Evidence map›Paper›PMID 24200486›Full record

ArticleAcademic radiology2013

Assessment of trabecular bone yield and post-yield behavior from high-resolution MRI-based nonlinear finite element analysis at the distal radius of premenopausal and postmenopausal women susceptible to osteoporosis.

Ning Zhang, Jeremy F Magland, Chamith S Rajapakse, ShingChun Benny Lam, Felix W Wehrli

Abstract read
In one paragraph

Article in Academic radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. A CombinedAnnals of biomedical engineering · 2026
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  5. Review
  6. Impact of Genetic and Pharmacologic Inhibition of Myostatin in a Murine Model of Osteogenesis Imperfecta.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. MRI assessment of bone structure and microarchitecture.Journal of magnetic resonance imaging : JMRI · 2017
    Review
  14. Potential of PET-MRI for imaging of non-oncologic musculoskeletal disease.Quantitative imaging in medicine and surgery · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Ning ZhangLaboratory for Structural NMR Imaging, Department of Radiology, University of Pennsylvania Medical Center, 3400 Spruce St, Philadelphia, PA 19104.
Jeremy F Magland
Chamith S Rajapakse
ShingChun Benny Lam
Felix W Wehrli
University of Pennsylvania · US

Funding

Structural MRI of trabecular bone for therapy response monitoringR01AR053156 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WEHRLI, FELIX W · 2005 to 2009
$3.6M
Osteoporosis Treatment Response Assessed by Micromechanical Modeling of MRI DataR01AR055647 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WEHRLI, FELIX W · 2007 to 2016
$3.6M
Tensor Scale-based Methods for Assessment of Trabecular Bone QualityR01AR054439 · NIAMS · UNIVERSITY OF IOWA · PI SAHA, PUNAM K. · 2009 to 2012
$1.4M
Real-time feedback MRI for improved reproducibility in imaging biomarkersK25EB007646 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI MAGLAND, JEREMY · 2008 to 2012
$682k
Computational Biomechanics for Prediction of Osteoporotic Vertebral Fracture RiskK25AR060283 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI RAJAPAKSE, CHAMITH SUDESH · 2011 to 2014
$491k
NIAMS NIH HHS K25 AR060283NIAMS NIH HHS R01 AR053156NIAMS NIH HHS R01 AR054439NIAMS NIH HHS R01 AR055647NIBIB NIH HHS K25 EB007646
6 · The paper itself

Abstract

RATIONALE AND

objectivesTo assess the performance of a nonlinear microfinite element model on predicting trabecular bone yield and post-yield behavior based on high-resolution in vivo magnetic resonance images via the serial reproducibility. MATERIALS AND

methodsThe nonlinear model captures material nonlinearity by iteratively adjusting tissue-level modulus based on tissue-level effective strain. It enables simulations of trabecular bone yield and post-yield behavior from micro magnetic resonance images at in vivo resolution by solving a series of nonlinear systems via an iterative algorithm on a desktop computer. Measures of mechanical competence (yield strain/strength, ultimate strain/strength, modulus of resilience, and toughness) were estimated at the distal radius of premenopausal and postmenopausal women (N = 20, age range 50-75) in whom osteoporotic fractures typically occur. Each subject underwent three scans (20.2 ± 14.5 days). Serial reproducibility was evaluated via coefficient of variation (CV) and intraclass correlation coefficient (ICC).

resultsNonlinear simulations were completed in an average of 14 minutes per three-dimensional image data set involving analysis of 61 strain levels. The predicted yield strain/strength, ultimate strain/strength, modulus of resilience, and toughness had a mean value of 0.78%, 3.09 MPa, 1.35%, 3.48 MPa, 14.30 kPa, and 32.66 kPa, respectively, covering a substantial range by a factor of up to 4. Intraclass correlation coefficient ranged from 0.986 to 0.994 (average 0.991); CV ranged from 1.01% to 5.62% (average 3.6%), with yield strain and toughness having the lowest and highest CV values, respectively.

conclusionsThe data suggest that the yield and post-yield parameters have adequate reproducibility to evaluate treatment effects in interventional studies within short follow-up periods.

Indexed as

AgedFemaleFinite Element AnalysisHumansImage Processing, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance ImagingMiddle AgedOsteoporosisOsteoporosis, PostmenopausalPostmenopausePredictive Value of TestsPremenopauseRadiusReproducibility of ResultsFinite element analysisMRIreproducibility and reliabilitytrabecular bone mechanics

Identifiers

PMID24200486
PMCPMC3842221
OpenAlexW2121694634

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.