Characterization of controlled bone defects using 2D and 3D ultrasound imaging techniques

Ultrasound is emerging as an attractive alternative modality to standard x-ray and CT methods for bone assessment applications. As of today, however, there is a lack of systematic studies that investigate the performance of diagnostic ultrasound techniques in bone imaging applications. This study aims at understanding the performance limitations of new ultrasound techniques for imaging bones in controlled experiments in vitro. Experiments are performed on samples of mammalian and non-mammalian bones with controlled defects with size ranging from 400 microm to 5 mm. Ultrasound findings are statistically compared with those obtained from the same samples using standard x-ray imaging modalities and optical microscopy. The results of this study demonstrate that it is feasible to use diagnostic ultrasound imaging techniques to assess sub-millimeter bone defects in real time and with high accuracy and precision. These results also demonstrate that ultrasound imaging techniques perform comparably better than x-ray imaging and optical imaging methods, in the assessment of a wide range of controlled defects both in mammalian and non-mammalian bones. In the future, ultrasound imaging techniques might provide a cost-effective, real-time, safe and portable diagnostic tool for bone imaging applications.

[1]  D. Hans,et al.  The clinical use of quantitative ultrasound (QUS) in the detection and management of osteoporosis , 2008, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[2]  Jonathan Ophir,et al.  A method for generating permeability elastograms and Poisson's ratio time-constant elastograms. , 2005, Ultrasound in medicine & biology.

[3]  G. Rus,et al.  Ultrasonic tissue characterization for monitoring nanostructured TiO2-induced bone growth , 2007, Physics in medicine and biology.

[4]  G Berger,et al.  In vitro assessment of the relationship between acoustic properties and bone mass density of the calcaneus by comparison of ultrasound parametric imaging and quantitative computed tomography. , 1997, Bone.

[5]  J. Young,et al.  Sonographic evaluation of bone production at the distraction site in Ilizarov limb-lengthening procedures. , 1990, AJR. American journal of roentgenology.

[6]  Jens von Berg,et al.  A hybrid method for registration of interventional CT and ultrasound images , 2004, CARS.

[7]  Andrew W Kirkpatrick,et al.  Rapid diagnosis of an ulnar fracture with portable hand-held ultrasound. , 2003, Military Medicine.

[8]  Han Sm,et al.  A comparison of ultrasonic and X-ray methods for imaging the growth plate. , 2005 .

[9]  Roger W Nightingale,et al.  An Integrated Indenter-ARFI Imaging System for Tissue Stiffness Quantification , 2008, Ultrasonic imaging.

[10]  E. Ebbini,et al.  6B-3 Viscoelastic Property Measurement in Thin Tissue Constructs Using Ultrasound , 2007, 2007 IEEE Ultrasonics Symposium Proceedings.

[11]  B. Fautrel,et al.  Ultrasound ability in early diagnosis of stress fracture of metatarsal bone , 2005, Annals of the rheumatic diseases.

[12]  John S. Mattoon,et al.  Small Animal Diagnostic Ultrasound , 2002 .

[13]  Gangming Luo,et al.  A portable real-time ultrasonic bone densitometer. , 2007, Ultrasound in medicine & biology.

[14]  D. Altman,et al.  Measuring agreement in method comparison studies , 1999, Statistical methods in medical research.

[15]  A. Díez-Pérez,et al.  Relationship Between Bone Quantitative Ultrasound and Fractures: A Meta‐Analysis , 2006, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[16]  Muhammad Usman Shahid,et al.  Sonography of bone and bone‐related diseases of the extremities , 2004, Journal of clinical ultrasound : JCU.

[17]  Stefano Bianchi,et al.  Insufficiency fracture of the calcaneum: Sonographic findings , 2009, Journal of clinical ultrasound : JCU.

[18]  D. Altman,et al.  STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT , 1986, The Lancet.

[19]  Michael F. Insana,et al.  Viscoelastic Imaging of Breast Tumor Microenvironment With Ultrasound , 2004, Journal of Mammary Gland Biology and Neoplasia.

[20]  M. Kramer,et al.  Sonography of the musculoskeletal system in dogs and cats. , 1997, Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association.

[21]  Maryline Talmant,et al.  Comparison of three ultrasonic axial transmission methods for bone assessment. , 2005, Ultrasound in medicine & biology.

[22]  Eleazar Lara Padilla,et al.  New technologies applied to ultrasound diagnosis of sports injuries , 2008, Advances in therapy.

[23]  Pascal Laugier,et al.  Broadband ultrasound attenuation imaging: A new imaging method in osteoporosis , 1996 .

[24]  A Fenster,et al.  Three-dimensional ultrasound imaging. , 2000, Annual review of biomedical engineering.

[25]  J. McManus,et al.  The Accuracy of Portable Ultrasonography to Diagnose Fractures in an Austere Environment , 2009, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[26]  W. Durston,et al.  Ultrasound guided reduction of pediatric forearm fractures in the ED. , 2000, The American journal of emergency medicine.

[27]  B. Williams,et al.  AETIOLOGY OF STRIAE GRAVIDARUM , 1974 .

[28]  A. Baschat,et al.  Standardization of the first‐trimester fetal cardiac examination using spatiotemporal image correlation with tomographic ultrasound and color Doppler imaging , 2009, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[29]  Pascal Laugier,et al.  An overview of bone sonometry , 2004 .

[30]  T. Todd Elvins,et al.  Visualization of 3D ultrasound data , 1993, IEEE Computer Graphics and Applications.

[31]  A. Ross Limited incisions for total hip arthroplasty: Edited by M. I. O’Connor Pp. 66. Rosemont: American Academy of Orthopaedic Surgeons, 2007. ISBN: 10: 0-89203-424-6. £34.50 , 2009 .

[32]  P. Logan,et al.  Sonographic diagnosis of toddler's fracture in the emergency department , 2006, Journal of clinical ultrasound : JCU.

[33]  C. M. Langton,et al.  The role of ultrasound in the assessment of osteoporosis: A review , 2005, Osteoporosis International.

[34]  F. Tylavsky,et al.  Utility of Ultrasound to Assess Risk of Fracture , 1997, Journal of the American Geriatrics Society.

[35]  Uwe Hübner,et al.  Ultrasound in the diagnosis of fractures in children , 2000 .

[36]  Georgios Sakas,et al.  Trends in medical imaging: from 2D to 3D , 2002, Comput. Graph..

[37]  H K Genant,et al.  Noninvasive assessment of bone density and structure using computed tomography and magnetic resonance. , 1998, Bone.

[38]  S. Goldstein,et al.  The direct examination of three‐dimensional bone architecture in vitro by computed tomography , 1989, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[39]  S Mariacher-Gehler,et al.  Sonography: a simple way to visualize rib fractures. , 1994, AJR. American journal of roentgenology.

[40]  J. Shieh,et al.  Sonographic detection of occult fractures in the foot and ankle , 1999, Journal of clinical ultrasound : JCU.

[41]  O Paar,et al.  [Possibilities for using sonography as a diagnostic procedure in fractures during the growth period]. , 1995, Der Unfallchirurg.

[42]  M. Bradley,et al.  Ultrasound monitoring of distraction osteogenesis. , 2003, The British journal of oral & maxillofacial surgery.

[43]  Graham M. Treece,et al.  Engineering a freehand 3D ultrasound system , 2003, Pattern Recognit. Lett..

[44]  J Ophir,et al.  Contrast-transfer efficiency for continuously varying tissue moduli: simulation and phantom validation. , 2001, Ultrasound in medicine & biology.

[45]  Reinhard Schnettler,et al.  Sonographic detection of an isolated cuboid bone fracture not visualized on plain radiographs , 2004, Journal of clinical ultrasound : JCU.

[46]  S. Chan,et al.  Emergency bedside ultrasound for the diagnosis of rib fractures. , 2009, The American journal of emergency medicine.

[47]  P. Guillaume,et al.  Simultaneous determination of acoustic velocity and density of a cortical bone slab: ultrasonic model-based approach - correspondence , 2010, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[48]  Lihong V. Wang,et al.  Prospects of photoacoustic tomography. , 2008, Medical physics.

[49]  H. K. Genant,et al.  Advanced CT bone imaging in osteoporosis , 2008, Rheumatology.

[50]  G. Berger,et al.  Broadband ultrasound attenuation imaging: A new imaging method in osteoporosis , 1996, Osteoporosis International.

[51]  Michael Schocke,et al.  Sonographic findings in stress fractures of the lower limb: preliminary findings , 2005, European Radiology.

[52]  Robert Rohling,et al.  Bone Segmentation and Fracture Detection in Ultrasound Using 3D Local Phase Features , 2008, MICCAI.

[53]  H. Abdel-Dayem,et al.  The role of nuclear medicine in primary bone and soft tissue tumors. , 1997, Seminars in nuclear medicine.

[54]  Tohru Kurabayashi,et al.  Ultrasonographic assessment of new bone formation in maxillary distraction osteogenesis. , 2008, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[55]  Tomy Varghese,et al.  Spherical lesion phantoms for testing the performance of elastography systems , 2005, Physics in medicine and biology.

[56]  I. Kiviranta,et al.  Prediction of density and mechanical properties of human trabecular bone in vitro by using ultrasound transmission and backscattering measurements at 0.2–6.7 MHz frequency range , 2005, Physics in medicine and biology.

[57]  C C Glüer,et al.  Bone densitometry: current status and future prospects. , 1997, The British journal of radiology.