1
|
Walle M, Whittier DE, Schenk D, Atkins PR, Blauth M, Zysset P, Lippuner K, Müller R, Collins CJ. Precision of bone mechanoregulation assessment in humans using longitudinal high-resolution peripheral quantitative computed tomography in vivo. Bone 2023; 172:116780. [PMID: 37137459 DOI: 10.1016/j.bone.2023.116780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 03/31/2023] [Accepted: 04/20/2023] [Indexed: 05/05/2023]
Abstract
Local mechanical stimuli in the bone microenvironment are essential for the homeostasis and adaptation of the skeleton, with evidence suggesting that disruption of the mechanically-driven bone remodelling process may lead to bone loss. Longitudinal clinical studies have shown the combined use of high-resolution peripheral quantitative computed tomography (HR-pQCT) and micro-finite element analysis can be used to measure load-driven bone remodelling in vivo; however, quantitative markers of bone mechanoregulation and the precision of these analyses methods have not been validated in human subjects. Therefore, this study utilised participants from two cohorts. A same-day cohort (n = 33) was used to develop a filtering strategy to minimise false detections of bone remodelling sites caused by noise and motion artefacts present in HR-pQCT scans. A longitudinal cohort (n = 19) was used to develop bone imaging markers of trabecular bone mechanoregulation and characterise the precision for detecting longitudinal changes in subjects. Specifically, we described local load-driven formation and resorption sites independently using patient-specific odds ratios (OR) and 99 % confidence intervals. Conditional probability curves were computed to link the mechanical environment to the remodelling events detected on the bone surface. To quantify overall mechanoregulation, we calculated a correct classification rate measuring the fraction of remodelling events correctly identified by the mechanical signal. Precision was calculated as root-mean-squared averages of the coefficient of variation (RMS-SD) of repeated measurements using scan-rescan pairs at baseline combined with a one-year follow-up scan. We found no significant mean difference (p < 0.01) between scan-rescan conditional probabilities. RMS-SD was 10.5 % for resorption odds, 6.3 % for formation odds, and 1.3 % for correct classification rates. Bone was most likely to be formed in high-strain and resorbed in low-strain regions for all participants, indicating a consistent, regulated response to mechanical stimuli. For each percent increase in strain, the likelihood of bone resorption decreased by 2.0 ± 0.2 %, and the likelihood of bone formation increased by 1.9 ± 0.2 %, totalling 38.3 ± 1.1 % of strain-driven remodelling events across the entire trabecular compartment. This work provides novel robust bone mechanoregulation markers and their precision for designing future clinical studies.
Collapse
Affiliation(s)
- Matthias Walle
- Institute for Biomechanics, ETH Zurich, Zurich, Switzerland
| | - Danielle E Whittier
- Institute for Biomechanics, ETH Zurich, Zurich, Switzerland; Department of Osteoporosis, Bern University Hospital, Bern, Switzerland
| | - Denis Schenk
- ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
| | - Penny R Atkins
- Institute for Biomechanics, ETH Zurich, Zurich, Switzerland; Department of Osteoporosis, Bern University Hospital, Bern, Switzerland
| | - Michael Blauth
- Department of Orthopaedics and Traumatology, Medical University Innsbruck, Innsbruck, Austria
| | - Philippe Zysset
- ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
| | - Kurt Lippuner
- Department of Osteoporosis, Bern University Hospital, Bern, Switzerland
| | - Ralph Müller
- Institute for Biomechanics, ETH Zurich, Zurich, Switzerland
| | - Caitlyn J Collins
- Institute for Biomechanics, ETH Zurich, Zurich, Switzerland; Virginia Tech, Department of Biomedical Engineering and Mechanics, Blacksburg, VA, United States.
| |
Collapse
|
2
|
Sugiyama T. Understanding bone fragility: theoretical explanation to non-physician health professionals. Ann Rheum Dis 2020; 81:e101. [PMID: 32561602 DOI: 10.1136/annrheumdis-2020-218003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 05/19/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Toshihiro Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama 350-0495, Japan
| |
Collapse
|
3
|
Sugiyama T. Proton Pump Inhibitor Therapy and Fracture Risk: Discrepancy of Results Between Observational and Interventional Studies. Gastroenterology 2020; 158:1174. [PMID: 31982411 DOI: 10.1053/j.gastro.2019.09.054] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2019] [Accepted: 09/30/2019] [Indexed: 01/27/2023]
Affiliation(s)
- Toshihiro Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Moroyama, Saitama, Japan
| |
Collapse
|
4
|
Sugiyama T. Letter to the Editor: "Exercise Mitigates Bone Loss in Women With Severe Obesity After Roux-en-Y Gastric Bypass: A Randomized Controlled Trial". J Clin Endocrinol Metab 2020; 105:5602688. [PMID: 31641773 DOI: 10.1210/clinem/dgz108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Accepted: 10/06/2019] [Indexed: 11/19/2022]
Affiliation(s)
- Toshihiro Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Moroyama, Saitama, Japan
| |
Collapse
|
5
|
Shi Q, Shui H, Chen Q, Li ZY. How does mechanical stimulus affect the coupling process of the scaffold degradation and bone formation: An in silico approach. Comput Biol Med 2020; 117:103588. [DOI: 10.1016/j.compbiomed.2019.103588] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Revised: 12/03/2019] [Accepted: 12/17/2019] [Indexed: 01/31/2023]
|
6
|
Kim WK, Cho HH, Lee GW, Jeong YW, Kim JS, Bucciarelli A, Song JE, Khang G. Alleviated Side Effects and Improved Efficiency of Omeprazole Using Oral Thin Film: In Vitro Evaluation. Macromol Res 2019. [DOI: 10.1007/s13233-020-8060-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
|
7
|
Sugiyama T. Letter to the Editor: Bone Health in Nonalcoholic Fatty Liver Disease: A Mechanistic Insight. Hepatology 2019; 70:1872. [PMID: 31099070 DOI: 10.1002/hep.30776] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Toshihiro Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan
| |
Collapse
|
8
|
Sugiyama T. Letter by Sugiyama Regarding Article, "Screening and Treatment for Osteoporosis After Stroke: Results From the Ontario Stroke Registry". Stroke 2019; 50:e307. [PMID: 31514700 DOI: 10.1161/strokeaha.119.026863] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
9
|
Sugiyama T. Poor Vitamin K Status in Chronic Kidney Disease: An Indirect Indicator of Hip Fragility. J Bone Miner Res 2019; 34:1543. [PMID: 31269281 DOI: 10.1002/jbmr.3752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2019] [Accepted: 03/13/2019] [Indexed: 11/09/2022]
Affiliation(s)
- Toshihiro Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan
| |
Collapse
|
10
|
Sugiyama T. Understanding the Current Evidence on Proton Pump Inhibitor Use and Bone Health. Gastroenterology 2019; 157:585. [PMID: 31102658 DOI: 10.1053/j.gastro.2019.04.051] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Accepted: 04/15/2019] [Indexed: 12/29/2022]
Affiliation(s)
- Toshihiro Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan
| |
Collapse
|
11
|
Sugiyama T. Bariatric Surgery, Physical Activity, and Fracture Risk. J Bone Miner Res 2018; 33:2236. [PMID: 30395691 DOI: 10.1002/jbmr.3593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Toshihiro Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan
| |
Collapse
|
12
|
Sugiyama T. Observational studies investigating hip fracture risk: a fundamental methodological issue? J Intern Med 2018; 284:325-326. [PMID: 29786158 DOI: 10.1111/joim.12773] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- T Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan
| |
Collapse
|
13
|
Sugiyama T. Fracture risk after bariatric surgery: a possible involvement of physical activity. Obes Rev 2018; 19:1313-1314. [PMID: 29775239 DOI: 10.1111/obr.12706] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Accepted: 04/15/2018] [Indexed: 11/30/2022]
Affiliation(s)
- T Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan
| |
Collapse
|
14
|
Affiliation(s)
- T Sugiyama
- Department of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan
| |
Collapse
|
15
|
Sugiyama T. A multi-organ loss of tissue phenotype in COPD: involvement of the functional muscle-bone unit. Eur Respir J 2018; 51:51/6/1800657. [PMID: 29903829 DOI: 10.1183/13993003.00657-2018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Accepted: 04/10/2018] [Indexed: 11/05/2022]
|