Mean Equivalent Circle Diameter Research Articles

Evaluation of different alloying concepts to trace non-metallic inclusions by adding rare earths on a laboratory scale

ABSTRACT Different alloying concepts to trace deoxidation products, mainly aluminium oxides, using rare earth elements (REEs), were tested on the laboratory scale by melting trials with a high-frequency remelting furnace. Lanthanum and Cerium, which belong to the group of light REEs, were used for these experiments. The formed multiphase inclusions were characterized by scanning electron microscopy with energy dispersive spectroscopy. Concerning the higher atomic numbers of REEs, traced non-metallic inclusions (NMIs) seem brighter than the steel matrix compared to deoxidation products. REE-traced aluminium oxides showed a primarily heterogeneous and almost globular morphology. The mean equivalent circle diameter of REE-containing NMIs is for all trials similar and is about 2 µm. The experimental results pointed out that the recovery rates of the various alloying concepts differ only slightly. In contrast, the values mainly depend on the surface-to-volume ratio and the amount of oxygen in the melt.

Characterization of the Microstructure and Precipitates Formed During the Thermomechanical Processing of a CrNiMoWMnV Ultrahigh‐Strength Steel

The effect of total applied strain (TAS), finish forging temperature (FFT) on the microstructure, and precipitation kinetics of a newly developed low‐cost, low‐alloy CrNiMoWMnV ultrahigh‐strength steel has been investigated. A Gleeble 3800 thermomechanical simulator is used to simulate the hot forging process and its influence on the precipitation kinetics. Field‐emission scanning electron microscopy combined with electron‐backscattered diffraction is used to characterize the final overall microstructures, whereas transmission electron microscopy on carbon extraction replicas is used to characterize the precipitates in terms of morphology, size distribution, mean equivalent circle diameter, the 90th percentile in the cumulative diameter distribution (D90%ppt), chemical composition, and crystallography. Thermo‐Calc software is used to predict the precipitates expected in austenite at equilibrium. The final microstructure consists of lath martensite and a small fraction of the precipitates AlN, TiN, and composite TiN–AlN. Differences in the degree of strain‐induced precipitation caused by variations in TAS and FFT have been shown to greatly influence precipitate size distributions. Variations in the degree of precipitate dissolution and coarsening cause variations in the prior austenite grain size, which subsequently cause variations in the effective grain size of the final microstructure, i.e., that are defined by high‐angle grain boundaries.

Conventional Ultra-high Molecular Weight Polyethylene versus Highly Cross-linked Polyethylene from Semi-constrained, Fixed-bearing Total Ankle Arthroplasty Systems

Category: Ankle Arthritis Introduction/Purpose: The aim of this study was to compare the polyethylene wear rate, particle size, and particle shape of primary semi-constrained, fixed-bearing, bone-sparing total ankle arthroplasty using conventional ultra-high molecular weight polyethylene (CPE) versus highly cross-linked polyethylene (HXLPE) by applying a level walking input using a joint simulator. Methods: Two fixed-bearing total ankle replacement systems with different types of polyethylene liners were tested: 1.) CPE sterilized in ethylene oxide, and 2.) HXLPE sterilized with gas plasma after electron beam irradiation. Three implants for each design underwent wear testing using gravimetric analysis over 5 million simulated walking cycles. A fourth implant was used as a load soak control. Equivalent circle diameter (ECD) and equivalent shape ratio (ESR) were computed to determine particle size and particle shape, respectively. Results: The mean wear rate from 1.5-5 million cycles (MC) was 2.0±0.3mg/MC for HXLPE and 16.7±1.3mg/MC for CPE (P < 0.001). The total number of particles per cycle generated for HXLPE and CPE were 0.17x106 particles/cycle and 0.53x106 particles/cycle, respectively (P < 0.001). The mean ECD of HXLPE particles (0.22 ±0.11μm) was significantly smaller than the mean ECD of CPE particles (0.32±0.14μm) (P<0.001). HXLPE particles were significantly more round than CPE particles (P<0.001). Conclusion: HXLPE liners had a significantly lower wear rate and produced significantly fewer and rounder particles than CPE liners. The results of this study suggest that HXLPE has more favorable wear characteristics for total ankle arthroplasty.

Osteochondral autologous transplantation versus dorsal closing wedge metatarsal osteotomy for the treatment of Freiberg's infraction in athletes. Midterm results of a comparative study

The objectives of this study were to develop a clinically relevant in vitro elbow wear test and to compare the polyethylene wear of 2 total elbow replacement prostheses, one that uses conventional gamma-irradiated polyethylene (CPE) and one that uses vitamin E blended and cross-linked polyethylene (VE-HXPE) bushings.The test protocol applied 0° to 85° flexion-extension motions and imposed a constant 4.5° varus malalignment of the ulnar relative to the humeral implant under a variable joint load profile at a frequency of 1 Hz. The implants were tested for 3 million cycles (Mc) in a bovine serum lubricant at 37°C ± 3°C. Polyethylene wear was determined gravimetrically. Wear particles were isolated and characterized.Clinically relevant polyethylene bushings wear mechanisms were observed. After 3 Mc, the mean CPE wear rate was 9.3 ± 2.8 mm3/Mc, significantly lower than that reported for hip and knee implants but comparable to that of ankle (7.4 ± 1.3 mm3/Mc) devices. The mean VE-HXPE wear rate was 0.8 ± 0.2 mm3/Mc, comparable to that of hip and knees devices. The mean equivalent circle diameter and aspect ratio were 0.17 ± 0.01 µm and 1.99 ± 0.18 for the CPE and 0.15 ± 0.02 µm and 1.81 ± 0.16 for the VE-HXPE particles.The test replicated clinically observed failure modes for CPE devices. The use of VE-HXPE led to an order of magnitude reduction in polyethylene wear. Further clinical evaluation is necessary to determine if this translates into reduced complications of total elbow replacement associated with wear.

In vitro wear of ultrahigh-molecular-weight polyethylene and vitamin E blended highly cross-linked polyethylene in linked, semiconstrained total elbow replacement prostheses

The objectives of this study were to develop a clinically relevant in vitro elbow wear test and to compare the polyethylene wear of 2 total elbow replacement prostheses, one that uses conventional gamma-irradiated polyethylene (CPE) and one that uses vitamin E blended and cross-linked polyethylene (VE-HXPE) bushings. The test protocol applied 0° to 85° flexion-extension motions and imposed a constant 4.5° varus malalignment of the ulnar relative to the humeral implant under a variable joint load profile at a frequency of 1 Hz. The implants were tested for 3 million cycles (Mc) in a bovine serum lubricant at 37°C ± 3°C. Polyethylene wear was determined gravimetrically. Wear particles were isolated and characterized. Clinically relevant polyethylene bushings wear mechanisms were observed. After 3 Mc, the mean CPE wear rate was 9.3 ± 2.8 mm3/Mc, significantly lower than that reported for hip and knee implants but comparable to that of ankle (7.4 ± 1.3 mm3/Mc) devices. The mean VE-HXPE wear rate was 0.8 ± 0.2 mm3/Mc, comparable to that of hip and knees devices. The mean equivalent circle diameter and aspect ratio were 0.17 ± 0.01 µm and 1.99 ± 0.18 for the CPE and 0.15 ± 0.02 µm and 1.81 ± 0.16 for the VE-HXPE particles. The test replicated clinically observed failure modes for CPE devices. The use of VE-HXPE led to an order of magnitude reduction in polyethylene wear. Further clinical evaluation is necessary to determine if this translates into reduced complications of total elbow replacement associated with wear.

Fractionation and Characterization of Particles Simulating Wear of Total Joint Replacement (TJR) Following ASTM Standards

Reactions of bone cells to orthopedic wear debris produced by the articulating motion of total joint replacements (TJRs) are largely responsible for the long-term failure of such replacements. Metal and polyethylene (PE) wear particles isolated from fluids from total joint simulators, as well as particles that are fabricated by other methods, are widely used to study such in vitro cellular response. Prior investigations have revealed that cellular response to wear debris depends on the size, shape, and dose of the particles. Hence, to have a better understanding of the wear-mediated osteolytic process it is important that these particles are well characterized and clinically relevant, both qualitatively, and quantitatively. In this study we have fractionated both ultra-high molecular weight polyethylene (UHMWPE) and Ti particles, into micron (1.0-10.0 μm), submicron (0.2-1.0 μm), and nanoparticle (0.01-0.2 μm) fractions, and characterized them based on the following size-shape descriptors as put forth in ASTM F1877: i) equivalent circle diameter (ECD), ii) aspect ratio (AR), iii) elongation (E), iv) roundness (R), and v) form factor (FF). The mean (± SD) ECDs (in μm) for micron, submicron, and nanoparticles of UHMWPE were 1.652 ± 0.553, 0.270 ± 0.180, and 0.061 ± 0.035, respectively, and for Ti were 1.894 ± 0.667, 0.278 ± 0.180, and 0.055 ± 0.029, respectively. The values for other descriptors were similar (no statistically significant difference). The nanofraction particles were found to be more sphere-like (higher R and FF values, and lower E and AR values) as compared to larger particles. Future experiments will involve use of these well characterized particles for in vitro studies.

The osteolytic response of macrophages to challenge with particles of Simplex P, Endurance, Palacos R, and Vertebroplastic bone cement particles in vitro

The capacity of clinically relevant wear particles from Simplex P, Endurance, Vertebroplastic and Palacos R bone cements to activate macrophages to produce cytokines and bone resorbing activity in vitro was compared. Cement particles were generated aseptically by using a pin on plate rig. The particles were irregular in shape, and there were no significant differences in the particle characteristics of the different bone cement types (mean equivalent circle diameter range 0.225--0.36 mum, mean area range 0.048--0.063 microm(2), mean aspect ratio range 1.481--1.593, and mean length 0.412--0.523 microm). The volumetric concentration of particles in the 0.1- to 1.0-microm size range was 85% Palacos R, 82% Endurance, 80% Simplex P, and 77% Vertebroplastic. Particles were cultured with C3H macrophages at 100 microm(3) per cell for 24 h. Cytokines were determined by enzyme-linked immunosorbent assay and bone resorption (BR) measured by Ca(45) release from murine calvarias. Particles of Palacos R and Endurance stimulated enhanced production of TNF-alpha, IL-1-beta, and IL-6 (p<0.05; ANOVA). Simplex P particles only stimulated IL-1-beta (p<0.05; ANOVA). Vertebroplastic particles did not stimulate production of any of the cytokines. Particles of Palacos R generated the highest BR (1.38), but this did not reach statistical significance. The BRs for the other bone cements were no greater than the control. Hence, compared with the same volumetric concentrations, particles of Palacos R and Endurance were the most, and particles of Vertebroplastic were the least biologically reactive.

Wear behaviour of cross-linked polyethylene assessed in vitro under severe conditions

The polyethylene (PE) for hip implants presents serious clinical problems; the production of debris may induce adverse tissue reactions that may lead to extensive bone loss around the implant and consequently osteolysis and implant loosening. Several attempts have been made to improve the wear properties of ultra-high molecular weight polyethylene (UHMWPE). More recently the attention of various researchers has been focused on cross-linked polyethylene (XLPE), due to its improved wear resistance with respect to conventional UHMWPE. This study was aimed at comparing the wear performances of clinically available acetabular liners (Zimmer Inc.) made of electron beam XLPE and conventional UHMWPE. To evaluate the influence of the material properties on wear, conventional UHMWPE and XLPE acetabular cups were tested against deliberately scratched CoCrMo femoral heads ( R a=0.12–0.14 μm) in a hip joint wear simulator run for 3 million cycles with bovine calf serum as lubricant. Gravimetric measurements revealed significant differences between the wear behaviours of the two sets of acetabular cups: XLPE exhibited a wear rate about 40 times lower than conventional UHMWPE. Raman spectroscopy coupled to partial least-squares analysis was used to evaluate the possible crystallinity changes induced by mechanical stress (and thus the material wear resistance): only the UHMWPE cup which showed the highest weight loss displayed significant crystallinity changes. These results were correlated to the thickness of the plasticity-induced damage layer. The wear debris produced during the tests were isolated according to a validated protocol and imaged by scanning electron microscopy . The wear particles produced by XLPE were smaller than those produced by UHMWPE; the latter were observed as fibrillar and agglomerated particles. The mean equivalent circle diameter was 0.71 and 0.26 μm for UHMWPE and XLPE, respectively.

Intracardiac echocardiography evaluation in secundum atrial septal defect transcatheter closure.

This study was designed to assess the balloon sizing maneuvers and deployment of an Amplatzer Septal Occluder (ASO). In addition, intraprocedural balloon sizing was compared with off-line intracardiac echocardiographic measurements. The intracardiac echocardiography (ICE) measurements were: maximum transverse and longitudinal atrial septal defect (ASD) diameters in the aortic valve and four-chamber planes; area of the ASD and its equivalent circle diameter. Thirteen consecutive patients underwent transcatheter implantation of an ASO device using ICE guidance under local anesthesia. The device matching the balloon sizing diameter of the defect was implanted. Qualitative ICE assessment of the ASO devices implanted was performed off line. The mean equivalent circle diameter predicted by ICE was 24.40 +/- 5.61 mm and was significantly higher (p = 0.027) than the ASD measured by balloon sizing (21.38 +/- 5.28 mm). Unlike previous studies we did not find any correlation between the two measurements (correlation coefficient = 0.47). Only four of the 13 patients had optimal device positioning as shown by the qualitative ICE evaluation, whereas the remaining nine patients had inadequate device placement. This resulted in a waist diameter that was an average 26.1% undersized in seven patients and 12.7% oversized in two patients. Five of the seven patients with an undersized device had ASO-atrial septum misalignment with leftward device deviation. The ICE images allowed careful measurement of the dimensions of the ASD and accurately displayed the spatial relations of the ASO astride the ASD. Moreover, use of the ICE measurement led to selection of a different size of device in comparison with those of balloon sizing. The clinical benefit of this new approach needs to be rigorously tested.

Standardized analysis of UHMWPE wear particles from failed total joint arthroplasties.

Periprosthetic tissue obtained at revision surgery from eight total hip replacement cases was hydrolyzed, and polyethylene debris particles were isolated from each case. Individual particles were analyzed by scanning electron microscopy (SEM) and computerized image analysis in accordance with ASTM F1877-98, a standard for quantitative description of wear debris. For comparison, periprosthetic tissues from eight total knee revision and four total shoulder revision cases were processed and analyzed with identical methods. A total of 2599 hip, 4345 knee, and 1200 shoulder particles were analyzed. The morphologies of the isolated polyethylene particles from the total hip specimens were distinctly different from the total knee and total shoulder particles. The mean equivalent circle diameter (ECD) for hip particles was 0.694 microm +/- 0.005; knee particles measured 1.190 microm +/-0.009; and shoulder particles 1.183 microm +/- 0.017. The ECD was significantly different between hip particles and those from the shoulder and knee. The mean aspect ratio (AR) for the hip particles was 1.626 +/- 0.015, compared to the knee particles at 1.935 +/- 0.015 and shoulder particles at 2.082 +/- 0.033. The AR was statistically different among all three groups. Other descriptors from the ASTM standard, elongation (E), form factor (FF), and roundness (R) were all significantly different among the three groups of joints. This study demonstrates the utility of ASTM F1877-98 in differentiating wear debris particles from different sources.

Tumor angiogenesis as a prognostic factor in thick cutaneous malignant melanoma. A quantitative morphologic analysis.

The prognostic value of the extent of neovascularization in cutaneous melanoma is a highly controversial issue. The aim of the current study was to evaluate whether the morphometric analysis of tumor vascularity may be helpful in predicting the clinical outcome of patients with thick cutaneous melanomas. A series of 15 patients with melanoma (>3 mm in thickness) who did not experience disease progression after long-term follow-up (10 years) and 30 matched controls who underwent recurrence and/or metastases were selected for the study. Microvessels were immunohistochemically stained with anti-CD31 antibody. Several parameters, including vessel number, vascular density, vessel area, equivalent circle diameter, perimeter, shape factor, compactness, and the number of vascular ramifications per 100 vessel sections, were quantitatively assessed by a computer-aided semi-automatic image analysis system. Mean vessel area was 341.69 microm2 in cases without progression and 512.55 microm2 in the progressed melanomas (P=0.008, Mann-Whitney U test). The mean equivalent circle diameter was 18.95 microm in non-progressed melanomas and 22.57 microm in progressed melanomas (P=0.009). The mean number of ramifications was 0.8 in cases without progression and 1.9 in the controls (P=0.03). Microvessel count and vascular density were higher in progressed cases (17.37 vs. 11.73 and 28.94/mm2 vs. 19.55/mm2, respectively), but the difference did not reach statistical significance (P=0.06). Our results suggest that neovascularization is a critical event in the progression of thick melanoma. Its prognostic significance is better assessed by quantification of vessel area, equivalent circle diameter, and microvessel branching, whereas microvessel count and vascular density do not provide significant prognostic information.

Isolation and characterization of polyethylene wear debris associated with osteolysis following total shoulder arthroplasty.

We evaluated the interface membranes surrounding three total shoulder prostheses that had been removed because of progressive aseptic loosening associated with osteolysis. The mean time between the uncomplicated initial arthroplasty and the revision procedure was twelve years (10.5, 10.5, and 16.0 years). Membranes from around both the humeral and the glenoid component were obtained from all three shoulders and were studied histologically to determine the biological response involved in the development of aseptic loosening. For the purpose of comparison, periprosthetic tissue was also obtained from the sites of four failed total hip prostheses that were associated with osteolysis. Polyethylene particles were retrieved with an enzymatic digestion technique that involved the use of papain. Raman vibrational spectroscopy verified that the particles were ultra-high molecular weight polyethylene. The particles were isolated from the tissue, and a computerized image-analysis system characterized 582 of them in terms of size and morphology. Each particle was defined with the use of six shape descriptors: equivalent circle diameter, roundness, form factor, aspect ratio, elongation, and outline fractal dimension. The particles from the hips had a mean equivalent circle diameter (and standard error of the mean) of 0.62 +/- 0.03 micrometer, were predominantly globular in shape, and had low mean values for aspect ratio (1.46 +/- 0.02) and elongation (1.85 +/- 0.03) and relatively high values for roundness (0.74 +/- 0.01) and form factor (0.87 +/- 0.01). In contrast, the particles from the shoulders had a mean equivalent circle diameter of 1.04 +/- 0.03 micrometers. In addition, they had relatively high values for aspect ratio (2.36 +/- 0.07) and elongation (4.96 +/- 0.23) and correspondingly low values for roundness (0.54 +/- 0.01) and form factor (0.67 +/- 0.01), indicating that they were more fibrillar in shape. The particles from the shoulders and those from the hips were significantly different (p < 0.0001) with respect to all of the descriptors except outline fractal dimension. The particles from the shoulders, in general, were larger and more fibrillar than the particles from the hips.

Image analysis to estimate the settleability and concentration of activated sludge

A new method, using low magnification microscopy combined with image analysis to estimate settling properties of activated sludge, is presented. It is shown that the morphology of the activated sludge flocs correlates significantly with the settling properties of the sludge, as expressed by traditional settling tests. The morphology is expressed by two parameters: the mean equivalent circle diameter and the mean form factor of the sludge flocs. In contrast with traditional tests, the new method takes only between 10 and 20 min, is automated and can be incorporated in other sensors. In addition, a rapid and reliable estimate of the suspended solids concentration can be obtained by establishing a calibration between the mean field area of a series of images with the concentration of a certain type of activated sludge. The relevance of the novel method is clearly illustrated by its ability to monitor the rise and the subsequent cure of a severe case of bulking in an activated sludge pilot plant. It is shown that a more sensitive measurement of the sludge settleability is obtained by using image analysis. Consequently, the method presented may have good potential in being used as an early warning system.

Morphometrical analysis of skeletal muscle fibre ageing and the effect of hypophysectomy and food restriction in the rat.

Morphometrical analyses were carried out on muscle fibres from cross-sectional areas of the medial head of gastrocnemius muscles from 5 groups each of 4 male Wistar rats representing young (aged approximately 100 days), medium-aged (400 days), old (1,000 days), old hypophysectomized (1,000 days) and old food-restricted (1,000 days) rats. Approximately 18,000 muscle fibres were measured in each group. Rats were hypophysectomized when young at 60-70 days and food restriction began at the same age. The results show that there is a reduction in type 2 fibre size (measured as the mean equivalent circle diameter) from 59.7 micron in medium-aged controls to 50.3 micron in old controls, but there is no significant difference between the sizes of type 2 fibres in controls, hypophysectomized or food-restricted rats in old age. Analysis of type 1 fibres demonstrated no differences between young, medium-aged and old controls and the old food-restricted group, but type 1 fibres in the old hypophysectomized group (45.5 micron) were significantly smaller than in the old controls (54.6 micron) and old food-restricted rats (58.5 micron). In old controls there is a 4-fold increase in the range of fibre sizes (coefficient of variation) for type 1 fibres and a 2-fold increase for type 2 fibres, indicating fibre atrophy and hypertrophy. Long-term hypophysectomy is more effective than food restriction in preserving the smaller range of the coefficient of variation of fibre size seen in young controls.

The effects of pressure and curing temperature on porosity of two chemically activated acrylics.

The aim of this paper has been to study the area proportion, number and size of pores occurring in 2 commonly used chemically activated acrylics cured with and without external pressure and at temperatures of 23°, 40° and 60°C. When processed under pressure the porosity was less than 0.5% regardless of product and curing temperature. Under these conditions between 4 and 6 pores per mm 2 were recorded with a mean equivalent circle diameter ranging from 20–30 μm. When the acrylics were processed without pressure significant product differences were observed. One of the products then had a porosity of less than 0.5% when cured at 23°C, increasing to 2% and 3% for the two highest curing temperatures. The other product showed a porosity ranging from 6%–10%. In the opinion of the authors this degree of porosity is clinically unacceptable. Similar product differences were also recorded regarding the number of pores per mm 2 and their mean equivalent circle diameter.