<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article">
 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">
    msa
   </journal-id>
   <journal-title-group>
    <journal-title>
     Materials Sciences and Applications
    </journal-title>
   </journal-title-group>
   <issn pub-type="epub">
    2153-117X
   </issn>
   <issn publication-format="print">
    2153-1188
   </issn>
   <publisher>
    <publisher-name>
     Scientific Research Publishing
    </publisher-name>
   </publisher>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="doi">
    10.4236/msa.2024.158017
   </article-id>
   <article-id pub-id-type="publisher-id">
    msa-135149
   </article-id>
   <article-categories>
    <subj-group subj-group-type="heading">
     <subject>
      Articles
     </subject>
    </subj-group>
    <subj-group subj-group-type="Discipline-v2">
     <subject>
      Chemistry 
     </subject>
     <subject>
       Materials Science
     </subject>
    </subj-group>
   </article-categories>
   <title-group>
    Degradation Rate Assessment of Biodegradable Magnesium Alloys
   </title-group>
   <contrib-group>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Bianmei
      </surname>
      <given-names>
       Cao
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref> 
     <xref ref-type="aff" rid="aff2"> 
      <sup>2</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Limei
      </surname>
      <given-names>
       Cao
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff2"> 
      <sup>2</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       David F.
      </surname>
      <given-names>
       Kallmes
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
   </contrib-group> 
   <aff id="aff1">
    <addr-line>
     aDepartment of Radiology, Mayo Clinic, Rochester, MN, USA
    </addr-line> 
   </aff> 
   <aff id="aff2">
    <addr-line>
     aNational Institutes for Food and Drug Control, Beijing, China
    </addr-line> 
   </aff> 
   <pub-date pub-type="epub">
    <day>
     08
    </day> 
    <month>
     08
    </month>
    <year>
     2024
    </year>
   </pub-date> 
   <volume>
    15
   </volume> 
   <issue>
    08
   </issue>
   <fpage>
    245
   </fpage>
   <lpage>
    252
   </lpage>
   <history>
    <date date-type="received">
     <day>
      19,
     </day>
     <month>
      May
     </month>
     <year>
      2024
     </year>
    </date>
    <date date-type="published">
     <day>
      5,
     </day>
     <month>
      May
     </month>
     <year>
      2024
     </year> 
    </date> 
    <date date-type="accepted">
     <day>
      5,
     </day>
     <month>
      August
     </month>
     <year>
      2024
     </year> 
    </date>
   </history>
   <permissions>
    <copyright-statement>
     © Copyright 2014 by authors and Scientific Research Publishing Inc. 
    </copyright-statement>
    <copyright-year>
     2014
    </copyright-year>
    <license>
     <license-p>
      This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/
     </license-p>
    </license>
   </permissions>
   <abstract>
    Biodegradable magnesium alloys have been widely used in medical implants. But safety concerns were put forward for the high degradation rate of biodegradable magnesium alloy. The optimal biodegradable magnesium alloys that give rise to the desired degradation rate hasn’t yet to be defined. Assessing the degradation rate of biodegradable magnesium alloys involves in vitro testing, in vivo testing, numerical modeling, understanding the factors influencing their degradation in physiological environments, biocompatibility testing, and clinical studies. It is important to standardize analytical tools aimed at assessing the degradation rate of biodegradable magnesium alloys. It is advisable to identify the threshold for safe degradation rate of biodegradable magnesium alloys in biomedical applications.
   </abstract>
   <kwd-group> 
    <kwd>
     Magnesium Alloys
    </kwd> 
    <kwd>
      Biomedical Application
    </kwd> 
    <kwd>
      Biodegradation
    </kwd> 
    <kwd>
      Degradation Rate
    </kwd> 
    <kwd>
      Biocompatibility
    </kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <sec id="s1">
   <title>1. Introduction</title>
   <p>Biodegradable magnesium (Mg) and its alloys have been applied to making bone screws and pins, bone filling, dental implants, and sutures <xref ref-type="bibr" rid="scirp.135149-1">
     [1]
    </xref>. Compared with other biodegradable implant materials, such as polymers and bioglass, Mg-based alloys show unique advantages, such as their close density with bone, light weight and MRI compatibility <xref ref-type="bibr" rid="scirp.135149-2">
     [2]
    </xref>. Magnesium alloys do not interfere with magnetic resonance imaging. Due to lower artefact production, Jonathan et al suggested that Mg-based implant material should be promoted for future orthopaedic solutions <xref ref-type="bibr" rid="scirp.135149-3">
     [3]
    </xref>. Biodegradable (absorbable) magnesium alloys are designed to degrade in vivo via an electrochemical mechanism (corrosion or degradation) and then metabolized or assimilated by cells and tissue <xref ref-type="bibr" rid="scirp.135149-4">
     [4]
    </xref>. Assessing the degradation rate of biodegradable magnesium alloys is crucial for understanding their performance in various applications, especially in biomedical implants. Analysis through characterization of the magnesium alloy, including its chemical composition, microstructure, surface morphology, and so on, will provide insights into how the magnesium alloys might degrade over time.</p>
   <p>Several factors can influence the degradation rate of magnesium alloy, including the material composition <xref ref-type="bibr" rid="scirp.135149-5">
     [5]
    </xref>, microstructure <xref ref-type="bibr" rid="scirp.135149-6">
     [6]
    </xref>, surface treatment <xref ref-type="bibr" rid="scirp.135149-7">
     [7]
    </xref>, molecular weight <xref ref-type="bibr" rid="scirp.135149-8">
     [8]
    </xref>, sterilization method <xref ref-type="bibr" rid="scirp.135149-9">
     [9]
    </xref>, environmental conditions (such as temperature and pH) <xref ref-type="bibr" rid="scirp.135149-10">
     [10]
    </xref>, and the presence of enzymes or other catalysts <xref ref-type="bibr" rid="scirp.135149-11">
     [11]
    </xref>. The precise application of magnesium alloys will also play a role in its biodegradability <xref ref-type="bibr" rid="scirp.135149-12">
     [12]
    </xref>.</p>
   <p>During biomedical application, magnesium and its alloys were reported to show relatively high degradation rates that can affect human cells and cause infection <xref ref-type="bibr" rid="scirp.135149-13">
     [13]
    </xref>. The corrosion products, released from magnesium alloys may form a hostile environment. Biocompatibility testing is essential for the safety evaluation of degradation rate of magnesium alloys in biomedical applications. It is advisable to identify the threshold for safe degradation rate of biodegradable magnesium alloys.</p>
   <p>Regulatory agencies may require comprehensive evaluation of the degradation properties of biodegradable magnesium alloy as part of the approval process for medical devices. Manufacturers must demonstrate that the magnesium alloys medical device degrades at an appropriate rate, matching the healing timeline of tissues, and does not cause adverse effects.</p>
   <p>Understanding the degradation rate of biodegradable magnesium alloy is essential for determining their clinical performance and safety. If the degradation rate is too slow, the magnesium alloy may remain in the body longer than necessary, potentially causing adverse reactions or interfering with tissue healing. If the degradation rate is too fast, it may compromise the mechanical integrity prematurely.</p>
   <p>Quality control tests are useful tools for standardized workflows. Practically, when workflows are being developed and optimized, it is beneficial to use multiple quality controls when analyzing samples with standardized protocols. The degradation rate assessment of biodegradable magnesium alloy is critical for ensuring the reliability, safety, and efficacy of these biodegradable magnesium alloys in biomedical applications. Here’s a comprehensive approach to evaluating the degradation rate.</p>
  </sec><sec id="s2">
   <title>2. Experimental Assessment</title>
   <sec id="s2_1">
    <title>2.1. In Vitro Testing</title>
    <p>There are several testing methods. Researchers conduct in vitro degradation studies under controlled laboratory conditions to simulate the physiological environment. Samples are immersed in buffered aqueous solutions at physiological temperature and pH value. According to ASTM G31-72 <xref ref-type="bibr" rid="scirp.135149-14">
      [14]
     </xref>, the degradation process is monitored over time through measurements of mass loss, changes in mechanical properties, and analysis of degradation byproducts. Electrochemical measurements use techniques such as potentiodynamic polarization and electrochemical impedance spectroscopy (EIS) to evaluate corrosion behavior. <xref ref-type="table" rid="table1">
      Table 1
     </xref> shows the degradation rate of some magnesium alloys in simulated body fluid (SBF). Surface analyses use scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDS), and X-ray diffraction (XRD) to analyze surface morphology and composition changes over time. Spectroscopic techniques such as Fourier-transform infrared spectroscopy (FTIR) or nuclear magnetic resonance (NMR) spectroscopy can be used to analyze chemical changes.</p>
    <table-wrap id="table1">
     <label>
      <xref ref-type="table" rid="table1">
       Table 1
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.135149-"></xref>Table 1. Degradation rate of some Mg alloys in simulated body fluid (SBF).</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td class="custom-bottom-td custom-top-td acenter" width="23.15%"><p style="text-align:center">Alloy</p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="42.73%"><p style="text-align:center">Immersion Corrosion Rate (mm/yr)</p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="21.37%"><p style="text-align:center">I<sub>corr</sub> (µA/cm<sup>2</sup>)</p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="12.74%"><p style="text-align:center">References</p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td acenter" width="23.15%"><p style="text-align:center">Mg-1Zn-2.9Y</p></td> 
       <td class="custom-top-td acenter" width="42.73%"><p style="text-align:center">13</p></td> 
       <td class="custom-top-td acenter" width="21.37%"><p style="text-align:center">-</p></td> 
       <td class="custom-top-td acenter" width="12.74%"><p style="text-align:center">
         <xref ref-type="bibr" rid="scirp.135149-15">
          [15]
         </xref></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="23.15%"><p style="text-align:center">Mg-2Zn</p></td> 
       <td class="acenter" width="42.73%"><p style="text-align:center">0.4</p></td> 
       <td class="acenter" width="21.37%"><p style="text-align:center">-</p></td> 
       <td class="acenter" width="12.74%"><p style="text-align:center">
         <xref ref-type="bibr" rid="scirp.135149-16">
          [16]
         </xref></p></td> 
      </tr> 
      <tr> 
       <td class="custom-bottom-td acenter" width="23.15%"><p style="text-align:center">Mg-Zn-Ca-Mn</p></td> 
       <td class="custom-bottom-td acenter" width="42.73%"><p style="text-align:center">-</p></td> 
       <td class="custom-bottom-td acenter" width="21.37%"><p style="text-align:center">6.59</p></td> 
       <td class="custom-bottom-td acenter" width="12.74%"><p style="text-align:center">
         <xref ref-type="bibr" rid="scirp.135149-17">
          [17]
         </xref></p></td> 
      </tr> 
     </table>
    </table-wrap>
   </sec>
   <sec id="s2_2">
    <title>2.2. In Vivo Testing</title>
    <p>In addition to in vitro studies, in vivo degradation studies involve implanting biodegradable magnesium alloy in animal models or human subjects. Degradation rates obtained via in vitro experiments are not necessarily the same as in the in vivo case, however, experiments in vivo will help define what the degradation rate should be. In vivo studies provide insights into how degradation occurs within a biological environment and how it may affect tissue response and long-term outcomes. ASTM F 763-04 <xref ref-type="bibr" rid="scirp.135149-18">
      [18]
     </xref> can be referenced in vivo test. Imaging techniques, such as X-rays, micro-computed tomography (micro-CT), or MRI to monitor the degradation process and structural integrity over time. Histological analysis is conducted to examine tissue samples around the implantation site to assess biocompatibility and inflammatory response.</p>
   </sec>
  </sec><sec id="s3">
   <title>3. Analytical and Computational Modeling</title>
   <p>In vivo and in vitro tests are usually lengthy and costly. Computational modeling can effectively predict the degradation behaviors of medical implants in the living body. Numerical models have been researched to predict the degradation kinetics based on experimental data <xref ref-type="bibr" rid="scirp.135149-19">
     [19]
    </xref>. Many relevant parameters need to be optimized when analyzing the degradation rate of biodegradable magnesium alloys. The available analytical modeling still needs to be improved.</p>
   <sec id="s3_1">
    <title>3.1. Degradation Modeling</title>
    <p>A useful degradation model should account for the underlying biological environment. Empirical models can be developed based on experimental data to predict degradation rates under various conditions. For kinetic models, kinetic equations are used to describe the rate of magnesium dissolution and formation of corrosion products. Finite Element analysis (FEA) can simulate the degradation process to predict how the alloy will degrade over time in different environments.</p>
   </sec>
   <sec id="s3_2">
    <title>3.2. Machine Learning Models</title>
    <p>High-quality data are the precondition for analyzing. Data are first collected from experimental studies, including composition, processing parameters, and degradation rates. Key features influencing degradation are identified, such as alloy composition, microstructure, and environmental factors. Then machine learning algorithms e.g., regression models, are used to develop predictive models of degradation rates. The models should be validated with independent datasets to ensure accuracy and generalization.</p>
   </sec>
  </sec><sec id="s4">
   <title>4. Factors Influencing Degradation Rate</title>
   <sec id="s4_1">
    <title>4.1. Alloy Composition</title>
    <p>Alloying with different elements shows various degradation rates for Mg alloys in biomedical applications <xref ref-type="bibr" rid="scirp.135149-20">
      [20]
     </xref>. Alloying elements like calcium, zinc, and rare earth elements can influence the degradation rate and mechanical properties. Trace impurities can significantly affect degradation behavior.</p>
   </sec>
   <sec id="s4_2">
    <title>4.2. Microstructure</title>
    <p>Fine-grained structures generally exhibit different degradation rates compared to coarse-grained ones. The degradation of a porous magnesian sample in the biological environment is remarkable as porosity on the sample increases the total surface area and increases the risks of metal ion leaching <xref ref-type="bibr" rid="scirp.135149-21">
      [21]
     </xref>. In addition, the surface oxides’ possible chemical reactions with the physiological fluids significantly influence the applicability of the porous structure. Secondary phases Mg alloys <xref ref-type="bibr" rid="scirp.135149-22">
      [22]
     </xref> and intermetallic compounds can act as galvanic cells, affecting degradation.</p>
   </sec>
   <sec id="s4_3">
    <title>4.3. Surface Treatment</title>
    <p>Biodegradable coatings or surface modifications can be applied to control degradation rates. Some studies developed coatings and surface treatments to regulate the degradation rate <xref ref-type="bibr" rid="scirp.135149-23">
      [23]
     </xref> <xref ref-type="bibr" rid="scirp.135149-24">
      [24]
     </xref>. Anodized layers can provide initial protection but must degrade synchronously with the underlying alloy. <xref ref-type="fig" rid="fig1">
      Figure 1
     </xref> <xref ref-type="bibr" rid="scirp.135149-25">
      [25]
     </xref> schematically illustrated the coating methods potentially suitable for Mg alloys.</p>
   </sec>
   <sec id="s4_4">
    <title>4.4. Environmental Factors</title>
    <p>Varying pH levels and ion concentrations in the physiological environment can accelerate or decelerate degradation rate. Cyclic loading and mechanical stress can influence degradation rate through mechanisms like stress corrosion cracking and fatigue. Inorganic ions and cyclic loading may accelerate the degradation rate of magnesium alloys. While organic substances could decrease the degradation rate of Mg alloys <xref ref-type="bibr" rid="scirp.135149-26">
      [26]
     </xref>.</p>
    <fig id="fig1" position="float">
     <label>Figure 1</label>
     <caption>
      <title>Figure 1. Coating methods applicable for Mg alloys <xref ref-type="bibr" rid="scirp.135149-25">
        [25]
       </xref>.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/7702990-rId15.jpeg?20240808031742" />
    </fig>
   </sec>
  </sec><sec id="s5">
   <title>5. Biocompatibility and Clinical Considerations</title>
   <p>The degradation rate of Mg-based alloys is often required to match the level of tissue-healing progress in order to maintain biological stability surrounding the implant. Through biocompatibility assays and clinical studies, the threshold for safe degradation rate of biodegradable magnesium alloys in biomedical applications may be identified.</p>
   <sec id="s5_1">
    <title>5.1. Biocompatibility Testing</title>
    <p>Cytotoxicity tests are useful steps to determine the potential toxicity of a test substance. Cytotoxicity assays can be developed according to ISO 10993-5 <xref ref-type="bibr" rid="scirp.135149-27">
      [27]
     </xref> to assess the toxicity of biomedical Mg-alloys degradation products on cell cultures.</p>
    <p>Referring to ISO 10993-6 <xref ref-type="bibr" rid="scirp.135149-28">
      [28]
     </xref>, histological analysis can examine tissue responses to implanted materials, including inflammation and fibrosis. And it is used to monitor the degradation products in vivo that dissolved into the surrounding tissue.</p>
   </sec>
   <sec id="s5_2">
    <title>5.2. Clinical Translation</title>
    <p>Clinical translation should ensure compliance with regulatory standards for biomedical implants. The degradation behavior of magnesium alloys should be continuously monitored over extended periods to capture any unexpected phenomena or late-stage degradation mechanisms. Artefact production may be used as an alternative approach for degradation tracking to determine the degradation rates of Mg alloys implants <xref ref-type="bibr" rid="scirp.135149-3">
      [3]
     </xref>. Long-term in vivo studies can be conducted to assess the performance and safety of the magnesium alloys over the intended lifespan of the medical implants.</p>
   </sec>
  </sec><sec id="s6">
   <title>6. Conclusion</title>
   <p>Combining experimental methods with advanced modeling techniques, including AI and machine learning, provides a robust framework for assessing the degradation rate of biodegradable magnesium alloys. This integrated approach enables the development of reliable and safe biodegradable implants for medical applications. Precise tests and qualitative data analysis should be established as a powerful tool for quality control and then facilitating the implementation of cost-effective and standardized analytical workflows into clinical practice. It is advisable to identify the threshold for safe degradation rate of biodegradable magnesium alloys in biomedical applications.</p>
  </sec><sec id="s7">
   <title>Acknowledgements</title>
   <p>The authors would like to thank the involved organizations for providing the platform for this research to take place.</p>
  </sec><sec id="s8">
   <title>NOTES</title>
   <p>*These authors contributed equally to the work.</p>
  </sec>
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