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BONE QUALITY ASSESSMENT USING MEMS ACCELEROMETER
MR.G.MANIKANDAN 1
, MR. M. SURESH2
, K.ANURADHA3
, SIJO MATHEW4
1,2
Assistant Professor, Department of Electronics and Communication Engineering,
Kodaikanal Institute of Technology,Tamilnadu, India
3
Assistant Professor, Department of Computer science and Engineering,
Kodaikanal Institute of Technology,Tamilnadu, India
4
Student, Department of Electronics and Communication Engineering,
Kodaikanal Institute of Technology,Tamilnadu, India
1
mrg.manikandan@gmail.com,2
suresh.bnec@gmail.com,3
akadarkarai@yahoo.com,
4
sijomathew@hotmail.com
ABSTRACT
Bone Mineral Density (BMD) is the
amount of mineral per square centimeter of
bone. Osteoporosis is defined as a
systemic skeletal disease characterized by
low bone mass and micro architectural
deterioration of bone tissue, with a
consequent increase in bone fragility and
susceptibility to fracture The prime motive
of our work is to produce a cost effective
medical instrument of the Bone Mineral
Density (BMD).The developed
instrumentation for assessing bone quality
utilizes the principle of impulse response
method. Our device consists of an
automated hammer which knocks in the
medial side of the proximal tibia. The
stress wave is propagated through the bone
and it is picked up by two triaxial MEMS
accelerometers. Using this setup the
acceleration magnitude has been measured
for various subjects and the corresponding
signals were obtained. The acquired
signals are fed into the computer. We have
collected the data from ten subjects with
two different age groups and sex and
found that the acceleration value obtained
in the y-axis of second MEMS
accelerometer of above 35 age is higher
compared with the subjects below 35 years
old. From the acquired and analyzed data,
we found there is a significant change
exists among the different age groups.
1. INTRODUCTION
Bone quality is a composite of
properties that make bone resist fracture
such as its micro architecture accumulated
microscopic damage the quality of
collagen mineral crystal size and bone
turnover. The most prevalent sequence is
compression fractures of the vertebral
bodies and fractures of the ribs, proximal
femur (hip), humerus and distal radius.
These fractures lead to deformity, loss of
mobility, independence and even death.
With increasing population of elderly
149
INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT
2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH
ISBN : 378 - 26 - 138420 - 6
www.iaetsd.in
women, the assessment and treatment of
osteoporosis has become an important
problem in clinical gynecology. Bone
mineral loss occurs with aging,
menopause, and disuse. The decrease in
biomechanical strength of bone with age is
much more pronounced than the loss of
bone mass due to perforations during the
remodelling process [3].
BMD measurements in conjunction
with information about the structure and
elastic properties of bone will result in a
good indication of its mechanical
condition and susceptibility to fracture.
Moreover, during accidental impact, our
bones arc subjected to high strain rate
loading. Since bone is a viscoelastic
material [4], its response to this type of
loading cannot be assumed to be the same
as predicted by a static analysis. Therefore,
it is important to study dynamic
characteristics of bone under normal and
diseased state in order to understand its
response to more realistic loading
condition [5]. The change in Peak
acceleration magnitude with age is also
evaluated.
2. MATERIALS AND METHOD
The automated hammer that runs by
the DC motor hits the Medialisis
Condolosis region in the leg. The
automated hammer is controlled by
switches. When the hammer hits the
Medialisis Condolosis region, the impulse
response travels through the bone of the
leg. The MEMS accelerometers are placed
below the lower portion of the leg. The
experiment has been carried out for 10
women and men (age 40-50 years) and
from men under the age group of 15-20
years.
Informed consent was obtained from
all the subjects and they were found to be
in good health from clinical evaluation and
based on the answers to questionnaire. The
subjects were excluded from the study if
any of the mechanical strength of the
following conditions were present:
inactivity or bed rest longer than 4 weeks
within the past 12 months, subjects with
fragility and atraumatic fractures, medical
conditions affecting normal bone
metabolism, and the subjects who are
taking oral contraceptives or undergoing
hormone replacement therapy. The stress
waves are generated by the impact of
hammer on the medial side of the proximal
tibia at a distance of 4 cm from medial
condoyle. The impact force applied
through impulse hammer is standardized
between 2-2.5N for each impact which is
automatically done. The data is acquired
into a computer after digitization using
ADC through software at a sampling
frequency of 100 KHZ per channel. The
150
INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT
2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH
ISBN : 378 - 26 - 138420 - 6
www.iaetsd.in
data is sampled for 5 seconds in which 4
impulses are applied and corresponding
response data are acquired.USB-1208
Series modules are low-cost, PC-based
analog and digital I/O devices.
TracerDAQ® software included for
acquiring and displaying data and
generating signals
Schematic block diagram of the hardware setup
Camera view of the hardware setup
151
INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT
2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH
ISBN : 378 - 26 - 138420 - 6
www.iaetsd.in
3. RESULTS
In this study, ten subjects had
participated with different age group such
as below 35 and above 35 age group. The
following parameters are made constant
for all the subjects at the time of
acquisition of reading.
 Sampling rate: 0.15
 Sampling count: 230
 Sampling interval: 0.01
A typical impulse response of tibia of
normal subject
From the results obtained, we can
conclude that the acceleration value
obtained in terms of mille volts in channel
2 (Y-Axis of second accelerometer) is
found to be high in Case of the above 35
age group compared to the below 35 age
group. In general, four channels of the
DAQ card are used to acquire the X, Y
axes reading from the MEMS
accelerometer. The Channel 0, and
Channel 1 acquires X, Y axis of first
MEMS accelerometer and Channel 2 and
Channel 3 acquires the X, Y axis reading
of the second accelerometer.
Tabulation
It was found that the variation is observed
more clearly in the Y-axis than X-axis
since the vibration from the automated
hammer is transmitted vertically through
the bone than in horizontal direction.
This data obtained from ten
subjects is a preliminary work where for
the determination of the abnormality, more
number of data has to be collected from
subjects. As a future work, the samples
need to be obtained from around 50
subjects of varying age group and the
statistical analysis to be done. Then the
output will highly reliable and can be used
also as a diagnosing tool for bone quality
Sl.n
o
Subjects
Details
Accelero
meter-1
output
(Max)
Accelero
meter-2
output
(Max)
1. Men
(15-20)
3.0986 1.4351
2. Women
(15-20)
1.7428 0.9744
3. Men
(45-50)
2.5747 1.0590
4. Men
(Dia.-45-
50)
1.6174 1.5279
5. Women
(45-50)
2.0781 1.1746
6 Women
(Dia.45-
50)
3.2633 0.5723
152
INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT
2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH
ISBN : 378 - 26 - 138420 - 6
www.iaetsd.in
4. CONCLUSION
The impulse response technique for
monitoring the stress wave propagation in
tibia bone has been effectively used in the
assessment of bone quality. The technique
gives a better understanding of the
dynamic behaviour of bone under impact
force. The study is non-invasive, reliable,
easy to operate, inexpensive and has
diagnostic potential in the assessment of
bone quality. For this careful analysis and
comparison of the data obtained from the
subjects has to be done for distinguishing
osteoporotic and diabetic conditions. If
this is achieved, our novel diagnostic tool
will be a multi-purpose diagnosing tool
which will be capable of diagnosing bone
quality as well as diabetes non-invasively.
6. REFERENCES
[1] World Health Organization:
International Classification of
Impairments, Disabilities and Handicaps.
WHO, Geneva, Switzerland, 1980.
[2] N. Dorothy, R. Molloy and M.
Kleerekoper, ―Prevalence of osteoporosis
in women referred for bone density testing,
J. Clin. Densitometer, 1, 5- 11, 1998.
[3] Li. Mosekilde, Bone remodeling,
pp.343-356, in Le Mosekilde and Li
Mosekilde (Ed.) Complexity Chaos and
Biological Evolution, Plenum Press, New
York, 1991
[4] R.S. Lakes and S. Saha, ―Long term
torsional creep in compact bone. Biomech.
Engng. 102, 178- 180, 1980.
[5I R.R. Pelker and S. Saha, ―Stress wave
propagation in bone. Biomechanics, 18,
745-753, 1983.
[6] Evaluation and Assessment of
Osteoporosis by Quantitative Ultrasound
(Kaufman and Einhorn, 1993
[7] S. Cheng, J. Timonen and H.
Suomincn ―Elastic wave propagation in
bone in vivo: methodology of
Biomechanics 28,471-478, 1995
[8] P.D. Delinas, A. Schlemmer, E.
Gineyts, B. Riis and C.Christiansen (1991)
―Urinary excretion of pyridinoline cross
links correlates with b tic turnover
measured on iliac crest biopsy in patients
with vertebral osteoporosis, J. of Bone
Min. Res., 6,639-644, 1991
[9] J. A. McGowan ―Osteoporosis:
assessment of bone loss and remodeling,
Aging - Clinical and Experimental
Research, 5, 81-93, 1993.
153
INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT
2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH
ISBN : 378 - 26 - 138420 - 6
www.iaetsd.in
[10] M.S. Holi and S. Radhakrishnan,
―Comparison of ultrasound and dual
energy x-ray absorptiometry (DEXA)
methods in estimation of low bone mass
for the assessment of osteoporosis fracture
risk in Indian men and women, Acta of
Bioeng. And Biomech. 4, 396-397, 2002.
[11] In vivo Assessment of Osteoporosis
by Impulse Response and Stress Wave
Propagation Technique (M.S.Holi, 2003)
.
154
INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT
2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH
ISBN : 378 - 26 - 138420 - 6
www.iaetsd.in

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Iaetsd bone quality assessment using mems accelerometer

  • 1. BONE QUALITY ASSESSMENT USING MEMS ACCELEROMETER MR.G.MANIKANDAN 1 , MR. M. SURESH2 , K.ANURADHA3 , SIJO MATHEW4 1,2 Assistant Professor, Department of Electronics and Communication Engineering, Kodaikanal Institute of Technology,Tamilnadu, India 3 Assistant Professor, Department of Computer science and Engineering, Kodaikanal Institute of Technology,Tamilnadu, India 4 Student, Department of Electronics and Communication Engineering, Kodaikanal Institute of Technology,Tamilnadu, India 1 mrg.manikandan@gmail.com,2 suresh.bnec@gmail.com,3 akadarkarai@yahoo.com, 4 sijomathew@hotmail.com ABSTRACT Bone Mineral Density (BMD) is the amount of mineral per square centimeter of bone. Osteoporosis is defined as a systemic skeletal disease characterized by low bone mass and micro architectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture The prime motive of our work is to produce a cost effective medical instrument of the Bone Mineral Density (BMD).The developed instrumentation for assessing bone quality utilizes the principle of impulse response method. Our device consists of an automated hammer which knocks in the medial side of the proximal tibia. The stress wave is propagated through the bone and it is picked up by two triaxial MEMS accelerometers. Using this setup the acceleration magnitude has been measured for various subjects and the corresponding signals were obtained. The acquired signals are fed into the computer. We have collected the data from ten subjects with two different age groups and sex and found that the acceleration value obtained in the y-axis of second MEMS accelerometer of above 35 age is higher compared with the subjects below 35 years old. From the acquired and analyzed data, we found there is a significant change exists among the different age groups. 1. INTRODUCTION Bone quality is a composite of properties that make bone resist fracture such as its micro architecture accumulated microscopic damage the quality of collagen mineral crystal size and bone turnover. The most prevalent sequence is compression fractures of the vertebral bodies and fractures of the ribs, proximal femur (hip), humerus and distal radius. These fractures lead to deformity, loss of mobility, independence and even death. With increasing population of elderly 149 INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT 2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH ISBN : 378 - 26 - 138420 - 6 www.iaetsd.in
  • 2. women, the assessment and treatment of osteoporosis has become an important problem in clinical gynecology. Bone mineral loss occurs with aging, menopause, and disuse. The decrease in biomechanical strength of bone with age is much more pronounced than the loss of bone mass due to perforations during the remodelling process [3]. BMD measurements in conjunction with information about the structure and elastic properties of bone will result in a good indication of its mechanical condition and susceptibility to fracture. Moreover, during accidental impact, our bones arc subjected to high strain rate loading. Since bone is a viscoelastic material [4], its response to this type of loading cannot be assumed to be the same as predicted by a static analysis. Therefore, it is important to study dynamic characteristics of bone under normal and diseased state in order to understand its response to more realistic loading condition [5]. The change in Peak acceleration magnitude with age is also evaluated. 2. MATERIALS AND METHOD The automated hammer that runs by the DC motor hits the Medialisis Condolosis region in the leg. The automated hammer is controlled by switches. When the hammer hits the Medialisis Condolosis region, the impulse response travels through the bone of the leg. The MEMS accelerometers are placed below the lower portion of the leg. The experiment has been carried out for 10 women and men (age 40-50 years) and from men under the age group of 15-20 years. Informed consent was obtained from all the subjects and they were found to be in good health from clinical evaluation and based on the answers to questionnaire. The subjects were excluded from the study if any of the mechanical strength of the following conditions were present: inactivity or bed rest longer than 4 weeks within the past 12 months, subjects with fragility and atraumatic fractures, medical conditions affecting normal bone metabolism, and the subjects who are taking oral contraceptives or undergoing hormone replacement therapy. The stress waves are generated by the impact of hammer on the medial side of the proximal tibia at a distance of 4 cm from medial condoyle. The impact force applied through impulse hammer is standardized between 2-2.5N for each impact which is automatically done. The data is acquired into a computer after digitization using ADC through software at a sampling frequency of 100 KHZ per channel. The 150 INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT 2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH ISBN : 378 - 26 - 138420 - 6 www.iaetsd.in
  • 3. data is sampled for 5 seconds in which 4 impulses are applied and corresponding response data are acquired.USB-1208 Series modules are low-cost, PC-based analog and digital I/O devices. TracerDAQ® software included for acquiring and displaying data and generating signals Schematic block diagram of the hardware setup Camera view of the hardware setup 151 INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT 2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH ISBN : 378 - 26 - 138420 - 6 www.iaetsd.in
  • 4. 3. RESULTS In this study, ten subjects had participated with different age group such as below 35 and above 35 age group. The following parameters are made constant for all the subjects at the time of acquisition of reading.  Sampling rate: 0.15  Sampling count: 230  Sampling interval: 0.01 A typical impulse response of tibia of normal subject From the results obtained, we can conclude that the acceleration value obtained in terms of mille volts in channel 2 (Y-Axis of second accelerometer) is found to be high in Case of the above 35 age group compared to the below 35 age group. In general, four channels of the DAQ card are used to acquire the X, Y axes reading from the MEMS accelerometer. The Channel 0, and Channel 1 acquires X, Y axis of first MEMS accelerometer and Channel 2 and Channel 3 acquires the X, Y axis reading of the second accelerometer. Tabulation It was found that the variation is observed more clearly in the Y-axis than X-axis since the vibration from the automated hammer is transmitted vertically through the bone than in horizontal direction. This data obtained from ten subjects is a preliminary work where for the determination of the abnormality, more number of data has to be collected from subjects. As a future work, the samples need to be obtained from around 50 subjects of varying age group and the statistical analysis to be done. Then the output will highly reliable and can be used also as a diagnosing tool for bone quality Sl.n o Subjects Details Accelero meter-1 output (Max) Accelero meter-2 output (Max) 1. Men (15-20) 3.0986 1.4351 2. Women (15-20) 1.7428 0.9744 3. Men (45-50) 2.5747 1.0590 4. Men (Dia.-45- 50) 1.6174 1.5279 5. Women (45-50) 2.0781 1.1746 6 Women (Dia.45- 50) 3.2633 0.5723 152 INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT 2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH ISBN : 378 - 26 - 138420 - 6 www.iaetsd.in
  • 5. 4. CONCLUSION The impulse response technique for monitoring the stress wave propagation in tibia bone has been effectively used in the assessment of bone quality. The technique gives a better understanding of the dynamic behaviour of bone under impact force. The study is non-invasive, reliable, easy to operate, inexpensive and has diagnostic potential in the assessment of bone quality. For this careful analysis and comparison of the data obtained from the subjects has to be done for distinguishing osteoporotic and diabetic conditions. If this is achieved, our novel diagnostic tool will be a multi-purpose diagnosing tool which will be capable of diagnosing bone quality as well as diabetes non-invasively. 6. REFERENCES [1] World Health Organization: International Classification of Impairments, Disabilities and Handicaps. WHO, Geneva, Switzerland, 1980. [2] N. Dorothy, R. Molloy and M. Kleerekoper, ―Prevalence of osteoporosis in women referred for bone density testing, J. Clin. Densitometer, 1, 5- 11, 1998. [3] Li. Mosekilde, Bone remodeling, pp.343-356, in Le Mosekilde and Li Mosekilde (Ed.) Complexity Chaos and Biological Evolution, Plenum Press, New York, 1991 [4] R.S. Lakes and S. Saha, ―Long term torsional creep in compact bone. Biomech. Engng. 102, 178- 180, 1980. [5I R.R. Pelker and S. Saha, ―Stress wave propagation in bone. Biomechanics, 18, 745-753, 1983. [6] Evaluation and Assessment of Osteoporosis by Quantitative Ultrasound (Kaufman and Einhorn, 1993 [7] S. Cheng, J. Timonen and H. Suomincn ―Elastic wave propagation in bone in vivo: methodology of Biomechanics 28,471-478, 1995 [8] P.D. Delinas, A. Schlemmer, E. Gineyts, B. Riis and C.Christiansen (1991) ―Urinary excretion of pyridinoline cross links correlates with b tic turnover measured on iliac crest biopsy in patients with vertebral osteoporosis, J. of Bone Min. Res., 6,639-644, 1991 [9] J. A. McGowan ―Osteoporosis: assessment of bone loss and remodeling, Aging - Clinical and Experimental Research, 5, 81-93, 1993. 153 INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT 2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH ISBN : 378 - 26 - 138420 - 6 www.iaetsd.in
  • 6. [10] M.S. Holi and S. Radhakrishnan, ―Comparison of ultrasound and dual energy x-ray absorptiometry (DEXA) methods in estimation of low bone mass for the assessment of osteoporosis fracture risk in Indian men and women, Acta of Bioeng. And Biomech. 4, 396-397, 2002. [11] In vivo Assessment of Osteoporosis by Impulse Response and Stress Wave Propagation Technique (M.S.Holi, 2003) . 154 INTERNATIONAL ASSOCIATION OF ENGINEERING & TECHNOLOGY FOR SKILL DEVELOPMENT 2nd INTERNATIONAL CONFERENCE ON CURRENT TRENDS IN ENGINEERING RESEARCH ISBN : 378 - 26 - 138420 - 6 www.iaetsd.in