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Updated: Mar 30, 2026

Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population
Published on: January 31, 2025
Estimation of in vivo cortical bone thickness using ultrasonic waves
Isao Mano1, Kaoru Horii2, Hiroshi Hagino3
1Office for Research Initiatives and Development, Doshisha University, Kyotanabe, 610-0321, Kyoto, Japan. imano@mail.doshisha.ac.jp.
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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