DOI QR코드

DOI QR Code

Suppression of Osteoporotic bone loss on the site to which low Intensity Ultrasound is Irradiated - In vivo test on BMD and Morphological Characteristics

저강도 초음파 조사 부위의 골 소실 억제 효과 -골 밀도 및 형태학적 특성 평가

  • Ko, Chang-Yong (Department of Biomedical Engineering and & Institute of Medical Engineering, Yonsei University) ;
  • Seo, Dong-Hyun (Department of Biomedical Engineering and & Institute of Medical Engineering, Yonsei University) ;
  • Kim, Hyo-Seon (Department of Biomedical Engineering and & Institute of Medical Engineering, Yonsei University) ;
  • Kim, Han-Sung (Department of Biomedical Engineering and & Institute of Medical Engineering, Yonsei University) ;
  • Kim, Sang-Hee (Electronics and Telecommunications Research Institute) ;
  • Kim, Jin-Man (Chungnam National University) ;
  • Kim, Ki-Won (Department of Biomedical Engineering and & Institute of Medical Engineering, Yonsei University) ;
  • Lim, Do-Hyung (Musetec)
  • 고창용 (연세대학교 의공학과 & 의료공학연구원) ;
  • 서동현 (연세대학교 의공학과 & 의료공학연구원) ;
  • 김효선 (연세대학교 의공학과 & 의료공학연구원) ;
  • 김한성 (연세대학교 의공학과 & 의료공학연구원) ;
  • 김상희 (한국전자통신연구원) ;
  • 김진만 (충남대학교 의과학대) ;
  • 김기원 (뮤즈텍) ;
  • 임도형 (연세대학교 의공학과 & 의료공학연구원)
  • Published : 2009.02.28

Abstract

Purpose : The aim of this study is to evaluate a possibility of clinical application for the effects of low intensity ultrasound stimulation (LIUS) in morphological characteristics (i.e., structure, bone mineral density) of bone on osteoporotic fracturesprevention. Materials and Methods : Eight virgin 14-week-old ICR mice (approximate weight 25g) were used and ovariectomized (OVX) to induce osteoporosis. Right tibia (US) for each mouse served as the LIUS (1.5MHz frequency, 1.0 kHz pulse repetition on frequency, $30mW/cm^2$ intensity, $200{\mu}s$ pulse length, and stimulation for 20 minutes a day and 5 days a week over a 6-week period). Left tibia (CON) for each mouse served as the non-stimulated controls. Structural parameters and bone mineral density ($g/cm^3$) on trabecular bone of tibiae were calculated and measured from images derived in-vivo micro computed tomography (micro-CT) at 0 week and after 6weeks. Results : The BV/TV and Tb.N in US group were significantly bigger than those in CON group. The Tb.Pf in US group, moreover, was significantly smaller than that in CON group (p<0.05).For the others structural parameters and BMD, however, there were no significant difference between US group and CON group (p>0.05). Conclusion : The LIUS might prevent bone loss and keep bone connectivity in osteoporotic bones. Therefore, the LIUS might prevent effectively the osteoporotic fractures in clinics.

Keywords

References

  1. Carvalho DCL and Cliquet Jr A: The action of low-intensity pulsed ultrasound in bones of osteopenic rats. Artificial Organs, 28: 114-118, 2004 https://doi.org/10.1111/j.1525-1594.2004.07091.x
  2. Clase L and Willie B: The enhancement of bone regeneration by ultrasound. Progress in Biophysics and Molecular Biology, 93: 384-398, 2007 https://doi.org/10.1016/j.pbiomolbio.2006.07.021
  3. Cowin S: Bone mechanics handbook. CRC press: 1-32, 2000
  4. Ko C, Lee T, Woo D, et al.: Effects of Whole body Vibration on Osteoporotic Trabecular Bone of Rats - Compared with the Effects of Actonel. Journal of the Korean Society for Precision Engineering 25: 148-154, 2008
  5. Ko C, Woo D, Kim H and Lee B: Micro-CT Evaluation in Osteoporosis Model. The Korean Journal of Physical Anthropology, 18: 283-290, 2005 https://doi.org/10.11637/kjpa.2005.18.4.283
  6. Ko C, Woo D, Lee T, Kim H, Lee B and Tack G: Detecting and Tracking Changes of Mechanical Characteristics of the Trabecular and Cortical Bone in the Lumbar Vertebrae of an OVX Rat - Use of In-Vivo Micro-CT and Micro-FE Analysis-. Journal of the Korean Society for Precision Engineering 24: 110-117, 2007
  7. Lacey JJ, Mink P, Lubin J, et al.: Menopausal hormone replacement therapy and risk of ovarian cancer. JAMA : the journal of the American Medical Association, 288: 334-341, 2002 https://doi.org/10.1001/jama.288.3.334
  8. Rubin C, Bolander M, Ryaby JP and Hadjiargyrou M: The Use of Low-Intensity Ultrasound to Accelerate the Healing of Fractures The Journal of Bone and Joint Surgery, 83: 259-270, 2001 https://doi.org/10.1302/0301-620X.83B2.10763
  9. Schairer C, Lubin J, Troisi R, Sturgeon S, Brinton L and Hoover R: Menopausal Estrogen and Estrogen-Progestin Replacement Therapy and Breast Cancer Risk. JAMA : the journal of the American Medical Association, 283: 485-491, 2000 https://doi.org/10.1001/jama.283.4.485
  10. The Korean Society of Bone Metabolism: Physician`s guideline for osteoporosis. Seoheung: 2007
  11. Warden SJ, Bennell KL, Forwood MR, McMeeken JM and Wark JD: Skeletal effects of low-intensity pulsed ultrasound on the ovariectomized rodent. Ultrasound in Medicine and Biology, 27: 989-998, 2001 https://doi.org/10.1016/S0301-5629(01)00376-3