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Dual X-ray absorptiometry (DXA) is used to diagnose osteoporosis. On the other hand, quantitative ultrasound (QUS) is widely used to assess bone density as part of medical screening as it is relatively inexpensive and easy to perform. Current QUS devices do not share precise ultrasound-related parameters, such as frequency, waveform, beam pattern, transient response, definition of propagation time, definition of degree of attenuation, and precise measurement site, resulting in different measurements across models. The Japan Osteoporosis Society established a QUS Standardization Committee in 2007 to investigate standardization of speed of sound (SOS) and broadband ultrasonic attenuation (BUA) measurements to resolve this issue. The committee came up with a formula to convert SOS and BUA values yielded by each model available in Japan. This has made it possible to convert QUS measurements from different models into standardized values, greatly improving the effectiveness of QUS measurements.

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In the original version of the article, the third author name was incorrectly published. The correct name is Kosei Yoh.

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PURPOSE: To verify the measurement of cortical bone thickness at the distal radius in vivo using an ultrasonic method. METHODS: The method for estimating cortical bone thickness was derived from experiments with in vitro bovine specimens. Propagation time of echo waves and propagation time of slow waves were used for the estimation. The outside diameter of cortical bone and the cortical bone thickness at the distal 5.5 % site of radius were measured with the new ultrasonic bone measurement system, and the results were compared with X-ray pQCT clinical measurements. RESULTS: There was a high positive correlation (r: 0.76) between the cortical bone thickness measured by the new ultrasonic system and the X-ray pQCT results. CONCLUSION: We will be able to measure not only cancellous bone density but also cortical bone thickness in vivo using ultrasonic waves (without X-ray) safely and repeatedly.

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The influence of cancellous bone microstructure on the ultrasonic wave propagation of fast and slow waves was experimentally investigated. Four spherical cancellous bone specimens extracted from two bovine femora were prepared for the estimation of acoustical and structural anisotropies of cancellous bone. In vitro measurements were performed using a PVDF transducer (excited by a single sinusoidal wave at 1 MHz) by rotating the spherical specimens. In addition, the mean intercept length (MIL) and bone volume fraction (BV/TV) were estimated by X-ray micro-computed tomography. Separation of the fast and slow waves was clearly observed in two specimens. The fast wave speed was strongly dependent on the wave propagation direction, with the maximum speed along the main trabecular direction. The fast wave speed increased with the MIL. The slow wave speed, however, was almost constant. The fast wave speeds were statistically higher, and their amplitudes were statistically lower in the case of wave separation than in that of wave overlap.

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The ultrasonic wave propagation of fast and slow waves was investigated in vitro in 35 cubic cancellous bone specimens extracted from human femoral heads. Measurements were performed in three orthogonal directions using home-made PVDF transducers excited by a single sinusoidal wave at 1 MHz. The apparent density of the specimens was measured. Two separated fast and slow waves were clearly observed in 16 specimens, mainly in the main load direction. The waveforms and the sound speeds of fast and slow waves were similar to the reported data in bovine bone. The group of specimens in which the two waves were observed did not exhibit statistically higher apparent density than the rest of the specimens, but did exhibit statistically higher acoustic anisotropy ratio. The speeds in the main load direction were higher than those in the other direction. The fast and slow wave speeds were in good agreement with Biot's model, showing an increase with bone volume fraction (BV/TV). The ratio of peak amplitudes of the fast and slow waves nonlinearly increased as a function of BV/TV. These results open interesting perspective for acoustic assessment of cancellous bone micro-architecture and especially anisotropy that might lead to an improved assessment of bone strength.

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The detailed spatial distributions of longitudinal ultrasonic velocity in cortical bone specimens obtained from three bovine femoral diaphysis were experimentally investigated using a pulse-echo system. The relationship between velocity, density, bone mineral density (BMD) and microstructure was investigated. Velocity was found to vary as a function of the direction of propagation and the location of the measured specimens in the bone diaphysis. A significant correlation was found between density and velocity, and between density and BMD. In some parts with plexiform structure, clear variations in velocity anisotropy were found despite no significant difference in density, BMD and microstructure.

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This paper reports the fabrication and characterization of ZnO piezoelectric thin films in which the crystallite c-axis is unidirectionally aligned in the plane. The films were deposited by a conventional radio frequency (RF) magnetron sputtering apparatus without epitaxy. We have measured reflection coefficient S11 of the ZnO film/glass substrate composite shear mode resonator and confirmed that the resonator excites shear wave only in the very high frequency to ultra high frequency ranges (VHF-UHF). The crystallites c-axis orientation and alignment were determined by x-ray diffraction (XRD) patterns, phi-scan pole figure analysis, omega-scan rocking curves, and atomic force microscope (AFM) measurement. The transduction of the shear wave showed good agreement with properties of the crystallite alignment in the film.

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Ultrasonic measurements of bone status or bone mass density are generally performed using ultrasonic parameters consisting of the slope of frequency-dependent attenuation (or broadband ultrasound attenuation: BUA) and the speed of sound (SOS). Many results of in vitro laboratory measurements and in vivo clinical trials have shown the ultrasonic parameters, BUA and SOS correlate significantly with the bone mass density measured by X-ray method. However, there exists some problem inherent in the ultrasonic method on the reproducibility and the uncertainty of measured ultrasonic parameters. The ultrasonic properties of cancellous bone have been experimentally and theoretically studied by author's group to reveal problems inherent in the ultrasonic method. According to experimental and theoretical studies, two longitudinal waves, fast wave and slow wave are clearly observed. The propagation speed of the fast wave increases with the bone density and that of the slow wave decreases very slightly with the bone density. Whereas the attenuation constant of the fast wave is much higher than that of the slow wave and is almost independent of the bone density, but in contrast, the attenuation constant of the slow wave increases considerably with the bone density. Experimental results on transmitted ultrasonic wave through cancellous bone show that the amplitude of the slow wave decreases with the bone density and the amplitude of the fast wave, on the contrary, increases with the bone density. This dependence of the fast wave amplitude on the bone density can not be explained by the attenuation constant. The ultrasonic wave propagation path through cancellous bone is modelized to clarify the propagation phenomenon and to specify the causality between ultrasonic wave parameters and the bone density. The bone density is quantitatively formulated based on the modelization as a function of the amplitude and the propagation speed of the fast wave.

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Ultrasonic wave properties (attenuation and velocity) in the particle compounded agarose gels have been experimentally studied in the range from 1 to 30 MHz. The particles used were talc, glass beads and graphite. The effects of size and volume concentration of particles were clearly observed as changes of ultrasonic wave properties. Applying the Urick's theory for viscous liquid suspensions, the specific curves of velocity in the gels were observed as a function of a beta, where a is the radius of the particles and beta is described by angular frequency omega, density rho and fluid viscosity eta. This indicates that the particle behavior in the gels seems to be similar with that in the viscous fluid. The estimated eta in the gels was higher than that of the free water, showing the high viscosity in the gels.