Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessment

Abstract Background Bone health and fracture risk are known to be correlated with stiffness. Both micro-finite element analysis (μFEA) and mechanical testing of additive manufactured phantoms are useful approaches for estimating mechanical properties of trabecular bone-like structures. However, it i...

Full description

Bibliographic Details
Main Authors: Sriharsha Marupudi, Qian Cao, Ravi Samala, Nicholas Petrick
Format: Article
Language:English
Published: BMC 2023-11-01
Series:3D Printing in Medicine
Subjects:
Online Access:https://doi.org/10.1186/s41205-023-00197-5
_version_ 1797578066338250752
author Sriharsha Marupudi
Qian Cao
Ravi Samala
Nicholas Petrick
author_facet Sriharsha Marupudi
Qian Cao
Ravi Samala
Nicholas Petrick
author_sort Sriharsha Marupudi
collection DOAJ
description Abstract Background Bone health and fracture risk are known to be correlated with stiffness. Both micro-finite element analysis (μFEA) and mechanical testing of additive manufactured phantoms are useful approaches for estimating mechanical properties of trabecular bone-like structures. However, it is unclear if measurements from the two approaches are consistent. The purpose of this work is to evaluate the agreement between stiffness measurements obtained from mechanical testing of additive manufactured trabecular bone phantoms and μFEA modeling. Agreement between the two methods would suggest 3D printing is a viable method for validation of μFEA modeling. Methods A set of 20 lumbar vertebrae regions of interests were segmented and the corresponding trabecular bone phantoms were produced using selective laser sintering. The phantoms were mechanically tested in uniaxial compression to derive their stiffness values. The stiffness values were also derived from in silico simulation, where linear elastic μFEA was applied to simulate the same compression and boundary conditions. Bland-Altman analysis was used to evaluate agreement between the mechanical testing and μFEA simulation values. Additionally, we evaluated the fidelity of the 3D printed phantoms as well as the repeatability of the 3D printing and mechanical testing process. Results We observed good agreement between the mechanically tested stiffness and μFEA stiffness, with R 2 of 0.84 and normalized root mean square deviation of 8.1%. We demonstrate that the overall trabecular bone structures are printed in high fidelity (Dice score of 0.97 (95% CI, [0.96,0.98]) and that mechanical testing is repeatable (coefficient of variation less than 5% for stiffness values from testing of duplicated phantoms). However, we noticed some defects in the resin microstructure of the 3D printed phantoms, which may account for the discrepancy between the stiffness values from simulation and mechanical testing. Conclusion Overall, the level of agreement achieved between the mechanical stiffness and μFEA indicates that our μFEA methods may be acceptable for assessing bone mechanics of complex trabecular structures as part of an analysis of overall bone health.
first_indexed 2024-03-10T22:17:24Z
format Article
id doaj.art-fff6558d9eb14441bb1f7169abc2a49a
institution Directory Open Access Journal
issn 2365-6271
language English
last_indexed 2024-03-10T22:17:24Z
publishDate 2023-11-01
publisher BMC
record_format Article
series 3D Printing in Medicine
spelling doaj.art-fff6558d9eb14441bb1f7169abc2a49a2023-11-19T12:25:00ZengBMC3D Printing in Medicine2365-62712023-11-019111510.1186/s41205-023-00197-5Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessmentSriharsha Marupudi0Qian Cao1Ravi Samala2Nicholas Petrick3Division of Imaging, Diagnostics, and Software Reliability, Office of Science and Engineering Labs, U.S. Food and Drug AdministrationDivision of Imaging, Diagnostics, and Software Reliability, Office of Science and Engineering Labs, U.S. Food and Drug AdministrationDivision of Imaging, Diagnostics, and Software Reliability, Office of Science and Engineering Labs, U.S. Food and Drug AdministrationDivision of Imaging, Diagnostics, and Software Reliability, Office of Science and Engineering Labs, U.S. Food and Drug AdministrationAbstract Background Bone health and fracture risk are known to be correlated with stiffness. Both micro-finite element analysis (μFEA) and mechanical testing of additive manufactured phantoms are useful approaches for estimating mechanical properties of trabecular bone-like structures. However, it is unclear if measurements from the two approaches are consistent. The purpose of this work is to evaluate the agreement between stiffness measurements obtained from mechanical testing of additive manufactured trabecular bone phantoms and μFEA modeling. Agreement between the two methods would suggest 3D printing is a viable method for validation of μFEA modeling. Methods A set of 20 lumbar vertebrae regions of interests were segmented and the corresponding trabecular bone phantoms were produced using selective laser sintering. The phantoms were mechanically tested in uniaxial compression to derive their stiffness values. The stiffness values were also derived from in silico simulation, where linear elastic μFEA was applied to simulate the same compression and boundary conditions. Bland-Altman analysis was used to evaluate agreement between the mechanical testing and μFEA simulation values. Additionally, we evaluated the fidelity of the 3D printed phantoms as well as the repeatability of the 3D printing and mechanical testing process. Results We observed good agreement between the mechanically tested stiffness and μFEA stiffness, with R 2 of 0.84 and normalized root mean square deviation of 8.1%. We demonstrate that the overall trabecular bone structures are printed in high fidelity (Dice score of 0.97 (95% CI, [0.96,0.98]) and that mechanical testing is repeatable (coefficient of variation less than 5% for stiffness values from testing of duplicated phantoms). However, we noticed some defects in the resin microstructure of the 3D printed phantoms, which may account for the discrepancy between the stiffness values from simulation and mechanical testing. Conclusion Overall, the level of agreement achieved between the mechanical stiffness and μFEA indicates that our μFEA methods may be acceptable for assessing bone mechanics of complex trabecular structures as part of an analysis of overall bone health.https://doi.org/10.1186/s41205-023-00197-5Trabecular boneAdditive manufacturingMicro–finite element analysisCompression testingMicro-computed tomographyBone microstructure
spellingShingle Sriharsha Marupudi
Qian Cao
Ravi Samala
Nicholas Petrick
Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessment
3D Printing in Medicine
Trabecular bone
Additive manufacturing
Micro–finite element analysis
Compression testing
Micro-computed tomography
Bone microstructure
title Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessment
title_full Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessment
title_fullStr Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessment
title_full_unstemmed Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessment
title_short Characterization of mechanical stiffness using additive manufacturing and finite element analysis: potential tool for bone health assessment
title_sort characterization of mechanical stiffness using additive manufacturing and finite element analysis potential tool for bone health assessment
topic Trabecular bone
Additive manufacturing
Micro–finite element analysis
Compression testing
Micro-computed tomography
Bone microstructure
url https://doi.org/10.1186/s41205-023-00197-5
work_keys_str_mv AT sriharshamarupudi characterizationofmechanicalstiffnessusingadditivemanufacturingandfiniteelementanalysispotentialtoolforbonehealthassessment
AT qiancao characterizationofmechanicalstiffnessusingadditivemanufacturingandfiniteelementanalysispotentialtoolforbonehealthassessment
AT ravisamala characterizationofmechanicalstiffnessusingadditivemanufacturingandfiniteelementanalysispotentialtoolforbonehealthassessment
AT nicholaspetrick characterizationofmechanicalstiffnessusingadditivemanufacturingandfiniteelementanalysispotentialtoolforbonehealthassessment