Identification of Critical Location on A Microstructural Bone Network Taehyong Kim1 Jaehan Koh1 Kang Li1 1 Department of Computer Science and Engineering, State University of New York at Buffalo, USA Murali Ramanathan2 Aidong Zhang1 2 Department of Pharmaceutical Sciences, State University of New York at Buffalo, USA Email: {thkim7, jkoh, kli22, murali, azhang}@buffalo.edu Abstract—Identification of a critical location in complex structures is one of the most important issues that affects the quality of safety in human life. Specifically, finding high fracture spots of a bone microstructure in our body is a very important research topic; however, it is still not well understood. In this paper, we study on identifying critical locations in a bone microstructure with our bone network model. In fact, about 25 million people in the United States suffer from osteoporosis, which is a systemic skeletal disease characterized by low bone mass and micro-architectural deterioration of bone tissue leading to enhanced bone fragility and a consequent increase in fracture risk. However, currently available techniques for the diagnosis of osteoporosis and the identification of critical locations of bone microstructure are limited. We create a bone network model based on properties of a bone microstructure and we develop a method, called information propagation, to identify critical locations in a bone network. Our paper focuses on detecting important edges as critical locations for the strength of bone microstructure when there are external forces applied to the bone network. Then, we evaluate results of the method in comparison with existing methods including the weighted betweenness centrality and the weighted bridge coefficient. We conclude with the discussion on advantages and disadvantages among those methods. I. I NTRODUCTION Networks are encountered in a wide variety of contexts, such as social networks, neuron networks, and molecular networks. Most of the real world relationships and cooperations among any kinds of objects could be represented by networks. Specifically, many types of biological networks exist, which could be depicted as networks. Bone network modeling is one of the most exciting but challenging research areas in terms of network modeling. Although bone is a simple composite of a mineral phase, its structure is highly complex. Bone is not a uniformly solid material, but rather has some space between its hard elements. Microstructural properties, e.g., cortical porosity and the presence of microcracks, contribute to bone’s mechanical competence. Osteoporosis, which is a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue leading to enhanced bone fragility, is mainly due to abnormal bone remodeling cycles by a hormone imbalance [15]. As the efforts on the diagnosis of osteoporosis, correlations between bone mineral density (BMD) and fracture risk have been extensively studied; however, many studies show that low BMD is not the sole factor for the fracture risk [9], [3]. Other factors like bone microstructure also contribute substantially to bone strength [6], [12]. Since the microstructure of bone mainly consists of mineralized fibers whose structure is similar to geometric arrangement of cells in morphogenetic or cancerous tissues, we tried to create a network model representing a bone microstructure to identify critical parts in bone network structure. This paper is organized as follows. In the following background section, we describe properties of bone and current issues on analyzing bone strength. Then, we introduce our bone network model with describing procedures of bone network modeling in the first subsection of the methods section and we explain the methods to find critical locations in a bone network in the second subsection of the methods section. In the section three, we analyze the result of the method, information propagation, and compare with other methods, such as the weighted betweenness centrality and the weighted bridge coefficient, on finding critical locations in a sample bone network. We close with the conclusion section. II. BACKGROUND As shown in Figures 1(a) and (b), bone is not a uniformly solid material, but rather has some spaces between its hard elements. There are two different bone types: one is cortical bone and the other is trabecular bone. Cortical bone is the hard outer layer of bones which is composed of compact bone tissue. Filling the interior of the organ is the trabecular bone tissue, which is composed of a network of rod- and plate-like elements that make the overall organ lighter and allow room for blood vessels and marrow. Fig. 1. (a) The image of a bone microstructure is shown [10]. (b) The microscopic view of a bone microstructure is shown [1]. The standard and routine approach for the diagnosis of osteoporosis is to assess BMD using either dualenergy X-ray absorptiometry (DXA) or quantitative computed tomography (QCT). The estimated BMD has shown to be a suitable predictor of fracture risk. However, major limitations of bone mineral densitometry are that it incompletely reflects variations in bone strength and that differentiation between patients with and without vertebral fractures is inaccurate. Other factors like bone microarchitecture contribute substantially to bone strength and their evaluation can improve determination of bone quality and strength [5]. III. M ETHODS In the first subsection, we provide a network model of a bone microstructure and we explain our method to find critical locations in a bone network in the following subsection. A. Bone Network Model To overcome the lack of measurements of bone quality, we study the problem in a new direction. We develop a microscopic graph-based approach of a bone structure, a computational network model of bone microstructure which is capable of enabling quantitative assessment of bone strength and fracture risk. Based on the bone network model, we devise a method to find a critical location as a fragile point of a bone microstructure. In what follows, we describe the process of microstructural bone modeling in details. Based on properties of a bone microstructure, we design a bone microstructure network model. When we develop our abstracted bone network model, important components of the bone structure are considered to form a bone model enabling computational analysis in a timely manner without losing the critical bone structural properties. We consider mineralized collagen fibers as important components from the bone cellular structure point of view. (a) (b) (c) 120 1.0 Density Density 0.8 100 0.6 0.4 80 0.2 0 60 -0.4 -0.2 0 0.2 -0.4 0.4 Position (f ) (e) -0.2 0 0.2 0.4 Position (d) (a) A femur bone image for a patient with osteoporosis by DXA scan is shown. The stick-like white object in the center of the figure is an implant by orthopedic surgery. (b) The plot for bone density from the red line section of Figure (a) is shown with image profiling process. (c) The plot for bone density is shown after the geometrical correction process is applied. (d) A two-dimensional bone microstructure network is constructed based on bone density. (e) An example of a three-dimensional bone microstructure network is shown. (f) A projection image of a three-dimensional bone microstructure network is shown. Fig. 2. First, we obtained the density of bone and the properties of bone microstructure by image processing techniques since the most important factors of bone properties are understood by analyzing bone density and bone structural characteristics. We used four human femur bone images of DXA scan to analyze properties of bone microstructure since DXA scan is broadly used to calculate BMD [13], [2]. Figure 2(a) shows a femur bone image of a female patient with osteoporosis by DXA scan with which we can identify the density differences of a femur bone. By image profiling on the red line section in Figure 2(a), we can have the bone density data as a function of bone position sequence from left to right shown in Figure 2(b). Since the DXA image shown in 2(a) is the projection image of a cylinder-shape bone, a geometrical correction process is needed to accurately measure the density per bone area from the projection image. We define the geometrical correction formula, ς, as follows. ½ 2(Ro sinθo − Ri sinθi ), if x < Ri ς= , (1) 2Ro sinθo , if x ≥ Ri where Ro is the radius of annular region of bone, Ri is the radius of cortical region of bone, θo is the angle to form a right triangle which consists of perpendicular to projection source and line for radius to Ro , θi is the angle to form a right triangle which consists of perpendicular to projection source and line for radius to Ri and x is the location of projection source on the radius of bone. Figures 2(d) and (e) are examples of a two-dimensional bone microstructure network and of a three-dimensional bone microstructure network, respectively. The detailed process of constructing the bone microstructure network can be found in [7], [8]. Figure 2(f) shows the sample projection image of our three-dimensional bone structure network generated by millions of 0.3 um2 artificial beams to estimate bone density in our bone model. Like DXA, thick and dense structural parts of our bone model allow less of the artificial beam to pass through them. The projection image is generated by millions of pixels containing the level on the remaining strength of artificial beam calculated via e−λω such that λ is a projection contrast coefficient and ω is the density of each cylinder-like microstructure. The amount of artificial beams that is blocked by bone microstructures can be compared to each other by this projection process. With the knowledge of bone microstructure and density, we designed a bone network model as follows. A bone network is defined by a weighted undirected space-sensitive graph in a circular region; G = {(V, E) | V is a set of nodes and E is a set of edges, E ⊆ V × V , an edge e = (i, j) connects two nodes i and j, i, j ∈ V , W (e) is a weight of edge e, e ∈ E}. An edge in a bone network represents a rod-like bone mineralized fiber and a node in a bone network represents a fiber binding point with which bone cells move and interact with neighboring bone tissues. Since this bone model is developed based on image analysis of microscopic figures of bone, properties we have used in this model would not be reliably measured. To make this model more realistic, accurate input data are required, such as density of fibers, average thickness of fibers, and average length of fibers. However, well-understood knowledge with this type of study would be valuable on understanding bone strength and critical locations of bone microstructure. In the following subsection, we introduce the method, information propagation, to find critical locations and other methods for comparison. B. Identification of Critical Locations in Bone Network In this section, we introduce our new method to identify critical locations of a bone network. First, we address properties of the sample bone network and explain our new method by illustrating the process of the algorithm. Then, we calculate results with our method and compare it with other existing methods, including the weighted betweenness centrality and the weighted bridge coefficient. Finally, we analyze our results and discuss advantages and disadvantages in the following results section. Our motivation for the algorithm is based on the energy flow in a network. Since energy does not just randomly flow over a network, but has a certain direction from sources to destinations at any given time. Likewise, bone is stressed by certain external force at any specific locations and directions. With these characteristics of the structural stress in a bone network, we tried to find critical locations in a sample bone network under a certain stress. (a) (b) (c) Fig. 3. The illustration of the crack propagation in a lattice of atoms is shown when there are external forces applied to the left and right [16]. (a) Four micro-cracks in the lattice of atoms are shown as the initial status. (b) The areas which have micro-cracks have more stretch energy than any other areas. (c) The area with the most stretch energy starts to break and other areas with micro-cracks continue to break until the lattice is broken into two parts. Figure 3 illustrates the crack propagation in a lattice of atoms as the method to find critical locations in a bone network. A break starts from a microscopic crack, which would be an imperfection in the material when it was made, or created by repeated flexing “fatigue.” A crack can grow longer and larger when a force is continuously applied. Likewise, a break in human bone starts from microscopic flaws created by external forces of daily life or a bone disease such as osteoporosis. Base on this idea, we designed an algorithm to find critical edges against a bone network. The method measures the quantity of stress energy in each edge and selects the edge that has the most quantity of stress energy in a bone network. In the real world, bone is not just broken by any forces, but broken by the external force that attack a certain weak location in a certain direction. As shown in Figure 4(a), we suppose that there are external force applied to the right side of the bone network and every node in the outermost of the right side in the bone network (red colored nodes) receives the same energy from the force. Then, we set the left side of the bone network fixed to ground. In this setup, we try to identify the edge which contains the most energy from the force as a critical location of the bone network. (a) (b) T1 x0 θ φ y0 F0 ψ T2 Fig. 4. (a) 1 × 1 unit (1 unit ≈ 5mm) square from a two dimensional sample bone network is shown, consisting of 686 nodes and 943 edges. The red nodes in the right side of the network are sources for external stress and the blue nodes in the left side of the network are grounded as destinations for external stress. (b) The method to transfer stress energy from a source node to two destination nodes is illustrated. F0 is a source node for external force and T1 and T2 are the destination nodes for external force. Figure 4(b) illustrates how we calculate the force energy transformation in the bone network. Suppose, there is no energy leak in this model, then the following method is defined based on the information equivalence between source and destination nodes. Transferred horizontal force, x0 , and vertical force, y0 , shown in Figure 4(b) are defined and calculated by following equations. ) x0 : F0 cosψ = T1 cosθ + T2 cosφ , (2) y0 : F0 sinψ = T1 sinθ − T2 sinφ where F0 is a source node for external force, the T1 and T2 are the destination nodes for transferred force, ψ is the angle from x axis for the source force from F0 , and θ and φ is the angle from x axis for the destination forces to T1 and T2 . From this formula, the quantity of force energy from any sources is equivalent to the quantity of force energy to any destinations regardless how many sources and destinations are involved in energy transformation. We calculate the quantity of force energy transferred to two destination nodes, T1 and T2 , from a source of force energy, F0 , via ¯ ¯ ¯ −(F0 cosψ × sinφ) − (F0 sinψ × cosφ) ¯ ¯ ¯ , (3) T1 = ¯ −(cosθ × sinφ) − (sinθ × cosφ) ¯ ¯ ¯ ¯ (cosθ × F0 sinψ) − (sinθ × F0 cosψ) ¯ ¯, T2 = ¯¯ (4) −(cosθ × sinφ) − (sinθ × cosφ) ¯ where F0 is the quantity of force energy in the source, ψ is the angle from the x axis of the source edge, θ is the angle from the x axis of the first destination edge and φ is the angle from the x axis of the second destination edge. Algorithm 1 explains the step by step processes of the method. To compare our result, we find critical locations of the sample bone network using existing network analysis methods including betweenness centrality and bridging coefficient. The betweenness centrality for edge e, Cbt (e), is calculated by P (e) method, Cbt (e) = s6=v6=t∈V σst σst , where σst is the number Algorithm 1 Information Propagation(S, D, G) 1: 2: 3: 4: 5: 6: 7: 8: 9: 10: 11: 12: 13: 14: 15: 16: 17: 18: 19: 20: 21: 22: 23: 24: G: a bone network S: start node stack which is on the right most side of graph G D: ground node list which is on the left most side of graph G Nν : a neighbor node list of ν with hop(ν → i) = 1 and x coordinate xi < xν n: size of Nν Fi : energy in node i ei→j : quantity of energy flow of an edge from i to j repeat while S is not empty do Pop a start node s from S for i = 1 to n do Calculate T1 , T2 , ...Ti from Fs Move to Ti Calculate current Ti = Ti + previous Ti Calculate current ei→j = ei→j + previous ei→j end for Push T1 , T2 , ...Ti into S end while Add M ax(ei→j ) into R Remove M ax(ei→j ) from G until No path on S → D Recognize node list, CR , linked to R Add directed linked edges of CR into R print R features to an edge. We defined the weight of an edge e with l(j) , where l(j) is the length of an edge e calculated via max(l(j)) the length of an edge e and max(l(j)) is the maximum length of an edge in a bone network. The weighted bridging coefficient of a node v is defined as the average weight of leaving the direct neighbor sub-graph of a node v. The weighted bridging coefficient of a node v is defined via X 1 ρ(i) Cwbc (v) = · , (6) d(v) wi − w0 i∈N (v) where d(v) is the degree of a node v, node i is directly connected to node v, ρ(i) is the average weight of edges leaving the direct neighbor sub-graph of node i, wi is the average weight of edges directly connected to node i and w0 is the weight of the edges connected to node v from node i. The weighted bridging coefficient of an edge e is defined as the product of the weighted average of bridging coefficient of two incident nodes i and j for an edge e and the reciprocal of the number of common direct neighbor nodes of nodes i and j. The bridging coefficient of an edge e is defined by: Cwbc (e) = of shortest paths from the node s to the node t, and σst (e) is the number of shortest paths from s to t that pass through an edge e [11]. Since betweenness centrality does not consider spatial characteristics of the bone network, we modified betweenness centrality to be sensitive on those information by limiting source and destination nodes on measuring shortest paths to make a reasonable comparison. In addition, we incorporated the length of edges as a weight value for the weighted betweennees centrality via X γst (e) Cwbt (e) = , (5) γst ρ(i)Cwbc (i) + ρ(j)Cwbc (j) , (ρ(i) + ρ(j))(|C(i, j)| + 1) e(i, j) ∈ E (7) where nodes i and j are the two incident nodes to edge e, ρ(i) is the average weight of edges leaving the direct neighbor subgraph of node i, Cwbc (i) is the weighted bridging coefficient of node i, C(i, j) is the set of common direct neighbor nodes of nodes i and j. IV. R ESULTS In this section, we provide results of identifying critical locations in the sample bone network when there are external forces applied to the right side of the bone network. Then, we evaluate the results of three different approaches. s6=v6=t∈V where γst is the number of shortest paths multiplied by the edge length from the node s to the node t, and γst (e) is the number of shortest paths multiplied by the edge length from s to t that pass through an edge e. As the second method for comparison, bridge coefficient is employed. A bridge is a node or an edge that is located between and connects modules in a network. In other words, a bridge is a node v or an edge e that has high bridging coefficient value. The bridging coefficient of a node v is defined as the average probability of leaving the direct neighbor subgraph of a node v. The bridging coefficient of a node v is P δ(i) 1 defined by Cbc (v) = d(v) i∈N (v) d(i)−1 , where d(v) is the degree of a node v and δ(v) is the number of edges leaving the direct neighbor sub-graph of node v. In the sample bone network, we can find critical locations by finding a bridge node or a bridge edge containing the highest value of bridge coefficient [4]. We also modified bridging coefficient to be sensitive on spatial characteristics of bone network by adding weight (a) The two-dimension structural bone network model is shown (b) The microscopic view of the bone model are shown. Fig. 5. We created a two dimensional 1 × 1 unit (1 unit ≈ 5mm) square bone network extracted from our bone network as a representative of bone microstructure shown in Figure 5. The network consists of 686 nodes and 943 edges as representatives of bone microstructure. Specifically, we assume that a node stands for an intersection point among mineral fibers and an edge stands for a group of mineral fibers in bone microstructure, which is an important element for maintaining structural strength of a bone network. In this experimentation, Fig. 6. Figures illustrate steps for identifying critical locations in the sample 1 × 1 square unit bone network. Red edges are the identified critical edges in each step, which are removed in the next step to find the next critical edge. To compare the result of the information propagation algorithm, we calculated critical locations with the method of the weighted edge betweenness centrality and the weighted bridge coefficient in the sample bone network with the same condition to our method. We iteratively ran each algorithm to find the first 30 critical edges as representatives of important locations in the bone network. Figure 7(a) shows average shortest path length (ASPL) as a function of 30 critical edge cuts by each method. We P P calculated average shortest path i∈R(v) j∈L(v) min(i→j) length via τ = , where R(v) is the mn node list in the right most side of the bone network; L(v) is the node list in the left most side of the bone network; min(i → j) is the shortest path length from node i to node j; m is the number of node in R(v); and n is the number of node in L(v) [7]. The plot in Figure 7(a) implies the number of the isolated bone network blocks since the sharp increment of τ indicates the segmentation of the network. Information propagation and weighted betweenness centrality method in Figure 7(a) show one and three sharp increments of τ , which indicates that the bone network breaks into two and four isolated bone network blocks, respectively. Other two methods, including weighted bridge coefficient and random cut, do not create any separated blocks of the bone network even after 30 edge cuts. We also employed moment of inertia (MOI), which is a measure of an object’s resistance to changes in its rotation rate, (b) 2430 600 2400 450 2370 ρ (a) 750 τ we suppose that there are external forces applied to the right side of the sample bone network. We calculated critical locations in the sample bone network shown in Figure 6(a) with the information propagation algorithm. Figure 6 shows steps to find critical edges as fragile points in the sample bone network. In Figure 6(b), the first three critical edges are found as the most fragile points by external forces. Figures 6(c), (d), and (e) show each step to find next critical edges after removing previous critical edges. Finally, figure 6(f) shows the bone network broken into two pieces after 30 critical edges are removed, which represents the fracture of a bone. 2340 300 2310 150 0 2280 0 10 20 Edge Cut 30 0 10 20 30 Edge Cut (a) Average shortest path length (ASPL) as a function of 30 critical edge cuts by each method is shown. Black dots, gray dots, white dots and white squares represent the method of information propagation, weighted edge betweenness centrality, weighted bridge coefficient, and random cut, respectively. (b) Moment of inertia (MOI) as a function of 30 critical edge cuts by each method is shown. Fig. 7. to evaluate the overall strengthP of bone network. We defined MOI of bone strength via ρ = i∈V (v) wi δi 2 , where V (v) is the node list in a bone network; wi is the weight of a node i; and δi is the distance from the center of the bone network to the node i. The weight of a node i, wi , which represents the strength of a node i is defined as the average P weight of edges directly connected to a node i, wi = n1 · i∈E(v) ui , where E(v) is the edge list directly connected to the node v, n is the number of edges in E(v) and ui is the weight of an edge i. The weight of an edge i, ui , is set to 0 (cut) or 1 (connected) [7]. Figure 7(b) shows the plot for ρ as a function of 30 critical edge cuts by each method. High ρ value means that a possible crack line of the bone network is identified without damaging the overall strength of the bone network. ρ value for information propagation method in Figure 7(b) indicates that critical edges of the network are effectively identified after 30 critical edge cuts. Weighted betweenness centrality method also shows a comparable performance, but its performance worsen after 22nd edge cuts. Weighted bridge coefficient and random cut method do not effectively find critical edges since ρ value of each method almost linearly decreases. Figure 8 shows the visualization of results after 30 critical edge cuts by each method. Figure 8(a) shows the bone network after critical edges are identified by the information propagation method against the sample bone network. Two isolated bone networks are created by removing critical edges found by information propagation method. As we expected from Figure 7(a), weighted betweenness centrality method created four isolated bone network blocks by deleting critical edges shown in Figure 8(b). Next, in Figure 8(c), the sample bone network remains in the same even after removing 30 critical edges found by the weighted bridge coefficient method. Random cut method also failed to create any isolated bone network block. Last, figure 8(d) depicts crack patterns in a real bone as an example of a possible crack line. From these results, we found that the method of weighted edge betweenness centrality created more isolated bone network blocks than any other methods by removing 30 critical (a) not be reliably measured. In addition, a verification step on our results with real bone break experimentations would be necessary to apply this model to patients. Nevertheless, wellunderstood knowledge with this type of study would have a great impact on identifying fragile points and understanding fracture process in a bone microstructure. By applying the basic ideas of this study, we would develop a testing framework of a crack propagation process for various materials composing of interacting atoms among which the interactions govern the material’s behavior under different conditions. As a future work, we will continue to work on mathematical modeling for identifying critical locations on other structural networks, such as a molecular structural network and a road system network. This would enable us to understand critical locations of various networks as well as prepare for uncertain damages. (b) (c) R EFERENCES (d) Figure shows three results for critical locations detected by information propagation, weighted betweenness centrality and weighted bridge coefficient, respectively. Critical edges detected by methods are colored by red. (a) Two isolated bone networks are created by deleting critical edges. (b) Four isolated bone networks are created by deleting critical edges. (c) There is no isolated bone network created by deleting critical edges. (d) An example of cracks on a real bone is shown [14]. Fig. 8. edges. However, it is not always the case that bone is broken into many pieces in the event of bone fracture process unless extremely powerful external forces are applied. Instead, a small break in a bone starts from a microscopic crack created by an impact or repeated flexing “fatigue.” Then, a crack grows longer and larger when a force is continuously applied shown in Figure 8(d). We believe that finding crack line by identifying critical locations of the bone network in a certain condition is very useful not only for understanding fracture risk of a bone microstructure but also for diagnosing bone diseases, such as osteoporosis. V. C ONCLUSION AND F UTURE W ORK In this paper, we introduced a bone network model based on the properties of a bone microstructure, and we developed the method, information propagation to identify a critical location in the bone network. We also incorporated existing methods including the weighted betweenness centrality and the weighted bridge coefficient into our method, and compared advantages and disadvantages among those methods to evaluate our results. 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