Abstract ObjectivesVariation in trabecular and cortical bone properties is often used to infer habitual behavior in the past. However, the structures of both types of bone are rarely considered together and may even contradict each other in functional interpretations. We examine trabecular and cortical bone properties in various athletes and sedentary controls to clarify the associations between combinations of cortical and trabecular bone properties and various loading modalities. Materials and methodsWe compare trabecular and cortical bone properties using peripheral quantitative computed tomography scans of the tibia between groups of 83 male athletes (running, hockey, swimming, cricket) and sedentary controls using Bayesian multilevel models. We quantify midshaft cortical bone rigidity and area (J, CA), midshaft shape index (Imax/Imin), and mean trabecular bone mineral density (BMD) in the distal tibia. ResultsAll groups show unique combinations of biomechanical properties. Cortical bone rigidity is high in sports that involve impact loading (cricket, running, hockey) and low in nonimpact loaded swimmers and controls. Runners have more anteroposteriorly elliptical midshafts compared to other groups. Interestingly, all athletes have greater trabecular BMD compared to controls, but do not differ credibly among each other. DiscussionResults suggest that cortical midshaft hypertrophy is associated with impact loading while trabecular BMD is positively associated with both impact and nonimpact loading. Midshaft shape is associated with directionality of loading. Individuals from the different categories overlap substantially, but group means differ credibly, suggesting that nuanced group‐level inferences of habitual behavior are possible when combinations of trabecular and cortical bone are analyzed. 
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                            An Algorithm for Automated Separation of Trabecular Bone from Variably Thick Cortices in High-Resolution Computed Tomography Data
                        
                    
    
            Objective: Structural measurements after separation of cortical from trabecular bone are of interest to a wide variety of communities but are difficult to obtain because of the lack of accurate automated techniques. Methods: We d present a structure-based algorithm for separating cortical from trabecular bone in binarized images. Using the thickness of the cortex as a seed value, bone connected to the cortex within a spatially local threshold value is identified and separated from the remaining bone. The algorithm was tested on seven biological data sets from four species imaged using micro-computed tomography (μ-CT) and high-resolution peripheral quantitative computed tomography (HR-pQCT). Area and local thickness measurements were compared to images segmented manually. Results: The algorithm was approximately 11 times faster than manual measurements and the median error in cortical area was -4.47 ± 4.15%. The median error in cortical thickness was approximately 0.5 voxels for μ-CT data and less than 0.05 voxels for HR-pQCT images resulting in an overall difference of -28.1 ± 71.1 μm. Conclusion: A simple and readily implementable methodology has been developed that is repeatable, efficient, and requires few user inputs, providing an unbiased means of separating cortical from trabecular bone. Significance: Automating the segmentation of variably thick cortices will allow for the evaluation of large data sets in a time-efficient manner and allow for full-field analyses that have been previously limited to small regions of interest. The MATLAB code can be downloaded from https://github.com/TBL-UIUC/downloads.git. 
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                            - Award ID(s):
- 1638756
- PAR ID:
- 10132987
- Date Published:
- Journal Name:
- IEEE Transactions on Biomedical Engineering
- ISSN:
- 0018-9294
- Page Range / eLocation ID:
- 1 to 1
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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