Abstract:This study aimed to develop and validate a high frequency ultrasound method for measuring distributive, 3D strains in the sclera during elevations of intraocular pressure. A 3D cross-correlation based speckle-tracking algorithm was implemented to compute the 3D displacement vector and strain tensor at each tracking point. Simulated ultrasound radiofrequency data from a sclera-like structure at unde-formed and deformed states with known strains were used to evaluate the accuracy and signal-to-noise ratio (SNR) … Show more
“…The marked contrast between the circumferential and meridional responses was unlikely an artifact of poorer measurement accuracy in one in-plane direction than the other, because the circumferential or meridional direction was not strictly aligned with any scanning directions, i.e., both were scanned as lateral and elevational depending on the location. Our validation studies showed that the strain measurement accuracy was similar for the two in-plane directions [22]. Previous surface strain measurements have reported very small circumferential strains ($0.5%) in human donor eyes when inflated to a higher IOP [10,26].…”
Section: Discussionsupporting
confidence: 64%
“…We implemented a data acquisition system with automated 3D imaging and synchronized data storage, and a 3D speckle tracking algorithm that determines the 3D displacement vectors for tissue grid points within the scanned volume and reconstructs the full strain tensor from the displacement gradients. We performed validation studies to analyze the displacement and strain accuracy of the 3D method [22]. Simulated whole voxel and subvoxel displacements in the presence of simulated random electrical noise showed an absolute error less than 0.01 voxel in all scanning directions for 0, 0.5, 1, and 2 voxel translations.…”
Intraocular pressure (IOP) induced strains in the peripapillary sclera may play a role in glaucoma progression. Using inflation testing and ultrasound speckle tracking, the 3D strains in the peripapillary sclera were measured in nine human donor globes. Our results showed that the peripapillary sclera experienced through-thickness compression and meridional stretch during inflation, while minimal circumferential dilation was observed when IOP was increased from 10 to 19 mmHg. The maximum shear was primarily oriented in the through-thickness, meridional cross sections and had a magnitude slightly larger than the first principal strain. The tissue volume had minimal overall change, confirming near-incompressibility of the sclera. Substantial strain heterogeneity was present in the peripapillary region, with local high strain areas likely corresponding to structural heterogeneity caused by traversing blood vessels. These 3D strain characteristics provide new insights into the biomechanical responses of the peripapillary sclera during physiological increases of IOP. Future studies are needed to confirm these findings and investigate the role of these biomechanical characteristics in ocular diseases.
“…The marked contrast between the circumferential and meridional responses was unlikely an artifact of poorer measurement accuracy in one in-plane direction than the other, because the circumferential or meridional direction was not strictly aligned with any scanning directions, i.e., both were scanned as lateral and elevational depending on the location. Our validation studies showed that the strain measurement accuracy was similar for the two in-plane directions [22]. Previous surface strain measurements have reported very small circumferential strains ($0.5%) in human donor eyes when inflated to a higher IOP [10,26].…”
Section: Discussionsupporting
confidence: 64%
“…We implemented a data acquisition system with automated 3D imaging and synchronized data storage, and a 3D speckle tracking algorithm that determines the 3D displacement vectors for tissue grid points within the scanned volume and reconstructs the full strain tensor from the displacement gradients. We performed validation studies to analyze the displacement and strain accuracy of the 3D method [22]. Simulated whole voxel and subvoxel displacements in the presence of simulated random electrical noise showed an absolute error less than 0.01 voxel in all scanning directions for 0, 0.5, 1, and 2 voxel translations.…”
Intraocular pressure (IOP) induced strains in the peripapillary sclera may play a role in glaucoma progression. Using inflation testing and ultrasound speckle tracking, the 3D strains in the peripapillary sclera were measured in nine human donor globes. Our results showed that the peripapillary sclera experienced through-thickness compression and meridional stretch during inflation, while minimal circumferential dilation was observed when IOP was increased from 10 to 19 mmHg. The maximum shear was primarily oriented in the through-thickness, meridional cross sections and had a magnitude slightly larger than the first principal strain. The tissue volume had minimal overall change, confirming near-incompressibility of the sclera. Substantial strain heterogeneity was present in the peripapillary region, with local high strain areas likely corresponding to structural heterogeneity caused by traversing blood vessels. These 3D strain characteristics provide new insights into the biomechanical responses of the peripapillary sclera during physiological increases of IOP. Future studies are needed to confirm these findings and investigate the role of these biomechanical characteristics in ocular diseases.
“…In fact, ultrasonagraphy has been used to visualize the whole eye, however it is limited by rather low resolution and low contrast (Kilker et al, 2014; Lorente-Ramos et al, 2012). High frequency ultrasound designed for small animal imaging has recently been used to measure deformations of the porcine sclera in an ex vivo inflation test, however high frequency ultrasound lacks the depth penetration to study a whole eye from a large animal (Cruz Perez et al, 2016). …”
The eye is a complex structure composed of several interconnected tissues acting together, across the whole globe, to resist deformation due to intraocular pressure (IOP). However, most work in the ocular biomechanics field only examines the response to IOP over smaller regions of the eye. We used high-field MRI to measure IOP induced ocular displacements and deformations over the whole globe. Seven sheep eyes were obtained from a local abattoir and imaged within 48 hours using MRI at multiple levels of IOP. IOP was controlled with a gravity perfusion system and a cannula inserted into the anterior chamber. T2-weighted imaging was performed to the eyes serially at 0 mmHg, 10 mmHg, 20 mmHg and 40 mmHg of IOP using a 9.4 Tesla MRI scanner. Manual morphometry was conducted using 3D visualization software to quantify IOP-induced effects at the globe scale (e.g. axial length and equatorial diameters) or optic nerve head scale (e.g. canal diameter, peripapillary sclera bowing). Measurement sensitivity analysis was conducted to determine measurement precision. High-field MRI revealed an outward bowing of the posterior sclera and anterior bulging of the cornea due to IOP elevation. Increments in IOP from 10 to 40 mmHg caused measurable increases in axial length in 6 of 7 eyes of 7.9±5.7% (mean±SD). Changes in equatorial diameter were minimal, 0.4±1.2% between 10 and 40 mmHg, and in all cases less than the measurement sensitivity. The effects were nonlinear, with larger deformations at normal IOPs (10–20mmHg) than at elevated IOPs (20–40mmHg). IOP also caused measurable increases in the nasal-temporal scleral canal diameter of 13.4±9.7% between 0 and 20 mmHg, but not in the superior-inferior diameter. This study demonstrates that high-field MRI can be used to visualize and measure simultaneously the effects of IOP over the whole globe, including the effects on axial length and equatorial diameter, posterior sclera displacement and bowing, and even changes in scleral canal diameter. The fact that the equatorial diameter did not change with IOP, in agreement with previous studies, indicates that a fixed boundary condition is a reasonable assumption for half globe inflation tests and computational models. Our results demonstrate the potential of high-field MRI to contribute to understanding ocular biomechanics, and specifically of the effects of IOP in large animal models.
“…More importantly, it precludes the study of dynamic events such as pressure-induced deformations, which are essential to understand eye biomechanics and the role of collagen. [14][15][16] Extending PLM imaging from thin sections to thick ocular tissues is thus desirable. However, imaging thick tissues is complicated by strong tissue scattering.…”
Collagen is a major constituent of the eye and understanding its architecture and biomechanics is critical to preserve and restore vision. We, recently, demonstrated polarized light microscopy (PLM) as a powerful technique for measuring properties of the collagen fibers of the eye, such as spatial distribution and orientation. Our implementation of PLM, however, required sectioning the tissues for imaging using transmitted light. This is problematic because it limits analysis to thin sections. This is not only slow, but precludes study of dynamic events such as pressure-induced deformations, which are central to the role of collagen. We introduce structured polarized light microscopy (SPLM), an imaging technique that combines structured light illumination with PLM to allow imaging and measurement of collagen fiber properties in thick ocular tissues. Using pig and sheep eyes, we show that SPLM rejects diffuse background light effectively in thick tissues, significantly enhancing visualization of optic nerve head (ONH) structures, such as the lamina cribrosa, and improving the accuracy of the collagen fiber orientation measurements. Further, we demonstrate the integration of SPLM with an inflation device to enable direct visualization, deformation tracking, and quantification of collagen fibers in ONHs while under controlled pressure.
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