Effect of thermal damage and biaxial loading on the optical properties of a collagenous tissue

Noninvasive in vivo glucose sensing on human subjects using mid-infrared light

Mid-infrared quantum cascade laser spectroscopy is used to noninvasively predict blood glucose concentrations of three healthy human subjects in vivo. We utilize a hollow-core fiber based optical setup for light delivery and collection along with a broadly tunable quantum cascade laser to obtain spectra from human subjects and use standard chemo-metric techniques (namely partial least squares regression) for prediction analysis. Throughout a glucose concentration range of 80-160 mg/dL, we achieve clinically accurate predictions 84% of the time, on average. This work opens a new path to a noninvasive in vivo glucose sensor that would benefit the lives of hundreds of millions of diabetics worldwide.

EFFECT OF THERMAL DAMAGE ON COMPRESSIVE BEHAVIOR OF SKIN TISSUE

Biothermomechanics of skin tissue is highly interdisciplinary, involving bioheat transfer, burn damage, biomechanics and physiology. Characterization of the thermomechanical behavior of skin tissue is of great importance and can contribute to a variety of medical applications. However, few studies have attempted to address the influence of heat induced thermal damage on the mechanical properties of skin tissue. This paper presents the compressive behavior of pigskin at different thermal damage levels and discusses the possible mechanisms of thermal damage–dependent compressive behavior of skin. The results demonstrate that skin stiffness decreases with increasing thermal damage degree and there exists strain rate sensitivity at different damage levels, caused mainly by hydration changes.

Acute Recovery of Patellar Tendon From Heat-Induced Shrinkage and Its Inhibition by Cross-Linking

There are two important factors that accompany heat-induced shrinkage of collagenous tissues: mechanical property degradation and partial recovery from the shrunken length (elongation) upon returning to room temperature (defined here as acute recovery). These undesirable factors reduce the efficacy of thermal therapies. We applied chemical cross-linking adjuvant to thermal treatment on New Zealand White rabbit patellar tendon complexes to explore the feasibility of reducing the impact of these undesirable side-effects. Our results have shown that with exposure to 0.5% w/v glutaraldehyde solution during heating, the recovery response of the patellar tendon tissue was decreased, and the mechanical properties of the tissue were significantly improved.

Strain rate sensitivity of skin tissue under thermomechanical loading

There have been limited studies addressing the thermally dependent mechanical properties of skin tissue, although this can contribute to a variety of medical applications. To address this, an experimental study on the tensile behaviour of pig skin tissue under different thermal loading conditions and different mechanical stretching rates was performed. The results indicate that there is a significant variation among skin tensile behaviours under different temperatures and loading rates, which is correlated with dermal collagen denaturation. The Ogden model was used to summarize the effect of the strain rate and the temperature upon the measured constitutive response through two parameters (alpha and mu). These results can be used in future models to improve clinical thermal treatments for skin tissue.

Optical coherence tomography for imaging of skin and skin diseases

Optical coherence tomography (OCT) is an emerging imaging technology based on light reflection. It provides real-time images with up to 2-mm penetration into the skin and a resolution of approximately 10 microm. It is routinely used in ophthalmology. The normal skin and its appendages have been studied, as have many diseases. The method can provide accurate measures of epidermal and nail changes in normal tissue. Skin cancer and other tumors, as well as inflammatory diseases, have been studied and good agreement found between OCT images and histopathological architecture. OCT also allows noninvasive monitoring of morphologic changes in skin diseases and may have a particular role in the monitoring of medical treatment of nonmelanoma skin cancer. The technology is however still evolving and continued technological development will necessitate an ongoing evaluation of its diagnostic accuracy. Several technical solutions are being pursued to further improve the quality of the images and the data provided, and OCT is being integrated in multimodal imaging devices that would potentially be able to provide a quantum leap to the imaging of skin in vivo.

Thermally-Induced Change in the Relaxation Behavior of Skin Tissue

Skin biothermomechanics is highly interdisciplinary, involving bioheat transfer, burn damage, biomechanics, and physiology. Characterization of the thermomechanical behavior of skin tissue is of great importance and can contribute to a variety of medical applications. However, few quantitative studies have been conducted on the thermally-dependent mechanical properties of skin tissue. The aim of the present study is to experimentally examine the thermally-induced change in the relaxation behavior of skin tissue in both hyperthermal and hypothermic ranges. The results show that temperature has great influence on the stress-relaxation behavior of skin tissue under both hyperthermal and hypothermic temperatures; the quantitative relationship that has been found between temperature and the viscoelastic parameter (the elastic fraction or fractional energy dissipation) was temperature dependent, with greatest dissipation at high temperature levels.

A theoretically-motivated biaxial tissue culture system with intravital microscopy

Many cell types produce, remodel, and degrade extracellular matrix in response to diverse stimuli, including mechanical loads. Much is known about the molecular biology and biochemistry of the deposition and degradation of collagen, the primary structural constituent of the extracellular matrix in many tissues, yet there has been little modeling of the associated mechanobiology. For example, we do not have quantitative descriptions, or rules, for the kinetics of collagen turnover as a function of altered mechanical loading and we do not know what governs the orientation and pre-stretch at which new fibers are incorporated within extant tissue. In this paper, we use a constrained mixture theory for growth and remodeling of planar soft tissues to motivate a new experimental approach for investigating competing hypotheses on, for example, how new collagen is aligned by synthetic cells. In particular, because stress and strain fields can be homogeneous in a central region of a biaxially tested tissue, and because biaxial testing admits diverse protocols wherein equal stresses can be imposed in the presence of unequal strains or stresses can be maintained in the absence of strain, we report simulations that illustrate the potential utility of biaxial culture studies. Finally, we describe the associated design of a computer-controlled system that allows intravital microscopic quantification of collagen density, orientation, and cross-linking at various stages during the adaptation of a native tissue or the development of a tissue engineered equivalent, each subjected to well controlled biaxial loads.

Laser-induced (endo)vascular photothermal effects studied by combined brightfield and fluorescence microscopy in hamster dorsal skin fold venules

The putative features of the (endo)vascular photothermal response, characterized by laser-induced thermal denaturation of blood and vessel wall constituents, have been elucidated individually, but not simultaneously in dynamic, isolated in vivo systems. A hamster dorsal skin fold model in combination with brightfield/fluorescence intravital microscopy was used to examine the effect of laser pulse duration and blood flow velocity on the size of the thermal coagulum, its attachment behavior, and laser-mediated vasomotion. The size of the coagulum and the extent of vasoconstriction and latent vasodilation were proportional to the laser pulse duration, but pulse duration had no effect on coagulum attachment/dislodgement. Blood flow velocity exhibited no significant effect on the studied parameters. The (endo)vascular photothermal response is governed predominantly by laser energy deposition and to a marginal extent by blood flow velocity.

Influence of Glycerol on the Mechanical Reversibility and Thermal Damage Susceptibility of Collagenous Tissues

Clinical procedures wherein supraphysiologic temperatures must be achieved in deep layers of tissue via light are often compromised by optical scattering and absorption. Optical clearing of tissue superficial to the target improves the efficacy of such procedures. Glycerol is an attractive chemical agent for achieving dramatic reductions in tissue turbidity, but its net effects on healthy tissue are not fully understood. In this paper, we investigate possible alterations of biaxial mechanical properties in a model collagenous tissue, bovine epicardium, induced by glycerol. Furthermore, we examine the effects of glycerol on the biaxial thermomechanical properties of epicardium constrained at near-physiologic length. It is seen that mechanical changes induced by glycerol are fully reversed upon rehydration in normal saline. Moreover, glycerol protects cleared tissue by increasing its thermal stability and minimizing thermal alterations of mechanical properties.

Histological evidence for the role of mechanical stress in modulating thermal denaturation of collagen

The hyperthermia and thermal denaturation literatures reveal a time-temperature equivalency when heating cells or connective tissues: thermal damage increases with increasing temperature (for the same duration) and increases with increasing duration (for the same temperature). Recent findings conversely suggest that increasing the mechanical loading on a tissue during heating decreases the thermal damage (for a given temperature and duration of heating). Surprisingly, however, there are few histological correlates of such damage. In this paper, we show that progressive light microscopic changes - swelling of collagen bands, thickening of collagen-rich layers, hyalinization, and loss of birefringence approximately - correlate very well with both increased heating times and decreased mechanical loading. Increased mechanical stress is thus thermally protective and should be considered in the design of clinical procedures that use heating to treat diseases or injuries.

Heat-Induced Changes in the Finite Strain Viscoelastic Behavior of a Collaagenous Tissue

Supra-physiological temperatures are increasingly being used to treat many different soft tissue diseases and injuries. To identify improved clinical treatments, however, there is a need for better information on the effect of the mechanics on the thermal damage process as well as the effect of the incurred damage on the subsequent mechanical properties. In this paper, we report the first biaxial data on the stress relaxation behavior of a collagenous tissue before and after thermal damage. Based on a two-dimensional finite strain viscoelastic model, which incorporates an exponential elastic response, it is shown that the thermal damage can significantly decrease the characteristic time for stress relaxation and the stress residual.

Altered Mechanical Behavior of Epicardium Under Isothermal Biaxial Loading

Most soft tissues that are treated clinically via heating experience multiaxial states of stress and strain in vivo and are subject to complex constraints during treatment. Remarkably, however, there are no prior data on changes in the multiaxial mechanical behavior of a collagenous tissue subjected to isometric constraints during heating. This paper presents the first biaxial stress-stretch data on a collagenous membrane (epicardium) before and after heating while subjected to various biaxial isometric constraints. It was found that isometric heating does not allow the increase in stiffness at low strains that occurs following isotonic heating. Moreover, increasing the degree of stretch prior to heating increased the thermal stability of the tissue consistent with the concept that mechanical loading primarily affects the activation entropy, not the activation energy.

Kinetics of thermal damage to a collagenous membrane under biaxial isotonic loading

Prior isothermal uniaxial isotonic tests on tendons reveal that higher temperatures hasten the rate of thermal denaturation whereas larger mechanical loads delay it; moreover, these findings suggest a time-temperature-load equivalency whereby similar levels of denaturation, as reflected by tissue shrinkage, can be attained via many combinations of heating time, temperature level, and mechanical loading. Yet, most tissues and organs experience multiaxial loads in vivo, and their microstructure differs significantly from that of tendons, thus, we must also evaluate the effects of multiaxial stresses on the kinetics of denaturation in other tissues. In this paper, we describe a new experimental approach for performing isothermal biaxial isotonic tests on thin sheet-like specimens and we report effects of various thermomechanical loads on the rate and amount of multiaxial shrinkage of bovine epicardium. Consistent with uniaxial studies, epicardial shrinkage generally increased sigmoidally with heating time, and a characteristic heating time revealed increases in the rate of shrinkage with higher temperature and decreases with larger biaxial loads. Although this characteristic time exhibited an Arrhenius-type character, time-temperature-load equivalency was not obtained when scaling time with this metric. General multiaxial thermomechanics is thus too complex to explain via a simple extension of uniaxial findings on tendons and there is a pressing need for more data and an appropriate theoretical framework.