Browsing by Author "Stone, N."

Now showing 1 - 6 of 6
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    Classification of fracture and non-fracture groups by analysis of coherent X-ray scatter
    (Nature Publishing Group, 2016-07-01) Dicken, A. J.; Evans, J. Paul O.; Rogers, Keith; Stone, N.; Greenwood, Charlene; Godber, S. X.; Clement, J. G.; Lyburn, Iain Douglas; Martin, R. M.; Zioupos, Peter
    Osteoporotic fractures present a significant social and economic burden, which is set to rise commensurately with the aging population. Greater understanding of the physicochemical differences between osteoporotic and normal conditions will facilitate the development of diagnostic technologies with increased performance and treatments with increased efficacy. Using coherent X-ray scattering we have evaluated a population of 108 ex vivo human bone samples comprised of non-fracture and fracture groups. Principal component fed linear discriminant analysis was used to develop a classification model to discern each condition resulting in a sensitivity and specificity of 93% and 91%, respectively. Evaluating the coherent X-ray scatter differences from each condition supports the hypothesis that a causal physicochemical change has occurred in the fracture group. This work is a critical step along the path towards developing an in vivo diagnostic tool for fracture risk prediction.
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    Fracture toughness of the cancellous bone of FNF femoral heads in relation to its microarchitecture
    (European Society of Biomechanics, 2016-07) Greenwood, Charlene; Clements, J. G.; Dicken, A. J.; Evans, J. Paul O.; Lyburn, Iain Douglas; Martin, R. M.; Rogers, Keith; Stone, N.; Adams, G.; Zioupos, Peter
    This study considers the relationship between microarchitecture and mechanical properties for cancellous bone specimens collected from a cohort of patients who had suffered fractured necks of femur. OP is an acute skeletal condition with huge socioeconomic impact [1] and it is associated with changes in both bone quantity and quality [2], which affect greatly the strength and toughness of the tissue [3].
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    Lymph node pathology using optical spectroscopy in cancer diagnostics
    (2008-12-31T00:00:00Z) Isabelle, M.; Stone, N.; Barr, Hugh; Vipond, M.; Shepherd, N.; Rogers, Keith
    Raman and infrared spectroscopy are optical spectroscopic techniques that use light scattering (Raman) and light absorption (infrared) to probe the vibrational energy levels of molecules in tissue samples. Using these techniques, one can gain an insight into the biochemical composition of cells and tissues by looking at the spectra produced and comparing them with spectra obtained from standards such as proteins, nucleic acids, lipids and carbohydrates. As a result of optical spectroscopy being able to measure these biochemical changes, diagnosis of cancer could take place faster than current diagnostic methods, assisting and offering pathologists and cytologists a novel technology in cancer screening and diagnosis. The purpose of this study is to use both spectroscopic techniques, in combination with multivariate statistical analysis tools, to analyze some of the major biochemical and morphological changes taking place during carcinogenesis and metastasis in lymph nodes and to develop a predictive model to correctly differentiate cancerous from benign lymph nodes taken from oesophageal cancer patients. The results of this study showed that Raman and infrared spectroscopy managed to correctly differentiate between cancerous and benign oesophageal lymph nodes with a training performance greater than 94% using principal component analysis (PCA)fed linear discriminant analysis (LDA). Cancerous nodes had higher nucleic acid but lower lipid and carbohydrate content compared to benign nodes which is indicative of increased cell proliferation and loss of differentiation. With better understanding of the molecular mechanisms of carcinogenesis and metastasis together with use of multivariate statistical analysis tools, these spectroscopic studies will provide a platform for future development of real-time (in surgery) non-invasive diagnostic tools in medical research.
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    The micro-architecture of human cancellous bone from fracture neck of femur patients in relation to the structural integrity and fracture toughness of the tissue
    (Elsevier, 2015-10-05) Greenwood, Charlene; Clement, J. G.; Dicken, A. J.; Evand, J. P. O.; Lyburn, Iain Douglas; Martin, R. M.; Rogers, Keith; Stone, N.; Adams, G.; Zioupos, Peter
    Osteoporosis is clinically assessed from bone mineral density measurements using dual energy X-ray absorption (DXA). However, these measurements do not always provide an accurate fracture prediction, arguably because DXA does not grapple with ‘bone quality’, which is a combined result of microarchitecture, texture, bone tissue properties, past loading history, material chemistry and bone physiology in reaction to disease. Studies addressing bone quality are comparatively few if one considers the potential importance of this factor. They suffer due to low number of human osteoporotic specimens, use of animal proxies and/or the lack of differentiation between confounding parameters such as gender and state of diseased bone. The present study considers bone samples donated from patients (n = 37) who suffered a femoral neck fracture and in this very well defined cohort we have produced in previous work fracture toughness measurements (FT) which quantify its ability to resist crack growth which reflects directly the structural integrity of the cancellous bone tissue. We investigated correlations between BV/TV and other microarchitectural parameters; we examined effects that may suggest differences in bone remodelling between males and females and compared the relationships with the FT properties. The data crucially has shown that TbTh, TbSp, SMI and TbN may provide a proxy or surrogate for BV/TV. Correlations between FT critical stress intensity values and microarchitecture parameters (BV/TV, BS/TV, TbN, BS/BV and SMI) for osteoporotic cancellous tissue were observed and are for the first time reported in this study. Overall, this study has not only highlighted that the fracture model based upon BMD could potentially be improved with inclusion of other microarchitecture parameters, but has also given us clear clues as to which of them are more influential in this role.
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    Raman spectroscopy of biological tissue for application in optical diagnosis of malignancy
    (2009-11-25T17:41:59Z) Stone, N.; Ahmad, S. R.; Barr, Prof. H.
    The utilisation of near-infraredR aman spectroscopyfo r the discrimination of cancersa nd pre-cancers from normal tissue in the acro-digestive tract has been evaluated. A commercially available Raman microspectrometehr as been modified to provide optimum throughput, sensitivity and fluorescence suppression for epithelial tissue measurements. Laser excitation at 830nmw as demonstratedto be optimum. High quality (SN ratio 15-20) NIR-Raman spectrah ave been acquired from oesophageaal nd laryngeal tissues in time scales under 30 seconds. Pathological groupings covering the full range of normal and neoplastic tissues in the organs of interest have been studied. Both fresh (snap frozen) and formalin fixed tissue samples were investigated,f irstly to indicate whether tissue-typesc an be distinguishedi n vivo and secondlyt o demonstrateth e use of Raman spectroscopya s a tool for classificationi n the pathology lab. Results using multivariate statistical techniques to distinguish between spectra from specimens exhibiting different tissue pathologies have been extremely promising. Crossvalidation of the spectral predictive models has shown that three groups of larynx tissue can be separated with sensitivities and specificities of between 86 and 90% and 87 and 95% respectively. Oesophageal prediction models have demonstrated sensitivities and specificities of 84 to 97% and 93 to 98% respectively for a three-group consensus model and 73 to 100% and 92 to 100% for an eight-groupc onsensusm odel. Epithelial tissues including stomach, tonsil, endometrium, bladder and prostate have been studiedt o identify further tissuesw hereR amans pectroscopym ay be employedf or detection of disease.S pectraw ere similar to those obtainedf rom oesophagusa nd larynx, although sufficiently different for distinct discriminant models to be required. This work has demonstratedth e genericn atureo f Ramans pectroscopyfo r the detectiona nd classification of cancersa nd pre-cancerousle sionsi n many tissues.T he evidencep rovided by this study indicatest hat utilisation of Ramans pectroscopyfo r non-invasived etectiona nd classification of diseaseis a distinct possibility. Potentiald ifficulties in the transferabilityf rom in vitro to in vivo have been evaluated and no significant barriers have been observed. However, further in vivo probe development and optimisation will be required before 'optical biopsy' with Ramans pectroscopyc anb ecomea reality.
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    Towards new material biomarkers for fracture risk
    (2016-09-30) Greenwood, Charlene; Clement, J.; Dicken, Anthony; Evans, J.; Lyburn, Iain Douglas; Martin, R.; Rogers, Keith; Stone, N.; Zioupos, Peter
    Osteoporosis is a prevalent bone condition, characterised by low bone mass and increased fracture risk. Currently, the gold standard for identifying osteoporosis and increased fracture risk is through quantification of bone mineral density (BMD) using dual energy X-ray absorption (DEXA). However, the risk of osteoporotic fracture is determined collectively by bone mass, architecture and physicochemistry of the mineral composite building blocks. Thus DEXA scans alone inevitably fail to fully discriminate individuals who will suffer a fragility fracture. This study examines trabecular bone at both ultrastructure and microarchitectural levels to provide a detailed material view of bone, and therefore provides a more comprehensive explanation of osteoporotic fracture risk. Physicochemical characterisation obtained through X-ray diffraction and infrared analysis indicated significant differences in apatite crystal chemistry and nanostructure between fracture and non-fracture groups. Further, this study, through considering the potential correlations between the chemical biomarkers and microarchitectural properties of trabecular bone, has investigated the relationship between bone mechanical properties (e.g. fragility) and physicochemical material features.