NEXT GENERATION EU
KEY ENABLING TECHNOLOGIES

ReBone: designing customised bone replacement implants

ReBone, a Doctoral Network coordinated by Politecnico di Milano and funded by the European Union within the Marie Skłodowska-Curie Actions (MSCA) has kicked off. Young researchers involved will develop innovative technologies for creating customised 3D-printed bone replacement implants based on bioactive ceramics.

The ultimate goal is to provide clinical experts with the tools to produce customised bone graft substitutes, allowing for individualised therapeutic solutions for each patient in terms of mechanical and mechanical-biological performance, surgical implantability and reliability of the manufacturing process.

In addition, ReBone will develop state-of-the-art in silico models, based on advanced computational methods and characterisation and validation techniques, for customised implants with a visualisation system for mixed-reality surgical planning.

ReBone is a European project funded under the Horizon Europe programme that will enrol 10 young researchers in as many European PhD schools. The project intersects many disciplines including materials engineering, 3D printing technology of ceramic material devices, biomechanics, biology and augmented reality,

Pasquale Vena, professor of Industrial Bioengineering at the  Department of Chemistry, Materials and Chemical Engineering ‘Giulio Natta’ and coordinator of the project

In addition to Politecnico di Milano, ReBone involves partners from eight European countries: Politecnico di Torino (Italy), Università del Piemonte Orientale (Italy), University of Liège (Belgium), Lithoz (Austria), Ludwig Boltzmann Institute of Osteology (Austria), University of Salzburg (Austria), Department of Technology and Metallurgy, University of Belgrade (Serbia) MedApp (Poland), EU CORE Consulting (Italy), Cerhum (Belgium), Science on the Street (Slovenia), University of Tampere (Finland), Université Paris-Est Créteil (France), AUVA Trauma Centre Meidling (Austria).

For further information and to participate in the PhD programme, please visit the ReBone website or contact Pasquale Vena, project coordinator (pasquale.vena@polimi.it).

GAP: a step forward in preventing bone fractures

A group of students devised an innovative device and algorithm for understanding and preventing bone fractures. In the course of their lifetime, approximately 40% of Italians will suffer a broken femur, vertebra or wrist. Fractures caused by osteoporosis have major consequences in terms of mortality and motor disability, with high health and social costs.

The GAP project (image-Guided experimental and computational Analysis of fractured Patients) seeks to go beyond the limits of current bone fracture diagnostics to develop more effective methods of early diagnosis. The idea was conceived within the Alta Scuola Politecnica (ASP), the international programme reserved for the best students from the Politecnico di Milano and Politecnico di Torino.

The working group focused on the study of bone fractures at the microscale, where there are still many doubts as to the origin and propagation of fractures. The role of small cavities in the bone architecture, known as lacunae, remains unclear. In order to get a complete view, the students at ASP analysed the phenomenon through both an experimental campaign and using computational models.

They designed a micro-compression device that both tests femoral bone samples under conditions that reproduce the in-vivo working conditions inside the human body and acquires images of specific bone sections. This was made possible by the use of innovative technology, based on the generation of synchrotron light and high-quality free-electron lasers, at Elettra Sincrotrone in Trieste. Synchrotron light is a form of electromagnetic radiation characterised by charged particles moving at a very high velocity, close to the speed of light, and which consequently has a very short wavelength. These characteristics mean that the radiation peak falls within the range of X-rays and is very suitable for analysing tissue such as bone. This is the key point of the research, because, up until now, no one had ever studied bone lacunae with such high-resolution images. Indeed, the strength of this research is precisely the quality and quantity of images acquired and analysed.

Equally innovative was the technique used to process this large amount of data. Having to examine over 2 million images, the students decided to automate the process by developing a convolutional neural network capable of autonomously identifying bone lacunae. Neural networks are deep learning algorithms that are now the focus of attention in the international scientific community because of their potential in analysing clinical images. This algorithm saved more than 2 million hours in the post-processing phase. At the same time, the students also examined bone lacunae using computational simulations. They developed and validated a model that reproduces bone compression tests that can be used for future analyses without the need for new bone samples.

The GAP project, coordinated by Maria Chiara Sbarra, together with Irene Aiazzi, Bingji Liu, Alessandro Casto and Giovanni Ziarelli, has achieved important results in just two years of work. The multidisciplinary team, led by Professor Laura Vergani and PhD student Federica Buccino from the Department of Mechanics at the Politecnico di Milano, collaborated with ETH Zurich, the Elettra Sincrotrone international research centre in Trieste and the San Donato Group.

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