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Updated: Jun 13, 2026

Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population
Published on: January 31, 2025
Fabric dependence of wave propagation in anisotropic porous media
Stephen C Cowin1, Luis Cardoso
1The New York Center for Biomedical Engineering, Departments of Biomedical and Mechanical Engineering, School of Engineering of The City College and Graduate School of The City University of New York, New York, NY 10031, USA. scowin@earthlink.net
Abstract:
Current diagnosis of bone loss and osteoporosis is based on the measurement of the bone mineral density (BMD) or the apparent mass density. Unfortunately, in most clinical ultrasound densitometers: 1) measurements are often performed in a single anatomical direction, 2) only the first wave arriving to the ultrasound probe is characterized, and 3) the analysis of bone status is based on empirical relationships between measurable quantities such as speed of sound (SOS) and broadband ultrasound attenuation (BUA) and the density of the porous medium. However, the existence of a second wave in cancellous bone has been reported, which is an unequivocal signature of poroelastic media, as predicted by Biot's poroelastic wave propagation theory. In this paper, the governing equations for wave motion in the linear theory of anisotropic poroelastic materials are developed and extended to include the dependence of the constitutive relations upon fabric-a quantitative stereological measure of the degree of structural anisotropy in the pore architecture of a porous medium. This fabric-dependent anisotropic poroelastic approach is a theoretical framework to describe the microarchitectural-dependent relationship between measurable wave properties and the elastic constants of trabecular bone, and thus represents an alternative for bone quality assessment beyond BMD alone.
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