Evidence map›Paper›PMID 26235703›Full record

ReviewJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2015

True Gold or Pyrite: A Review of Reference Point Indentation for Assessing Bone Mechanical Properties In Vivo.

Matthew R Allen, Erin Mb McNerny, Jason M Organ, Joseph M Wallace

Abstract readReview
In one paragraph

Review in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Bone Fragility: Time to Address the Matrix.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  3. Fracture risk assessment in diabetes mellitus.Frontiers in endocrinology · 2022
    Review
  4. Review
  5. Article
  6. Treatments of osteoporosis increase bone material strength index in patients with low bone mass.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
  7. Article
  8. PTH and bone material strength in hypoparathyroidism as measured by impact microindentation.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
  9. In Vivo Assessment of Cortical Bone Fragility.Current osteoporosis reports · 2020
    Review
  10. Article
  11. Structural and functional properties of bone are compromised in amyotrophic lateral sclerosis mice.Amyotrophic lateral sclerosis & frontotemporal degeneration · 2018
    Article
  12. Review
  13. Assessment of bone quality in patients with diabetes mellitus.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Bone material strength index as measured by impact microindentation is low in patients with fractures irrespective of fracture site.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  20. Differences in sensitivity to microstructure between cyclic- and impact-based microindentation of human cortical bone.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Matthew R AllenDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, USA.
Erin Mb McNernyDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, USA.
Jason M OrganDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, USA.
Joseph M WallaceDepartment of Biomedical Engineering, Indiana University Purdue University of Indianapolis, Indianapolis, IN, USA.

Funding

Enhancing bone strength using combination drug therapyR01AR062002 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI ALLEN, MATTHEW R · 2012 to 2016
$2.4M
NIAMS NIH HHS AR60202NIAMS NIH HHS R01 AR062002
6 · The paper itself

Abstract

Although the gold standard for determining bones' mechanical integrity is the direct measure of mechanical properties, clinical evaluation has long relied on surrogates of mechanical properties for assessment of fracture risk. Nearly a decade ago, reference point indentation (RPI) emerged as an innovative way to potentially assess mechanical properties of bone in vivo. Beginning with the BioDent device, and then followed by the newer generation OsteoProbe, this RPI technology has been utilized in several publications. In this review we present an overview of the technology and some important details about the two devices. We also highlight select key studies, focused specifically on the in vivo application of these devices, as a way of synthesizing where the technology stands in 2015. The BioDent machine has been shown, in two clinical reports, to be able to differentiate fracture versus nonfracture patient populations and in preclinical studies to detect treatment effects that are consistent with those quantified using traditional mechanical tests. The OsteoProbe appears able to separate clinical cohorts yet there exists a lack of clarity regarding details of testing, which suggests more rigorous work needs to be undertaken with this machine. Taken together, RPI technology has shown promising results, yet much more work is needed to determine if its theoretical potential to assess mechanical properties in vivo can be realized.

Indexed as

AnimalsBiomechanical PhenomenaBone and BonesCohort StudiesDogsFemurFractures, BoneGoldHumansIronMiceRatsReference ValuesStress, MechanicalSulfidesGoldIronpyriteSulfidesBIODENTBONEMECHANICAL PROPERTIESMICROINDENTATIONOSTEOPROBERPI

Identifiers

PMID26235703
PMCPMC4825864

What OpenQuestion holds

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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.