2011
DOI: 10.1016/j.biomaterials.2011.08.013
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Characterization of the effects of x-ray irradiation on the hierarchical structure and mechanical properties of human cortical bone

Abstract: Bone comprises a complex structure of primarily collagen, hydroxyapatite and water, where each hierarchical structural level contributes to its strength, ductility and toughness. These properties, however, are degraded by irradiation, arising from medical therapy or bone-allograft sterilization. We provide here a mechanistic framework for how irradiation affects the nature and properties of human cortical bone over a range of characteristic (nano to macro) length-scales, following x-ray exposures up to 630 kGy… Show more

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Cited by 247 publications
(202 citation statements)
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“…Barth et al[ [11]] showed that the plastic and elastic properties of bone are unaffected by doses of irradiation below 35 000 Gy: our findings agree entirely with these data.…”
Section: Discussionsupporting
confidence: 92%
“…Barth et al[ [11]] showed that the plastic and elastic properties of bone are unaffected by doses of irradiation below 35 000 Gy: our findings agree entirely with these data.…”
Section: Discussionsupporting
confidence: 92%
“…However, it should be noted that the limited precision of DVC in measuring the strain field with a spatial resolution of a few tens of ÎŒm [typical size of the finite elements at the tissue level (van Rietbergen et al, 1995)], makes it impossible to accurately validate the FE predictions of strain. We have shown that this could be potentially done if high-resolution SRÎŒCT images were used (Figure 2; Table 4) but unfortunately for such application the challenge in performing repeated imaging of the specimens under loading without inducing structural damage to the irradiated tissue remains (Barth et al, 2011).…”
Section: Discussionmentioning
confidence: 99%
“…However, recent studies have questioned the non-perturbing character of x-rays and discussed a possible effect of high-energy x-ray doses on the mechanical properties of bone [97,98]. Furthermore, in spite of several advantages of high-energy x-ray sources, they are often confined to basic science laboratories and have limited application in clinical studies.…”
Section: Discussionmentioning
confidence: 99%