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Biomaterial granules used for filling bone defects constitute 3D

scaffolds: porosity, microarchitecture and molecular composition


analyzed by microCT and Raman microspectroscopy

Baptiste Arbez,1 Jean-Daniel Ku


€ n-Darbois,1,2 Thierry Convert,3 Bernard Guillaume,1,3
Philippe Mercier, Laurent Hubert,1,4 Daniel Chappard 1
1

1
Groupe Etudes Remodelage Osseux et bioMate  riaux, GEROM – LabCom NextBone, SFR 42-08, Universite
 d’Angers,
IRIS-IBS Institut de Biologie en Sante , CHU d’Angers, 49933 Angers Cedex, France
2
Service de chirurgie maxillo-faciale, CHU d’Angers, 49933 Angers Cedex, France
3
CFI, Collège Français d’Implantologie, 6 rue de Rome, 75005 Paris, France
4
 partement de chirurgie osseuse, CHU d’Angers, 49933 Angers Cedex, France
De

Received 7 February 2018; accepted 23 March 2018


Published online 00 Month 2018 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/jbm.b.34133

Abstract: Biomaterials are used in the granular form to fill had a much lower porosity than 1000–2000 mm granules and
small bone defects. Granules can be prepared with a grinder the maximum frequency of pores was always centered at
from trabecular bone samples or provided as synthetic bio- 200–250 mm. One biomaterial contained substantial amount
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materials by industry. Granules occupy the 3D-space and cre- of cortical bone (Bio-OssV). The highest porosity and pore
ate a macroporosity allowing invasion of vascular and bone size was obtained with TCP Dental HP. Raman spectroscopy
cells when the inter-granular pores are larger than 300 mm. found differences in biomaterials of the same composition.
We compared the 3D-porosity of granule stacks obtained or Stacks of granules represent 3D scaffolds resembling trabec-
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prepared with nine biomaterials OsteopureV, LubbocV, Bio- ular bone with an interconnected porous microarchitecture.
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OssV, CopiOsV, TCP DentalV, TCP Dental HPV, KeraOsV, and Small granules have created pores <300 mm in diameter; this
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TCHV in comparison with that of human trabecular bone. For can interfere with vascular colonization. V
C 2018 Wiley Periodi-

each biomaterial, two sizes of granules were analyzed: 250– cals, Inc. J Biomed Mater Res Part B: Appl Biomater 00B: 000–000,
1000 and 1000–2000 mm. Microcomputed tomography deter- 2018.
mined porosity and microarchitectural characteristics of gran-
ular stacks and Raman microspectroscopy was used to Key Words: biomaterial granules, ceramics, Raman spectros-
analyze their composition. Stacks of 250–1000 mm granules copy, microCT, bone graft

€ n-Darbois J-D, Convert T, Guillaume B, Mercier P, Hubert L, Chappard D 2018. Biomaterial


How to cite this article: Arbez B, Ku
granules used for filling bone defects constitute 3D scaffolds: porosity, microarchitecture and molecular composition analyzed
by microCT and Raman microspectroscopy. J Biomed Mater Res Part B 2018:00B:000–000.

INTRODUCTION factors such as the size and shape of the granules them-
The use of commercial biomaterial granules is a widespread selves. Among the 3D parameters of importance, an open
alternative to morcellized autogenous bone when a graft is porosity with a high degree of interconnectivity and a pore
necessary to help bone repair in compromised situations. size >300 mm is now considered a key factor ensuring a
Several types of biomaterials are now provided by a number rapid healing of the grafted site.6,7
of companies; they can be of natural origin (i.e., allo- or X-ray microfocus computed tomography (microCT) pro-
xenogenic bone) or prepared as synthetic calcium- vides a suitable solution to analyze and measures the 3D
phosphate ceramics.1–3 Granular materials that assist in the volume, porosity and microarchitecture of granule-based
development of new bone in the grafted area realize in fact scaffolds in vitro.4,8,9 Evaluation of the volumetric and
a 3D scaffold that allows the penetration of fluids and cells microarchitectural parameters inside the scaffolds is very
in a centripetal way from the surrounding tissues.4 When a important to have a precise idea of its biodegradation and
surgeon places granules within a bone defect, the voids then bone regeneration when the granules will be implanted
between the granules represent an interconnected space in a bone defect from a patient.10–12
available for vascular sprouts and bone cells to invade the This study aims (i) to evaluate qualitatively and quanti-
grafted area.5 3D geometry of the assembly of such scaffolds tatively the 3D microarchitecture of different granular bio-
has been little considered and depends on a number of materials prepared and sold by several companies as bone

Additional Supporting Information may be found in the online version of this article.
Correspondence to: D. Chappard; e-mail: daniel.chappard@univ-angers.fr

C 2018 WILEY PERIODICALS, INC.


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filling substitutes and to compare their characteristics with CopiOsV. Granules of CopiOsV (250–1000 mm and 1000–
those of human trabecular bone (ii) to verify the molecular 2000 mm) were directly purchased from Zimmer Dental
composition of these biomaterials by Raman microspectro- (Germany). The packaging and the leaflet package indicates
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scopy. Allogenic and xenogenic particles and synthetic Ca/P they are prepared by the Tutoplast processV (Tutogen Medi-
ceramic granules commonly used in maxillo-facial surgery cal GmbH, Germany) from bovine spongy bone; the process
were analyzed. The influence of two size of granules sold by comprises alkali washes and oxidative treatments that pre-
industry (i.e., 250–1000 mm and 1000–2000 mm) was also serve the organic and mineral parts of the bone matrix.
considered on the 3D microarchitecture. Granules of batches # 13517185 and #20108414 were
used.
MATERIALS AND METHODS
Bone samples Ca/P synthetic ceramics
Five bone cylinders (9 mm in diameter) were prepared Granules of sintered Ca/P ceramics were prepared by using
from the proximal tibial epiphysis from five human cadavers the polyurethane foam technology as extensively reported
from the Anatomical Laboratory (mean age 78.3 6 5.2 y.). elsewhere.2,15,16 Depending of the amount and nature of the
The calibrated cylinders were obtained with a diamond- powder in the slurry, three types of materials were studied
tipped coring tool (Starlite Industries, Rosemont, PA) per- in granules of 250–1000 mm and 1000–2000 mm in size.
pendicular to the tibial plateau. The subjects had given their
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body to science before death and had completed a form TCP DentalV. These granules are prepared by Kasios SAS
indicating that their corpses were to be used for medical (L’Union, France) with a slurry containing 25 g of b-TCP
education and research. Subjects were examined upon powder per 100 mL of water. They are relatively compact
arrival at the laboratory of anatomy of the Faculty of Medi- granules. Granules of batch 407/13.098 were used.
cine. All bone samples were harvested following a strict R

protocol of the laboratory of anatomy; for example, it was TCP Dental HPV. These granules are prepared by Kasios
impossible to know any detail which could lead to the sub- SAS with a slurry containing 12.5 of b-TCP powder per
ject’s identification (causes of death, previous medical 100 mL of water. Granules of batch #484/16.175 were
records). Bone cores were fixed in 10% formalin until use. used. They present a high porosity making them to resem-
ble trabecular bone.
Allo- and xenogenic bone granules R

Undecalcified human graft. A hemi-femoral head KeraOsV. These granules are prepared by Keramat (A
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(OsteopureV) was provided by Ost Development (France). Coru~
na, Spain) Granules of batches #1115121 12007 were
used. The packaging indicates that these granules are com-
The sample did not contain cortical bone and the sub-
posed of b-TCP with a purity higher than 99%.
chondral bone has been removed before the cleaning pro-
cess which included defatting steps and solvent washes.13 R
TCHV. These granules are prepared by Kasios SAS with a
Granules of this undecalcified purified hip were prepared
slurry containing 25% of b-TCP and 75% of hydroxyapatite
with a bone miller (Roswitha P. Quetin, Dental-Products, Lei-
powder per 100 mL of water. Granules of batch #404/
men, Germany) and they were sieved to obtain two groups
15.393 were used.
of granules: 250–1000 mm (small) and 1000–2000 mm
(large). MicroCT analysis
MicroCT analysis was performed on a Skyscan 1172 micro-
Undecalcified bovine xenograft. Blocks (12 3 4 3 5 mm) computed tomograph (Bruker microCT, Kontich, Belgium).
of bovine purified and undecalcified bone from calves were Bone samples were placed in polystyrene test tubes
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prepared by Ost Development as above (LubbocV). The (10 mm in diameter) and scanned while in fixative. Particles
blocks did not contain remnants of cortical bone. Granules of the different types of biomaterials were placed in similar
(250–1000 mm and 1000–2000 mm) were prepared with a tubes and gently agitated to allow the granules to settle and
bone miller as above described. In order to study the influ- optimize their 3D spatial arrangement in the dry state and
ence of pyrolysis, some blocks were calcinated in a furnace a volume of 330 mm3 was analyzed. Analysis was done in
(Vecstar Furnaces, MRF1, Chesterfield, UK) during 24 h at triplicate with the different granules stacks except for Bio-
8008C. After cooling, they were milled and sieved as above R
OssV 1000–2000 mm which was analyzed on six different
to produce granules of pyrolyzed calf bone. stacks. The microCT was operated at 80 kV, 100 mA with a
0.5 mm aluminum filter. The cubic voxel size was fixed at
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Bio-OssV. Granules of Bio-OssV (250–1000 mm and 1000– 4.95 mm and the angular rotation step at 0.258. 3D models
2000 mm) were directly purchased from Geistlich Pharma of bones and granules were obtained with VG Studiomax
AG (Switzerland). The packaging and the leaflet package (Volume Graphics GmbH, Heidelberg, Germany) operating in
indicates they are prepared from bovine spongy bone which the volume rendering mode. Microarchitecture parameters
has been extensively deproteinized with a 3008C treatment were obtained with the CTAn software (Bruker) after
for 18 h.14 Granules of batches #81600947, #81500416 and thresholding of the pores.17 They included measures of
#81600788 were used. porosity (Po, in %), mean pore diameter (Po.Diam, in mm)

2 ARBEZ ET AL. 3D MICROARCHITECTURE OF BIOMATERIALS


ORIGINAL RESEARCH REPORT

and specific surface (representing the interface between


bone or biomaterial and the porosity (Po.S/TV, in mm2/
mm3, where Po.S is the whole pore surface and TV, the vol-
ume of interest according to the ASBMR nomenclature.18).
For the bone cylinders and the granule stacks, the region
of interest (ROI) over-imposed on the 2D binarized sec-
tions was a 5 mm wide square; the height of analysis of
the samples has concerned 10 mm. The frequency distribu-
tion of pore diameter was determined by the sphere-fitting
method in the CTAn software.19 In order to further investi-
gate the porosity, the binarized stacks of 2D microCT sec-
tions of each sample were analyzed by a labmade software
(Vectopor) written in Matlab (MathWorks, Natick, MA). The
algorithm for evaluation of porosity used a vector projec-
tion on a frontal plane and has been extensively described
elsewhere.20 In the present study, the pixels of the ROI
which belonged to the same column received the same
pseudo-color according to the number of pixels superim-
posed on pores. A Look Up Table (LUT, a transfer function FIGURE 1. MicroCT analysis of two bone cores harvested in subject
which determines what screen values correspond to image from the Anatomy laboratory. Note the regular arrangement of plates
pixel intensity values at all x–y coordinates in the image) and pillars creating the typical microarchitecture of trabecular bone
was designed ranging from deep blue (no porosity) to red
(high porosity). Intermediate colors depend of the value of Statistical analysis
porosity along the vector according to the LUT. The frontal Statistical analysis was performed using the Systat statistical
plane colored image was saved in the tif format with the software release 13.0 (Systat Software Inc., San Jose, CA).
colorized LUT and analyzed by ImageJ (ImageJ 1.49c, NIH). All data were expressed as mean 6 standard deviation (SD).
With this method, the large porous areas are in “hot col- The histogram frequency of pore diameters was computed
ors” (i.e., red, orange and yellow) and areas rich in bioma- by pooling the data from different stacks of granules of
terial or bone appear in blue (“cold colors”). The method each formulation. Determination of polynomial equations
to analyze quantitatively RGB images (Red–Green–Blue) was computed with TableCurve (Systat Software) and the
was proposed by several authors and is based on the three best fit value was retained.
histograms of the image.21–23 In the RGB color model, each Differences for porosity between the groups were sought
image can be decomposed in three planes (red, green, and with the Kruskall–Wallis non-parametric analysis of variance
blue). The histogram of each bit plane was obtained with followed by the Conover–Inman test for all pairwise com-
ImageJ and transferred to an Excel (Microsoft) spreadsheet parisons. A difference was considered as significant when
(Microsoft Co). Then, only values comprised between 1 p < 0.05.
and 255 grey level (to discard irrelevant data) were
selected for computation. They were converted in percent RESULTS
of the whole number of pixels and the ratio R of the MicroCT analysis
(red 1 green) pixels to the whole number of pixels was The microarchitecture of two cylinders of trabecular bone
derived. This method allows determination of the fraction appear on Figure 1. They are composed of trabeculae in the
of the image containing “hot colors” because yellow is form of plates connected by pillars and limiting larges
obtained by adding red and green pixels values in the RGB pores.
mode. The microCT analysis of the different scaffolds of gran-
ules appears on Figure 2 for the 1000–2000 mm granules
Raman spectroscopy and on Figure 3 for the 250–1000 mm granules. Granules of
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The chemical spectrum of the different types of granules pyrolyzed LubbocV are not imaged as they were exactly the
was analyzed by Raman spectroscopy on a Renishaw InVia same than the original granules.
Qontor microscope (equipped with a Leica DM2700 micro- The largest granules of allo- or xenogenic bones were
scope, objective 203, NA 0.40, WD 0.39) with the WiRE 5.0 composed of fragments of trabeculae stacked upon one
software (Renishaw, Champs sur Marne, France). The excita- another. The original microarchitecture of trabecular bone
tion laser wavelength was 785 nm with an excitation power was disrupted but the trabeculae, which can easily be iden-
of 50 mW and a grating of 1200 line/mm resolution. The tified, maintained an interconnected porosity. There was no
final spectrum was obtained by averaging four scans morphological difference between xeno or allogenic bone
acquired on different granules with a 10 s exposure time nor before or after pyrolysis/deproteinization. The only
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for each spectrum. A concave rubberband base line correc- noticeable difference was observed for Bio-OssV which con-
tion was applied with an x11 polynomial equation. tained a substantial amount of cortical bone granules mixed

JOURNAL OF BIOMEDICAL MATERIALS RESEARCH B: APPLIED BIOMATERIALS | MONTH 2018 VOL 00B, ISSUE 00 3
FIGURE 2. MicroCT analysis of stacks of 1000–2000 mm granules from different biomaterials. (A) Allogenic bone granules prepared from a
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human femoral head (Osteopure ); (B) Xenogenic bone granules prepared from bovine bone (Lubboc ); (C) Xenogenic bone granules prepared
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from bovine bone (Bio-Oss ), arrows indicate the presence of numerous particles of cortical bone with osteon canals; (D) Xenogenic bone gran-
VR V R R
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ules prepared from bovine bone (CopiOs ); (E) granules TCP Dental HP ; (F) granules of TCP Dental ; (G) granules of KeraOs and (H) granules
RV
of TCH

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with trabecular bone (Figure 2C). Cortical bone is easily rec- microarchitecture of the stacks of b-TCP HPV resembled
ognizable by the presence of haversian canals and osteons that of trabecular bone except the lack of anisotropy in the
and more massive granules. Each different batch of this bio- blocks. The internal porosity due to the sublimations of the
material were similar and contained cortical bone. The polyurethane foam was easily evidenced as small connected
respective amount of cortical/trabecular bone cannot be cal- channels with a somewhat triangular section with concave
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culated on the 3D model. For the synthetic ceramics, the sides. Stacks of TCP DentalV and TCHV were composed of

FIGURE 3. MicroCT analysis of stacks of 250–1000 mm granules from different biomaterials. (A) Allogenic bone granules prepared from a human
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femoral head (Osteopure ); (B) Xenogenic bone granules prepared from bovine bone (Lubboc ); (C) Xenogenic bone granules prepared from
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bovine bone (Bio-Oss ), arrows indicate the presence of particles of cortical bone with osteon canals; (D) Xenogenic bone granules prepared
V R VR R
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from bovine bone (CopiOs ); (E) granules of TCP Dental HP ; (F) granules of TCP Dental ; (G) granules of KeraOs ; and (H) granules of TCH

4 ARBEZ ET AL. 3D MICROARCHITECTURE OF BIOMATERIALS


ORIGINAL RESEARCH REPORT

TABLE I. Morphometric Parameters Obtained by MicroCT on 3D Samples and Results Obtained From Analysis of Frontal Plane
Images Derived From Vector Analysis

Porosity (Po in %) Po.Diam (in mm) Po.S/TV (mm2/mm3) Ratio (R/(B 1 G)) %

Bone samples 83.7 6 7.8 929 6 299 2.22 6 0.45 53.8 6 4.9
250–1000 mm
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OsteopureV 76.7 6 0.8 315 6 22 8.67 6 0.48 20.5 6 2.6
R
LubbocV 76.9 6 1.5 281 6 28 9.35 6 0.75 24.8 6 0.8
R
CopiOsV 65.3 6 1.9 222 6 15 10.31 6 0.41 16.7 6 2.1
R
LubbocV pyrolyzed 67.3 6 2.2 216 6 29 11.38 6 1.23 21.8 6 4.1
R
Bio-OssV 57.9 6 0.6 222 6 20 10.16 6 0.78 7.9 6 1.0
R
TCP Dental HPV 60.5 6 2.4 228 6 46 10.92 6 1.84 9.8 6 2.0
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TCP Dental 51.9 6 0.7 252 6 21 9.02 6 0.58 6.9 6 5.6
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KeraOs 59.3 6 0.7 281 6 3 8.83 6 0.25 4.4 6 0.9
R
TCHV 60.3 6 0.3 271 6 8 9.10 6 0.17 8.6 6 2.4
1000–2000 mm
R
OsteopureV 82.2 6 0.1 540 6 18 5.43 6 0.12 28.8 6 1.9
R
LubbocV 82.5 6 0.9 466 6 38 5.16 6 0.28 29.8 6 2.0
R
CopiosV 82.4 6 1.9 574 6 87 4.41 6 0.55 18.8 6 5.3
R
LubbocV pyrolyzed 83.0 6 1.7 499 6 43 5.11 6 0.40 25.8 6 2.0
R
Bio-OssV 71.3 6 2.7 515 6 56 5.27 6 0.41 14.5 6 3.3
R
TCP Dental HPV 79.4 6 1.7 519 6 16 5.69 6 0.11 25.5 6 3.6
R
TCP DentalV 59.6 6 2.0 474 6 21 5.61 6 0.12 5.9 6 1.3
R
KeraOsV 63.0 6 1.9 503 6 39 5.44 6 0.24 5.5 6 1.3
R
TCHV 63.7 6 0.5 497 6 14 5.61 6 1.61 10.3 6 0.6

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more compact granules but they maintained an intercon- LubbocV and CopiOsV which are constituted by pure frag-
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nected porosity. Granules of KeraOsV also shown an internal ments of trabecular bone. Analysis of the frequency distri-
porosity due to polyurethane sublimation but also appear to bution of Po.Diam confirm that all small granules had a
contain an enclosed porosity made of small round and non- maximum peak centered at 250 mm when the larger gran-
interconnected cavities. ules had a more spread curve with values going up to 1250
For the 250–1000 mm granules of allo- or xenogenic mm. Figure 4 illustrates some distribution profiles for small
bone (Figure 3), the 3D aspect was very similar for all bony and large granules of xenogenic bone and ceramics. For
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materials, pyrolyzed or not, except for Bio-OssV in which ceramic biomaterials, the curve was more irregular when
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fragments of cortical bone could be also evidenced (Figure granules had an irregular shape (e.g., Kasios Dental HPV)
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3C). The stacks of these smaller granules appeared more than when granules had smooth contours (e.g., KeraOsV).
compact and the pores were smaller. For the synthetic
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ceramics, the microarchitecture of the b-TCP HPV granules Frontal plane analysis
was destroyed by crushing. Similar findings were observed The frontal plane obtained by the vector analysis software
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for stacks of TCP DentalV and TCHV granules. Granules of is illustrated for some biomaterials on Figure 5. The pres-
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KeraOsV presented small non interconnected round cavities ence of “red spots” indicates areas where porosity is maxi-
in addition to the internal porosity due to the polyurethane mal. The black and blue colors correspond to areas rich in
foam used to prepare the granules. biomaterial with a limited porosity. Morphometric analysis
of these RGB images appears on Table I. The highest (R/
Morphometric analysis (B 1 G)) ratios correspond to stacks of biomaterials with a
The morphometric results appear on Table I. For each type marked 3D interconnected porosity.
of biomaterial, the inter-granule porosity was reduced with
the 250–1000 mm when compared with the 1000–2000 mm Raman microspectroscopy
granules. This is due to a denser compaction of the smaller The Raman spectra of the main biomaterials appear on Fig-
granules resulting in a marked reduction of the Po.Diam. ure 6. They were determined on the large and small gran-
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Pyrolysis of the LubbocV granules had no effect on the 3D ules but only minor changes were noted between the two
microarchitecture of the stacks and results for Po, Po.Diam, forms. On allo- and xenogenic bone, the presence of the
and Po.S/TV did not differ from the original granules. Poros- mineral and organic phases is clearly identified. The PO32
4
ity obtained with the allo- or xenogenic large bone granules t1 peak appeared at 960 cm21, the PO43- t2 at 433,
was close to that of control human bone samples. However, PO43- t4 at 585 while the PO43- t3 and the CO32- are
the Po.Diam was markedly reduced and the compaction of combined in a band at 1070–1085. The organic phase of
the granules leads to an increase in Po.S/TV. This did not the matrix is characterized by a band at 1243 for amide
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apply to Bio-OssV due to the large amount of cortical bone III, 1672 for amide I, and 1455 for the CH2 and CH3
(identified by the presence of denser granules with osteons) groups. This characteristic aspect of the calcified bone
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and porosity was significantly reduced when compared to matrix is observed for OsteopureV, LubbocV and CopiOsV. A

JOURNAL OF BIOMEDICAL MATERIALS RESEARCH B: APPLIED BIOMATERIALS | MONTH 2018 VOL 00B, ISSUE 00 5
FIGURE 4. Frequency distribution profiles of Po.Diam measured from microCT 3D models for granules of some xenogenic bone and ceramics.
Black curve: large granules ranging from 1000 to 2000 mm; grey curve: small granules ranging from 250 to 1000 mm

FIGURE 5. Frontal plane of stacks of granules analyzed by vector analysis. The presence of “red spots” indicates areas where porosity is maxi-
mal. The LUT used for all biomaterials appears at the bottom of the image and is used to transform the grey level of pixels to emphasize the
R
V
results. Left row: large granules ranging from 1000 to 2000 mm; right row: small granules ranging from 250 to 1000 mm. A, B: Lubboc ; C, D: TCP
R V R V
Dental HP ; E, F: KeraOs

6 ARBEZ ET AL. 3D MICROARCHITECTURE OF BIOMATERIALS


ORIGINAL RESEARCH REPORT

the granule size and shape (Prof. I. ur Rehman, personal


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communication). On the TCHV granules mainly composed of
21
hydroxyapatite, the PO32
4 t1 signal appeared at 962 cm .

DISCUSSION
In the present study, a number of granular biomaterials
usable for filling bone defects were analyzed by microCT
and Raman microspectroscopy. They were either commercial
or prepared in the laboratory following classical methodol-
ogy. We prepared granules from commercial allo- and xeno-
genic bone to compare with commercial products and the
xenogenic bone was also pyrolyzed to be compared with
deproteinized granules sold by industrial companies. All dif-
ferent types of granules appeared to fill the 3D space thus
giving virtual scaffolds that mimic what happens when a
surgeon fills a bone cavity.5 The size and shape of the gran-
ules were found to considerably influence their 3D arrange-
ment. For all small granules (i.e., 250–1000 mm), porosity
and mean pore diameter were always found considerably
reduced when compared to the large granules (i.e., 1000–
2000 mm) of the same biomaterial. A careful analysis of the
frequency distribution curves of Po.Diam was much found
more informative.15 and revealed that the curves followed a
log-normal distribution for the small granules with a maxi-
mum frequency for Po.Diam near 200 mm. Clearly, a number
of papers have stressed that the optimum pore size of a
scaffold must be larger than 300 mm to allow invasion by
vascular sprouts and osteoprogenitor cells.6,24,25 When the
frequency distributions of the large granules were analyzed,
the maximum frequency was always >500 mm. Vector analy-
sis of the microCT images confirm these findings and show
that “hot spots” were considerably reduced on the frontal
plane images of the small granules with sometimes a quasi-
absence of red spots for the stacks of small granules. This
was also confirmed by the ratio of red pixels on blue and
green pixels when the frontal plane images were analyzed.
Vector analysis of porosity has been used for complex
objects in several papers of our group, including theoretical,
in vitro and ex vivo analysis of bones.20,23,26 The surface
density per volume unit Po.S/TV is an interesting parameter
to consider for biomaterial scaffolds. It represents the
FIGURE 6. Raman microspectroscopic analysis of the biomaterials
amount of free surfaces of the biomaterial available to body
used in the present series fluid and bone cell access. However, this parameter must be
considered in parallel with porosity. It is likely that the
small granules have an increase Po.S/TV when compared to
higher 1070–1085 peak was noted for CopiOsV. Pyrolysis
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the large ones but the considerably reduced inter-granule
suppressed the characteristic peaks from collagen pyrolyzed porosity of the former limits the interest of the use of these
LubbocV leaving only present the PO32
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4 groups characteristic
biomaterials. On the other hand, for the large granules with
of hydroxyapatite at 960 cm21. On the Bio-OssV biomate- large Po.Diam, the higher Po.S/TV, the better. However, when
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rial, the characteristic PO32


4 groups were also observed and
considering all the morphometric parameters obtained with
a small peak was noted in the 1250–1350 amide III band. the different types of granules, they appear markedly different
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The spectrum of TCP Dental HPV granules evidenced the for those of natural trabecular bone. This is because anatomi-
typical peaks of PO32 4 t2, t3, t4, and the PO43- t1 as two cal subjects used in the present study had a reduced bone
bands in the 948–970 cm21 range, narrowly separated. The mass due to ageing.27–29 When bones from young subjects are
spectrum of KeraOsV was similar in the 200–1200 cm21
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used for comparison, the morphometric 3D parameters of the
region and additional peaks were observed at 1309, 1380, scaffolds of large granules are similar.24 When bone defects
and 1475 that could be assigned to light scattering due to are grafted granular biomaterials, a condensation on X-ray

JOURNAL OF BIOMEDICAL MATERIALS RESEARCH B: APPLIED BIOMATERIALS | MONTH 2018 VOL 00B, ISSUE 00 7
images is always reported because (i) the biomaterial may 25% b-TCP. The analysis was performed at the surface of
contain more calcium than the bone matrix (e.g., ceramics)30,31 the granules where the probability to find b-TCP areas is
and (ii) because patients candidate for a bone graft are gener- low.2
ally aged persons.32–34 Intriguing findings were observed
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with Bio-OssV which appeared composed of a noticeable CONCLUSION
amount of cortical bone when the manufacturer website, the We have analyzed a large series of nine granular biomateri-
booklet and product boxes clearly mention that the biomate-
als either manufactured and sold by different companies or
rial is prepared from bovine spongy bone. We have bought
prepared in our laboratory to be used as controls. Two sizes
several samples from different batches and confirm that cor-
of granules from the same materials were considered when
tical bone is always present in the different formulations ana-
available. All types of granular arrangements created scaf-
lyzed here. Presence of cortical bone was confirmed
folds whose morphometric 3D characteristics could be ana-
histologically after embedding granules in poly(methylmetha-
lyzed by microCT. The small granules provided scaffolds
crylate) and sectioning the blocks with a diamond saw (data
with low interconnected pores and may not be favorable for
not shown). Although the amount of cortical bone could not
vascular invasion in situ when grafted in a bone defect. The
be accurately quantified on the microCT stacks, it has some
large granules (i.e., 1000–2000 mm) gave 3D scaffolds with
influence on porosity and pore diameter when compared to
the other biomaterials prepared from bovine bone. interconnectivity well suitable for osteoconduction. Raman
Raman microspectroscopy was also of interest in the spectrometry easily identified the molecular composition of
characterization of the granules. Raman analysis is a highly all types of biomaterials. Both methods appear interesting
specific and versatile technique that requires no sample to characterize accurately commercial biomaterials.
preparation for analysis of bone and bone substitutes. The
purified allo- or xenogenic bones presented the classical ACKNOWLEDGMENTS
peaks described for a mature bone with a carbonated This work was made possible by grants from ANR, program
hydroxyapatite phase and a collagenic organic phase.35,36 LabCom “NextBone.” Mrs. N. Gaborit and S. Lemière are
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The spectra for human OsteopureV and bovine bone thanked for their technical help with microCT analysis. Mrs F.
R R
LubbocV did not differ, however, CopiOsV was characterized Pascaretti is thanked for help in Raman microspectroscopy.
by an important peak in the phosphate m3-carbonate region We also thank the Kasios Company, 18 chemin de la Violette,
and numerous additional peaks in the 700–800 region that 31240 L’Union, France, for providing the b-TCP-based gran-
could reflect the process used to clean the bovine bones or ules, and particularly N. Guena and A. Lerch for helpful discus-
could represent the selection of young animals to prepare sions. The authors also thank Prof. Ihtesham ur Rehman
the grafts. Bones from young animals are characterized by (University of Lahore, Pakistan and University of Sheffield, UK)
an a-carbonate substitution (substitution of OH2 groups in for helpful discussion on the microspectroscopic analysis of b-
the apatite crystal) while mature animal have a b-carbonate TCP.
substitution (substitution of PO324 groups).37 The effect of
R
pyrolysis is well observed on our LubbocV samples pyro- CONFLICT OF INTEREST
lyzed at 8008C during 24 h with a complete disappearance BA received a PhD scholarship from Kasios SAS via the
of the organic phase, leaving only the hydroxyapatite of the ANRT (Association Nationale Recherche Technologie) CIFRE
bone matrix.38 For Bio-OssV, the spectrum was very similar
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program.
except the presence of a small peak at 1250–1350 cm21 in
the amide III region but not in the amide I and CH2–CH3 REFERENCES
bands at 1450 and 1674 cm21, respectively. Traces of pro- 1. Giannoudis PV, Dinopoulos H, Tsiridis E. Bone substitutes: An
R
teins have been reported in Bio-OssV by SDS polyacrylamide update. Injury 2005;36:S20–S27.
gel electrophoresis and Western blot analysis39 and recently 2. Terranova L, Libouban H, Mallet R, Chappard D. Analysis of beta-
tricalcium phosphate granules prepared with different formula-
by the Kjeldahl method and thermogravimetric analysis.40 tions by nano-computed tomography and scanning electron
Other reports using Fourier transformed infra-red analysis microscopy. J Artif Organs 2015;18:338–345.
R
failed to identify any organic material in Bio-OssV and in 3. Hernigou P, Dubory A, Pariat J, Potage D, Roubineau F, Jammal
bone treated at 5008C for 18 h41,42 but they were still pre- S, Flouzat Lachaniette CH. Beta-tricalcium phosphate for orthope-
dic reconstructions as an alternative to autogenous bone graft.
sent in bone samples heated at 3008C in the authors’ labo-
Morphologie 2017;101:173–179.
ratory.42 Raman analysis of b-TCP biomaterials was in 4. Ndiaye M, Terranova L, Mallet R, Mabilleau G, Chappard D.
accordance with previously published findings reported in Three-dimensional arrangement of beta-tricalcium phosphate
the literature.43,44 In some batches of b-TCP biomaterials, granules evaluated by microcomputed tomography and fractal
analysis. Acta Biomater 2015;11:404–411.
we inconsistently observe additional peaks in the 1300–
5. Guillaume B. Filling bone defects with beta-TCP in maxillofacial
1500 cm21 region with a 785 nm laser illumination but not surgery: A review. Morphologie 2017;101:113–119.
with a 532 nm one. The intensity of these peaks, also 6. Karageorgiou V, Kaplan D. Porosity of 3D biomaterial scaffolds
reported by others, depends on the size and shape of the and osteogenesis. Biomaterials 2005;26:5474–5491.
7. Mastrogiacomo M, Scaglione S, Martinetti R, Dolcini L, Beltrame
granules.44 In the TCHV biomaterial, the Raman spectrum
R

F, Cancedda R, Quarto R. Role of scaffold internal structure on in


was that of hydroxyapatite with a phosphate v1 peak cen- vivo bone formation in macroporous calcium phosphate biocer-
tered at 962 cm21 although the biomaterial contained amics. Biomaterials 2006;27:3230–3237.

8 ARBEZ ET AL. 3D MICROARCHITECTURE OF BIOMATERIALS


ORIGINAL RESEARCH REPORT

8. Farber L, Tardos G, Michaels JN. Use of X-ray tomography to condyle and alveolar regions of the mandible associated with a
study the porosity and morphology of granules. Powder Technol bone proliferation at a muscle enthesis. Bone 2015;77:75–82.
2003;132:57–63. 27. Thomas CDL, Mayhew PM, Power J, Poole KE, Loveridge N,
9. van Lenthe GH, Hagenmuller H, Bohner M, Hollister SJ, Meinel L, Clement JG, Burgoyne CJ, Reeve J. Femoral neck trabecular
Muller R. Nondestructive micro-computed tomography for biolog- bone: Loss with aging and role in preventing fracture. J Bone
ical imaging and quantification of scaffold-bone interaction in Miner Res 2009;24:1808–1818.
vivo. Biomaterials 2007;28:2479–2490. 28. Riggs BL, Melton LJ, Robb RA, Camp JJ, Atkinson EJ, McDaniel
10. N’Diaye M, Degeratu C, Bouler JM, Chappard D. Biomaterial L, Amin S, Rouleau PA, Khosla S. A population-based assessment
porosity determined by fractal dimensions, succolarity and lacu- of rates of bone loss at multiple skeletal sites: Evidence for sub-
narity on microcomputed tomographic images. Mater Sci Eng C stantial trabecular bone loss in young adult women and men.
Mater Biol Appl 2013;33:2025–2030. J Bone Miner Res 2008;23:205–214.
11. Arbez B, Libouban H. Behavior of macrophage and osteoblast cell 29. Seeman E. Pathogenesis of bone fragility in women and men.
lines in contact with the beta-TCP biomaterial (beta-tricalcium Lancet 2002;359:1841–1850.
phosphate). Morphologie 2017;101:154–163. 30. € m GH, Blom AW, Larsson S, Beswick AD. Application of
Billstro
12. Tanaka T, Komaki H, Chazono M, Kitasato S, Kakuta A, Akiyama scaffolds for bone regeneration strategies: Current trends and
S, Marumo K. Basic research and clinical application of beta- future directions. Injury 2013;44:S28–S33.
tricalcium phosphate (beta-TCP). Morphologie 2017;101:164–172. 31. Gouin F, Yaouanc F, Waast D, Melchior B, Delecrin J, Passuti N.
13. Chappard D, Fressonnet C, Genty C, Basle  MF, Rebel A. Fat in Open wedge high tibial osteotomies: Calcium-phosphate ceramic
bone xenografts: Importance of the purification procedures on spacer versus autologous bonegraft. Orthop Traumatol Surg Res
cleanliness, wettability and biocompatibility. Biomaterials 1993; 2010;96:637–645.
14:507–512. 32. Becker W, Hujoel P, Becker BE, Wohrle P. Dental implants in an
14. Kim Y, Nowzari H, Rich SK. Risk of prion disease transmission aged population: Evaluation of periodontal health, bone loss,
through bovine-derived bone substitutes: A systematic review. implant survival, and quality of life. Clin Implant Dent Relat Res
Clin Implant Dent Rel Res 2013;15:645–653.
2016;18:473–479.
15. Filmon R, Retailleau-Gaborit N, Brossard G, Grizon-Pascaretti F,
33. Lindner T, Kanakaris N, Marx B, Cockbain A, Kontakis G,
Basle MF, Chappard D. MicroCT and preparation of ß-TCP granu-
Giannoudis P. Fractures of the hip and osteoporosis: the role of
lar material by the polyurethane foam method. Image Anal Ster-
bone substitutes. Bone Joint J 2009;91:294–303.
eol 2009;28:103–112.
34. Bansal M, Bhagat S, Shukla D. Bovine cancellous xenograft in the
16. Schwartzwalder K, Somers H, Somers AV. Method of making
treatment of tibial plateau fractures in elderly patients. Int Orthop
porous ceramics. US patent 3 090 094, 1963.
2009;33:779–784.
17. Tassani S, Korfiatis V, Matsopoulos G. Influence of segmentation
35. Akkus O, Adar F, Schaffler MB. Age-related changes in physico-
on micro-CT images of trabecular bone. J Microsc 2014;256:75–
chemical properties of mineral crystals are related to impaired
81.
mechanical function of cortical bone. Bone 2004;34:443–453.
18. Dempster DW, Compston JE, Drezner MK, Glorieux FH, Kanis JA,
36. Mandair GS, Morris MD. Contributions of Raman spectroscopy to
Malluche H, Meunier PJ, Ott SM, Recker RR, Parfitt AM. Standard-
the understanding of bone strength. Bonekey Rep 2015;4:620.
ized nomenclature, symbols, and units for bone histomorphome-
37. Paschalis E, DiCarlo E, Betts F, Sherman P, Mendelsohn R,
try: A 2012 update of the report of the ASBMR Histomorphometry
Boskey A. FTIR microspectroscopic analysis of human osteonal
Nomenclature Committee. J Bone Miner Res 2013;28:2–17.
19. Hildebrand T, Ruegsegger P. A new method for the model- bone. Calcif Tissue Int 1996;59:480–487.
38. Khan AF, Awais M, Khan AS, Tabassum S, Chaudhry AA,
independent assessment of thickness in three-dimensional
images. J Microsc 1997;185:67–75. Rehman IU. Raman spectroscopy of natural bone and synthetic
20. Chappard D, Stancu IC. Porosity imaged by a vector projection apatites. Appl Spectrosc Rev 2013;48:329–355.
algorithm correlates with fractal dimension measured on 3D mod- 39. Schwartz Z, Weesner T, Van Dijk S, Cochran D, Mellonig J,
els obtained by microCT. J Microsc 2015;258:24–30. Lohmann C, Carnes D, Goldstein M, Dean D, Boyan B. Ability of
21. Gerin C, Pallud J, Deroulers C, Varlet P, Oppenheim C, Roux F-X, deproteinized cancellous bovine bone to induce new bone forma-
Chretien F, Thomas SR, Grammaticos B, Badoual M. Quantitative tion. J Periodontol 2000;71:1258–1269.
characterization of the imaging limits of diffuse low-grade oligo- 40. Lee DS, Pai Y, Chang S. Physicochemical characterization of Inter-
dendrogliomas. Neuro-Oncology 2013;15:1379–1388. OssV R and Bio-OssV R anorganic bovine bone grafting material for

22. Seo Y, Choi S, Kim H, Hong K-S. Where are the ball and players? oral surgery–A comparative study. Mater Chem Phys 2014;146:99–
In: Soccer Game Analysis With Color-Based Tracking and Image 104.
Mosaick. Springer; 1997. pp 196–203. 41. Benke D, Olah A, Mo € hler H. Protein-chemical analysis of Bio-Oss
23. Chappard D, Libouban H. Vector analysis of porosity evidences bone substitute and evidence on its carbonate content. Biomateri-
bone loss at the epiphysis in the BTX rat model of disuse osteo- als 2001;22:1005–1012.
porosis. J Anat Soc Ind 2016;65:3–8. 42. Murugan R, Rao KP, Kumar TS. Heat-deproteinated xenogeneic
24. Chappard D, Terranova L, Mallet R, Mercier P. 3D porous architec- bone from slaughterhouse waste: physico-chemical properties.
ture of stacks of beta-TCP granules compared with that of trabec- Bull Mater Sci 2003;26:523–528.
ular bone: A microCT, vector analysis, and compression study. 43. Jillavenkatesa A, Condrate Sr R. The infrared and Raman spectra
Front Endocrinol 2015;6:161. of b-and a-tricalcium phosphate (Ca3(PO4)2). Spectrosc Lett 1998;
25. Knabe C, Koch C, Rack A, Stiller M. Effect of b-tricalcium phos- 31:1619–1634.
phate particles with varying porosity on osteogenesis after sinus 44. Koburger S, Bannerman A, Grover LM, M€ uller FA, Bowen J,
floor augmentation in humans. Biomaterials 2008;29:2249–2258. Paxton JZ. A novel method for monitoring mineralisation in
26. Kun-Darbois JD, Libouban H, Chappard D. Botulinum toxin in hydrogels at the engineered hard–soft tissue interface. Biomater
masticatory muscles of the adult rat induces bone loss at the Sci 2014;2:41–51.

JOURNAL OF BIOMEDICAL MATERIALS RESEARCH B: APPLIED BIOMATERIALS | MONTH 2018 VOL 00B, ISSUE 00 9

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