notable reduction in time required. Following remineralization, the mechanical properties of the dentin exhibited an elastic modulus of 15.89 ± 1.70 GPa and a hardness of 0.47 ± 0.08 GPa, which were similar to those of natural dentin. These findings suggest that combining PA with the PILP process can promote dentin remineralization and improve its mechanical properties, offering a promising new approach for dentin repair in clinical practice.

原花青素(PA)作为一种牙科生物改良剂,在保持牙本质胶原完整性方面具有广阔的前景,但有关其在牙本质修复方面功效的证据却很有限。本研究的目的是通过聚合物诱导液体前体(PILP)过程研究 PA 对牙本质再矿化的影响,并评估修复后牙本质的机械性能。用含有 PA 的再矿化介质处理脱矿牙本质,通过 PILP 过程形成 PA- 无定形磷酸钙(ACP)纳米颗粒。通过傅立叶变换红外光谱(FTIR)、衰减全反射-FTIR、扫描电子显微镜和透射电子显微镜对再矿化牙本质的动力学和微观结构进行了研究。结果表明,PA 的应用促进了牙本质的再矿化过程,在 48 小时内就完成了再矿化,明显缩短了所需的时间。再矿化后,牙本质的机械性能显示为 15.89 ± 1.70 GPa 的弹性模量和 0.47 ± 0.08 GPa 的硬度,与天然牙本质的机械性能相似。这些研究结果表明,将 PA 与 PILP 工艺相结合可促进牙本质再矿化并改善其机械性能,为临床实践中的牙本质修复提供了一种前景广阔的新方法。
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引用次数: 0
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