The use of subject-specific Finite Element analysis of L1-L4 vertebra to screening osteoporosis in postmenopausal women.

The aim of this work is to study Computed Tomography (CT)-based Finite Element (FE) modelling of lumbar vertebra to classify osteoporotic patients using dual-energy x-ray absorptiometry (DXA) as reference. Cohort comprised 15 postmenopausal female patients with CT-DXA pairs. Sixty subject-specific CT-based FE models were constructed of L1 to L4 vertebrae. Load-displacement in each node of the models was analyzed. Mean kurtosis values of displacement distributions between osteoporosis and healthy groups at L1 level showed a statistically significant difference (p<;0.005). The CT-based FE model of L1 vertebra with patient specific material properties can be used to identify osteoporosis patients.