Barium Sulfate Research Articles

Assessment of different shielding materials for radiation therapy of maxillofacial tumors – An in vitro study

Aim: Since the advent of radiotherapy, the success rate of head and neck cancer treatment has increased significantly. However, when the tissue tolerance level is exceeded, unnecessary and uncontrolled exposure to radiation is considered detrimental. Such problems remain difficult to prevent and manage. The aim of the study to evaluate and compare the degree of attenuation of therapeutic radiation using four different radiation shielding materials of varying thickness. Study Setting and Design: In vitro experimental study. Materials and Methods: The samples were divided into four groups based on the different radiation shielding materials of thickness 3mm and 5mm. The materials are Lead (Pb), Silver-tin alloy (Ag-Sn) with Polyvinylsiloxane (PVS), Polymethylmethacrylate (PMMA) with Barium sulphate (BaSO4), and a combination of Ag-Sn with PVS and PMMA with BaSO4 which was exposed to radiation. The radiation dose measurements were recorded and the radiation attenuation properties of the shielding materials were evaluated. Among all of the shielding materials the most efficient material under consideration is determined. Statistical Analysis Used: One-way ANOVA followed by post hoc test was used to compare the means of all four groups. Results: A statistically significant difference between groups was found by a one-way ANOVA with a P = 0.001. In the post hoc test, statistically significant findings were obtained with a P = 0.05 when comparing the variation values of 3mm and 5mm thickness between each group and other groups. Conclusion: The shielding materials results in significant reductions in radiation dosage. It was concluded that the combinations of Ag-Sn alloy with PVS, and PMMA with BaSO4 of thickness 5 mm had a good shielding effect.

Adding barium sulfate (BaSO4) to fly ash geopolymer increases its compressive strength as X-ray shielding for medical imaging applications

BackgroundGeopolymers, a novel cementitious material, have the potential for reducing carbon dioxide wastes resulting from the manufacture of cement. PurposeThis study presents an experimental inquiry conducted to produce a fly ash geopolymer mortar with a good of compressive strength of the batch. MethodsActivation of the mortar is accomplished through the use of sodium hydroxide and sodium silicate. The mortar is created from a mixture of fly ash and sand. In order to determine the maximum load that a material is capable of bearing before experiencing failure, the compressive strength test was utilized. ResultsAccording on the findings of the compressive strength testing device, the fly ash geopolymer with 15 % barium sulfate (BaSO4) demonstrates the highest compressive strength, which is measured at 56 MPa. When compared to the results obtained from cement mortar, this one is twice as high, which indicates that the strength improvement factor is 2. This study's findings highlighted the necessity of employing fly ash geopolymer that contains 15 % BaSO4 for the purpose of providing shielding protection. Conclusion: Therefore, in terms of its performance, fly ash geopolymer is superior to cement mortar. This is due to the fact that it is manufactured with a high compressive strength.

Assessment of trochanteric vascularity using quantitative magnetic resonance imaging in a cadaveric model.

Few studies have assessed trochanteric vascularity despite its implications for bone healing and surgical approaches. This study aimed to assess the regional arterial contributions of the medial femoral circumflex artery (MFCA) versus the lateral femoral circumflex artery (LFCA) to trochanteric vascularity. Ten adult human cadaveric pelvises to mid-femur specimens were obtained. One hip was randomly assigned experimental (either MFCA or LFCA MRI-contrast infusion) and contralateral as control (MFCA and LFCA magnetic resonance imaging [MRI]-contrast infusion). Vascular dissection was performed for MFCA and LFCA cannulation. Pre- and post-contrast 3T MRI was completed, and intra-osseous contributions were quantified by region: greater trochanter (GT), intertrochanteric (IT), lesser trochanter (LT) and subtrochanteric (ST). A polyurethane compound mixed with barium sulfate was injected into the LFCA cannula, and into the MFCA cannula for the contralateral hip. Computed tomography (CT) imaging was completed to assess terminal branch locations. MFCA provided the majority of arterial contributions to the full trochanteric region (68.5% MFCA, 31.5% LFCA; standard deviation [SD]: 10.7%, p < 0.001). Over 70% of arterial contributions to ST, LT and IT regions are derived from MFCA. GT contributions were more balanced (52.5% MFCA, 47.5% LFCA; SD: 33.7%; p = 0.853). Significant differences were found between MFCA and LFCA contributions in all regions except for the GT. CT revealed multiple consistent MFCA and LFCA trochanteric terminal branches. MFCA provided the dominant trochanteric arterial supply, which highlights MFCA's importance to overall hip vascularity. LFCA's trochanteric contribution was smaller but still provided trochanteric contributions, especially the GT region. Knowledge of trochanteric arterial contributions can be beneficial for optimizing surgical approaches and fixation to protect terminal branches during trochanteric fracture, nonunion treatment and trochanteric osteotomies. Not applicable.

Forms of occurrence metals and metalloids in products of the Mutnovsky volcano gas-hydrothermal activity

On the basis of concentrate analysis of the Mutnovsky volcano thermal sites substance, new data of the ore elements forms of occurrence were obtained. In the course of large-scale hydrothermal alteration of volcanic rocks, with the participation of magmatic fluids and meteoric waters, metals and metalloids are transported to the surface, which are concentrated in the form of the main or impurity components of new-forming minerals. Sulfides of copper, zinc, mercury, silver and barium sulfate are confidently diagnosed, in which, in addition to mineral-forming Zn, Cu, Hg, Ag and Ba, admixtures of Mn, Cd, Sr, I, Cl, Te, Pb are present. Micron-sized phases were found containing Ru, Os and Ir (laurite), Pb (galena) as the main components, as well as intermetallic compounds (Fe–Ni), (Fe–Ir–Os), (Pb–Bi), (Bi–Te) and native Au. Most of the new-forming mineral individuals are associated with a mineral of the pyrite-marcasite group, which contains admixtures of As, Cu, Ni, and Co. Platinoids Os, Ir, Ru among the new-forming minerals within the East Kamchatka volcanic belt were discovered for the first time.

Phosphonated Polyetheramine-Coated Superparamagnetic Iron Oxide Nanoparticles: Study on the Harsh Scale Inhibition Performance of Calcium Carbonate and Barium Sulfate.

Harsh scale buildup, such as calcium carbonate (calcite) and barium sulfate (barite), poses significant challenges in the oil and gas industry. While various scale inhibitors (SIs) are employed to mitigate this issue, there is a need for greener, more efficient, compatible, and affordable alternatives. Calcium compatibility often complicates the use of SIs, potentially leading to formation damage. Our group has recently synthesized a recyclable nanocomposite scale inhibitor made of superparamagnetic nanoparticles coated with a trisodium citrate linker to phosphonated poly(ether amine) (SPION-TSC-PPEA) and tested it against calcium sulfate (gypsum), a simple form of scale buildup. This study evaluates the recyclable nanocomposite scale inhibitor's efficiency in mitigating calcite and Barite scales through static jar tests and high-pressure dynamic tube-blocking tests at 80 bar and 100 °C. The nanocomposite demonstrated high calcium ion compatibility, excellent inhibition efficiency against calcite, moderate efficiency against Barite, and maintained efficacy over five recycling cycles.

Flexible Composites of Barium Sulfate Modified by Tannic Acid Using Glycerol/Starch for X‐Ray Shielding Applications

Flexible Composites of Barium Sulfate Modified by Tannic Acid Using Glycerol/Starch for X‐Ray Shielding Applications

Evaluating lead-free alternatives for radiation shielding in diagnostic radiology: a case study from a tertiary general hospital in Korea.

With the continued increase in the number of pieces of diagnostic medical radiography equipment being used, radiation shielding in radiology departments is becoming increasingly important. Lead is the most commonly used material for radiation protection; however, there are numerous disadvantages associated with the use of lead, including environmental hazards and harm to the human body. Alternative shielding materials that can be used as replacements include barium sulfate, tungsten, or bismuth. Among alternative materials, barium sulfate appears to be the most cost-effective and easiest to process. In the present study, before constructing shielding barriers, a barrier thickness program for lead-free barrier materials based on National Council on Radiation Protection and Measurements (NCRP) Report No. 147 was used to determine the appropriate barrier thickness. The required thickness for lead-free boards for each type of diagnostic radiography room was calculated based on a tertiary general hospital in the Republic of Korea.

Influences of additives on the properties of geopolymer matrix composites (GMCS) for high-temperature applications (1150 °C)

In this study, the influence of different additives on a geopolymer matrix composite (GMC) was explored as an alternative to a ceramic matrix composite (CMC) for thermostructural applications. Different GMCs using an N610 textile (10 × 10 cm2) and various additives (SrCO3, BaCO3, BaSO4, MgO and Al2O3 and mullite-rich powder) were cured under 6 MPa at 120 °C for 2 h. The mechanical, microstructural and structural data of the composites were compared with those of the geopolymer matrix after thermal treatment at 1150 °C. The results showed that the addition of alkali-earth barium carbonate or sulfate to the geopolymer matrix facilitated the formation of alkali-earth aluminosilicate crystalline phases and a higher viscous flow apparition temperature (990 °C), which did not enhance its mechanical properties (50 MPa) due to poor impregnation of the textile. Refractory additives such as MgO and Al2O3 in the geopolymer matrix support fiber impregnation with a low-viscous-flow apparition temperature (865 °C) and the formation of crystalline phases such as forsterite, spinel and sapphirine, which act as reinforcements, allowing a flexural strength up to 80 MPa. The addition of a refractory compound, such as mullite, leads to better embedding of fibers and a flexural strength reaching 100 MPa. To conclude, mixing the geopolymer matrix with refractory compounds results in a successful thermo-structural geopolymer composite.

Cell membrane-functionalized bismuth oxyiodide nanodots as potential contrast agent for gastrointestinal tract imaging

Various noninvasive imaging modalities, including X-ray and computed tomography (CT) imaging, have provided significant advantages in accurately assessing the conditions of the gastrointestinal (GI) tract. The corresponding contrast agent with high resolution and biosafety is one of the most crucial focuses in the diagnosis of GI diseases. In this study, considering the requirements of good biocompatibility and biosafety, a novel imaging platform composed of the high-performance contrast agent based on macrophage membrane-coated BiOI nanodots (BiOI@M) was designed via a facile approach. The BiOI@M exhibited outstanding long-term stability and low toxicity. Significantly, BiOI@M demonstrated superior imaging ability compared to clinical barium sulfate. Higher CT values of BiOI@M were observed at equivalent concentrations to barium sulfate, thereby clearly outlining the stomach, small intestine, caecum, and colon after the oral administration of BiOI@M solutions in X-ray and CT imaging. Taken together, BiOI@M could serve as a novel efficient contrast agent in X-ray/CT imaging of the GI tract and diagnosis of GI diseases.

Characterization of fluoroelastomers compounds by ATR-FTIR

Fluoroelastomers (FKM) are used to manufacture seals and other rubber devices that can withstand harsh operating conditions, including aggressive media and extreme low and high temperatures. Even though nuclear magnetic resonance, Fourier-transform infrared spectroscopy (FTIR), and chromatographic techniques have been extensively used in the characterization of raw FKM molecules, the identification of cured compounds entails a characterization method that is able to overcome the complexity related to this kind of structure. In this sense, attenuated total reflection Fourier transform infrared (ATR-FTIR) spectroscopy can outperform other characterization techniques because it does not require solubilization or any special preparation of the sample. In this study, 10 FKM compounds were produced in this study utilizing four commercial types of FKM and the fillers carbon black, barium sulfate, and iron oxide. All unfilled-FKM (as received) and their compounds were analyzed by ATR-FTIR with germanium crystal. Between 15 and 25 analyses were performed for all each FKM type sample and their respective compounds. All spectra were analyzed, and the bands were assigned. Findings regarding the interference of the fillers in the spectra were also reported. From relationships between the height of the spectral zones and the bands at 1397 and 1428 cm−1, it was possible to distinguish all sample compositions of FKM types 1, 2, 3, and 5. This study demonstrates that ATR-FTIR has the potential to be utilized as a technique to detect the type of FKM compounds, an important rubber used in harsh industrial applications. Replacing carbon with BaSO4 reduces the tensile at 50% strain of FKM types 1 and 2 composites. FKM types 3 and 5 composites filled with 30 phr of carbon black have a higher tensile at 50% strain than those of FKM type 1.

Development and performance evaluation of medical radiation-reducing creams using eco-friendly radiation-shielding composites

To ensure the safety of medical personnel in healthcare organizations, radiation-shielding materials like protective clothing are used to protect against low-dose radiation, such as scattered rays. The extremities, particularly the hands, are the most exposed to radiation. New materials that can be directly coated onto the skin would be more cost-effective, efficient, and convenient than gloves. We developed protective creams using eco-friendly shielding materials, including barium sulfate, bismuth oxide, and ytterbium oxide, to avoid harmful effects of heavy metals like lead, and tested their skin-protective effects. Particularly, the radiation-shielding effect of ytterbium oxide was compared with that of the other materials. As shielding material dispersion and layer thickness greatly affect the efficacy of radiation-shielding creams, we assessed dispersion in terms of the weight percentage (wt%). The effective radiation energy was reduced by 20% with a 1.0-mm increase in cream thickness. Ytterbium oxide had a higher radiation-shielding rate than the other two materials. A 28% difference in protective effect was observed with varying wt%, and the 45 wt% cream at 63.4 keV radiation achieved a 61.3% reduction rate. Higher content led to a more stable incident energy-reducing effect. In conclusion, ytterbium oxide shows potential as a radiation-shielding material for creams.

Clinical applications, safety profiles, and future developments of contrast agents in modern radiology: A comprehensive review

AbstractContrast agents have transformed the field of medical imaging, significantly enhancing the visualisation of internal structures and improving diagnostic accuracy across X‐rays, computed tomography, magnetic resonance imaging (MRI), and ultrasound. This review explores the historical development, physicochemical properties, and mechanisms of action of iodinated, gadolinium‐based, barium sulfate, microbubble, and nanoparticle contrast agents. It highlights key advancements, including the transition from high‐osmolar to low‐ and iso‐osmolar iodinated agents, the integration of gadolinium in MRI, and the innovative use of microbubbles and nanoparticles. The review critically examines the safety profiles and adverse reactions of these contrast agents, categorising them into hypersensitivity and physiological reactions. It outlines risk factors, common misconceptions, and management strategies for adverse reactions, emphasising the importance of personalised approaches in clinical practice. Additionally, it delves into broader implications, including ethical considerations, environmental impact, and global accessibility of contrast media. The review also discusses technological advancements such as targeted contrast agents and the integration of artificial intelligence to optimise contrast dosage. By synthesising current knowledge and emerging trends, this review underscores the pivotal role of contrast agents in advancing medical imaging. It aims to equip clinicians, researchers, and policymakers with a thorough understanding to enhance diagnostic efficacy, ensure patient safety, and address ethical and environmental challenges, thereby informing future innovations and regulatory frameworks to promote equitable access to advanced imaging technologies globally.

Dissolved Barium Causes Toxicity to Groundwater Cyclopoida.

Barium (Ba) dissolution and mobilization in groundwater are predominantly controlled by sulfate because of the low solubility of barium sulfate (BaSO4) minerals. Naturally present at low concentrations in groundwater, elevated concentrations of Ba can occur as a result of anthropogenic activities, including use of barite in drill operations, and geogenic sources such as leaching from geological formations. No toxicity data exist for Ba with groundwater organisms (stygofauna) to assess the risk of elevated Ba concentrations. The present study measured Ba toxicity to two stygobiont Cyclopoida species: one collected from Wellington and the other from Somersby, New South Wales, Australia. Toxicity was measured as cyclopoid survival over 2, 4, 7, 14, 21, and 28 days in waters of varying sulfate concentration (<1-100 mg SO4/L). When sulfate was present, dissolved Ba concentrations decreased rapidly in toxicity test solutions forming a BaSO4 precipitate until dissolved sulfate was depleted. Barium in excess of sulfate remained in the dissolved form. The toxicity of Ba to cyclopoids was clearly attributed to dissolved Ba. Precipitated Ba was not toxic to the Wellington cyclopoid species. Toxicity values for dissolved Ba for the Wellington and Somersby cyclopoid species included a (21-day) no-effect concentration of 3.3 mg/L and an effective concentration to cause 5% mortality of 4.8 mg/L (at 21 days). Elevated dissolved Ba concentrations due to anthropogenic and/or biogeochemical processes may pose a risk to groundwater organisms. Further toxicity testing with other stygobiont species is recommended to increase the data available to derive a guideline value for Ba that can be used in contaminant risk assessments for groundwaters. Environ Toxicol Chem 2024;00:1-14. © 2024 The Author(s). Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.

Radiopaque and Biocompatible PMMA Bone Cement Triggered by Nano Tantalum Carbide and Its Osteogenic Performance.

Poly(methyl methacrylate) (PMMA) bone cements have been widely used in orthopedics; thanks to their excellent mechanical properties, biocompatibility, and chemical stability. Barium sulfate and zirconia are usually added into PMMA bone cement to enhance the X-ray radiopacity, while the mechanical strength, radiopacity, and biocompatibility are not well improved. In this study, an insoluble and corrosion-resistant ceramic, tantalum carbide (TaC), was added into the PMMA bone cement as radiopacifies, significantly improving the mechanical, radiopaque, biocompatibility, and osteogenic performance of bone cement. The TaC-PMMA bone cement with varied TaC contents exhibits compressive strength over 100 MPa, higher than that of the commercial 30% BaSO4-PMMA bone cement. Intriguingly, when the TaC content reaches 20%, the radiopacity is equivalent to the commercial bone cement with 30% of BaSO4 in PMMA. The cytotoxicity and osteogenic performance indicate that the incorporation of TaC not only enhances the osteogenic properties of PMMA but also does not reduce cell viability. This study suggests that TaC could be a superior and multifunctional radio-pacifier for PMMA bone cement, offering a promising avenue for improving patient outcomes in orthopedic applications.

INNOVATIVE RADIATION SHIELDING: PERFORMANCE OF LOCALLY MADE BaSO4 -COATED BUILDING BLOCKS FROM FCT, ABUJA AS LOW COST EFFECTIVE RADIATION BARRIERS

This study explores the innovative use of locally made blocks from four area councils (Abuja Municipal, Gwagwalada, Kuje, and Kwali) within the Federal Capital Territory of Abuja, coated with Barium Sulfate paint, as an effective shielding material against radiation. Soil samples were collected from each area, and blocks measuring 10 cm x 10 cm with varying thicknesses of 1-4 cm were molded. These coated blocks were exposed to low-energy X-rays at 100 kV and 10 mAs, and radiation doses passing through them were measured using a Raysafe Thin-X dose meter, including the free air exposure without any block. One uncoated block from Abuja Municipal area was also exposed to compare the effectiveness of barium sulfate. The Linear Attenuation Coefficients and Half-Value Layers for the blocks from each council area were determined. The block sample derived from soil collected in the Abuja Municipal Area and coated with Barium Sulfate exhibited the highest linear attenuation coefficient of 1.114 cm⁻¹ and the lowest half-value layer of 6.22 mm. In contrast, an uncoated block from the same soil showed 0.702 cm-1 and 9.87 mm as the linear attenuation coefficient and the half-value layer respectively. Blocks from the Gwagwalada, Kuje, and Kwali Area Councils showed linear attenuation coefficients of 1.027, 0.900, and 0.968 cm⁻¹ and half-value layers of 6.75, 7.70, and 7.16 mm, respectively. These values were compared with the half-value layers of concrete and lead. From the findings, Barium Sulfate coated blocks were found to be the most effective and cost-efficient alternative for radiation shielding.

Valorization of Grass Clipping Waste: A Sustainable Approach to Cellulose Extraction and Paper Manufacturing

This study investigates the physical, mechanical, and structural characteristics of handmade paper samples derived from cellulose extracted from grass clippings using two distinct methods as follows: (1) alkali treatment and (2) alkali treatment followed by bleaching, coupled with the incorporation of barium sulfate as a mineral filler. Our investigation revealed that the handmade paper samples’ densities, moisture contents, and thicknesses varied within the ranges of 0.436 to 0.549 g/cm3, 5.60 to 2.51%, and 0.41 to 0.50 mm, respectively. The tensile strength and folding endurance of the papers produced through alkali treatment with barium sulfate were notably superior to those produced from bleached pulp and barium sulfate. Our analysis indicates that several critical factors, including paper density, thickness, the crystallinity index, and the microfibrillar structure of cellulose, intricately influence the mechanical and strength properties of the samples. Using Fourier transform infrared spectroscopy (FT-IR) and X-ray diffraction (XRD) techniques, we identified characteristic cellulose bonds and examined cellulose’s crystalline and amorphous phases. Additionally, the crystallinity index of the samples was determined using both the Segal and peak deconvolution methods. Scanning electron microscopy (SEM) micrographs revealed interconnected networks of cellulose fibers with varying thicknesses and lengths, along with incorporated mineral filler within the cellulose fiber structure. Variations in mineral particle retention were attributed to the presence or absence of cellulose microfibrils. These findings contribute to our understanding of the observed strength characteristics of the paper samples and underscore the potential applications of cellulose derived from grass clippings, especially when combined with barium sulfate as a mineral filler in paper production.

Development of physiologically relevant synthetic thrombus for use in visual analysis of in vitro mechanical thrombectomy device testing

BackgroundIschemic stroke is a leading cause of death and significant long-term disability worldwide. Mechanical thrombectomy is emerging as a standard treatment for eligible patients. As clinical implementation of stent retrieval...

MODERN APPROACHES TO THE USE OF COMPOSITE MATERIALS IN CONSTRUCTION

A review of the literature on scientific approaches in the development of composite materials and building structures made of composites is carried out. When creating and manufacturing traditional and new composite materials, for example, by additive manufacturing, and when creating structures and structures in engineering calculations, new techniques, finite element computational software systems, and neural network technologies are used, which are used in the creation of modern metal and composite materials, analysis of mechanical characteristics of materials, forecasting loads on the structure, optimization of structures and calculation of their construction characteristics. The distinctive features of modern composite materials are shown. The main types of composite materials are considered: talc, diatomite, calcium carbonate, gibbsite, barium sulfate, feldspar, nepheline, aragonite, calcium carbonate, wool, silk, cotton, linen, jute, wood pulp, asbestos, fiberglass, metal fibers, quartz fibers, basalt fibers, polyamide fibers, polyester fibers, polyvinyl alcohol fibers, carbon fibers, viscose fibers. The physical and mechanical characteristics of composite materials (based on epoxy, aluminum, carbon, magnesium, and nickel matrices) and traditional (steel, aluminum, brick, concrete) building materials are presented. The disadvantages of such composite materials as carbon fiber, fiberglass, organoplastics, textolite, carbon concrete, and polystyrene concrete are presented. Deformation diagrams of some types of fibers for composite materials are considered: high-modulus carbon fibers, high-strength carbon fibers, aramid fibers, glass fibers, and basalt fibers. The advantages of the system of external reinforcement of building structures with composite materials are described. Examples of reinforcement of building structures are considered: reinforced concrete reinforcement; reinforcement of floor slabs; reinforcement of columns; and reinforcement of brick walls.

Artificial High- and Low-density Materials in Bone Mineral Densitometry Using Dual-energy X-ray Absorptiometry: A GATE Monte Carlo Simulation of "Black-hole" Artifact.

The objective of the study was to evaluate the effect of artificial high- and low-density materials on Bone mineral density (BMD)scans in dual-energy X-ray absorptiometry (DXA) method and emergence of black-hole artifact through GATE Monte Carlo simulation. GATE Monte Carlo code was utilized to simulate the artifact encountered in clinical scans acquired by HOLOGIC® bone densitometer. Two simplified phantoms were designed. The first one was a rectangular box with six smaller cubes inside and the second one was a body torso. Materials of cubes were spine bone, polymethyl methacrylate (PMMA), barium sulfate suspension in water, stainless steel, titanium alloy, and gold. The torso phantom contained objects of 5 vertebrae, bowel and 3 small spherical objects near the surface of the torso as piercing objects on the abdominal wall, each overlying the vertebrae. Using 100 and 140 kVp, spectral X-rays were generated to simulate DXA. For both phantoms, two simulations were carried out. The pair of projections acquired for each phantom were then subtracted and analyzed by curve fitting techniques. Except for spine bone, in which radio-opacity decreases with increasing spectral X-ray energy (from 100 to 140 kVp), other squares exhibit little changes over different energies. PMMA shows consistently very low radio-opacity. Four other materials (barium sulfate in water, stainless steel alloy, titanium alloy, and gold), all attenuate the X-ray photons substantially. Except for spine bone, other materials are barely noticeable in pairwise subtracted images. In torso phantom, piercing objects are visualized as "holes" in vertebrae. Both artificial high- and low-density materials, compared to bone, are eliminated during the subtraction of dual-energy X-ray profiles and therefore, can create black-hole artifact.

Evaluation of 3D Footprint Morphology of Knee-Related Muscle Attachments Based on CT Data Reconstruction: A Feasibility Study.

A three-dimensional (3D) understanding of muscle attachment footprints became increasingly relevant for musculoskeletal modeling. The established method to project attachments as points ignores patient-specific individuality. Research focuses on investigating certain muscle groups rather than comprehensively studying all muscles spanning a joint. Therefore, we present a reliable method to study several muscle attachments in order to reconstruct the attachment sites in 3D based on CT imaging for future applications in musculoskeletal modeling. For the present feasibility study, 23 knee-related muscle attachments were CT-scanned postmortem from four nonadipose male specimens. For this, the specific muscle attachments were dissected and marked with a barium sulfate containing paint (60 g BaSO4 in 30 mL water and 10 mL acrylic paint). Subsequently, bone geometries and muscle attachments were reconstructed and evaluated from CT datasets. Bone morphology and footprint variations were studied. Exemplarily, variations were high for pes anserinus insertions (mean 56%) and the origins of M. biceps femoris (mean 54%). In contrast, the origins of the vastus muscles as well as the insertion of the Achilles tendon showed low variation (mean 9% and 13%, respectively). Most attachment sites showed variation exceeding the individuality of bone morphology. In summary, the present data were consistent with the few published studies of specific muscle footprints. Our data shed light on the high variability of muscle attachments, which need to be addressed when studying muscle forces and movements through musculoskeletal modeling. This is the first step to achieving a more profound understanding of muscle morphology to be utilized in numerical simulations.