Evidence map›Paper›PMID 30997546›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2019

Validation of distal radius failure load predictions by homogenized- and micro-finite element analyses based on second-generation high-resolution peripheral quantitative CT images.

A J Arias-Moreno, H S Hosseini, M Bevers, K Ito, P Zysset, B van Rietbergen

Registry-linked trialAbstract readValidation Study
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05204836 (Altering Bone Microarchitecture and Mechanics by Off-label Pharmaceutical Intervention), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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.

NCT05204836 phase1terminatednot on this mapstarted 2023, after this paper: background citation

Altering Bone Microarchitecture and Mechanics by Off-label Pharmaceutical Intervention

TypeinterventionalSponsorUniversity of CalgaryRan2023 to 2025Enrolled4ConditionsAnterior Cruciate Ligament Tear, Anterior Cruciate Ligament Rupture, Anterior Cruciate Ligament Injuries, Osteo Arthritis KneeArmsZoledronic Acid Injection, Placebo
3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Trial
  2. HR-pQCT measures of bone in autosomal dominant osteopetrosis highly correlate with fractures and inversely correlate with bone resorption markers.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  3. Associations of muscle strength and functional power with longitudinal change in HR-pQCT bone parameters: the Osteoporotic Fractures in Men (MrOS) Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
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  6. Observational
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  8. The impact of segmentation approach on HR-pQCT microarchitectural and biomechanical metrics depends on bone structure.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
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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

6 authors.

A J Arias-MorenoOrthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, De Zaale, Groene Loper 15, 5612AP, Eindhoven, The Netherlands.ORCID http://orcid.org/0000-0001-8804-0995
H S HosseiniInstitute for Surgical Technology and Biomechanics, University of Bern, Stauffacherstrasse 78, 3014, Bern, Switzerland.
M BeversOrthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, De Zaale, Groene Loper 15, 5612AP, Eindhoven, The Netherlands.
K ItoOrthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, De Zaale, Groene Loper 15, 5612AP, Eindhoven, The Netherlands.
P ZyssetInstitute for Surgical Technology and Biomechanics, University of Bern, Stauffacherstrasse 78, 3014, Bern, Switzerland.
B van RietbergenOrthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, De Zaale, Groene Loper 15, 5612AP, Eindhoven, The Netherlands. B.v.Rietbergen@tue.nl.

Funding

Colciencias (COL) LASPAUID20110290Kommission für Technologie und Innovation 14311.1 PFLS-LS
6 · The paper itself

Abstract

This study developed a well-standardized and reproducible approach for micro-finite element (mFE) and homogenized-FE (hFE) analyses that can accurately predict the distal radius failure load using either mFE or hFE models when using the approaches and parameters developed in this study.

introductionMicro-FE analyses based on high-resolution peripheral quantitative CT (HR-pQCT) images are frequently used to predict distal radius failure load. With the introduction of a second-generation HR-pQCT device, however, the default modelling approach no longer provides accurate results. The aim of this study was to develop a well-standardized and reproducible approach for mFE and hFE analyses that can provide precise and accurate results for distal radius failure load predictions based on second-generation HR-pQCT images.

methodsSecond-generation HR-pQCT was used to scan the distal 20-mm section of 22 cadaver radii. The sections were excised and mechanically tested afterwards. For these sections, mFE and hFE models were made that were used to identify required material parameters by comparing predicted and measured results. Using these parameters, the models were cropped to represent the 10-mm region recommended for clinical studies to test their performance for failure load prediction.

resultsAfter identification of material parameters, the measured failure load of the 20-mm segments was in good agreement with the results of mFE models (R

conclusionsIt was concluded that it is possible to accurately predict the distal radius failure load using either mFE or hFE models when using the approaches and parameters developed in this study.

Indexed as

Biomechanical PhenomenaCadaverCompressive StrengthElasticityFinite Element AnalysisHumansOsteoporosisOsteoporotic FracturesRadiographic Image Interpretation, Computer-AssistedRadiusRadius FracturesReproducibility of ResultsTomography, X-Ray ComputedWeight-BearingBone strengthDistal radiusFinite element analysisHR-pQCTMicro-FEOsteoporosis

Identifiers

PMID30997546
PMCPMC6614386

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Registered trials

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.