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Regnault G, Kirby MA, Wang RK, Shen TT, O’Donnell M, Pelivanov I. Possible depth-resolved reconstruction of shear moduli in the cornea following collagen crosslinking (CXL) with optical coherence tomography and elastography. BIOMEDICAL OPTICS EXPRESS 2023; 14:5005-5021. [PMID: 37791258 PMCID: PMC10545180 DOI: 10.1364/boe.497970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 08/10/2023] [Accepted: 08/16/2023] [Indexed: 10/05/2023]
Abstract
Corneal collagen crosslinking (CXL) is commonly used to prevent or treat keratoconus. Although changes in corneal stiffness induced by CXL surgery can be monitored with non-contact dynamic optical coherence elastography (OCE) by tracking mechanical wave propagation, depth dependent changes are still unclear if the cornea is not crosslinked through the whole depth. Here, phase-decorrelation measurements on optical coherence tomography (OCT) structural images are combined with acoustic micro-tapping (AµT) OCE to explore possible reconstruction of depth-dependent stiffness within crosslinked corneas in an ex vivo human cornea sample. Experimental OCT images are analyzed to define the penetration depth of CXL into the cornea. In a representative ex vivo human cornea sample, crosslinking depth varied from ∼100 µm in the periphery to ∼150 µm in the cornea center and exhibited a sharp in-depth transition between crosslinked and untreated areas. This information was used in an analytical two-layer guided wave propagation model to quantify the stiffness of the treated layer. We also discuss how the elastic moduli of partially CXL-treated cornea layers reflect the effective engineering stiffness of the entire cornea to properly quantify corneal deformation.
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Affiliation(s)
- Gabriel Regnault
- Department of Bioengineering, University of Washington, Seattle, WA, USA
| | - Mitchell A. Kirby
- Department of Bioengineering, University of Washington, Seattle, WA, USA
| | - Ruikang K. Wang
- Department of Bioengineering, University of Washington, Seattle, WA, USA
- Department of Ophthalmology, University of Washington, Seattle, WA, USA
| | - Tueng T. Shen
- Department of Ophthalmology, University of Washington, Seattle, WA, USA
- School of Medicine, University of Washington, Seattle, WA, USA
| | - Matthew O’Donnell
- Department of Bioengineering, University of Washington, Seattle, WA, USA
| | - Ivan Pelivanov
- Department of Bioengineering, University of Washington, Seattle, WA, USA
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2
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Regnault G, Kirby MA, Wang RK, Shen TT, O’Donnell M, Pelivanov I. Possible depth-resolved reconstruction of shear moduli in the cornea following collagen crosslinking (CXL) with optical coherence tomography and elastography. ARXIV 2023:arXiv:2306.15018v1. [PMID: 37426451 PMCID: PMC10327230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 07/11/2023]
Abstract
Corneal collagen crosslinking (CXL) is commonly used to prevent or treat keratoconus. Although changes in corneal stiffness induced by CXL surgery can be monitored with non-contact dynamic optical coherence elastography (OCE) by tracking mechanical wave propagation, depth dependent changes are still unclear if the cornea is not crosslinked through the whole depth. Here, phase-decorrelation measurements on optical coherence tomography (OCT) structural images are combined with acoustic micro-tapping (A$\mu$T) OCE to explore possible reconstruction of depth-dependent stiffness within crosslinked corneas in an ex vivo human cornea sample. Experimental OCT images are analyzed to define the penetration depth of CXL into the cornea. In a representative ex vivo human cornea sample, crosslinking depth varied from $\sim 100\mu m$ in the periphery to $\sim 150\mu m$ in the cornea center and exhibited a sharp in-depth transition between crosslinked and untreated areas. This information was used in an analytical two-layer guided wave propagation model to quantify the stiffness of the treated layer. We also discuss how the elastic moduli of partially CXL-treated cornea layers reflect the effective engineering stiffness of the entire cornea to properly quantify corneal deformation.
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Affiliation(s)
- Gabriel Regnault
- Department of Bioengineering, University of Washington, Seattle, USA
| | - Mitchell A. Kirby
- Department of Bioengineering, University of Washington, Seattle, USA
| | - Ruikang K. Wang
- Department of Bioengineering, University of Washington, Seattle, USA
- Department of Ophthalmology, University of Washington, Seattle, USA
| | - Tueng T. Shen
- Department of Ophthalmology, University of Washington, Seattle, USA
- School of Medicine, University of Washington, Seattle, USA
| | - Matthew O’Donnell
- Department of Bioengineering, University of Washington, Seattle, USA
| | - Ivan Pelivanov
- Department of Bioengineering, University of Washington, Seattle, USA
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3
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Li F, Wang K, Liu Z. In Vivo Biomechanical Measurements of the Cornea. BIOENGINEERING (BASEL, SWITZERLAND) 2023; 10:bioengineering10010120. [PMID: 36671692 PMCID: PMC9854753 DOI: 10.3390/bioengineering10010120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Revised: 01/11/2023] [Accepted: 01/13/2023] [Indexed: 01/18/2023]
Abstract
In early corneal examinations, the relationships between the morphological and biomechanical features of the cornea were unclear. Although consistent links have been demonstrated between the two in certain cases, these are not valid in many diseased states. An accurate assessment of the corneal biomechanical properties is essential for understanding the condition of the cornea. Studies on corneal biomechanics in vivo suggest that clinical problems such as refractive surgery and ectatic corneal disease are closely related to changes in biomechanical parameters. Current techniques are available to assess the mechanical characteristics of the cornea in vivo. Accordingly, various attempts have been expended to obtain the relevant mechanical parameters from different perspectives, using the air-puff method, ultrasound, optical techniques, and finite element analyses. However, a measurement technique that can comprehensively reflect the full mechanical characteristics of the cornea (gold standard) has not yet been developed. We review herein the in vivo measurement techniques used to assess corneal biomechanics, and discuss their advantages and limitations to provide a comprehensive introduction to the current state of technical development to support more accurate clinical decisions.
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Affiliation(s)
- Fanshu Li
- Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Health Science Center, Peking University, Beijing 100191, China
| | - Kehao Wang
- Beijing Advanced Innovation Center for Biomedical Engineering, School of Engineering Medicine, Beihang University, Beijing 100191, China
| | - Ziyuan Liu
- Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Health Science Center, Peking University, Beijing 100191, China
- Correspondence:
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4
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Zhao Y, Zhu Y, Wang Y, Yang H, He X, Alvarez-Arenas TG, Li Y, Huang G. Quantitative Evaluation of In Vivo Corneal Biomechanical Properties after SMILE and FLEx Surgery by Acoustic Radiation Force Optical Coherence Elastography. SENSORS (BASEL, SWITZERLAND) 2022; 23:s23010181. [PMID: 36616779 PMCID: PMC9823345 DOI: 10.3390/s23010181] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/20/2022] [Accepted: 12/22/2022] [Indexed: 05/28/2023]
Abstract
The purpose of this study is to quantitatively evaluate the differences in corneal biomechanics after SMILE and FLEx surgery using an acoustic radiation force optical coherence elastography system (ARF-OCE) and to analyze the effect of the corneal cap on the integrity of corneal biomechanical properties. A custom ring array ultrasound transducer is used to excite corneal tissue to produce Lamb waves. Depth-resolved elastic modulus images of the in vivo cornea after refractive surgery were obtained based on the phase velocity of the Lamb wave. After refractive surgery, the average elastic modulus of the corneal flap decreased (71.7 ± 24.6 kPa), while the elastic modulus of the corneal cap increased (219.5 ± 54.9 kPa). The average elastic modulus of residual stromal bed (RSB) was increased after surgery, and the value after FLEx (305.8 ± 48.5 kPa) was significantly higher than that of SMILE (221.3 ± 43.2 kPa). Compared with FLEx, SMILE preserved most of the anterior stroma with less change in corneal biomechanics, which indicated that SMILE has an advantage in preserving the integrity of the corneal biomechanical properties. Therefore, the biomechanical properties of the cornea obtained by the ARF-OCE system may be one of the essential indicators for evaluating the safety of refractive surgery.
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Affiliation(s)
- Yanzhi Zhao
- School of Medical, Nanchang University, Nanchang 330031, China
- Department of Ophthalmology, The Third Affiliated Hospital of Nanchang University, Nanchang 330008, China
| | - Yirui Zhu
- School of Physics, Nanjing University, Nanjing 210093, China
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province, Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, China
| | - Yongbo Wang
- School of Medical, Nanchang University, Nanchang 330031, China
- Department of Ophthalmology, The Third Affiliated Hospital of Nanchang University, Nanchang 330008, China
| | - Hongwei Yang
- School of Medical, Nanchang University, Nanchang 330031, China
- Department of Ophthalmology, The Third Affiliated Hospital of Nanchang University, Nanchang 330008, China
| | - Xingdao He
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province, Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, China
| | - Tomas Gomez Alvarez-Arenas
- Institute for Physical and Information Technologies, Spanish National Research Council, Serrano 144, 28006 Madrid, Spain
| | - Yingjie Li
- Department of Ophthalmology, The Third Affiliated Hospital of Nanchang University, Nanchang 330008, China
| | - Guofu Huang
- School of Medical, Nanchang University, Nanchang 330031, China
- Department of Ophthalmology, The Third Affiliated Hospital of Nanchang University, Nanchang 330008, China
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5
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Regnault G, Kirby MA, Kuriakose M, Shen T, Wang RK, O’Donnell M, Pelivanov I. Spatial resolution in optical coherence elastography of bounded media. BIOMEDICAL OPTICS EXPRESS 2022; 13:4851-4869. [PMID: 36187272 PMCID: PMC9484430 DOI: 10.1364/boe.469019] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 07/30/2022] [Accepted: 08/03/2022] [Indexed: 05/11/2023]
Abstract
Dynamic optical coherence elastography (OCE) tracks mechanical wave propagation in the subsurface region of tissue to image its shear modulus. For bulk shear waves, the lateral resolution of the reconstructed modulus map (i.e., elastographic resolution) can approach that of optical coherence tomography (OCT), typically a few tens of microns. Here we perform comprehensive numerical simulations and acoustic micro-tapping OCE experiments to show that for the typical situation of guided wave propagation in bounded media, such as cornea, the elastographic resolution cannot reach the OCT resolution and is mainly defined by the thickness of the bounded tissue layer. We considered the excitation of both broadband and quasi-harmonic guided waves in a bounded, isotropic medium. Leveraging the properties of broadband pulses, a robust method for modulus reconstruction with minimum artifacts at interfaces is demonstrated. In contrast, tissue bounding creates large instabilities in the phase of harmonic waves, leading to serious artifacts in modulus reconstructions.
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Affiliation(s)
- Gabriel Regnault
- University of Washington, Department of Bioengineering, Seattle, Washington, 3720 15th Ave NE, Seattle, WA 98105, USA
| | - Mitchell A. Kirby
- University of Washington, Department of Bioengineering, Seattle, Washington, 3720 15th Ave NE, Seattle, WA 98105, USA
| | - Maju Kuriakose
- University of Washington, Department of Bioengineering, Seattle, Washington, 3720 15th Ave NE, Seattle, WA 98105, USA
| | - Tueng Shen
- University of Washington, Department of Bioengineering, Seattle, Washington, 3720 15th Ave NE, Seattle, WA 98105, USA
- University of Washington, Department of Ophthalmology, Seattle, Washington, 1959 NE Pacific St, Seattle, WA 98195, USA
| | - Ruikang K. Wang
- University of Washington, Department of Bioengineering, Seattle, Washington, 3720 15th Ave NE, Seattle, WA 98105, USA
- University of Washington, Department of Ophthalmology, Seattle, Washington, 1959 NE Pacific St, Seattle, WA 98195, USA
| | - Matthew O’Donnell
- University of Washington, Department of Bioengineering, Seattle, Washington, 3720 15th Ave NE, Seattle, WA 98105, USA
| | - Ivan Pelivanov
- University of Washington, Department of Bioengineering, Seattle, Washington, 3720 15th Ave NE, Seattle, WA 98105, USA
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Mekonnen T, Lin X, Zevallos-Delgado C, Singh M, Aglyamov SR, Coulson-Thomas V, Larin KV. Longitudinal assessment of the effect of alkali burns on corneal biomechanical properties using optical coherence elastography. JOURNAL OF BIOPHOTONICS 2022; 15:e202200022. [PMID: 35460537 PMCID: PMC11057918 DOI: 10.1002/jbio.202200022] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 03/29/2022] [Accepted: 04/22/2022] [Indexed: 06/14/2023]
Abstract
Eye injury due to alkali burn is a severe ocular trauma that can profoundly affect corneal structure and function, including its biomechanical properties. Here, we assess the changes in the mechanical behavior of mouse corneas in response to alkali-induced injury by conducting longitudinal measurements using optical coherence elastography (OCE). A non-contact air-coupled ultrasound transducer was used to induce elastic waves in control and alkali-injured mouse corneas in vivo, which were imaged with phase-sensitive optical coherence tomography. Corneal mechanical properties were estimated using a modified Rayleigh-Lamb wave model, and results show that Young's modulus of alkali-burned corneas were significantly greater than that of their healthy counterparts on days 7 (p = 0.029) and 14 (p = 0.026) after injury. These findings, together with the changes in the shear viscosity coefficient postburn, indicate that the mechanical properties of the alkali-burned cornea are significantly modulated during the wound healing process.
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Affiliation(s)
- Taye Mekonnen
- Department of Biomedical Engineering, University of Houston, 3517 Cullen Blvd., Room 2027, Houston, TX 77204, USA
| | - Xiao Lin
- College of Optometry, University of Houston, 4901 Calhoun Road, Houston, TX 77204‑2020, USA
| | - Christian Zevallos-Delgado
- Department of Biomedical Engineering, University of Houston, 3517 Cullen Blvd., Room 2027, Houston, TX 77204, USA
| | - Manmohan Singh
- Department of Biomedical Engineering, University of Houston, 3517 Cullen Blvd., Room 2027, Houston, TX 77204, USA
| | - Salavat R. Aglyamov
- Department of Mechanical Engineering, University of Houston, Houston, TX 77204, USA
| | - Vivien Coulson-Thomas
- College of Optometry, University of Houston, 4901 Calhoun Road, Houston, TX 77204‑2020, USA
| | - Kirill V. Larin
- Department of Biomedical Engineering, University of Houston, 3517 Cullen Blvd., Room 2027, Houston, TX 77204, USA
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7
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Li W, Feng J, Wang Y, Shi Q, Ma G, Aglyamov S, Larin KV, Lan G, Twa M. Micron-scale hysteresis measurement using dynamic optical coherence elastography. BIOMEDICAL OPTICS EXPRESS 2022; 13:3021-3041. [PMID: 35774312 PMCID: PMC9203113 DOI: 10.1364/boe.457617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 04/11/2022] [Accepted: 04/14/2022] [Indexed: 05/28/2023]
Abstract
We present a novel optical coherence elastography (OCE) method to characterize mechanical hysteresis of soft tissues based on transient (milliseconds), low-pressure (<20 Pa) non-contact microliter air-pulse stimulation and micrometer-scale sample displacements. The energy dissipation rate (sample hysteresis) was quantified for soft-tissue phantoms (0.8% to 2.0% agar) and beef shank samples under different loading forces and displacement amplitudes. Sample hysteresis was defined as the loss ratio (hysteresis loop area divided by the total loading energy). The loss ratio was primarily driven by the sample unloading response which decreased as loading energy increased. Samples were distinguishable based on their loss ratio responses as a function loading energy or displacement amplitude. Finite element analysis and mechanical testing methods were used to validate these observations. We further performed the OCE measurements on a beef shank tissue sample to distinguish the muscle and connective tissue components based on the displacement and hysteresis features. This novel, noninvasive OCE approach has the potential to differentiate soft tissues by quantifying their viscoelasticity using micron-scale transient tissue displacement dynamics. Focal tissue hysteresis measurements could provide additional clinically useful metrics for guiding disease diagnosis and tissue treatment responses.
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Affiliation(s)
- Wenjie Li
- Foshan University, School of Mechatronic Engineering and Automation, Foshan, Guangdong, 528000, China
- Contributed equally
| | - Jinping Feng
- Hubei University of Science and Technology, Institute of Engineering and Technology, Xianning, Hubei, 437100, China
- Contributed equally
| | - Yicheng Wang
- Foshan University, School of Mechatronic Engineering and Automation, Foshan, Guangdong, 528000, China
| | - Qun Shi
- Foshan University, School of Mechatronic Engineering and Automation, Foshan, Guangdong, 528000, China
| | - Guoqin Ma
- Foshan University, School of Mechatronic Engineering and Automation, Foshan, Guangdong, 528000, China
| | - Salavat Aglyamov
- University of Houston, Mechanical Engineering, Houston, TX 77204, USA
| | - Kirill V Larin
- University of Houston, Biomedical Engineering, Houston, TX 77204, USA
| | - Gongpu Lan
- Foshan University, School of Physics and Optoelectronic Engineering, Guangdong-Hong Kong-Macao Joint Laboratory for Intelligent Micro-Nano Optoelectronic Technology, Foshan, Guangdong 528000, China
- Innovation and Entrepreneurship Team of Guangdong Pearl River Talents Program, Weiren Meditech Co., Ltd., Foshan, Guangdong, 528000, China
| | - Michael Twa
- University of Houston, College of Optometry, Houston, TX 77204, USA
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8
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Zvietcovich F, Nair A, Singh M, Aglyamov SR, Twa MD, Larin KV. In vivo assessment of corneal biomechanics under a localized cross-linking treatment using confocal air-coupled optical coherence elastography. BIOMEDICAL OPTICS EXPRESS 2022; 13:2644-2654. [PMID: 35774330 PMCID: PMC9203097 DOI: 10.1364/boe.456186] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 03/19/2022] [Accepted: 03/20/2022] [Indexed: 05/25/2023]
Abstract
The localized application of the riboflavin/UV-A collagen cross-linking (UV-CXL) corneal treatment has been proposed to concentrate the stiffening process only in the compromised regions of the cornea by limiting the epithelium removal and irradiation area. However, current clinical screening devices dedicated to measuring corneal biomechanics cannot provide maps nor spatial-dependent changes of elasticity in corneas when treated locally with UV-CXL. In this study, we leverage our previously reported confocal air-coupled ultrasonic optical coherence elastography (ACUS-OCE) probe to study local changes of corneal elasticity in three cases: untreated, half-CXL-treated, and full-CXL-treated in vivo rabbit corneas (n = 8). We found a significant increase of the shear modulus in the half-treated (>450%) and full-treated (>650%) corneal regions when compared to the non-treated cases. Therefore, the ACUS-OCE technology possesses a great potential in detecting spatially-dependent mechanical properties of the cornea at multiple meridians and generating elastography maps that are clinically relevant for patient-specific treatment planning and monitoring of UV-CXL procedures.
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Affiliation(s)
- Fernando Zvietcovich
- Department of Biomedical Engineering, University of Houston, Houston, Texas 77204, USA
- Department of Engineering, Pontificia Universidad Catolica del Peru, San Miguel, Lima 15088, Peru
| | - Achuth Nair
- Department of Biomedical Engineering, University of Houston, Houston, Texas 77204, USA
| | - Manmohan Singh
- Department of Biomedical Engineering, University of Houston, Houston, Texas 77204, USA
| | - Salavat R. Aglyamov
- Department of Mechanical Engineering, University of Houston, Houston, Texas 77204, USA
| | - Michael D. Twa
- College of Optometry, University of Houston, Houston, Texas 77204, USA
| | - Kirill V. Larin
- Department of Biomedical Engineering, University of Houston, Houston, Texas 77204, USA
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9
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Lan G, Shi Q, Wang Y, Ma G, Cai J, Feng J, Huang Y, Gu B, An L, Xu J, Qin J, Twa MD. Spatial Assessment of Heterogeneous Tissue Natural Frequency Using Micro-Force Optical Coherence Elastography. Front Bioeng Biotechnol 2022; 10:851094. [PMID: 35360399 PMCID: PMC8962667 DOI: 10.3389/fbioe.2022.851094] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Accepted: 02/28/2022] [Indexed: 11/20/2022] Open
Abstract
Analysis of corneal tissue natural frequency was recently proposed as a biomarker for corneal biomechanics and has been performed using high-resolution optical coherence tomography (OCT)-based elastography (OCE). However, it remains unknown whether natural frequency analysis can resolve local variations in tissue structure. We measured heterogeneous samples to evaluate the correspondence between natural frequency distributions and regional structural variations. Sub-micrometer sample oscillations were induced point-wise by microliter air pulses (60–85 Pa, 3 ms) and detected correspondingly at each point using a 1,300 nm spectral domain common path OCT system with 0.44 nm phase detection sensitivity. The resulting oscillation frequency features were analyzed via fast Fourier transform and natural frequency was characterized using a single degree of freedom (SDOF) model. Oscillation features at each measurement point showed a complex frequency response with multiple frequency components that corresponded with global structural features; while the variation of frequency magnitude at each location reflected the local sample features. Silicone blocks (255.1 ± 11.0 Hz and 249.0 ± 4.6 Hz) embedded in an agar base (355.6 ± 0.8 Hz and 361.3 ± 5.5 Hz) were clearly distinguishable by natural frequency. In a beef shank sample, central fat and connective tissues had lower natural frequencies (91.7 ± 58.2 Hz) than muscle tissue (left side: 252.6 ± 52.3 Hz; right side: 161.5 ± 35.8 Hz). As a first step, we have shown the possibility of natural frequency OCE methods to characterize global and local features of heterogeneous samples. This method can provide additional information on corneal properties, complementary to current clinical biomechanical assessments, and could become a useful tool for clinical detection of ocular disease and evaluation of medical or surgical treatment outcomes.
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Affiliation(s)
- Gongpu Lan
- School of Physics and Optoelectronic Engineering, Foshan University, Foshan, China
- Innovation and Entrepreneurship Teams of Guangdong Pearl River Talents Program, Weiren Meditech Co., Ltd., Foshan, China
- Guangdong-Hong Kong-Macao Intelligent Micro-Nano Optoelectronic Technology Joint Laboratory, Foshan University, Foshan, China
- *Correspondence: Gongpu Lan, ; Michael D. Twa,
| | - Qun Shi
- School of Mechatronic Engineering and Automation, Foshan University, Foshan, China
| | - Yicheng Wang
- School of Mechatronic Engineering and Automation, Foshan University, Foshan, China
| | - Guoqin Ma
- School of Mechatronic Engineering and Automation, Foshan University, Foshan, China
| | - Jing Cai
- School of Physics and Optoelectronic Engineering, Foshan University, Foshan, China
- Guangdong-Hong Kong-Macao Intelligent Micro-Nano Optoelectronic Technology Joint Laboratory, Foshan University, Foshan, China
| | - Jinping Feng
- Institute of Engineering and Technology, Hubei University of Science and Technology, Xianning, China
| | - Yanping Huang
- School of Physics and Optoelectronic Engineering, Foshan University, Foshan, China
- Innovation and Entrepreneurship Teams of Guangdong Pearl River Talents Program, Weiren Meditech Co., Ltd., Foshan, China
- Guangdong-Hong Kong-Macao Intelligent Micro-Nano Optoelectronic Technology Joint Laboratory, Foshan University, Foshan, China
| | - Boyu Gu
- School of Computer and Information Engineering, Tianjin Chengjian University, Tianjin, China
| | - Lin An
- Innovation and Entrepreneurship Teams of Guangdong Pearl River Talents Program, Weiren Meditech Co., Ltd., Foshan, China
| | - Jingjiang Xu
- School of Physics and Optoelectronic Engineering, Foshan University, Foshan, China
- Innovation and Entrepreneurship Teams of Guangdong Pearl River Talents Program, Weiren Meditech Co., Ltd., Foshan, China
- Guangdong-Hong Kong-Macao Intelligent Micro-Nano Optoelectronic Technology Joint Laboratory, Foshan University, Foshan, China
| | - Jia Qin
- Innovation and Entrepreneurship Teams of Guangdong Pearl River Talents Program, Weiren Meditech Co., Ltd., Foshan, China
| | - Michael D. Twa
- College of Optometry, University of Houston, Houston, TX, United States
- *Correspondence: Gongpu Lan, ; Michael D. Twa,
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10
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Urbańska MA, Kolenderska SM, Rodrigues SA, Thakur SS, Vanholsbeeck F. Broadband-excitation-based mechanical spectroscopy of highly viscous tissue-mimicking phantoms. OPTICS EXPRESS 2022; 30:603-618. [PMID: 35201234 DOI: 10.1364/oe.445259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 12/01/2021] [Indexed: 06/14/2023]
Abstract
Standard rheometers assess mechanical properties of viscoelastic samples up to 100 Hz, which often hinders the assessment of the local-scale dynamics. We demonstrate that high-frequency analysis can be achieved by inducing broadband waves and monitoring their media-dependent propagation using optical coherence tomography. Here, we present a new broadband wave analysis based on two-dimensional Fourier transformation. We validated this method by comparing the mechanical parameters to monochromatic excitation and a standard oscillatory test data. Our method allows for high-frequency mechanical spectroscopy, which could be used to investigate the local-scale dynamics of different biological tissues and the influence of diseases on their microstructure.
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11
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Sun MG, Son T, Crutison J, Guaiquil V, Lin S, Nammari L, Klatt D, Yao X, Rosenblatt MI, Royston TJ. Optical coherence elastography for assessing the influence of intraocular pressure on elastic wave dispersion in the cornea. J Mech Behav Biomed Mater 2022; 128:105100. [PMID: 35121423 PMCID: PMC8904295 DOI: 10.1016/j.jmbbm.2022.105100] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 01/17/2022] [Accepted: 01/21/2022] [Indexed: 10/19/2022]
Abstract
The cornea is a highly specialized organ that relies on its mechanical stiffness to maintain its aspheric geometry and refractive power, and corneal diseases such as keratoconus have been linked to abnormal tissue stiffness and biomechanics. Dynamic optical coherence elastography (OCE) is a clinically promising non-contact and non-destructive imaging technique that can provide measurements of corneal tissue stiffness directly in vivo. The method relies on the concepts of elastography where shear waves are generated and imaged within a tissue to obtain mechanical properties such as tissue stiffness. The accuracy of OCE-based measurements is ultimately dependent on the mathematical theories used to model wave behavior in the tissue of interest. In the cornea, elastic waves propagate as guided wave modes which are highly dispersive and can be mathematically complex to model. While recent groups have developed detailed theories for estimating corneal tissue properties from guided wave behavior, the effects of intraocular pressure (IOP)-induced prestress have not yet been considered. It is known that prestress alone can strongly influence wave behavior, in addition to the associated non-linear changes in tissue properties. This present study shows that failure to account for the effects of prestress may result in overestimations of the corneal shear moduli, particularly at high IOPs. We first examined the potential effects of IOP and IOP-induced prestress using a combination of approximate mathematical theories describing wave behavior in thin plates with observations made from data published in the OCE literature. Through wave dispersion analysis, we deduce that IOP introduces a tensile hoop stress and may also influence an elastic foundational effect that were observable in the low-frequency components of the dispersion curves. These effects were incorporated into recently developed models of wave behavior in nearly incompressible, transversely isotropic (NITI) materials. Fitting of the modified NITI model with ex vivo porcine corneal data demonstrated that incorporation of the effects of IOP resulted in reduced estimates of corneal shear moduli. We believe this demonstrates that overestimation of corneal stiffness occurs if IOP is not taken into consideration. Our work may be helpful in separating inherent corneal stiffness properties that are independent of IOP; changes in these properties and in IOP are distinct, clinically relevant issues that affect the cornea health.
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12
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Zvietcovich F, Larin KV. Wave-based optical coherence elastography: The 10-year perspective. PROGRESS IN BIOMEDICAL ENGINEERING (BRISTOL, ENGLAND) 2022; 4:012007. [PMID: 35187403 PMCID: PMC8856668 DOI: 10.1088/2516-1091/ac4512] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
After 10 years of progress and innovation, optical coherence elastography (OCE) based on the propagation of mechanical waves has become one of the major and the most studied OCE branches, producing a fundamental impact in the quantitative and nondestructive biomechanical characterization of tissues. Preceding previous progress made in ultrasound and magnetic resonance elastography; wave-based OCE has pushed to the limit the advance of three major pillars: (1) implementation of novel wave excitation methods in tissues, (2) understanding new types of mechanical waves in complex boundary conditions by proposing advance analytical and numerical models, and (3) the development of novel estimators capable of retrieving quantitative 2D/3D biomechanical information of tissues. This remarkable progress promoted a major advance in answering basic science questions and the improvement of medical disease diagnosis and treatment monitoring in several types of tissues leading, ultimately, to the first attempts of clinical trials and translational research aiming to have wave-based OCE working in clinical environments. This paper summarizes the fundamental up-to-date principles and categories of wave-based OCE, revises the timeline and the state-of-the-art techniques and applications lying in those categories, and concludes with a discussion on the current challenges and future directions, including clinical translation research.
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Affiliation(s)
- Fernando Zvietcovich
- University of Houston, Biomedical Engineering, Houston, TX, United States, 77204
| | - Kirill V. Larin
- University of Houston, Biomedical Engineering, Houston, TX, United States, 77204,
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13
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Zhang Y, Zhou K, Feng Z, Feng K, Ji Y, Li C, Huang Z. Viscoelastic properties' characterization of corneal stromal models using non-contact surface acoustic wave optical coherence elastography (SAW-OCE). JOURNAL OF BIOPHOTONICS 2022; 15:e202100253. [PMID: 34713598 DOI: 10.1002/jbio.202100253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 10/20/2021] [Accepted: 10/27/2021] [Indexed: 06/13/2023]
Abstract
Viscoelastic characterization of the tissue-engineered corneal stromal model is important for our understanding of the cell behaviors in the pathophysiologic altered corneal extracellular matrix (ECM). The effects of the interactions between stromal cells and different ECM characteristics on the viscoelastic properties during an 11-day culture period were explored. Collagen-based hydrogels seeded with keratocytes were used to replicate human corneal stroma. Keratocytes were seeded at 8 × 103 cells per hydrogel and with collagen concentrations of 3, 5 and 7 mg/ml. Air-pulse-based surface acoustic wave optical coherence elastography (SAW-OCE) was employed to monitor the changes in the hydrogels' dimensions and viscoelasticity over the culture period. The results showed the elastic modulus increased by 111%, 56% and 6%, and viscosity increased by 357%, 210% and 25% in the 3, 5 and 7 mg/ml hydrogels, respectively. To explain the SAW-OCE results, scanning electron microscope was also performed. The results confirmed the increase in elastic modulus and viscosity of the hydrogels, respectively, arose from increased fiber density and force-dependent unbinding of bonds between collagen fibers. This study reveals the influence of cell-matrix interactions on the viscoelastic properties of corneal stromal models and can provide quantitative guidance for mechanobiological investigations which require collagen ECM with tuneable viscoelastic properties.
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Affiliation(s)
- Yilong Zhang
- School of Science and Engineering, University of Dundee, Dundee, UK
| | - Kanheng Zhou
- School of Science and Engineering, University of Dundee, Dundee, UK
| | - Zhengshuyi Feng
- School of Science and Engineering, University of Dundee, Dundee, UK
| | - Kairui Feng
- School of Science and Engineering, University of Dundee, Dundee, UK
| | - Yubo Ji
- School of Science and Engineering, University of Dundee, Dundee, UK
| | - Chunhui Li
- School of Science and Engineering, University of Dundee, Dundee, UK
| | - Zhihong Huang
- School of Science and Engineering, University of Dundee, Dundee, UK
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14
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Ye S, Zhou Y, Bao C, Chen Y, Lu F, Zhu D. In vivo non-contact measurement of human iris elasticity by optical coherence elastography. JOURNAL OF BIOPHOTONICS 2021; 14:e202100116. [PMID: 34051066 DOI: 10.1002/jbio.202100116] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 05/22/2021] [Accepted: 05/25/2021] [Indexed: 06/12/2023]
Abstract
Quantifying the mechanical properties of the iris can offer valuable insights into the pathophysiology of primary angle closure glaucoma. However, current techniques for iris elastography remain ex vivo with limited clinical applications. This article describes a proposition for a non-contact and non-invasive air-puff optical coherence elastography (OCE) system that can evaluate iris elasticity in vivo. Ten eyes recruited from seven subjects underwent OCE imaging acquisition under three different illumination conditions. The Young's modulus of each eye was detected and shown to be inversely proportional to the iris length, indicating a relationship between mechanical properties and morphology of the iris. With its noninvasive and high-resolution features, this air-puff system shows great potential for applications in clinical ophthalmology.
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Affiliation(s)
- Shuling Ye
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Yuheng Zhou
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Chenhong Bao
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Yulei Chen
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Fan Lu
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Dexi Zhu
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
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15
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Rippy JR, Singh M, Aglyamov SR, Larin KV. Ultrasound Shear Wave Elastography and Transient Optical Coherence Elastography: Side-by-Side Comparison of Repeatability and Accuracy. IEEE OPEN JOURNAL OF ENGINEERING IN MEDICINE AND BIOLOGY 2021; 2:179-186. [PMID: 34179823 PMCID: PMC8224461 DOI: 10.1109/ojemb.2021.3075569] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Objective: We compare the repeatability and accuracy of ultrasound shear wave elastography (USE) and transient optical coherence elastography (OCE). Methods: Elastic wave speed in gelatin phantoms and chicken breast was measured with USE and OCE and compared with uniaxial mechanical compression testing. Intra- and Inter-repeatability were analyzed using Bland-Altman plots and intraclass correlation coefficients (ICC). Results: OCE and USE differed from uniaxial testing by a mean absolute percent error of 8.92% and 16.9%, respectively, across eight phantoms of varying stiffness. Upper and lower limits of agreement for intrasample repeatability for USE and OCE were ±0.075 m/s and −0.14 m/s and 0.13 m/s, respectively. OCE and USE both had ICCs of 0.9991. In chicken breast, ICC for USE was 0.9385 and for OCE was 0.9924. Conclusion: OCE and USE can detect small speed changes and give comparable measurements. These measurements correspond well with uniaxial testing.
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16
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Lan G, Aglyamov S, Larin KV, Twa MD. In vivo human corneal natural frequency quantification using dynamic optical coherence elastography: Repeatability and reproducibility. J Biomech 2021; 121:110427. [PMID: 33873114 DOI: 10.1016/j.jbiomech.2021.110427] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 03/20/2021] [Accepted: 03/29/2021] [Indexed: 12/14/2022]
Abstract
Reliable and quantitative assessment of corneal biomechanics is important for the detection and treatment of corneal disease. The present study evaluates the repeatability and reproducibility of a novel optical coherence tomography (OCT)-based elastography (OCE) method for in vivo quantification of corneal natural frequency in 20 normal human eyes. Sub-micron corneal oscillations were induced by repeated low-force (13 Pa) microliter air pulses at the corneal apex and were observed by common-path phase-sensitive OCT imaging adjacent to a measurement region of 1-6.25 mm2. Corneal natural frequencies were quantified using a single degree of freedom model based on the corneal oscillations. Corneal natural frequencies ranged from 234 to 277 Hz (coefficient of variation: 3.2%; n = 286 for a 2.5 × 2.5 mm2 area; time: 28.6 s). The same natural frequencies can be acquired using a smaller sampling size (n = 9 for 1 mm2) and a shorter time (0.9 s). Spatial distribution and local changes in natural frequencies can be distinguished using denser sampling (e.g., 26 × 41 points for 2.5 × 5 mm2). This novel optical method demonstrates highly repeatable and reliable in vivo measurements of human corneal natural frequencies. While further studies are required to fully characterize anatomical and structural dependencies, this method may be complementary to the current OCE methods used to estimate Young's modulus from strain- or shear-wave-based measurements for the quantitative determination of corneal biomechanics.
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Affiliation(s)
- Gongpu Lan
- Foshan University, School of Physics and Optoelectronic Engineering, Foshan, Guangdong 528000, China
| | - Salavat Aglyamov
- University of Houston, Mechanical Engineering, Houston, TX 77204, United States
| | - Kirill V Larin
- University of Houston, Biomedical Engineering, Houston, TX 77204, United States
| | - Michael D Twa
- University of Houston, College of Optometry, Houston, TX 77204, United States.
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Liu HC, Kijanka P, Urban MW. Two-dimensional (2D) dynamic vibration optical coherence elastography (DV-OCE) for evaluating mechanical properties: a potential application in tissue engineering. BIOMEDICAL OPTICS EXPRESS 2021; 12:1217-1235. [PMID: 33796348 PMCID: PMC7984779 DOI: 10.1364/boe.416661] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 01/22/2021] [Accepted: 01/26/2021] [Indexed: 05/12/2023]
Abstract
Mechanical properties in tissues are an important indicator because they are associated with disease states. One of the well-known excitation sources in optical coherence elastography (OCE) to determine mechanical properties is acoustic radiation force (ARF); however, a complicated focusing alignment cannot be avoided. Another excitation source is a piezoelectric (PZT) stack to obtain strain images via compression, which can affect the intrinsic mechanical properties of tissues in tissue engineering. In this study, we report a new technique called two-dimensional (2D) dynamic vibration OCE (DV-OCE) to evaluate 2D wave velocities without tedious focusing alignment procedures and is a non-contact method with respect to the samples. The three-dimensional (3D) Fourier transform was utilized to transfer the traveling waves (x, y, t) into 3D k-space (kx, ky, f). A spatial 2D wavenumber filter and multi-angle directional filter were employed to decompose the waves with omni-directional components into four individual traveling directions. The 2D local wave velocity algorithm was used to calculate a 2D wave velocity map. Six materials, two homogeneous phantoms with 10 mm thickness, two homogeneous phantoms with 2 mm thickness, one heterogeneous phantom with 2 mm diameter inclusion and an ex vivo porcine kidney, were examined in this study. In addition, the ARF-OCE was used to evaluate wave velocities for comparison. Numerical simulations were performed to validate the proposed 2D dynamic vibration OCE technique. We demonstrate that the experimental results were in a good agreement with the results from ARF-OCE (transient OCE) and numerical simulations. Our proposed 2D dynamic vibration OCE could potentially pave the way for mechanical evaluation in tissue engineering and for laboratory translation with easy-to-setup and contactless advantages.
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Affiliation(s)
- Hsiao-Chuan Liu
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Piotr Kijanka
- Department of Robotics and Mechatronics, AGH University of Science and Technology, Al. Mickiewicza 30, Krakow 30-059, Poland
| | - Matthew W. Urban
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
- Department of Physiology and Biomedical Engineering, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
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18
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Liu HC, Abbasi M, Ding YH, Roy T, Capriotti M, Liu Y, Fitzgerald S, Doyle KM, Guddati M, Urban MW, Brinjikji W. Characterizing blood clots using acoustic radiation force optical coherence elastography and ultrasound shear wave elastography. Phys Med Biol 2021; 66:035013. [PMID: 33202384 PMCID: PMC7880883 DOI: 10.1088/1361-6560/abcb1e] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Thromboembolism in a cerebral blood vessel is associated with high morbidity and mortality. Mechanical thrombectomy (MT) is one of the emergenc proceduresperformed to remove emboli. However, the interventional approaches such as aspiration catheters or stent retriever are empirically selected. An inappropriate selection of surgical devices can influence the success rate during embolectomy, which can lead to an increase in brain damage. There has been growing interest in the study of clot composition and using a priori knowledge of clot composition to provide guidance for an appropriate treatment strategy for interventional physicians. Developing imaging tools which can allow interventionalists to understand clot composition could affect management and device strategy. In this study, we investigated how clots of different compositions can be characterized by using acoustic radiation force optical coherence elastography (ARF-OCE) and compared with ultrasound shear wave elastography (SWE). Five different clots compositions using human blood were fabricated into cylindrical forms from fibrin-rich (21% red blood cells, RBCs) to RBC-rich (95% RBCs). Using the ARF-OCE and SWE, we characterized the wave velocities measured in the time-domain. In addition, the semi-analytical finite element model was used to explore the relationship between the phase velocities with various frequency ranges and diameters of the clots. The study demonstrated that the wave group velocities generally decrease as RBC content increases in ARF-OCE and SWE. The correlation of the group velocities from the OCE and SWE methods represented a good agreement as RBC composition is larger than 39%. Using the phase velocity dispersion analysis applied to ARF-OCE data, we estimated the shear wave velocities decoupling the effects of the geometry and material properties of the clots. The study demonstrated that the composition of the clots can be characterized by elastographic methods using ARF-OCE and SWE, and OCE demonstrated better ability to discriminate between clots of different RBC compositions, compared to the ultrasound-based approach, especially in clots with low RBC compositions.
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Affiliation(s)
- Hsiao-Chuan Liu
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
- Author to whom any correspondence should be addressed
| | - Mehdi Abbasi
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
| | - Yong Hong Ding
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
| | - Tuhin Roy
- Department of Civil Engineering, North Carolina State University, Raleigh, NC 27695, United States of America
| | - Margherita Capriotti
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
| | - Yang Liu
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
| | - Seán Fitzgerald
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
- Department of Physiology, National University of Ireland Galway, Galway, Ireland
| | - Karen M Doyle
- Department of Physiology, National University of Ireland Galway, Galway, Ireland
| | - Murthy Guddati
- Department of Civil Engineering, North Carolina State University, Raleigh, NC 27695, United States of America
| | - Matthew W Urban
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
- Department of Physiology and Biomedical Engineering, Mayo Clinic in Rochester, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
| | - Waleed Brinjikji
- Department of Radiology, Mayo Clinic, Minnesota, 200 First St SW, Rochester, MN 55905, United States of America
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19
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Lan G, Aglyamov SR, Larin KV, Twa MD. In Vivo Human Corneal Shear-wave Optical Coherence Elastography. Optom Vis Sci 2021; 98:58-63. [PMID: 33394932 PMCID: PMC7774819 DOI: 10.1097/opx.0000000000001633] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 09/24/2020] [Indexed: 01/01/2023] Open
Abstract
SIGNIFICANCE A novel imaging technology, dynamic optical coherence elastography (OCE), was adapted for clinical noninvasive measurements of corneal biomechanics. PURPOSE Determining corneal biomechanical properties is a long-standing challenge. Elasticity imaging methods have recently been developed and applied for clinical evaluation of soft tissues in cancer detection, atherosclerotic plaque evaluation, surgical guidance, and more. Here, we describe the use of dynamic OCE to characterize mechanical wave propagation in the human cornea in vivo, thus providing a method for clinical determination of corneal biomechanical properties. METHODS High-resolution phase-sensitive optical coherence tomography imaging was combined with microliter air-pulse tissue stimulation to perform dynamic elasticity measurements in 18 eyes of nine participants. Low-pressure (0.1 mmHg), spatiotemporally discreet (150 μm, 800 μs) tissue stimulation produced submicron-scale tissue deformations that were measured at multiple positions over a 1-mm2 area. Surface wave velocity was measured and used to determine tissue stiffness. Elastic wave propagation velocity was measured and evaluated as a function of IOP and central corneal thickness. RESULTS Submicron corneal surface displacement amplitude (range, 0.005 to 0.5 μm) responses were measured with high sensitivity (0.24 nm). Corneal elastic wave velocity ranged from 2.4 to 4.2 m/s (mean, 3.5; 95% confidence interval, 3.2 to 3.8 m/s) and was correlated with central corneal thickness (r = 0.64, P < .001) and IOP (r = 0.52, P = .02). CONCLUSIONS Phase-sensitive optical coherence tomography imaging combined with microliter air-pulse mechanical tissue stimulation has sufficient detection sensitivity to observe submicron elastic wave propagation in corneal tissue. These measurements enable in vivo corneal stiffness determinations that will be further studied for use with disease detection and for monitoring clinical interventions.
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Affiliation(s)
- Gongpu Lan
- School of Physics and Optoelectronic Engineering, Foshan University, Foshan, Guangdong, China
- University of Houston College of Optometry, Houston, Texas
| | | | - Kirill V. Larin
- Department of Biomedical Engineering, University of Houston, Houston, Texas
| | - Michael D. Twa
- University of Houston College of Optometry, Houston, Texas
- School of Optometry, University of Alabama at Birmingham, Birmingham, Alabama
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20
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Yoon CH, Choi HJ, Kim MK. Corneal xenotransplantation: Where are we standing? Prog Retin Eye Res 2021; 80:100876. [PMID: 32755676 PMCID: PMC7396149 DOI: 10.1016/j.preteyeres.2020.100876] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 05/23/2020] [Accepted: 06/04/2020] [Indexed: 02/08/2023]
Abstract
The search for alternatives to allotransplants is driven by the shortage of corneal donors and is demanding because of the limitations of the alternatives. Indeed, current progress in genetically engineered (GE) pigs, the introduction of gene-editing technology by clustered regularly interspaced short palindromic repeats (CRISPR)-Cas9, and advanced immunosuppressants have made xenotransplantation a possible option for a human trial. Porcine corneal xenotransplantation is considered applicable because the eye is regarded as an immune-privileged site. Furthermore, recent non-human primate studies have shown long-term survival of porcine xenotransplants in keratoplasty. Herein, corneal immune privilege is briefly introduced, and xenogeneic reactions are compared with allogeneic reactions in corneal transplantation. This review describes the current knowledge on special issues of xenotransplantation, xenogeneic rejection mechanisms, current immunosuppressive regimens of corneal xenotransplantation, preclinical efficacy and safety data of corneal xenotransplantation, and updates of the regulatory framework to conduct a clinical trial on corneal xenotransplantation. We also discuss barriers that might prevent xenotransplantation from becoming common practice, such as ethical dilemmas, public concerns on xenotransplantation, and the possible risk of xenozoonosis. Given that the legal definition of decellularized porcine cornea (DPC) lies somewhere between a medical device and a xenotransplant, the preclinical efficacy and clinical trial data using DPC are included. The review finally provides perspectives on the current standpoint of corneal xenotransplantation in the fields of regenerative medicine.
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Affiliation(s)
- Chang Ho Yoon
- Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Republic of Korea; Laboratory of Ocular Regenerative Medicine and Immunology, Seoul Artificial Eye Center, Seoul National University Hospital Biomedical Research Institute, Seoul, Republic of Korea
| | - Hyuk Jin Choi
- Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Republic of Korea; Laboratory of Ocular Regenerative Medicine and Immunology, Seoul Artificial Eye Center, Seoul National University Hospital Biomedical Research Institute, Seoul, Republic of Korea; Department of Ophthalmology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Republic of Korea
| | - Mee Kum Kim
- Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Republic of Korea; Laboratory of Ocular Regenerative Medicine and Immunology, Seoul Artificial Eye Center, Seoul National University Hospital Biomedical Research Institute, Seoul, Republic of Korea.
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21
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Zvietcovich F, Nair A, Singh M, Aglyamov SR, Twa MD, Larin KV. Dynamic Optical Coherence Elastography of the Anterior Eye: Understanding the Biomechanics of the Limbus. Invest Ophthalmol Vis Sci 2020; 61:7. [PMID: 33141893 PMCID: PMC7645208 DOI: 10.1167/iovs.61.13.7] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Purpose Currently, the biomechanical properties of the corneo-scleral limbus when the eye-globe deforms are largely unknown. The purpose of this study is to evaluate changes in elasticity of the cornea, sclera, and limbus when subjected to different intraocular pressures (IOP) using wave-based optical coherence elastography (OCE). Special attention was given to the elasticity changes of the limbal region with respect to the elasticity variations in the neighboring corneal and scleral regions. Methods Continuous harmonic elastic waves (800 Hz) were mechanically induced in the sclera near the corneo-sclera limbus of in situ porcine eye-globes (n = 8). Wave propagation was imaged using a phase-sensitive optical coherence tomography system (PhS-OCT). The eyes were subjected to five different IOP-levels (10, 15, 20, 30, and 40 mm Hg), and spatially distributed propagation velocities were calculated along corneal, limbal, and scleral regions. Finite element analysis (FEA) of the same regions under the same excitation conditions were conducted for further validation of results. Results FEA demonstrated that the stiffness of the heterogeneous cornea-limbus-sclera transition can be characterized by phase velocity measurements of the elastic waves produced at 800 Hz in the anterior eye. Experimental results revealed that the wave speed in the limbus (cL = 6.5 m/s) is between the cornea (cc = 2.9 m/s) and sclera (cs = 10.0 m/s) at a physiological IOP level (15 mm Hg) and rapidly increases as the IOP level is increased, even surpassing the wave speed in the sclera. Finally, the change in elastic wave speed in the limbus (ΔcL∼18.5 m/s) was greater than in the cornea (Δcc ∼12.6 m/s) and sclera (Δcs∼8.1 m/s) for the same change in IOP. Conclusions We demonstrated that wave-based OCE can be utilized to assess limbus biomechanical properties. Moreover, experimental evidence showed that the corneo-scleral limbus is highly nonlinear compared to the cornea and sclera when the eye-globe is deformed by an increase of IOP. This may suggest that the limbus has enough structural flexibility to stabilize anterior eye shape during IOP changes.
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Affiliation(s)
- Fernando Zvietcovich
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Achuth Nair
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Manmohan Singh
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Salavat R Aglyamov
- Department of Mechanical Engineering, University of Houston, Houston, Texas, United States
| | - Michael D Twa
- College of Optometry, University of Houston, Houston, Texas, United States
| | - Kirill V Larin
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
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22
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Jin Z, Chen S, Dai Y, Bao C, Ye S, Zhou Y, Wang Y, Huang S, Wang Y, Shen M, Zhu D, Lu F. In vivo noninvasive measurement of spatially resolved corneal elasticity in human eyes using Lamb wave optical coherence elastography. JOURNAL OF BIOPHOTONICS 2020; 13:e202000104. [PMID: 32368840 DOI: 10.1002/jbio.202000104] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 04/24/2020] [Accepted: 04/29/2020] [Indexed: 05/23/2023]
Abstract
Current elastography techniques are limited in application to accurately assess spatially resolved corneal elasticity in vivo for human eyes. The air-puff optical coherence elastography (OCE) with an eye motion artifacts correction algorithm is developed to distinguish the in vivo cornea vibration from the eye motion and visualize the Lamb wave propagation clearly in healthy subjects. Based on the Lamb wave model, the phase velocity dispersion curve in the high-frequency is calculated to obtain spatially resolved corneal elasticity accurately with high repeatability. It is found that the corneal elasticity has regional variations and is correlated with intraocular pressure, which suggests that the method has the potential to provide noninvasive measurement of spatially resolved corneal elasticity in clinical practice.
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Affiliation(s)
- Zi Jin
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Sisi Chen
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Yingying Dai
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Chenhong Bao
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Shuling Ye
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Yuheng Zhou
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Yiyi Wang
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Shenghai Huang
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Yuanyuan Wang
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Meixiao Shen
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Dexi Zhu
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
| | - Fan Lu
- School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China
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23
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Liu HC, Kijanka P, Urban MW. Four-dimensional (4D) phase velocity optical coherence elastography in heterogeneous materials and biological tissue. BIOMEDICAL OPTICS EXPRESS 2020; 11:3795-3817. [PMID: 33014567 PMCID: PMC7510894 DOI: 10.1364/boe.394835] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 05/21/2020] [Accepted: 06/09/2020] [Indexed: 05/03/2023]
Abstract
The variations of mechanical properties in soft tissues are biomarkers used for clinical diagnosis and disease monitoring. Optical coherence elastography (OCE) has been extensively developed to investigate mechanical properties of various biological tissues. These methods are generally based on time-domain data and measure the time-of-flight of the localized shear wave propagations to estimate the group velocity. However, there is considerable information that can be obtained from examining the mechanical properties such as wave propagation velocities at different frequencies. Here we propose a method to evaluate phase velocity, wave velocity at various frequencies, in four-dimensional space (x, y, z, f), called 4D-OCE phase velocity. The method enables local estimates of the phase velocity of propagating mechanical waves in a medium. We acquired and analyzed data with this method from a homogeneous reference phantom, a heterogeneous phantom material with four different excitation cases, and ex vivo porcine kidney tissue. The 3D-OCE group velocity was also estimated to compare with 4D-OCE phase velocity. Moreover, we performed numerical simulation of wave propagations to illustrate the boundary behavior of the propagating waves. The proposed 4D-OCE phase velocity is capable of providing further information in OCE to better understand the spatial variation of mechanical properties of various biological tissues with respect to frequency.
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Affiliation(s)
- Hsiao-Chuan Liu
- Department of Radiology, Mayo Clinic, 200
First St SW, Rochester, MN 55905, USA
| | - Piotr Kijanka
- Department of Radiology, Mayo Clinic, 200
First St SW, Rochester, MN 55905, USA
- Department of Robotics and Mechatronics,
AGH University of Science and Technology, Al. Mickiewicza 30, Krakow
30-059, Poland
| | - Matthew W. Urban
- Department of Radiology, Mayo Clinic, 200
First St SW, Rochester, MN 55905, USA
- Department of Physiology and Biomedical
Engineering, Mayo Clinic, 200 First St SW, Rochester, MN 55905,
USA
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24
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Lan G, Larin KV, Aglyamov S, Twa MD. Characterization of natural frequencies from nanoscale tissue oscillations using dynamic optical coherence elastography. BIOMEDICAL OPTICS EXPRESS 2020; 11:3301-3318. [PMID: 32637256 PMCID: PMC7316029 DOI: 10.1364/boe.391324] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 05/01/2020] [Accepted: 05/12/2020] [Indexed: 05/09/2023]
Abstract
We demonstrate the use of OCT-based elastography for soft-tissue characterization using natural frequency oscillations. Sub-micrometer to sub-nanometer oscillations were induced in tissue phantoms and human cornea in vivo by perpendicular air-pulse stimulation and observed by common-path OCT imaging (sensitivity: 0.24 nm). Natural frequency and damping ratio were acquired in temporal and frequency domains using a single degree of freedom method. The dominant natural frequency was constant for different stimulation pressures (4-32 Pa) and measured distances (0.3-5.3 mm), and decreased as the sample thickness increased. The dominant natural frequencies of 0.75-2% agar phantoms were 127-774 Hz (mean coefficient of variation [CV]: 0.9%), and correlated with the square root of Young's moduli (16.5-117.8 kPa, mean CV: 5.8%). These preliminary studies show repeatable in vivo corneal natural frequency measurements (259 Hz, CV: 1.9%). This novel OCE approach can distinguish tissues and materials with different mechanical properties using the small-amplitude tissue oscillation features, and is suitable for characterizing delicate tissues in vivo such as the eye.
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Affiliation(s)
- Gongpu Lan
- Foshan University, School of Physics and Optoelectronic Engineering, Foshan, Guangdong, 528000, China
- University of Alabama at Birmingham, School of Optometry, Birmingham, AL 35290, USA
- University of Houston, College of Optometry, Houston, TX 77204, USA
| | - Kirill V. Larin
- University of Houston, Biomedical Engineering, Houston, TX 77204, USA
| | - Salavat Aglyamov
- University of Houston, Mechanical Engineering, Houston, TX 77204, USA
| | - Michael D. Twa
- University of Alabama at Birmingham, School of Optometry, Birmingham, AL 35290, USA
- University of Houston, College of Optometry, Houston, TX 77204, USA
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25
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Lan G, Gu B, Larin KV, Twa MD. Clinical Corneal Optical Coherence Elastography Measurement Precision: Effect of Heartbeat and Respiration. Transl Vis Sci Technol 2020; 9:3. [PMID: 32821475 PMCID: PMC7401940 DOI: 10.1167/tvst.9.5.3] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Accepted: 11/30/2019] [Indexed: 01/29/2023] Open
Abstract
Purpose Normal physiological movements (e.g., respiration and heartbeat) induce eye motions during clinical measurements of human corneal biomechanical properties using optical coherence elastography (OCE). We quantified the effects of respiratory and cardiac-induced eye motions on clinical corneal OCE measurement precision and repeatability. Methods Corneal OCE was performed using low-force, micro-air-pulse tissue stimulation and high-resolution phase-sensitive optical coherence tomography (OCT) imaging. Axial surface displacements of the corneal apex were measured (M-mode) at a 70-kHz sampling rate and three different stimulation pressures (20-60 Pa). Simultaneously, the axial corneal position was tracked with structural OCT imaging, while the heartrate and respiration were monitored over a 90 second period. Results Respiratory- and cardiac-induced eye motions have distinctly lower frequency (0.1-1 Hz) and much greater amplitude (up to ± 50 µm movements) than air-pulse-induced corneal tissue deformations (∼250 Hz, <1 µm). The corneal displacements induced during OCE measurements in vivo were -0.41 ± 0.06 µm (n = 22 measurements, coefficient of variation [CV]: 14.6%) and -0.44 ± 0.07 µm (n = 50 measurements, CV: 15.9%), respectively, from two human subjects at 40 Pa stimulation pressure. Observed variation in corneal tissue displacements were not associated with tissue stimulation magnitude, or the amplitude of physiologically induced axial eye motion. Conclusions The microsecond timescale and submicron tissue displacements observed during corneal OCE measurements are separable from normal involuntary physiological movements, such as the oculocardiac pulse and respiratory movements. Translational Relevance This work advances innovations in biomedical imaging and engineering for clinical diagnostic applications for soft-tissue biomechanical testing.
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Affiliation(s)
- Gongpu Lan
- Department of Photoelectric Technology, Foshan University, Foshan, Guangdong, China.,School of Optometry, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Boyu Gu
- Department of Ophthalmology, Doheny Eye Institute, University of California -Los Angeles, Los Angeles, CA, USA
| | - Kirill V Larin
- Department of Biomedical Engineering, University of Houston, Houston, TX, USA
| | - Michael D Twa
- School of Optometry, University of Alabama at Birmingham, Birmingham, AL, USA.,College of Optometry, University of Houston, Houston, TX, USA
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26
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Li R, Du Z, Qian X, Li Y, Martinez-Camarillo JC, Jiang L, Humayun MS, Chen Z, Zhou Q. High resolution optical coherence elastography of retina under prosthetic electrode. Quant Imaging Med Surg 2020; 11:918-927. [PMID: 33654665 DOI: 10.21037/qims-20-1137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Quantitatively investigating the biomechanics of retina with a retinal prosthetic electrode, we explored the effects of the prosthetic electrode on the retina, and further supplemented data for a potential clinical trial. Methods Biomechanical properties were assessed with a high resolution optical coherence tomography (OCT) based elastography (OCE) system. A shaker was used to initiate elastic waves and an OCT system was used to track axial displacement along with wave propagation. Rabbits received surgery to implant the retinal prosthetic electrode, and elastic wave speed was measured before and after implantation; anatomical B-mode images were also acquired. Results Spatial-temporal maps of each layer in retina with and without prosthetic electrodes were acquired. Elastic wave speed of nerve fiber to inner plexiform layer, inner nuclear to outer nuclear layer, retinal pigmented epithelium layer and choroid to sclera layer without prosthetic electrode were found to be 3.66±0.36, 5.33±0.07, 6.85±0.37, and 9.69±0.24 m/s, respectively. With prosthetic electrode, the elastic wave speed was found to be 4.09±0.26, 5.14±0.11, 6.88±0.70, and 9.99±0.73 m/s, respectively in each layer. Conclusions Our results show that the elastic wave speed in each layer of retina is slightly faster with the retinal electrode, and further demonstrate that the retinal prosthetic electrode does not affect biomechanical properties significantly. In the future, we expect OCE technology to be used by clinicians where it could become part of routine testing and evaluation of the biomechanical properties of the retina in response to long term use of prosthetic electrodes in patients.
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Affiliation(s)
- Runze Li
- Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, USA.,USC Roski Eye Institute, University of Southern California, Los Angeles, CA, USA
| | - Zhaodong Du
- USC Roski Eye Institute, University of Southern California, Los Angeles, CA, USA
| | - Xuejun Qian
- Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, USA.,USC Roski Eye Institute, University of Southern California, Los Angeles, CA, USA
| | - Yan Li
- Beckman Laser Institute, University of California, Irvine, CA, USA.,Department of Biomedical Engineering, University of California, Irvine, CA, USA
| | | | - Laiming Jiang
- USC Roski Eye Institute, University of Southern California, Los Angeles, CA, USA
| | - Mark S Humayun
- Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, USA.,USC Roski Eye Institute, University of Southern California, Los Angeles, CA, USA
| | - Zhongping Chen
- Beckman Laser Institute, University of California, Irvine, CA, USA.,Department of Biomedical Engineering, University of California, Irvine, CA, USA
| | - Qifa Zhou
- Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, USA.,USC Roski Eye Institute, University of Southern California, Los Angeles, CA, USA
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27
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Liu HC, Kijanka P, Urban MW. Acoustic radiation force optical coherence elastography for evaluating mechanical properties of soft condensed matters and its biological applications. JOURNAL OF BIOPHOTONICS 2020; 13:e201960134. [PMID: 31872545 PMCID: PMC7243171 DOI: 10.1002/jbio.201960134] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 12/17/2019] [Accepted: 12/19/2019] [Indexed: 05/11/2023]
Abstract
Evaluating mechanical properties of biological soft tissues and viscous mucus is challenging because of complicated dynamic behaviors. Soft condensed matter models have been successfully used to explain a number of dynamical behaviors. Here, we reported that optical coherence elastography (OCE) is capable of quantifying mechanical properties of soft condensed matters, micellar fluids. A 7.5 MHz focused transducer was utilized to generate acoustic radiation force exerted on the surface of soft condensed matters in order to produce Rayleigh waves. The waves were recorded by optical coherence tomography (OCT). The Kelvin-Voigt model was adopted to evaluate shear modulus and loss modulus of soft condensed matters. The results reported that various concentrations of micellar fluids can provide reasonable ranges of elasticity from 65.71 to 428.78 Pa and viscosity from 0.035 to 0.283 Pa·s, which are close to ranges for actual biological samples, like mucus. OCE might be a promising tool to differentiate pathologic mucus samples from healthy cases as advanced applications in the future.
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Affiliation(s)
| | - Piotr Kijanka
- Department of Radiology, Mayo Clinic, Rochester, Minnesota
- Department of Robotics and Mechatronics, AGH University of Science and Technology, Poland
| | - Matthew W Urban
- Department of Radiology, Mayo Clinic, Rochester, Minnesota
- Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota
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28
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Salmi A, Nieminen HJ, Veira Canle D, Hæggström E, Kontiola A. Non-contact determination of intra-ocular pressure in an ex vivo porcine model. PLoS One 2020; 15:e0227488. [PMID: 32012155 PMCID: PMC6996824 DOI: 10.1371/journal.pone.0227488] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 12/19/2019] [Indexed: 11/19/2022] Open
Abstract
People suffering from glaucoma often endure high intra-ocular pressure (IOP). Methods for determining IOP either contact the eye or are unpleasant to some patients. There is therefore a need for a rapid and patient friendly non-contacting method to determine IOP. To address this need, we developed a tonometer prototype that employs spark-gap induced shock waves and a laser Doppler vibrometer (LDV) that reads the amplitude of membrane waves. The IOP was first identified from the membrane wave propagation velocity first in a custom-made ocular phantom and was then verified in ex vivo porcine eyes. The time-of-flight (TOF) of the membrane wave travelling on a hemispherical membrane was compared to reference IOP values in the sample obtained with an iCare TA01 tonometer. The shock front was characterized by high speed photography. Within one eye, the method achieved an agreement of 5 mmHg (1.96 standard deviation between the shock wave tonometer and the commercial manometer) and high method-to-method association (Pearson correlation, R2 = 0.98). The results indicate that the presented method could potentially be developed into a non-contacting technique for measuring IOP in vivo.
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Affiliation(s)
- Ari Salmi
- Division of Materials Physics, Department of Physics, University of Helsinki, Helsinki, Finland
- * E-mail:
| | - Heikki J. Nieminen
- Division of Materials Physics, Department of Physics, University of Helsinki, Helsinki, Finland
| | - Daniel Veira Canle
- Division of Materials Physics, Department of Physics, University of Helsinki, Helsinki, Finland
- Photono Oy, Helsinki, Finland
| | - Edward Hæggström
- Division of Materials Physics, Department of Physics, University of Helsinki, Helsinki, Finland
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29
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Liu HC, Kijanka P, Urban MW. Optical coherence tomography for evaluating capillary waves in blood and plasma. BIOMEDICAL OPTICS EXPRESS 2020; 11:1092-1106. [PMID: 32206401 PMCID: PMC7041467 DOI: 10.1364/boe.382819] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Revised: 01/13/2020] [Accepted: 01/14/2020] [Indexed: 05/18/2023]
Abstract
Capillary waves are associated with fluid mechanical properties. Optical coherence tomography (OCT) has previously been used to determine the viscoelasticity of soft tissues or cornea. Here we report that OCT was able to evaluate phase velocities of capillary waves in fluids. The capillary waves of water, porcine whole blood and plasma on the interfacial surface, air-fluid in this case, are discussed in theory, and phase velocities of capillary waves were estimated by both our OCT experiments and theoretical calculations. Our experiments revealed highly comparable results with theoretical calculations. We concluded that OCT would be a promising tool to evaluate phase velocities of capillary waves in fluids. The methods described in this study could be applied to determine surface tensions and viscosities of fluids for differentiating hematological diseases in the future potential biological applications.
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Affiliation(s)
- Hsiao-Chuan Liu
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Piotr Kijanka
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
- Department of Robotics and Mechatronics, AGH University of Science and Technology, Al. Mickiewicza 30, Krakow 30-059, Poland
| | - Matthew W. Urban
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
- Department of Physiology and Biomedical Engineering, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
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30
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Jin Z, Zhou Y, Shen M, Wang Y, Lu F, Zhu D. Assessment of corneal viscoelasticity using elastic wave optical coherence elastography. JOURNAL OF BIOPHOTONICS 2020; 13:e201960074. [PMID: 31626371 DOI: 10.1002/jbio.201960074] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 09/21/2019] [Accepted: 10/16/2019] [Indexed: 06/10/2023]
Abstract
The corneal viscoelasticity have great clinical significance, such as the early diagnosis of keratoconus. In this work, an analysis method which utilized the elastic wave velocity, frequency and energy attenuation to assess the corneal viscoelasticity is presented. Using phase-resolved optical coherence tomography, the spatial-temporal displacement map is derived. The phase velocity dispersion curve and center frequency are obtained by transforming the displacement map into the wavenumber-frequency domain through the 2D fast Fourier transform (FFT). The shear modulus is calculated through Rayleigh wave equation using the phase velocity in the high frequency. The normalized energy distribution is plotted by transforming the displacement map into the spatial-frequency domain through the 1D FFT. The energy attenuation coefficient is derived by exponential fitting to calculate the viscous modulus. Different concentrations of tissue-mimicking phantoms and porcine corneas are imaged to validate this method, which demonstrates that the method has the capability to assess the corneal viscoelasticity.
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Affiliation(s)
- Zi Jin
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China
| | - Yuheng Zhou
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China
| | - Meixiao Shen
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China
| | - Yuanyuan Wang
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China
| | - Fan Lu
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China
| | - Dexi Zhu
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China
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31
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Jin Z, Khazaeinezhad R, Zhu J, Yu J, Qu Y, He Y, Li Y, Gomez Alvarez-Arenas TE, Lu F, Chen Z. In-vivo 3D corneal elasticity using air-coupled ultrasound optical coherence elastography. BIOMEDICAL OPTICS EXPRESS 2019; 10:6272-6285. [PMID: 31853399 PMCID: PMC6913398 DOI: 10.1364/boe.10.006272] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 10/03/2019] [Accepted: 10/10/2019] [Indexed: 05/03/2023]
Abstract
Corneal elasticity can resist elastic deformations under intraocular pressure to maintain normal corneal shape, which has a great influence on corneal refractive function. Elastography can measure tissue elasticity and provide a powerful tool for clinical diagnosis. Air-coupled ultrasound optical coherence elastography (OCE) has been used in the quantification of ex-vivo corneal elasticity. However, in-vivo imaging of the cornea remains a challenge. The 3D air-coupled ultrasound OCE with an axial motion artifacts correction algorithm was developed to distinguish the in-vivo cornea vibration from the axial eye motion in anesthetized rabbits and visualize the elastic wave propagation clearly. The elastic wave group velocity of in-vivo rabbit cornea was measured to be 5.96 ± 0.55 m/s, which agrees with other studies. The results show the potential of 3D air-coupled ultrasound OCE with an axial motion artifacts correction algorithm for quantitative in-vivo assessment of corneal elasticity.
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Affiliation(s)
- Zi Jin
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou 325003, Zhejiang, China
- These authors contributed equally to this work
| | - Reza Khazaeinezhad
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
- These authors contributed equally to this work
| | - Jiang Zhu
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
| | - Junxiao Yu
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
| | - Yueqiao Qu
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
| | - Youmin He
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
| | - Yan Li
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
| | - Tomas E Gomez Alvarez-Arenas
- Institute of Physical and Information Technologies, Spanish National Research Council (CSIC), 28006 Madrid, Spain
| | - Fan Lu
- School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou 325003, Zhejiang, China
| | - Zhongping Chen
- Beckman Laser Institute, Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92612, USA
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32
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Larin KV, Scarcelli G, Yakovlev VV. Optical elastography and tissue biomechanics. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-9. [PMID: 31758675 PMCID: PMC6873628 DOI: 10.1117/1.jbo.24.11.110901] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2019] [Accepted: 10/31/2019] [Indexed: 05/18/2023]
Abstract
Mechanical forces play an important role in the behavior and development of biological systems and disease at all spatial scales, from cells and their constituents to tissues and organs. Such forces have a profound influence on the health, structural integrity, and normal function of cells and organs. Accurate knowledge of cell and tissue biomechanical properties is essential to map the distribution of forces and mechanical cues in biological systems. Cell and tissue biomechanical properties are also known to be important on their own as indicators of health or diseases state. Hence, optical elastography and biomechanics methods can aid in the understanding and clinical diagnosis of a wide variety of diseases. We provide a brief overview and highlight of the Optical Elastography and Tissue Biomechanics VI conference, which took place in San Francisco, February 2 and 3, 2019, as a part of Photonics West symposium.
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Affiliation(s)
- Kirill V. Larin
- University of Houston, Department of Biomedical Engineering, Houston, Texas, United States
| | - Giuliano Scarcelli
- University of Maryland, Department of Biomedical Engineering, College Park, Maryland, United States
| | - Vladislav V. Yakovlev
- Texas A&M University, Department of Biomedical Engineering, College Station, Texas, United States
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33
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Zvietcovich F, Pongchalee P, Meemon P, Rolland JP, Parker KJ. Reverberant 3D optical coherence elastography maps the elasticity of individual corneal layers. Nat Commun 2019; 10:4895. [PMID: 31653846 PMCID: PMC6814807 DOI: 10.1038/s41467-019-12803-4] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 09/24/2019] [Indexed: 12/01/2022] Open
Abstract
The elasticity mapping of individual layers in the cornea using non-destructive elastography techniques advances diagnosis and monitoring of ocular diseases and treatments in ophthalmology. However, transient Lamb waves, currently used in most dynamic optical coherence and ultrasound elastography techniques, diminish the translation of wave speed into shear/Young’s modulus. Here, we present reverberant 3D optical coherence elastography (Rev3D-OCE), a novel approach leveraging the physical properties of diffuse fields in detecting elasticity gradients not only in the lateral direction, but also along the depth axis of the cornea. A Monte Carlo analysis, finite element simulations, and experiments in layered phantoms are conducted to validate the technique and to characterize the axial elastography resolution. Experiments in ex vivo porcine cornea at different intraocular pressures reveal that Rev3D-OCE enables the elastic characterization of single layers that matches the anatomical description of corneal layers with unprecedented contrast in the dynamic OCE field. Elastic mapping of individual layers of the cornea with elastography uses Lamb waves, which are dependent on the thickness of each layer and the direction of propagation. Here the authors present Reverberant 3D Optical Coherence Elastography to measure elasticity of single layers using waves propagating in all directions.
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Affiliation(s)
- Fernando Zvietcovich
- Department of Electrical and Computer Engineering, University of Rochester, Rochester, NY, 14627-0126, USA
| | | | - Panomsak Meemon
- Suranaree University of Technology, Nakhon Ratchasima, Thailand, 30000
| | - Jannick P Rolland
- The Institute of Optics, University of Rochester, Rochester, NY, 14627-0186, USA
| | - Kevin J Parker
- Department of Electrical and Computer Engineering, University of Rochester, Rochester, NY, 14627-0126, USA.
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34
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Li Y, Zhu J, Chen JJ, Yu J, Jin Z, Miao Y, Browne AW, Zhou Q, Chen Z. Simultaneously imaging and quantifying in vivo mechanical properties of crystalline lens and cornea using optical coherence elastography with acoustic radiation force excitation. APL PHOTONICS 2019; 4:106104. [PMID: 32309636 PMCID: PMC7164808 DOI: 10.1063/1.5118258] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
The crystalline lens and cornea comprise the eye's optical system for focusing light in human vision. The changes in biomechanical properties of the lens and cornea are closely associated with common diseases, including presbyopia and cataract. Currently, most in vivo elasticity studies of the anterior eye focus on the measurement of the cornea, while lens measurement remains challenging. To better understand the anterior segment of the eye, we developed an optical coherence elastography system utilizing acoustic radiation force excitation to simultaneously assess the elasticities of the crystalline lens and the cornea in vivo. A swept light source was integrated into the system to provide an enhanced imaging range that covers both the lens and the cornea. Additionally, the oblique imaging approach combined with orthogonal excitation also improved the image quality. The system was tested through first ex vivo and then in vivo experiments using a rabbit model. The elasticities of corneal and lens tissue in an excised normal whole-globe and a cold cataract model were measured to reveal that cataractous lenses have a higher Young's modulus. Simultaneous in vivo elasticity measurements of the lens and cornea were performed in a rabbit model to demonstrate the correlations between elasticity and intraocular pressure and between elasticity and age. To the best of our knowledge, we demonstrated the first in vivo elasticity of imaging of both the lens and cornea using acoustic radiation force-optical coherence elastography, thereby providing a potential powerful clinical tool to advance ophthalmic research in disorders affecting the lens and the cornea.
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Affiliation(s)
- Yan Li
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92617, USA
| | - Jiang Zhu
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
| | - Jason J. Chen
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92617, USA
| | - Junxiao Yu
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92617, USA
| | - Zi Jin
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
| | - Yusi Miao
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92617, USA
| | - Andrew W. Browne
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92617, USA
- Department of Ophthalmology, School of Medicine, University of California, Irvine, Irvine, California 92617, USA
- Gavin Herbert Eye Institute, University of California, Irvine, Irvine, California 92697, USA
| | - Qifa Zhou
- Department of Ophthalmology and Biomedical Engineering, University of Southern California, Los Angeles, California 90089, USA
- Roski Eye Institute, University of Southern California, Los Angeles, California 90007, USA
| | - Zhongping Chen
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92617, USA
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35
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Ramier A, Tavakol B, Yun SH. Measuring mechanical wave speed, dispersion, and viscoelastic modulus of the cornea using optical coherence elastography. OPTICS EXPRESS 2019; 27:16635-16649. [PMID: 31252887 PMCID: PMC6825608 DOI: 10.1364/oe.27.016635] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Revised: 04/14/2019] [Accepted: 04/16/2019] [Indexed: 05/22/2023]
Abstract
Acoustic wave velocity measurement based on optical coherence tomography (OCT) is a promising approach to assess the mechanical properties of biological tissues and soft materials. While studies to date have demonstrated proof of concept of different ways to excite and detect mechanical waves, the quantitative performance of this modality as mechanical measurement has been underdeveloped. Here, we investigate the frequency dependent measurement of the wave propagation in viscoelastic tissues, using a piezoelectric point-contact probe driven with various waveforms. We found that a frequency range of 2-10 kHz is a good window for corneal elastography, in which the lowest-order flexural waves can be identified in post processing. We tested our system on tissue-simulating phantoms and ex vivo porcine eyes, and demonstrate reproducibility and inter-sample variability. Using the Kelvin-Voigt model of viscoelasticity, we extracted the shear-elastic modulus and viscosity of the cornea and their correlation with the corneal thickness, curvature, and eyeball mass. Our results show that our method can be a quantitative, useful tool for the mechanical analysis of the cornea.
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Affiliation(s)
- Antoine Ramier
- Wellman Center for photomedicine and Harvard Medical School, Massachusetts General Hospital, 50 Blossom St., BAR-8, Boston, MA 02114,
USA
- Harvard-MIT division of Health Sciences and Technology, Cambridge, MA,
USA
| | - Behrouz Tavakol
- Wellman Center for photomedicine and Harvard Medical School, Massachusetts General Hospital, 50 Blossom St., BAR-8, Boston, MA 02114,
USA
| | - Seok-Hyun Yun
- Wellman Center for photomedicine and Harvard Medical School, Massachusetts General Hospital, 50 Blossom St., BAR-8, Boston, MA 02114,
USA
- Harvard-MIT division of Health Sciences and Technology, Cambridge, MA,
USA
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Lan G, Twa MD. Theory and design of Schwarzschild scan objective for Optical Coherence Tomography. OPTICS EXPRESS 2019; 27:5048-5064. [PMID: 30876110 PMCID: PMC6410919 DOI: 10.1364/oe.27.005048] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Optical coherence elastography (OCE) is one form of multi-channel imaging that combines high-resolution optical coherence tomography (OCT) imaging with mechanical tissue stimulation. This combination of structural and functional imaging can require additional space to integrate imaging capabilities with additional functional elements (e.g., optical, mechanical, or acoustic modulators) either at or near the imaging axis. We address this challenge by designing a novel scan lens based on a modified Schwarzchild objective lens, comprised of a pair of concentric mirrors with potential space to incorporate additional functional elements and minimal compromise to the available scan field. This scan objective design allows perpendicular tissue-excitation and response recording. The optimized scan lens design results in a working distance that is extended to ~140 mm (nearly 2x the focal length), an expanded central space suitable for additional functional elements (>15 mm in diameter) and diffraction-limited lateral resolution (19.33 μm) across a full annular scan field ~ ± 7.5 mm to ± 12.7 mm.
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Affiliation(s)
- Gongpu Lan
- Foshan University, Department of Photoelectric Technology, Foshan, Guangdong 528000, China
- University of Alabama at Birmingham, School of Optometry, Birmingham, Alabama 35294, USA
| | - Michael D. Twa
- University of Alabama at Birmingham, School of Optometry, Birmingham, Alabama 35294, USA
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He Y, Qu Y, Zhu J, Zhang Y, Saidi A, Ma T, Zhou Q, Chen Z. Confocal Shear Wave Acoustic Radiation Force Optical Coherence Elastography for Imaging and Quantification of the In Vivo Posterior Eye. IEEE JOURNAL OF SELECTED TOPICS IN QUANTUM ELECTRONICS : A PUBLICATION OF THE IEEE LASERS AND ELECTRO-OPTICS SOCIETY 2019; 25:10.1109/jstqe.2018.2834435. [PMID: 32042240 PMCID: PMC7008613 DOI: 10.1109/jstqe.2018.2834435] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Retinal diseases, such as age-related macular degeneration (AMD), are the leading cause of blindness in the elderly population. Since no known cures are currently present, it is crucial to diagnose the condition in its early stages so that disease progression is monitored. Recent advances show that the mechanical elasticity of the posterior eye changes with the onset of AMD. In this work, we present a quantitative method of mapping the mechanical elasticity of the posterior eye using confocal shear wave acoustic radiation force optical coherence elastography (SW-ARF-OCE). This technique has been developed and validated with both an ex-vivo porcine tissue model and a customized in-vivo rabbit model, which both showed the quantified elasticity variations between different layers. This study verifies the feasibility of using this technology for the quantification and diagnosis of retinal diseases from the in-vivo posterior eye.
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Affiliation(s)
- Youmin He
- Department of Biomedical Engineering and the Beckman Laser Institute, University of California, Irvine, CA 92697 USA
| | - Yueqiao Qu
- Department of Biomedical Engineering and the Beckman Laser Institute, University of California, Irvine, CA 92697 USA
| | - Jiang Zhu
- Department of Biomedical Engineering and the Beckman Laser Institute, University of California, Irvine, CA 92697 USA
| | - Yi Zhang
- Roski Eye Institute, Department of Ophthalmology and Biomedical Engineering, University of Southern California, Los Angeles, CA 90089 USA
| | - Arya Saidi
- Marshall B. Ketchum University. Southern California College of Optometry, 2575 Yorba Linda Blvd, Fullerton, CA 92831 USA
| | - Teng Ma
- Roski Eye Institute, Department of Ophthalmology and Biomedical Engineering, University of Southern California, Los Angeles, CA 90089 USA
| | - Qifa Zhou
- Roski Eye Institute, Department of Ophthalmology and Biomedical Engineering, University of Southern California, Los Angeles, CA 90089 USA
| | - Zhongping Chen
- Department of Biomedical Engineering and the Beckman Laser Institute, University of California, Irvine, CA 92697 USA
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Singh M, Han Z, Li J, Vantipalli S, Aglyamov SR, Twa MD, Larin KV. Quantifying the effects of hydration on corneal stiffness with noncontact optical coherence elastography. J Cataract Refract Surg 2018; 44:1023-1031. [PMID: 30049567 DOI: 10.1016/j.jcrs.2018.03.036] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 02/17/2018] [Accepted: 03/20/2018] [Indexed: 01/08/2023]
Abstract
PURPOSE To quantify the effects of the hydration state on the Young's modulus of the cornea. SETTING Biomedical Optics Laboratory, University of Houston, Houston, Texas, USA. DESIGN Experimental study. METHODS Noncontact, dynamic optical coherence elastography (OCE) measurements were taken of in situ rabbit corneas in the whole eye-globe configuration (n = 10) and at an artificially controlled intraocular pressure of 15 mm Hg. Baseline OCE measurements were taken by topically hydrating the corneas with saline for 1 hour. The corneas were then dehydrated topically with a 20% dextran solution for another hour, and the OCE measurements were repeated. A finite element method was used to quantify the Young's modulus of the corneas based on the OCE measurements. RESULTS The thickness of the corneas shrank considerably after topical addition of the 20% dextran solution (∼680 μm to ∼370 μm), and the OCE-measured elastic-wave speed correspondingly decreased (∼3.2 m/s to ∼2.6 m/s). The finite element method results showed an increase in Young's modulus (500 kPa to 800 kPa) resulting from dehydration and subsequent thinning. CONCLUSION Young's modulus increased significantly as the corneas dehydrated and thinned, showing that corneal geometry and hydration state are critical factors for accurately quantifying corneal biomechanical properties.
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Affiliation(s)
- Manmohan Singh
- From Biomedical Engineering (Singh, Li, Larin) and the College of Optometry (Vantipalli), Mechanical Engineering (Aglyamov), University of Houston, and Molecular Physiology and Biophysics (Larin), Baylor College of Medicine, Houston, Texas, and the School of Optometry (Twa) and Biomedical Engineering (Twa), University of Alabama at Birmingham, Birmingham, Alabama, USA; The School of Naval Architecture (Han), Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China; Interdisciplinary Laboratory of Biophotonics (Larin), Tomsk State University, Tomsk, Russia
| | - Zhaolong Han
- From Biomedical Engineering (Singh, Li, Larin) and the College of Optometry (Vantipalli), Mechanical Engineering (Aglyamov), University of Houston, and Molecular Physiology and Biophysics (Larin), Baylor College of Medicine, Houston, Texas, and the School of Optometry (Twa) and Biomedical Engineering (Twa), University of Alabama at Birmingham, Birmingham, Alabama, USA; The School of Naval Architecture (Han), Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China; Interdisciplinary Laboratory of Biophotonics (Larin), Tomsk State University, Tomsk, Russia
| | - Jiasong Li
- From Biomedical Engineering (Singh, Li, Larin) and the College of Optometry (Vantipalli), Mechanical Engineering (Aglyamov), University of Houston, and Molecular Physiology and Biophysics (Larin), Baylor College of Medicine, Houston, Texas, and the School of Optometry (Twa) and Biomedical Engineering (Twa), University of Alabama at Birmingham, Birmingham, Alabama, USA; The School of Naval Architecture (Han), Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China; Interdisciplinary Laboratory of Biophotonics (Larin), Tomsk State University, Tomsk, Russia
| | - Srilatha Vantipalli
- From Biomedical Engineering (Singh, Li, Larin) and the College of Optometry (Vantipalli), Mechanical Engineering (Aglyamov), University of Houston, and Molecular Physiology and Biophysics (Larin), Baylor College of Medicine, Houston, Texas, and the School of Optometry (Twa) and Biomedical Engineering (Twa), University of Alabama at Birmingham, Birmingham, Alabama, USA; The School of Naval Architecture (Han), Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China; Interdisciplinary Laboratory of Biophotonics (Larin), Tomsk State University, Tomsk, Russia
| | - Salavat R Aglyamov
- From Biomedical Engineering (Singh, Li, Larin) and the College of Optometry (Vantipalli), Mechanical Engineering (Aglyamov), University of Houston, and Molecular Physiology and Biophysics (Larin), Baylor College of Medicine, Houston, Texas, and the School of Optometry (Twa) and Biomedical Engineering (Twa), University of Alabama at Birmingham, Birmingham, Alabama, USA; The School of Naval Architecture (Han), Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China; Interdisciplinary Laboratory of Biophotonics (Larin), Tomsk State University, Tomsk, Russia
| | - Michael D Twa
- From Biomedical Engineering (Singh, Li, Larin) and the College of Optometry (Vantipalli), Mechanical Engineering (Aglyamov), University of Houston, and Molecular Physiology and Biophysics (Larin), Baylor College of Medicine, Houston, Texas, and the School of Optometry (Twa) and Biomedical Engineering (Twa), University of Alabama at Birmingham, Birmingham, Alabama, USA; The School of Naval Architecture (Han), Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China; Interdisciplinary Laboratory of Biophotonics (Larin), Tomsk State University, Tomsk, Russia
| | - Kirill V Larin
- From Biomedical Engineering (Singh, Li, Larin) and the College of Optometry (Vantipalli), Mechanical Engineering (Aglyamov), University of Houston, and Molecular Physiology and Biophysics (Larin), Baylor College of Medicine, Houston, Texas, and the School of Optometry (Twa) and Biomedical Engineering (Twa), University of Alabama at Birmingham, Birmingham, Alabama, USA; The School of Naval Architecture (Han), Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China; Interdisciplinary Laboratory of Biophotonics (Larin), Tomsk State University, Tomsk, Russia.
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Qian X, Ma T, Shih CC, Heur M, Zhang J, Shung KK, Varma R, Humayun MS, Zhou Q. Ultrasonic Microelastography to Assess Biomechanical Properties of the Cornea. IEEE Trans Biomed Eng 2018; 66:647-655. [PMID: 29993484 DOI: 10.1109/tbme.2018.2853571] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
OBJECTIVE To both qualitatively and quantitatively investigate corneal biomechanical properties through an ultrasonic microelastography imaging system, which is potentially useful in the diagnosis of diseases, such as keratoconus, postrefractive keratectasia, and tracking treatment such as cross-linking surgery. METHODS Our imaging system has a dual-frequency configuration, including a 4.5 MHz ring transducer to push the tissue and a confocally aligned 40 MHz needle transducer to track micron-level displacement. Two-dimensional/three-dimensional acoustic radiation force impulse (ARFI) imaging and Young's modulus in the region of interest were performed on ex vivo porcine corneas that were either cross-linked using formalin solution or preloaded with intraocular pressure (IOPs) from 5 to 30 mmHg. RESULTS The increase of corneal stiffness and the change in cross-linked volume following formalin crosslinking could be precisely observed in the ARFI images and reflected by the reconstructed Young's modulus while the B-mode structural images remained almost unchanged. In addition, the relationship between the stiffness of the cornea and IOPs was investigated among 12 porcine corneas. The corneal stiffness is significantly different at various IOPs and has a tendency to become stiffer with increasing IOP. CONCLUSION Our results demonstrate the principle of using ultrasonic microelastography techniques to image the biomechanical properties of the cornea. Integrating high-resolution ARFI imaging labeled with reconstructed Young's modulus and structural imaging of the cornea can potentially lead to a routinely performed imaging modality in the field of ophthalmology.
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Kirby MA, Pelivanov I, Song S, Ambrozinski Ł, Yoon SJ, Gao L, Li D, Shen TT, Wang RK, O’Donnell M. Optical coherence elastography in ophthalmology. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:1-28. [PMID: 29275544 PMCID: PMC5745712 DOI: 10.1117/1.jbo.22.12.121720] [Citation(s) in RCA: 116] [Impact Index Per Article: 16.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Accepted: 12/14/2017] [Indexed: 05/03/2023]
Abstract
Optical coherence elastography (OCE) can provide clinically valuable information based on local measurements of tissue stiffness. Improved light sources and scanning methods in optical coherence tomography (OCT) have led to rapid growth in systems for high-resolution, quantitative elastography using imaged displacements and strains within soft tissue to infer local mechanical properties. We describe in some detail the physical processes underlying tissue mechanical response based on static and dynamic displacement methods. Namely, the assumptions commonly used to interpret displacement and strain measurements in terms of tissue elasticity for static OCE and propagating wave modes in dynamic OCE are discussed with the ultimate focus on OCT system design for ophthalmic applications. Practical OCT motion-tracking methods used to map tissue elasticity are also presented to fully describe technical developments in OCE, particularly noting those focused on the anterior segment of the eye. Clinical issues and future directions are discussed in the hope that OCE techniques will rapidly move forward to translational studies and clinical applications.
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Affiliation(s)
- Mitchell A. Kirby
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
| | - Ivan Pelivanov
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
| | - Shaozhen Song
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
| | - Łukasz Ambrozinski
- Akademia Górniczo-Hutnicza University of Science and Technology, Krakow, Poland
| | - Soon Joon Yoon
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
| | - Liang Gao
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
| | - David Li
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
- University of Washington, Department of Chemical Engineering, Seattle, Washington, United States
| | - Tueng T. Shen
- University of Washington, Department of Ophthalmology, Seattle, Washington, United States
| | - Ruikang K. Wang
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
- University of Washington, Department of Ophthalmology, Seattle, Washington, United States
| | - Matthew O’Donnell
- University of Washington, Department of Bioengineering, Seattle, Washington, United States
- Address all correspondence to: Matthew O’Donnell, E-mail:
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Singh M, Li J, Vantipalli S, Han Z, Larin KV, Twa MD. Optical coherence elastography for evaluating customized riboflavin/UV-A corneal collagen crosslinking. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:91504. [PMID: 28055060 PMCID: PMC5995143 DOI: 10.1117/1.jbo.22.9.091504] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Accepted: 11/15/2016] [Indexed: 05/02/2023]
Abstract
UV-induced collagen cross-linking is a promising treatment for keratoconus that stiffens corneal tissue and prevents further degeneration. Since keratoconus is generally localized, the efficacy of collagen cross-linking (CXL) treatments could be improved by stiffening only the weakened parts of the cornea. Here, we demonstrate that optical coherence elastography (OCE) can spatially resolve transverse variations in corneal stiffness. A short duration ( ? 1 ?? ms ) focused air-pulse induced low amplitude ( ? 10 ?? ? m ) deformations in the samples that were detected using a phase-stabilized optical coherence tomography system. A two-dimensional map of material stiffness was generated by measuring the damped natural frequency (DNF) of the air-pulse induced response at various transverse locations of a heterogeneous phantom mimicking a customized CXL treatment. After validation on the phantoms, similar OCE measurements were made on spatially selective CXL-treated in situ rabbit corneas. The results showed that this technique was able to clearly distinguish the untreated and CXL-treated regions of the cornea, where CXL increased the DNF of the cornea by ? 51 % . Due to the noncontact nature and minimal excitation force, this technique may be valuable for in vivo assessments of corneal biomechanical properties.
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Affiliation(s)
- Manmohan Singh
- University of Houston, Biomedical Engineering, 3517 Cullen Boulevard, Room 2027, Houston, Texas 77204, United States
| | - Jiasong Li
- University of Houston, Biomedical Engineering, 3517 Cullen Boulevard, Room 2027, Houston, Texas 77204, United States
| | - Srilatha Vantipalli
- University of Houston, Department of Optometry, 4901 Calhoun Road, Houston, Texas 77204, United States
| | - Zhaolong Han
- University of Houston, Biomedical Engineering, 3517 Cullen Boulevard, Room 2027, Houston, Texas 77204, United States
| | - Kirill V. Larin
- University of Houston, Biomedical Engineering, 3517 Cullen Boulevard, Room 2027, Houston, Texas 77204, United States
- Baylor College of Medicine, Molecular Physiology and Biophysics, One Baylor Plaza, Houston, Texas 77030, United States
- Samara State Aerospace University, Electrical and Computer Engineering, 34, Moskovskoye shosse, Samara 443086, Russia
| | - Michael D. Twa
- University of Alabama at Birmingham, School of Optometry, 1716 University Boulevard, Birmingham, Alabama 35233, United States
- Address all correspondence to: Michael D. Twa,
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Saavedra AC, Zvietcovich F, Lavarello RJ, Castaneda B. Measurement of surface acoustic waves in high-frequency ultrasound: Preliminary results. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2017; 2017:3000-3003. [PMID: 29060529 DOI: 10.1109/embc.2017.8037488] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Skin lesions change elastic properties near the surface. In the last decades, several non-invasive elastography techniques have been developed for detecting the mechanical properties of tissue. In particular, harmonic elastography is characterized for inducing shear wave propagation by an external vibrator in order to estimate shear modulus. However, near the boundary region, propagation is governed by surface acoustic waves (SAW). This paper combines crawling waves elastography with a high-frequency ultrasound (HFUS) system for the estimation of the SAW-to-shear compensation factor when ultrasound (US) gel is used as coupling interface. Experiments explore the SAWspeed in a homogeneous phantom with a solid-water interface in order to corroborate theoretical findings. Subsequently, experiments in a solid-US gel interface are conducted in order to find the correct compensation factor. Preliminary results suggest that SAW propagation can be detected using HFUS, and shear velocity maps can be generated by applying the estimated empirical correction factor. This study will potentially avoid the underestimation of shear modulus when using SAW-based HFUS elastography which is promising for the better diagnosis of skin diseases.
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Singh M, Li J, Han Z, Wu C, Aglyamov SR, Twa MD, Larin KV. Investigating Elastic Anisotropy of the Porcine Cornea as a Function of Intraocular Pressure With Optical Coherence Elastography. J Refract Surg 2017; 32:562-7. [PMID: 27505317 DOI: 10.3928/1081597x-20160520-01] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Accepted: 04/12/2016] [Indexed: 01/02/2023]
Abstract
PURPOSE To evaluate the elastic anisotropy of porcine corneas at different intraocular pressures (IOPs) using a noncontact optical coherence elastography (OCE) technique. METHODS A focused air-pulse induced low amplitude (≤ 10 µm) elastic waves in fresh porcine corneas (n = 7) in situ in the whole eye globe configuration. A home-built phase-stabilized swept source optical coherence elastography (PhS-SSOCE) system imaged the elastic wave propagation at different stepped radial directions. A closed-loop feedback system was used to artificially control the IOP and the OCE measurements were repeated as the IOP was incrementally increased from 15 to 30 mm Hg in 5-mm Hg increments. RESULTS The OCE measurements demonstrated that the stiffness of the cornea increased as a function of IOP and elastic anisotropy of the cornea became more pronounced at higher IOPs. The standard deviation of the modified planar anisotropy coefficient increased from 0.72 ± 0.42 at an IOP of 15 mm Hg to 1.58 ± 0.40 at 30 mm Hg. CONCLUSIONS The presented noncontact OCE method was capable of detecting and assessing the corneal elastic anisotropy as a function of IOP. Due to the noninvasive nature and small amplitude of the elastic wave, this method may be able to provide further information about corneal health and integrity in vivo. [J Refract Surg. 2016;32(8):562-567.].
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Singh M, Li J, Han Z, Vantipalli S, Liu CH, Wu C, Raghunathan R, Aglyamov SR, Twa MD, Larin KV. Evaluating the Effects of Riboflavin/UV-A and Rose-Bengal/Green Light Cross-Linking of the Rabbit Cornea by Noncontact Optical Coherence Elastography. Invest Ophthalmol Vis Sci 2017; 57:OCT112-20. [PMID: 27409461 PMCID: PMC4968774 DOI: 10.1167/iovs.15-18888] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Purpose The purpose of this study was to use noncontact optical coherence elastography (OCE) to evaluate and compare changes in biomechanical properties that occurred in rabbit cornea in situ after corneal collagen cross-linking by either of two techniques: ultraviolet-A (UV-A)/riboflavin or rose-Bengal/green light. Methods Low-amplitude (≤10 μm) elastic waves were induced in mature rabbit corneas by a focused air pulse. Elastic wave propagation was imaged by a phase-stabilized swept source OCE (PhS-SSOCE) system. Corneas were then cross-linked by either of two methods: UV-A/riboflavin (UV-CXL) or rose-Bengal/green light (RGX). Phase velocities of the elastic waves were fitted to a previously developed modified Rayleigh-Lamb frequency equation to obtain the viscoelasticity of the corneas before and after the cross-linking treatments. Micro-scale depth-resolved phase velocity distribution revealed the depth-wise heterogeneity of both cross-linking techniques. Results Under standard treatment settings, UV-CXL significantly increased the stiffness of the corneas by ∼47% (P < 0.05), but RGX did not produce statistically significant increases. The shear viscosities were unaffected by either cross-linking technique. The depth-wise phase velocities showed that UV-CXL affected the anterior ∼34% of the corneas, whereas RGX affected only the anterior ∼16% of the corneas. Conclusions UV-CXL significantly strengthens the cornea, whereas RGX does not, and the effects of cross-linking by UV-CXL reach deeper into the cornea than cross-linking effects of RGX under similar conditions.
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Affiliation(s)
- Manmohan Singh
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Jiasong Li
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Zhaolong Han
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | | | - Chih-Hao Liu
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Chen Wu
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Raksha Raghunathan
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States
| | - Salavat R Aglyamov
- Department of Biomedical Engineering, University of Texas at Austin, Austin, Texas, United States
| | - Michael D Twa
- School of Optometry, University of Alabama at Birmingham, Birmingham, Alabama, United States
| | - Kirill V Larin
- Department of Biomedical Engineering, University of Houston, Houston, Texas, United States 5Interdisciplinary Laboratory of Biophotonics, Tomsk State University, Tomsk, Russia
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Liu CH, Schill A, Raghunathan R, Wu C, Singh M, Han Z, Nair A, Larin KV. Ultra-fast line-field low coherence holographic elastography using spatial phase shifting. BIOMEDICAL OPTICS EXPRESS 2017; 8:993-1004. [PMID: 28270998 PMCID: PMC5330560 DOI: 10.1364/boe.8.000993] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Revised: 01/16/2017] [Accepted: 01/16/2017] [Indexed: 05/02/2023]
Abstract
Optical coherence elastography (OCE) is an emerging technique for quantifying tissue biomechanical properties. Generally, OCE relies on point-by-point scanning. However, long acquisition times make point-by-point scanning unfeasible for clinical use. Here we demonstrate a noncontact single shot line-field low coherence holography system utilizing an automatic Hilbert transform analysis based on a spatial phase shifting technique. Spatio-temporal maps of elastic wave propagation were acquired with only one air-pulse excitation and used to quantify wave velocity and sample mechanical properties at a line rate of 200 kHz. Results obtained on phantoms were correlated with data from mechanical testing. Finally, the stiffness of porcine cornea at different intraocular pressures was also quantified in situ.
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Affiliation(s)
- Chih-Hao Liu
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
| | - Alexander Schill
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
| | - Raksha Raghunathan
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
| | - Chen Wu
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
| | - Manmohan Singh
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
| | - Zhaolong Han
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
| | - Achuth Nair
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
| | - Kirill V. Larin
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Boulevard, Houston, Texas 77204, USA
- Interdisciplinary Laboratory of Biophotonics, Tomsk State University, Tomsk, Russia
- Molecular Physiology and Biophysics, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77584, USA
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Larin KV, Sampson DD. Optical coherence elastography - OCT at work in tissue biomechanics [Invited]. BIOMEDICAL OPTICS EXPRESS 2017; 8:1172-1202. [PMID: 28271011 PMCID: PMC5330567 DOI: 10.1364/boe.8.001172] [Citation(s) in RCA: 217] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 01/18/2017] [Accepted: 01/19/2017] [Indexed: 05/18/2023]
Abstract
Optical coherence elastography (OCE), as the use of OCT to perform elastography has come to be known, began in 1998, around ten years after the rest of the field of elastography - the use of imaging to deduce mechanical properties of tissues. After a slow start, the maturation of OCT technology in the early to mid 2000s has underpinned a recent acceleration in the field. With more than 20 papers published in 2015, and more than 25 in 2016, OCE is growing fast, but still small compared to the companion fields of cell mechanics research methods, and medical elastography. In this review, we describe the early developments in OCE, and the factors that led to the current acceleration. Much of our attention is on the key recent advances, with a strong emphasis on future prospects, which are exceptionally bright.
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Affiliation(s)
- Kirill V Larin
- Department of Biomedical Engineering, University of Houston, 3605 Cullen Blvd., Houston, Texas 77204-5060, USA; Department of Molecular Physiology and Biophysics, Baylor College of Medicine, 1 Baylor Plaza, Houston, Texas 77030, USA;
| | - David D Sampson
- Optical + Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009, Australia; Centre for Microscopy, Characterisation & Analysis, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009, Australia;
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Kling S, Hafezi F. Corneal biomechanics - a review. Ophthalmic Physiol Opt 2017; 37:240-252. [PMID: 28125860 DOI: 10.1111/opo.12345] [Citation(s) in RCA: 95] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Accepted: 11/15/2016] [Indexed: 12/01/2022]
Abstract
PURPOSE In recent years, the interest in corneal biomechanics has strongly increased. The material properties of the cornea determine its shape and therefore play an important role in corneal ectasia and related pathologies. This review addresses the molecular origin of biomechanical properties, models for their description, methods for their characterisation, techniques for their modification, and computational simulation approaches. RECENT FINDINGS Recent research has focused on developing non-contact techniques to measure the biomechanical properties in vivo, on determining structural and molecular abnormalities in pathological corneas, on developing and optimising techniques to reinforce the corneal tissue and on the computational simulation of surgical interventions. SUMMARY A better understanding of corneal biomechanics will help to improve current refractive surgeries, allow an earlier diagnosis of ectatic disorders and a better quantification of treatments aiming at reinforcing the corneal tissue.
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Affiliation(s)
- Sabine Kling
- CABMM, University of Zurich, Zurich, Switzerland
| | - Farhad Hafezi
- CABMM, University of Zurich, Zurich, Switzerland.,ELZA Institute AG Dietikon, Zurich, Switzerland.,USC Roski Eye Institute - Keck School of Medicine, Los Angeles, USA.,Ophthalmology, University of Geneva, Geneva, Switzerland
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48
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Singh M, Li J, Han Z, Raghunathan R, Nair A, Wu C, Liu CH, Aglyamov S, Twa MD, Larin KV. Assessing the effects of riboflavin/UV-A crosslinking on porcine corneal mechanical anisotropy with optical coherence elastography. BIOMEDICAL OPTICS EXPRESS 2017; 8:349-366. [PMID: 28101423 PMCID: PMC5231304 DOI: 10.1364/boe.8.000349] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Revised: 12/10/2016] [Accepted: 12/13/2016] [Indexed: 05/02/2023]
Abstract
In this work we utilize optical coherence elastography (OCE) to assess the effects of UV-A/riboflavin corneal collagen crosslinking (CXL) on the mechanical anisotropy of in situ porcine corneas at various intraocular pressures (IOP). There was a distinct meridian of increased Young's modulus in all samples, and the mechanical anisotropy increased as a function of IOP and also after CXL. The presented noncontact OCE technique was able to quantify the Young's modulus and elastic anisotropy of the cornea and their changes as a function of IOP and CXL, opening new avenues of research for evaluating the effects of CXL on corneal biomechanical properties.
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Affiliation(s)
- Manmohan Singh
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
- Contributed equally to the present work
| | - Jiasong Li
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
- Contributed equally to the present work
| | - Zhaolong Han
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
| | - Raksha Raghunathan
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
| | - Achuth Nair
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
| | - Chen Wu
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
| | - Chih-Hao Liu
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
| | - Salavat Aglyamov
- Department of Biomedical Engineering, University of Texas at Austin, Austin, TX 78712, USA
| | - Michael D. Twa
- School of Optometry, University of Alabama at Birmingham, Birmingham, AL 35233, USA
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL 35233, USA
| | - Kirill V. Larin
- Department of Biomedical Engineering, University of Houston, Houston, TX 77204, USA
- Interdisciplinary Laboratory of Biophotonics, Tomsk State University, Tomsk, Russia
- Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, TX 77030 USA
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49
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Ambroziński Ł, Song S, Yoon SJ, Pelivanov I, Li D, Gao L, Shen TT, Wang RK, O'Donnell M. Acoustic micro-tapping for non-contact 4D imaging of tissue elasticity. Sci Rep 2016; 6:38967. [PMID: 28008920 PMCID: PMC5180181 DOI: 10.1038/srep38967] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 11/15/2016] [Indexed: 01/22/2023] Open
Abstract
Elastography plays a key role in characterizing soft media such as biological tissue. Although this technology has found widespread use in both clinical diagnostics and basic science research, nearly all methods require direct physical contact with the object of interest and can even be invasive. For a number of applications, such as diagnostic measurements on the anterior segment of the eye, physical contact is not desired and may even be prohibited. Here we present a fundamentally new approach to dynamic elastography using non-contact mechanical stimulation of soft media with precise spatial and temporal shaping. We call it acoustic micro-tapping (AμT) because it employs focused, air-coupled ultrasound to induce significant mechanical displacement at the boundary of a soft material using reflection-based radiation force. Combining it with high-speed, four-dimensional (three space dimensions plus time) phase-sensitive optical coherence tomography creates a non-contact tool for high-resolution and quantitative dynamic elastography of soft tissue at near real-time imaging rates. The overall approach is demonstrated in ex-vivo porcine cornea.
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Affiliation(s)
- Łukasz Ambroziński
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA.,AGH University of Science and Technology, Krakow, Poland
| | - Shaozhen Song
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA
| | - Soon Joon Yoon
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA
| | - Ivan Pelivanov
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA.,Faculty of Physics, Moscow State University, Moscow, 119991, Russia
| | - David Li
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA.,Department of Chemical Engineering, University of Washington, Seattle, WA 98195, USA
| | - Liang Gao
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA
| | - Tueng T Shen
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA.,Department of Ophthalmology, University of Washington, Seattle, WA 98104, USA
| | - Ruikang K Wang
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA.,Department of Ophthalmology, University of Washington, Seattle, WA 98104, USA
| | - Matthew O'Donnell
- Department of Bioengineering, University of Washington, Seattle, WA 98195, USA
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50
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Park S, Yoon H, Larin KV, Emelianov SY, Aglyamov SR. The impact of intraocular pressure on elastic wave velocity estimates in the crystalline lens. Phys Med Biol 2016; 62:N45-N57. [PMID: 27997379 DOI: 10.1088/1361-6560/aa54ef] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Intraocular pressure (IOP) is believed to influence the mechanical properties of ocular tissues including cornea and sclera. The elastic properties of the crystalline lens have been mainly investigated with regard to presbyopia, the age-related loss of accommodation power of the eye. However, the relationship between the elastic properties of the lens and IOP remains to be established. The objective of this study is to measure the elastic wave velocity, which represents the mechanical properties of tissue, in the crystalline lens ex vivo in response to changes in IOP. The elastic wave velocities in the cornea and lens from seven enucleated bovine globe samples were estimated using ultrasound shear wave elasticity imaging. To generate and then image the elastic wave propagation, an ultrasound imaging system was used to transmit a 600 µs pushing pulse at 4.5 MHz center frequency and to acquire ultrasound tracking frames at 6 kHz frame rate. The pushing beams were separately applied to the cornea and lens. IOP in the eyeballs was varied from 5 to 50 mmHg. The results indicate that while the elastic wave velocity in the cornea increased from 0.96 ± 0.30 m s-1 to 6.27 ± 0.75 m s-1 as IOP was elevated from 5 to 50 mmHg, there were insignificant changes in the elastic wave velocity in the crystalline lens with the minimum and the maximum speeds of 1.44 ± 0.27 m s-1 and 2.03 ± 0.46 m s-1, respectively. This study shows that ultrasound shear wave elasticity imaging can be used to assess the biomechanical properties of the crystalline lens noninvasively. Also, it was observed that the dependency of the crystalline lens stiffness on the IOP was significantly lower in comparison with that of cornea.
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Affiliation(s)
- Suhyun Park
- Department of Biomedical Engineering, University of Texas at Austin, Austin, TX 78712, USA
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