Evaluating The Relation of Trace Fracture Inclination and Sound Pressure Level and Time-of-flight QUS Parameters Using Computational Simulation

Abstract

Bone healing is a complex process that stars after the occurrence of a fracture to restore bone optimal conditions. The gold standards for bone status evaluation are the dual energy X-ray absorptiometry and the computerized tomography. Ultrasound-based technologies have some advantages as compared to X-ray technologies: nonionizing radiation, portability and lower cost among others. Quantitative ultrasound (QUS) has been proposed in literature as a new tool to follow up the fracture healing process. QUS relates the ultrasound propagation with the bone tissue condition (normal or pathological), so, a change in wave propagation may indicate a variation in tissue properties. The most used QUS parameters are time-of-flight (TOF) and sound pressure level (SPL) of the first arriving signal (FAS). In this work, the FAS is the well known lateral wave. The aim of this work is to evaluate the relation of the TOF and SPL of the FAS and fracture inclination trace in two stages of bone healing using computational simulations. Four fracture geometries were used: normal and oblique with 30, 45 and 60 degrees. The TOF average values were 63.23μs, 63.14μs, 63.03μs 62.94μs for normal, 30, 45 and 60 degrees respectively and average SPL values were -3.83dB -4.32dB, -4.78dB, -6.19dB for normal, 30, 45 and 60 degrees respectively. The results show an inverse pattern between the amplitude and time-of-flight. These values seem to be sensible to fracture inclination trace, and in future, can be used to characterize it.