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A Study of the Subchondral Bone in Human Knee Osteoarthritis using Raman Spectroscopy

Gikas, P; (2013) A Study of the Subchondral Bone in Human Knee Osteoarthritis using Raman Spectroscopy. Doctoral thesis (PhD), UCL (University College London). Green open access

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Abstract

Osteoarthritis (OA) is a common, debilitating disease, involving degeneration of cartilage and bone in synovial joints. Subtle changes in the molecular structure of subchondral bone matrix occur and may precede gross morphological changes in the osteoarthritic joint. In this thesis, the analytical technique Raman Spectroscopy (which uses a monochromatic light source to probe chemical composition) is used to explore the hypothesis that subchondral bone changes occur prior to and during joint degeneration. The question is approached by looking at excised tibial plateaus from patients undergoing total knee replacement for advanced OA of the knee and comparing them with tibial plateaus from healthy joints. The samples were analysed with Raman spectroscopy, peripheral quantitative computed tomography (pQCT) and chemical analysis, to compare collagen alpha chains. The results show that bone matrix changes, related to OA, can be detected in the subchondral bone prior to overt cartilage damage, by Raman spectroscopy. These data provide support that chemical changes in bone can be related to the initiation of, or predisposition towards, joint degeneration. The results demonstrate that Raman spectroscopy should be further developed as a future tool to provide screening for early detection of joint degeneration based on correlating molecular-specific modifications in the subchondral bone.

Type: Thesis (Doctoral)
Qualification: PhD
Title: A Study of the Subchondral Bone in Human Knee Osteoarthritis using Raman Spectroscopy
Open access status: An open access version is available from UCL Discovery
Language: English
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/1403229
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