An in vitro investigation of the dependence on sample thickness of the speed of sound along the specimen.

To measure the speed of sound (SOS), most quantitative ultrasound (QUS) devices use the transmission mode, whereby two transducers are placed on opposite sides of the sample. This mode is limited to a few specific skeletal sites because of the varying configuration of bone geometry and varying amounts of overlying soft tissue at most other sites. The aim of this study was to address the dependence of SOS measured along the sample on the thickness and composition of the bone sample. Bovine samples from mid-femur and trochanter, and perspex phantoms were used. We prepared the perspex samples in the shapes of blocks and cylinders to investigate the effect of wall thickness on SOS. The thickness of the blocks was decreased in decrements of 1 mm; a 22 mm diameter hole was drilled through the cylindrical samples and the hole size was gradually increased. The second configuration was also used with the bovine samples. For each experimental set-up five SOS measurements were acquired, with the probe aligned along the sample and a mean value computed. All measurements were taken with castor oil as the coupling agent, and in the cylindrical cases, the oil was used to fill the tube. The measurement precision determined as the root mean square coefficient of variation (RMSCV) was determined to be 0.14% and 0.65% for perspex and bovine samples respectively. The measured SOS on the perspex phantom (2760+/-4 m/s) was within the published values for bulk velocity. It was observed that for both perspex and bovine samples the SOS was independent of sample wall thickness greater than the wavelength (2.2 mm, 2.7 mm and 3.5 mm for perspex, trochanter and mid-femur respectively). The SOS decreased with sample wall thickness smaller than the wavelength in concordance with theoretical predictions. The SOS values obtained for bovine samples reflected either totally cortical (mid-femur) or a composite of cortical and cancellous bone (trochanter).

[1]  Harry K. Genant,et al.  Broadband ultrasound attenuation predicts fractures strongly and independently of densitometry in older women. A prospective study. Study of Osteoporotic Fractures Research Group. , 1997, Archives of internal medicine.

[2]  R. Lakes,et al.  Ultrasonic wave propagation and attenuation in wet bone. , 1986, Journal of biomedical engineering.

[3]  P W Thompson,et al.  Quantitative ultrasound (QUS) of the heel predicts wrist and osteoporosis-related fractures in women age 45-75 years. , 1998, Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry.

[4]  Harry K. Genant,et al.  Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. , 1993, The American journal of medicine.

[5]  R Stern,et al.  Measurement of the velocity of ultrasound in human cortical bone in vivo. Estimation of its potential value in the diagnosis of osteoporosis and metabolic bone disease. , 1981, Radiology.

[6]  Hyatt Gw,et al.  Ultrasonics and physical properties of healing bone. , 1972 .

[7]  W C Van Buskirk,et al.  A continuous wave technique for the measurement of the elastic properties of cortical bone. , 1984, Journal of biomechanics.

[8]  P P Antich Ultrasound study of bone in vitro. , 1993, Calcified tissue international.

[9]  J.J. Kaufman,et al.  Ultrasonic assessment of human and bovine trabecular bone: a comparison study , 1996, IEEE Transactions on Biomedical Engineering.

[10]  H. Pain,et al.  The physics of vibrations and waves , 1968 .

[11]  R Stern,et al.  Measurement of the velocity of ultrasound in the human femur in vivo. , 1980, Medical physics.

[12]  N M Keshawarz,et al.  Expansion of the medullary cavity at the expense of cortex in postmenopausal osteoporosis. , 1984, Metabolic bone disease & related research.

[13]  C F Njeh,et al.  Orthogonal relationships between ultrasonic velocity and material properties of bovine cancellous bone. , 1996, Medical engineering & physics.

[14]  J. Heyman,et al.  2. Ultrasonic Wave Velocity and Attenuation Measurements , 1981 .

[15]  A Streda,et al.  Bone indexes and cortical thickness in assessing osteoporosis in rheumatic patients. , 1973, Scandinavian journal of rheumatology.

[16]  R. C. Murry,et al.  Measurement of mechanical properties of bone material in vitro by ultrasound reflection: Methodology and comparison with ultrasound transmission , 1991, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[17]  P. Gregg,et al.  Book Review: Current Research in Osteoporosis and Bone Mineral Measurement , 1991 .

[18]  Ronald A. Kline,et al.  Measurement of attenuation and dispersion using an ultrasonic spectroscopy technique , 1984 .

[19]  D G Oreopoulos,et al.  Periosteal resorption of finger phalanges: radial versus ulnar surfaces. , 1978, Journal of the Canadian Association of Radiologists.

[20]  L. Gibson The mechanical behaviour of cancellous bone. , 1985, Journal of biomechanics.

[21]  T. Ohishi,et al.  Factors Related to the Parameters of Ultrasound Measurements in the Early Menopausal Period , 1997, Calcified Tissue International.

[22]  R. B. Ashman,et al.  Elastic modulus of trabecular bone material. , 1988, Journal of Biomechanics.

[23]  J. A. Evans,et al.  Ultrasonic attenuation and velocity in bone. , 1990, Physics in medicine and biology.

[24]  L. Gibson,et al.  Modeling the mechanical behavior of vertebral trabecular bone: effects of age-related changes in microstructure. , 1997, Bone.

[25]  S. Cowin,et al.  On the dependence of the elasticity and strength of cancellous bone on apparent density. , 1988, Journal of biomechanics.

[26]  J. Cauley,et al.  Broadband ultrasound attenuation predicts fractures strongly and independently of densitometry in older women. A prospective study. Study of Osteoporotic Fractures Research Group. , 1997, Archives of Internal Medicine.

[27]  C. Njeh,et al.  Does Combining the Results from Multiple Bone Sites Measured by a New Quantitative Ultrasound Device Improve Discrimination of Hip Fracture? , 1999, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[28]  M. P. Felix Attenuation and Dispersion Characteristics of Various Plastics in the Frequency Range 1-10 MHz , 1974 .

[29]  G. Breart,et al.  Ultrasonographic heel measurements to predict hip fracture in elderly women: the EPIDOS prospective study , 1996, The Lancet.

[30]  C. Langton,et al.  The measurement of broadband ultrasonic attenuation in cancellous bone. , 1984, Engineering in medicine.