Lower cervical spine facet cartilage thickness mapping

SummaryObjectiveFinite element (FE) models of the cervical spine have been used with increasing geometric fidelity to predict load transfer and range of motion (ROM) for normal, injured, and treated spines. However, FE modelers frequently treat the facet cartilage as a simple slab of constant thickness, impeding the accuracy of FE analyzes of spine kinematics and kinetics. Accurate prediction of facet joint contact forces and stresses, ROM, load transfer, and the effects of facet arthrosis require accurate representation of the geometry of the articular cartilage of the posterior facets. Previous research has described the orientations of the facet surfaces, their size and aspect ratio, and mean and maximum thickness. However, the perimeter shape of the cartilaginous region and the three-dimensional distribution of cartilage thickness remain ill-defined. As such, it was the intent of this research to further quantify these parameters.MethodVertebrae from seven fresh-frozen unembalmed human cadavers were serially sectioned and the osteochondral interface and the articulating surface of each facet on each slice were identified. The cartilage thickness was recorded at nine equidistant points along the length of each facet. It was observed that facets tended to have elliptic or ovoid shapes, and best-fit ovoid perimeter shapes were calculated for each facet. The thickness distribution data were used to represent the entire three-dimensional cartilage distribution as a function of one variable, and a thickness distribution function was optimized to fit the thickness distribution. The antero-posterior and medial/lateral shifts of the thickness center relative to the geometric were calculated and reported.ResultsHigh correlation was observed between the ovoid perimeter shapes and the measured facet shapes in radial coordinates, indicating that the ovoid approximation is able to accurately represent the range of facet geometries observed. High correlation between the measured and fitted thickness distributions indicates that the fitting function used is able to accurately represent the range of cartilage thickness distributions observed.ConclusionUtilization of a more physiologic cartilage thickness distribution in FE models will result in improved representation of cervical spine kinematics and increased predictive power. The consistency observed in the thickness distribution function in this study indicates that such a representation can be generated relatively easily

Bony ingrowth potential of 3D-printed porous titanium alloy: a direct comparison of interbody cage materials in an in vivo ovine lumbar fusion model.

Background contextThere is significant variability in the materials commonly used for interbody cages in spine surgery. It is theorized that three-dimensional (3D)-printed interbody cages using porous titanium material can provide more consistent bone ingrowth and biological fixation.PurposeThe purpose of this study was to provide an evidence-based approach to decision-making regarding interbody materials for spinal fusion.Study designA comparative animal study was performed.MethodsA skeletally mature ovine lumbar fusion model was used for this study. Interbody fusions were performed at L2-L3 and L4-L5 in 27 mature sheep using three different interbody cages (ie, polyetheretherketone [PEEK], plasma sprayed porous titanium-coated PEEK [PSP], and 3D-printed porous titanium alloy cage [PTA]). Non-destructive kinematic testing was performed in the three primary directions of motion. The specimens were then analyzed using micro-computed tomography (µ-CT); quantitative measures of the bony fusion were performed. Histomorphometric analyses were also performed in the sagittal plane through the interbody device. Outcome parameters were compared between cage designs and time points.ResultsFlexion-extension range of motion (ROM) was statistically reduced for the PTA group compared with the PEEK cages at 16 weeks (p-value=.02). Only the PTA cages demonstrated a statistically significant decrease in ROM and increase in stiffness across all three loading directions between the 8-week and 16-week sacrifice time points (p-value≤.01). Micro-CT data demonstrated significantly greater total bone volume within the graft window for the PTA cages at both 8 weeks and 16 weeks compared with the PEEK cages (p-value<.01).ConclusionsA direct comparison of interbody implants demonstrates significant and measurable differences in biomechanical, µ-CT, and histologic performance in an ovine model. The 3D-printed porous titanium interbody cage resulted in statistically significant reductions in ROM, increases in the bone ingrowth profile, as well as average construct stiffness compared with PEEK and PSP

Metamaterial based telemetric strain sensing in different materials

Cataloged from PDF version of article.We present telemetric sensing of surface strains on different industrial materials using split-ring-resonator based metamaterials. For wireless strain sensing, we utilize metamaterial array architectures for high sensitivity and low nonlinearity-errors in strain sensing. In this work, telemetric strain measurements in three test materials of cast polyamide, derlin and polyamide are performed by observing operating frequency shift under mechanical deformation and these data are compared with commercially-available wired strain gauges. We demonstrate that hard material (cast polyamide) showed low slope in frequency shift vs. applied load (corresponding to high Young's modulus), while soft material (polyamide) exhibited high slope (low Young's modulus). (C) 2010 Optical Society of America

A novel bio-microelectromechanical system for in vivo diagnostic monitoring of facture healing

[No abstract available

Metamaterial-based wireless RF-MEMS strain sensors

Approximately 10% of the fractures do not heal properly because of the inability to monitor fracture healing. Standard radiography is not capable of discriminating whether bone healing is occurring normally or aberrantly. We propose and develop an implantable wireless sensor that monitors strain on implanted hardware in real time telemetrically. This enables clinicians to monitor fracture healing. Here we present the development and demonstration of metamaterial-based radiofrequency (RF) micro-electro-mechanical system (MEMS) strain sensors for wireless strain sensing to monitor fracture healing. The operating frequency of these sensors shifts under mechanical loading; this shift is related to the surface strain of the implantable test material. In this work, we implemented metamaterials in two different architectures as bio-implantable wireless strain sensors for the first time. These custom-design metamaterials exhibit better performance as sensors than traditional RF structures (e.g., spiral coils) because of their unique structural properties (splits). They feature a low enough operating frequency to avoid the background absorption of soft tissue and yield higher Q-factors compared to the spiral structures (because their gaps have much higher electric field density). In our first metamaterial architecture of an 5x5 array, the wireless sensor shows high sensitivity (109kHz/kgf, 5.148kHz/microstrain) with low nonlinearity-error (<200microstrain). Using our second architecture, we then improved the structure of classical metamaterial and obtained nested metamaterials that incorporate multiple metamaterials in a compact nested structure and measured strain telemetrically at low operating frequencies. This novel nested metamaterial structure outperformed classical metamaterial structure as wireless strain sensors. By employing nested metamaterial architecture, the operating frequency is reduced from 529.8 MHz to 506.2 MHz while the sensitivity is increased from 0.72 kHz/kgf to 1.09 kHz/kgf. ©2010 IEEE

Alterations of biaxial viscoelastic properties of the right ventricle in pulmonary hypertension development in rest and acute stress conditions

Introduction: The right ventricle (RV) mechanical property is an important determinant of its function. However, compared to its elasticity, RV viscoelasticity is much less studied, and it remains unclear how pulmonary hypertension (PH) alters RV viscoelasticity. Our goal was to characterize the changes in RV free wall (RVFW) anisotropic viscoelastic properties with PH development and at varied heart rates.Methods: PH was induced in rats by monocrotaline treatment, and the RV function was quantified by echocardiography. After euthanasia, equibiaxial stress relaxation tests were performed on RVFWs from healthy and PH rats at various strain-rates and strain levels, which recapitulate physiological deformations at varied heart rates (at rest and under acute stress) and diastole phases (at early and late filling), respectively.Results and Discussion: We observed that PH increased RVFW viscoelasticity in both longitudinal (outflow tract) and circumferential directions. The tissue anisotropy was pronounced for the diseased RVs, not healthy RVs. We also examined the relative change of viscosity to elasticity by the damping capacity (ratio of dissipated energy to total energy), and we found that PH decreased RVFW damping capacity in both directions. The RV viscoelasticity was also differently altered from resting to acute stress conditions between the groups—the damping capacity was decreased only in the circumferential direction for healthy RVs, but it was reduced in both directions for diseased RVs. Lastly, we found some correlations between the damping capacity and RV function indices and there was no correlation between elasticity or viscosity and RV function. Thus, the RV damping capacity may be a better indicator of RV function than elasticity or viscosity alone. These novel findings on RV dynamic mechanical properties offer deeper insights into the role of RV biomechanics in the adaptation of RV to chronic pressure overload and acute stress

Circular High-Q Resonating Isotropic Strain Sensors with Large Shift of Resonance Frequency under Stress

We present circular architecture bioimplant strain sensors that facilitate a strong resonance frequency shift with mechanical deformation. The clinical application area of these sensors is for in vivo assessment of bone fractures. Using a rectangular geometry, we obtain a resonance shift of 330 MHz for a single device and 170 MHz for its triplet configuration (with three side-by-side resonators on chip) under an applied load of 3,920 N. Using the same device parameters with a circular isotropic architecture, we achieve a resonance frequency shift of 500 MHz for the single device and 260 MHz for its triplet configuration, demonstrating substantially increased sensitivity

Bio-implantable passive on-chip RF-MEMS strain sensing resonators for orthopaedic applications

One out of ten bone fractures does not heal properly due to improper load distribution and strain profiles during the healing process. To provide implantable tools for the assessment of bone fractures, we have designed novel, bio-implantable, passive, on-chip, RF-MEMS strain sensors that rely on the resonance frequency shift with mechanical deformation. For this purpose, we modeled, fabricated and experimentally characterized two on-chip sensors with high quality factors for in vivo implantation. One of the sensors has an area of ∼0.12 mm2 with a quality factor of ∼60 and the other has an area of ∼0.07 mm2 with a quality factor of ∼70. To monitor the mechanical deformation by measuring the change in the resonance frequencies with the applied load, we employed a controllable, point load applying experimental setup designed and constructed for in vitro characterization. In the case of the sensor with the larger area, when we apply a load of 3920 N, we obtain a frequency shift of ∼330 MHz and a quality factor of ∼76. For the smaller sensor, the frequency shift and the quality factor are increased to 360 MHz and 95, respectively. These data demonstrate that our sensor chips have the capacity to withstand relatively high physiologic loads, and that the concomitant and very large resonant frequency shift with the applied load is achieved while maintaining a high signal quality factor. These experiments demonstrate that these novel sensors have the capacity for producing high sensitivity strain readout, even when the total device area is considerably small. Also, we have demonstrated that our bio-implantable, passive sensors deliver a telemetric, real-time readout of the strain on a chip. Placing two more resonators on the sides of the sensor to serve as transmitter and receiver antennas, we achieved to transfer contactless power and read out loads in the absence of direct wiring to the sensor. With this model, where telemetric measurements become simpler due to the fact that all sensor system is built on the same chip, we obtain a frequency shift of ∼190 MHz with an increase in the quality factor from ∼38 to ∼46 when a load of 3920 N is applied. Therefore, as a first proof of concept, we have demonstrated the feasibility of our on-chip strain sensors for monitoring the mechanical deformation using telemetry-based systems. © 2008 IOP Publishing Ltd

Metamaterial-based wireless strain sensors

We proposed and demonstrated metamaterial-based strain sensors that are highly sensitive to mechanical deformation. Their resonance frequency shift is correlated with the surface strain of our test material and the strain data are reported telemetrically. These metamaterial sensors are better than traditional radio-frequency (rf) structures in sensing for providing resonances with high quality factors and large transmission dips. Using split ring resonators (SRRs), we achieve lower resonance frequencies per unit area compared to other rf structures, allowing for bioimplant sensing in soft tissue (e.g., fracture healing). In 5×5 SRR architecture, our wireless sensors yield high sensitivity (109 kHz/kgf, or 5.148 kHz/microstrain) with low nonlinearity error (<200 microstrain). © 2009 American Institute of Physics

Flexible metamaterials for wireless strain sensing

We proposed and demonstrated flexible metamaterial-based wireless strain sensors that include arrays of split ring resonators (SRRs) to telemetrically measure strain. For these metamaterial sensors, we showed that a flexible substrate (e.g., Kapton tape) delivers greater sensitivity and a more linear response as compared to using silicon substrates. Specifically, these tape-based flexible SRR sensors exhibit a significantly improved sensitivity level of 0.292 MHz/kgf with a substantially reduced nonlinearity error of 3% for externally applied mechanical loads up to 250 kgf. These data represent a sixfold increase in sensitivity and a 16-fold reduction in error percentage. © 2009 American Institute of Physics