IVAN ALONSO FERNANDEZ

Dr. IVAN ALONSO FERNANDEZ

orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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15 July 2023 in Acta Biomaterialia
Verified
Journal Article
Open access
IFIVAN ALONSO FERNANDEZ
IVAN ALONSO FERNANDEZ
HHHåvard Jostein Haugen
Håvard Jostein Haugen
MPMonica Lopez Peña
Monica Lopez Peña
ACAntonio Cantalapiedra
Antonio Cantalapiedra
FMFernando Munoz
Fernando Munoz
3D-printed composite scaffolds have emerged as an alternative to deal with existing limitations when facing bone reconstruction. The aim of the study was to systematically review the feasibility of using PLA/bioceramic composite scaffolds manufactured by 3D-printing technologies as bone grafting materials in preclinical in vivo studies. Electronic databases were searched using specific search terms, and thirteen manuscripts were selected after screening. The synthesis of the scaffolds was carried out using mainly extrusion-based techniques. Likewise, hydroxyapatite was the most used bioceramic for synthesizing composites with a PLA matrix. Among the selected studies, seven were conducted in rats and six in rabbits, but the high variability that exists regarding the experimental process made it difficult to compare them. Regarding the results, PLA/Bioceramic composite scaffolds have shown to be biocompatible and mechanically resistant. Preclinical studies elucidated the ability of the scaffolds to be used as bone grafts, allowing bone growing without adverse reactions. In conclusion, PLA/Bioceramics scaffolds have been demonstrated to be a promising alternative for treating bone defects. Nevertheless, more care should be taken when designing and performing in vivo trials, since the lack of standardization of the processes, which prevents the comparison of the results and reduces the quality of the information. STATEMENT OF SIGNIFICANCE: 3D-printed polylactic acid/bioceramic composite scaffolds have emerged as an alternative to deal with existing limitations when facing bone reconstruction. Since preclinical in vivo studies with animal models represent a mandatory step for clinical translation, the present manuscript analyzed and discussed not only those aspects related to the selection of the bioceramic material, the synthesis of the implants and their characterization. But provides a new approach to understand how the design and perform of clinical trials, as well as the selection of the analysis methods, may affect the obtained results, by covering authors' knowledgebase from veterinary medicine to biomaterial science. Thus, this study aims to systematically review the feasibility of using polylactic acid/bioceramic scaffolds as grafting materials in preclinical trials.

29 April 2024 in Polymers
Verified
Journal Article
Open access
PDF file
IFIVAN ALONSO FERNANDEZ
IVAN ALONSO FERNANDEZ
Håvard Jostein HaugenHåvard Jostein Haugen
Håvard Jostein Haugen
LNLiebert Nogueira
Liebert Nogueira
MLMiriam López-Álvarez
Miriam López-Álvarez
PGPío Gonzalez
Pío Gonzalez
FMFernando Munoz
Fernando Munoz
This study investigates the effect of scaffold architecture on bone regeneration, focusing on 3D-printed polylactic acid–bioceramic calcium phosphate (PLA-bioCaP) composite scaffolds in rabbit femoral condyle critical defects. We explored two distinct scaffold designs to assess their influence on bone healing and scaffold performance. Structures with alternate (0°/90°) and helical (0°/45°/90°/135°/180°) laydown patterns were manufactured with a 3D printer using a fused deposition modeling technique. The scaffolds were meticulously characterized for pore size, strut thickness, porosity, pore accessibility, and mechanical properties. The in vivo efficacy of these scaffolds was evaluated using a femoral condyle critical defect model in eight skeletally mature New Zealand White rabbits. Then, the results were analyzed micro-tomographically, histologically, and histomorphometrically. Our findings indicate that both scaffold architectures are biocompatible and support bone formation. The helical scaffolds, characterized by larger pore sizes and higher porosity, demonstrated significantly greater bone regeneration than the alternate structures. However, their lower mechanical strength presented limitations for use in load-bearing sites.

20 September 2024 in Materialia
Verified
Journal Article
Open access
IFIVAN ALONSO FERNANDEZ
IVAN ALONSO FERNANDEZ
Håvard Jostein HaugenHåvard Jostein Haugen
Håvard Jostein Haugen
LNLiebert Parreiras Nogueira
Liebert Parreiras Nogueira
MÁMiriam López Álvarez
Miriam López Álvarez
PGPío González
Pío González
FMFernando Munoz
Fernando Munoz

14 March 2024 in Preprints.org
Verified
Preprint
Open access
PDF file
IFIVAN ALONSO FERNANDEZ
IVAN ALONSO FERNANDEZ
Håvard Jostein HaugenHåvard Jostein Haugen
Håvard Jostein Haugen
LNLiebert Nogueira
Liebert Nogueira
MLMiriam López-Álvarez
Miriam López-Álvarez
PGPío Gonzalez
Pío Gonzalez
FMFernando Munoz
Fernando Munoz
This study investigates the effect of scaffold architecture on bone regeneration, focusing on 3D-printed polylactic acid-bioceramic calcium phosphate (PLA-bioCaP) composite scaffolds in rabbit femoral condyle critical defects. To assess their influence on bone healing and scaffold performance, we explored two distinct scaffold designs, alternate and helical laydown patterns. The scaffolds were meticulously characterized for pore size, strut thickness, porosity, pore accessibility, and mechanical properties. The in vivo efficacy of these scaffolds was evaluated using a rabbit femoral condyle critical defect model. Our findings indicate that both scaffold architectures are biocompatible and support bone formation. The helical scaffolds, characterized by larger pore sizes and higher porosity, demonstrated significantly greater bone regeneration than the alternate structures. However, their lower mechanical strength presented limitations for use in load-bearing sites. This study highlights the importance of scaffold architecture in bone tissue engineering and underscores the need to balance porosity and mechanical strength for optimal bone regeneration. The findings provide crucial insights for the design of 3D- printed scaffolds in clinical applications, particularly in the context of critical-sized bone defects. The study also outlines potential areas for future research, including exploring hybrid scaffold designs to achieve optimal porosity without compromising mechanical integrity.

26 June 2026 in SSRN Electronic Journal
Verified
Preprint
Open access
APAdrian Ramos Pérez
Adrian Ramos Pérez
XEXavier Escoda-Llorens
Xavier Escoda-Llorens
IFIVAN ALONSO FERNANDEZ
IVAN ALONSO FERNANDEZ
MTMauricio Tobon
Mauricio Tobon
IRIgnasi Rodriguez
Ignasi Rodriguez
RNRosa Novellas
Rosa Novellas
Sentinel lymph node (SLN) mapping improves nodal staging accuracy in veterinary oncology, but computed tomography (CT)-based SLN mapping has not been clinically described in cats with superficial tumours. This prospective study evaluated the feasibility and clinical applicability of indirect CT lymphography for SLN identification in feline superficial tumours.Seventeen client-owned cats with cytologically or histologically confirmed superficial tumours were prospectively enrolled. Following routine contrast-enhanced CT staging, indirect CT lymphography was performed by peritumoural subcutaneous injection of iodinated contrast medium. CT acquisitions were obtained at 1, 3, and 5 minutes after injection. SLN identification, lymphatic drainage patterns, opacification characteristics, attenuation values, and metastatic status were assessed.SLN identification was successful in 15/17 cats (88.2%), with a total of 26 SLNs identified. The mandibular lymphocentre was the most frequently identified drainage basin (76.9%). All SLNs demonstrated contrast uptake by 3 minutes post-injection. Heterogeneous opacification predominated at all post-injection time points. Atypical lymphatic drainage patterns were identified in 5/15 cats (33.3%), including bilateral drainage within the expected tumour-associated lymphocentre (3/15), contralateral drainage (1/15), and drainage to a non–tumour-associated lymphocentre (1/15). Bilateral drainage was exclusively observed in rostral facial tumours. Metastatic involvement was identified in 5/26 SLNs (19.2%). No significant associations were detected between SLN metastatic status and attenuation values or opacification patterns.Indirect CT lymphography is a feasible and clinically applicable technique for SLN mapping in cats with superficial tumours. The frequent identification of atypical lymphatic drainage patterns highlights the limitations of relying solely on anatomically presumed regional lymph nodes for nodal staging. CT lymphography may represent a practical and minimally invasive tool to improve lymph node staging in feline oncology.

22 January 2026 in Animals
Verified
Journal Article
Open access
PDF file
GMGlenda Murciano
Glenda Murciano
IFIVAN ALONSO FERNANDEZ
IVAN ALONSO FERNANDEZ
RNRosa Novellas
Rosa Novellas
Osvaldo Fonseca-RodríguezOsvaldo Fonseca-Rodríguez
Osvaldo Fonseca-Rodríguez
JMJaume Martorell
Jaume Martorell
Background: Dental and respiratory diseases are common in companion rabbits. While upper respiratory tract disorders have been described in association with dental pathology, the possible correlation between dental disease and pulmonary lesions has not yet been investigated. Methods: A cross-sectional study was conducted on client-owned rabbits presented for suspected dental disease that underwent head and thoracic computed tomography (2012–2025) at a veterinary teaching hospital. Seventy-three rabbits met the inclusion criteria (mean age 4.96 years). Results: Dental involvement was present in 81% (59/73) of the rabbits and pulmonary lesions in 29% (21/73). Among rabbits with dental disease, frequent osseous findings included osteomyelitis (49%), inflammatory resorption (42%), and maxillary deformities (33%). Pulmonary abnormalities occurred in 32% of rabbits with dental disease compared to 14% of those without. In Poisson models with log link adjusted for age and sex, dental disease was not significantly associated with pulmonary lesions (prevalence ratio [PR] 2.14; 95% CI 0.55–8.38; p = 0.275). Sensitivity analyses using 1:1 matching with cluster-robust variance (PR 3.24; 95% CI 0.65–16.1; p = 0.152) and overlap-weighted doubly robust estimation (PR 2.08; 95% CI 0.42–10.4; p = 0.371) yielded directionally positive but imprecise results. Conclusions: Computed tomography proved valuable for the evaluation of thoracic comorbidities in rabbits with dental disease. Although dental and pulmonary abnormalities were often observed together, a statistically significant association was not established. Larger, prospective studies are warranted to further clarify this relationship.