Peter Zioupos

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Verified

Peter verified their affiliation via an institutional email.

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• DSc, PhD, BSc
• Professor Biomedical Engineering at University of Hull

There is a need to prescreen large numbers of individuals for osteoporosis due to current demands on clinical resources. Some previous attempts to predict individuals at risk have used simple indices based on patient information, or Quantitative Ultrasound (QUS) and have shown good sensitivity but also demonstrated low specificity, which means that...

Density is a salient property of bone and plays a crucial role in determining the mechanical properties of both its cancellous and cortical structural forms. Density is defined in a number of ways at either the bone tissue (D(app), apparent) or the bone material level (D(mat), material). The concept of density is relatively simple, but measuring it...

There is increasing evidence nowadays that diseases or conditions, like osteoporosis (OP), which are conventionally defined in terms of bone quantity/mass, are also associated with concomitant changes at the bone matrix level. The present study examined the composition, density and mineral content of OP cancellous bone at the tissue level and the h...

Bone mechanical properties are typically evaluated at relatively low strain rates. However, the strain rate related to traumatic failure is likely to be orders of magnitude higher and this higher strain rate is likely to affect the mechanical properties. Previous work reporting on the effect of strain rate on the mechanical properties of bone predo...

Human bone is highly heterogeneous at the microscale and this heterogeneity has been thought to relate to some fracture scenarios. The fatigue strength of cortical bone has been shown to relate to its inner architecture (osteonal or fibrolamellar) and some physical characteristics in the past, but never to the heterogeneity of its microstructure. T...

The current protocol used to determine if an individual is osteoporotic relies on assessment of the individual’s bone mineral density (BMD), which allows clinicians to judge the condition of a patient with respect to their peers. This, in essence, evaluates a person’s fracture risk, because BMD is a good surrogate measure for strength and stiffness...

Introduction: Flatfoot is a condition commonly seen in children; however, there is general disagreement over its incidence, characterization and correction. Painful flatfoot accompanied with musculoskeletal and soft tissue problems requires surgery to avoid arthritis in adulthood, the most common surgical approach being two osteotomies to the calca...

Ballistic testing necessarily employs simulant target materials for ethical and fiscal reasons. Current tissue analogues utilised for ballistic testing / research are, however, typically relatively simplistic – such as ballistics soap or gelatin. Consequently, these materials are seldom representative of complex mammalian constructs. In this paper...

Assessing the timing of skeletal trauma significantly impacts the reconstruction of events surrounding death and deposition in forensic cases. However, there are no absolute time frames in which the characteristics of wet bone (peri-mortem) fractures transition to dry (post-mortem) fractures. The aim of this study was to attempt to identify a point...

Bone fracture surface morphology (FSM) can provide valuable information on the cause of failure in forensic and archaeological applications and it depends primarily on three factors, the loading conditions (like strain rate), the ambient conditions (wet or dry bone material) and the quality of bone material itself. The quality of bone material evid...

Measurement of the properties of bone as a material can happen in various length scales in its hierarchical and composite structure. The aim of this study was to test the tissue level properties of clinically-relevant human bone samples which were collected from donors belonging to three groups: ageing donors who suffered no fractures (Control); un...

Bone mechanical and biological properties are closely linked to its internal tissue composition and mass distribution, which are in turn governed by the purposeful action of the basic multicellular units (BMUs). The orchestrated action of osteoclasts and osteoblasts, the resorbing and forming tissue cells respectively, in BMUs is responsible for ti...

The microarchitecture of bone both results from and in turn affects the remodelling process. Bone-specific surface, for instance, is one of these important microarchitectural parameters because remodelling is also considered to be a surface-mediated phenomenon (Berli et al. 2017). An understanding of these structural parameters across the widest po...

Understanding what maturity entails for bone, when it arrives, and its pre- and post-maturity traits and properties is very important for understanding its evolution and physiology. There is a clear but fine distinction between the chronological age of bone (the age of its donor) and the tissue age of the bone packets it comprises at the microscopi...

Forensic anthropology includes, amongst other applications, the positive identification of unknown human skeletal remains. The first step in this process is an assessment of the biological profile, that is: sex, age, stature and ancestry. In forensic contexts, age estimation is one of the main challenges in the process of identification. Recently e...

Most commercially available spine analogues are not intended for biomechanical testing, and the few that are suitable for using in conjunction with implants and devices to allow a hands-on practice on operative procedures are very expensive and still none of these offers patient-specific analogues that can be accessed within reasonable time and pri...

Most commercial spine analogues are not intended for biomechanical testing, and those developed for this purpose are expensive and yet still fail to replicate the mechanical performance of biological specimens. Patient-specific analogues that address these limitations and avoid the ethical restrictions surrounding the use of human cadavers are ther...

The mechanical and structural properties of bone are known to change significantly with age. Within forensic and archaeological investigations, the medial end of the clavicle is typically used for estimating the age-at-death of an unknown individual. Although, this region of the skeleton is of interest to forensic and clinical domains, alterations...

Patient-specific computational models are powerful tools which may assist in predicting the outcome of invasive surgery on the musculoskeletal system, and consequently help to improve therapeutic decision-making and post-operative care. Unfortunately, at present the use of personalized models that predict the effect of biopsies and full excisions i...

The mechanisms of skull impact loading may change following surgical interventions such as the removal of bone lesions, but little is known about the consequences in the event of subsequent head trauma. We, therefore, prepared acrylonitrile butadiene styrene human skull models based on clinical computed tomography skull data using a three-dimension...

Human bone becomes increasingly brittle with ageing. Bones also fracture differently under slow and fast loadings, being ductile and brittle, respectively. The effects of a combination of these two factors have never been examined before. Here we show that cortical bone is most fracture-resistant at the physiologically prevalent intermediate strain...

This paper is concerned with the effect of different strain rate on the Work of Fracture (Wf) of various vertebrate mineralised tissues, controlling for the effect of mineral content and Young's modulus of elasticity. Using specimens of uniform shape and size values for the Work of Fracture of specimens tested at various deformation rates, and also...

The composite nature of bone has been largely studied in order to understand its unique mechanical properties. Although, for long time variations in bone mineral content and mass with age have been considered responsible for the increase of fracture risk, currently it is well recognized the importance of the spatial interaction between organic and...

For the first time we present nanoindentation analysis of charred, cured aromatic cyanate esters, which exhibit outstanding mechanical properties when analysed under applied loads of 0.1-300 mN. Following charring (900 °C for 10 minutes to achieve graphitised structures), the samples display a remarkable combination of a modulus of elasticity of ar...

Osteoporosis is a prevalent bone condition, characterised by low bone mineral density and increased fracture risk. Currently, the gold standard for identifying osteoporosis and increased fracture risk is through quantification of bone mineral density using dual energy X-ray absorption. However, many studies have shown that bone strength, and conseq...

Introduction Arthritis induces joint erosions and skeletal bone fragility. Objectives The main goal of this work was to analyze the early arthritis induced events at bone architecture and mechanical properties at tissue level. Methods Eighty-eight Wistar rats were randomly housed in experimental groups, as follows: adjuvant induced arthritis (AIA...

3D model of the mouse tibia cross section showing a triangularly shaped bone. (TIF)

An understanding of bone apparent and material densities and how they vary within bone at the organ level is of great interest in the understanding of degenerative bone conditions and for biomedical engineering applications. The densities of bone tissue have been shown to appreciably influence the mechanical competency of bone tissue. In order to a...

The biological identification of an individual has always been a challenging task throughout the process of investigating unknown skeletal remains. Accuracy in estimating age can be achieved using methodologies that include developmental markers of specific elements that is mostly applicable in individuals under 35 years of age. Additionally, proto...

Objectives: The main goal of this work was to analyse how treatment intervention with tofacitinib prevents the early disturbances of bone structure and mechanics in the rat model of adjuvant-induced arthritis. This is the first study to access the impact of tofacitinib on the skeletal bone effects of inflammation. Methods: Fifty Wistar rats with...

Background Arthritis induces joint erosions and skeletal bone fragility. Objectives The main goal of this work was to analyze the early arthritis induced events at bone tissue level. Methods Eighty-eight Wistar rats were randomly housed in experimental groups, as follows: adjuvant induced arthritis (N=47) and a control healthy group (N=41). Rats...

Background Rheumatoid arthritis (RA) causes immune mediated local and systemic bone damage. Objectives The main goal of this work was to analyze, how treatment intervention with tofacitinib prevents the early disturbances on bone structure and mechanics in adjuvant induced arthritis rat model. This is the first study to access the impact of tofaci...

Age estimation remains one of the most challenging tasks in forensic practice when establishing a biological profile of unknown skeletonised remains. Morphological methods based on developmental markers of bones can provide accurate age estimates at a young age, but become highly unreliable for ages over 35 when all developmental markers disappear....

Bone is a living tissue whose main mechanical function is to provide stiffness, strength and protection to the body. Both stiffness and strength depend on the mineralization of the organic matrix, which is constantly being remodelled by the coordinated action of the bone multicellular units (BMUs). Due to the dynamics of both remodelling and minera...

Values of the parameter of the model presented in supporting information. (DOCX)

Results of the model by using the Specific Surface from Martin [30] (?srM) and from Adams et al.(2014) measurements (?srAZ), compared with other data from Zioupos et al.[13]. Derivation of different model outputs depending on different inputs for the bone surface density function. Note that the smaller specific surface from Adams et al.[28] implies...

Appendix to the main text describing the early evolution of the model. (DOCX)

Apparent bone density vs ash density. Comparison of the model output to recent data in the literature. Measurements extracted from Schileo et al. [38] superimposed to numerical results derived from the present model for (?sr = 150). Note that the ash density is defined as the ratio of mineral mass to the reference bone volume (?mVm/Vt). (TIF)

Histomorphometry of human elephant and human femoral cancellous samples in comparison. Plots of Tb.Th, Tb.N, Tb.Sp and BS/TV versus BV/TV. The histomorphometry of these two species is very similar and thus the full ranges of samples used here allowed us to build a more generic model. This model has been validated for the present elephant samples bu...

Bone is a living tissue whose main mechanical function is to provide stiffness, strength and protection to the body. Both stiffness and strength depend on the mineralization of the organic matrix, which is constantly being remodelled by the coordinated action of the bone multicellular units (BMUs). Due to the dynamics of both remodelling and minera...

Burning of human remains is one method used by perpetrators to conceal fatal trauma and expert opinions regarding the degree of skeletal evidence concealment are often disparate. This experiment aimed to reduce this incongruence in forensic anthropological interpretation of burned human remains and implicitly contribute to the development of resear...

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 coll...

Duchenne muscular dystrophy (DMD) is an inherited, lethal disorder characterised by progressive muscle degeneration and associated bone abnormalities. We have previously demonstrated that P2RX7 purinergic receptors contribute to the pathogenesis of DMD, and found that P2RX7 ablation alleviated the severity of the disease. In this work we have used...

Podium Presentation

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 increase...

The recently developed Reference Point Indentation (RPI) allows the measurements of bone properties at the tissue level in vivo. The goal of this study was to compare the local anisotropic behaviour of bovine plexiform bone measured with depth sensing micro-indentation tests and with RPI. Fifteen plexiform bone specimens were extracted from a bovin...

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 load...

There is a compelling need for accurate, low cost diagnostics to identify osteo-tissues that are associated with a high risk of fracture within an individual. To satisfy this requirement the quantification of bone characteristics such as 'bone quality' need to exceed that provided currently by densitometry. Bone mineral chemistry and microstructure...

We demonstrate material phase identification by measuring polychromatic diffraction spots from samples at least 20 mm in diameter and up to 10 mm thick with an energy resolving point detector. Within our method an annular X-ray beam in the form of a conical shell is incident with its symmetry axis normal to an extended polycrystalline sample. The d...

The combination of bite force and jaw muscle electromyography (EMG) provides an insight into the performance of the stomatognathic system, especially in relation to dynamic movement tasks. Literature has extensively investigated possible methods for normalising EMG data encapsulating many different approaches. However, bite force literature trends...

Strain (stress-free) relaxation in mechanically prestrained bone has a time constant of 75 s. It occurs by a reorganization of the proteoglycan-glycoprotein matrix between collagen fibers, which requires ionic interactions. Dissolving and relinking the ionic bonds is thus an important tool of nature to enable plastic deformation and to develop self...

Sports related facial injuries are most prevalent amongst young men aged 16–30 yrs, with male to female injury ratios as high as 19:1. The most common site of injury is the mandible followed by the mid-face. The severity of injury can have a detrimental effect on health and return to sport. Differences in facial structure and strength may be a key...

Determination of age-at-death (AAD) is an important and frequent requirement in contemporary forensic science and in the reconstruction of past populations and societies from their remains. Its estimation is relatively straightforward and accurate (±3yr) for immature skeletons by using morphological features and reference tables within the context...

The shock sensitivity of RDX is of major interest for the development of insensitive munitions. Previous research has implied that internal defects that form within RDX crystals have a strong sensitising effect, increasing the probability of shock initiation. During the NATO Reduced sensitivity RDX Round Robin (R4) program the number of internal de...

Evaluating the mechanical response of bone under high loading rates is crucial to understanding fractures in traumatic accidents or falls. In the current study, a computational approach based on cohesive finite element modeling was employed to evaluate the effect of strain rate on fracture toughness of human cortical bone. Two-dimensional compact t...

Characterising the mechanisms causing viscoelastic mechanical properties of human cortical bone, as well as understanding sources of variation, is important in predicting response of the bone to creep and fatigue loads. Any better understanding, when incorporated into simulations including finite element analysis, would assist bioengineers, clinici...

Surgeon General's Armed Forces Feeding Project: body composition and dietary intake of Royal Navy recruits - Volume 70 Issue OCE6 - A. Dziubak, C. House, R. Taylor, R. Cobley, E. Minnock, P. Zioupos, T. Davey, A. J. Allsopp, J. L. Fallowfield

Osteoporosis defines a causal relationship between reduced bone density, reduced mechanical competence of the bone tissue of the sufferers and concomitantly an increased risk of fracture in life. The aims of the present study is: (1) to provide further evidence to support the use of Quantitative Ultrasound (QUS) results from peripheral sites to pro...

The authors regret that the axis title of the y-axes of the graphs in Figs. 4 and 5 of the above published paper are shown in units of (MPa m À 1/2) instead of the correct (MPa m 1/2). The authors would like to apologize for this typographical error and any inconvenience it may have caused.

Dioxins are known to decrease bone strength, architecture and density. However, their detailed effects on bone material properties are unknown. Here we used nanoindentation methods to characterize the effects of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) on nanomechanical behaviour of bone matrix. Pregnant rats were treated with a single intragastr...

The mechanical capacity and integrity of cancellous bone is crucial in osteoporosis, a condition which is set to become more prevalent with increasing lifespan and population sizes. The fracture toughness (FT) of cancellous bone has never been examined before and the conditions associated with the growth of a major crack through the lattice of canc...

The mechanical performance of bone is of paramount importance for the quality of life we experience. The structural integrity of bone, its hierarchical structure, organisation and its physicochemical constitution, all influence its ability to withstand loads, such as those seen occasionally in everyday life loading scenarios, which are either above...

It is difficult to define the 'physiological' mechanical properties of bone. Traumatic failures in-vivo are more likely to be orders of magnitude faster than the quasistatic tests usually employed in-vitro. We have reported recently [Hansen, U., Zioupos, P., Simpson, R., Currey, J.D., Hynd, D., 2008. The effect of strain rate on the mechanical prop...

Full-text of this article is not available in this e-prints service. This article was originally published in Journal of Biomechanics, published by and copyright Elsevier.

Full-text of this article is not available in this e-prints service. This article was originally published in Journal of Biomechanics, published by and copyright Elsevier.

It is a common theme in basic bone biomechanics and in biomechanical applications that much of the behavior can be determined and is dictated by the level of strain, whether this pertains to bone physiology, bone remodeling, osseoinduction, osseointegration, or the development of damage. The development of damage, demonstrated by stiffness loss mea...

The mechanical characteristics of human bone, especially those relating to age, are of immense interest to everyone. A great amount of information has already been accumulated on the macromechanical/phenomenological aspects of bone behaviour and while some aspects, such as stiffness and strength, have been attributed to effects at the architectural...