Abstract:Articular cartilage is a thin complex tissue that covers the bony ends of joints. Changes in the composition and structure of articular cartilage will cause degeneration, which may further lead to osteoarthritis. Decreased stiffness is one of the earliest symptoms of cartilage degeneration and also represents the imperfect quality of repaired cartilage. An optical coherence tomography (OCT)-based air-jet indentation system was recently developed in our group to measure the mechanical properties of soft tissues… Show more
“…Such methods may prove especially valuable for OCT-based evaluation of femoral condyles, where AC is characterized by considerable curvature (Terukina et al, 2003 ) which makes surface position averaging challenging. Non-perpendicular optical beam angles are further known to bias the evaluation of cartilage surface degeneration by quantitative OCT (Huang et al, 2011b ). In a feasibility study, Nebelung et al performed a comprehensive OCT-based morphometric grading study on human AC representing the full spectrum of arthritic degeneration, ranging from Outerbridge 0 to 4, from macroscopically “normal” to fully eroded cartilage, respectively (Nebelung et al, 2014 ).…”
Osteoarthritis (OA) is the most common chronic disease of our joints, manifested by a dynamically increasing degeneration of hyaline articular cartilage (AC). While currently no therapy can reverse this process, the few available treatment options are hampered by the inability of early diagnosis. Loss of cartilage surface, or extracellular matrix (ECM), integrity is considered the earliest sign of OA. Despite the increasing number of imaging modalities surprisingly few imaging biomarkers exist. In this narrative review, recent developments in optical coherence tomography are critically evaluated for their potential to assess different aspects of AC quality as biomarkers of OA. Special attention is paid to imaging surface irregularities, ECM organization and the evaluation of posttraumatic injuries by light-based modalities.
“…Such methods may prove especially valuable for OCT-based evaluation of femoral condyles, where AC is characterized by considerable curvature (Terukina et al, 2003 ) which makes surface position averaging challenging. Non-perpendicular optical beam angles are further known to bias the evaluation of cartilage surface degeneration by quantitative OCT (Huang et al, 2011b ). In a feasibility study, Nebelung et al performed a comprehensive OCT-based morphometric grading study on human AC representing the full spectrum of arthritic degeneration, ranging from Outerbridge 0 to 4, from macroscopically “normal” to fully eroded cartilage, respectively (Nebelung et al, 2014 ).…”
Osteoarthritis (OA) is the most common chronic disease of our joints, manifested by a dynamically increasing degeneration of hyaline articular cartilage (AC). While currently no therapy can reverse this process, the few available treatment options are hampered by the inability of early diagnosis. Loss of cartilage surface, or extracellular matrix (ECM), integrity is considered the earliest sign of OA. Despite the increasing number of imaging modalities surprisingly few imaging biomarkers exist. In this narrative review, recent developments in optical coherence tomography are critically evaluated for their potential to assess different aspects of AC quality as biomarkers of OA. Special attention is paid to imaging surface irregularities, ECM organization and the evaluation of posttraumatic injuries by light-based modalities.
“…The charged proteoglycan assemblies in the hydrogel matrix are imbedded into the collagen fiber network to form a complex microstructure [73]. Furthermore, the interaction of collagen network and the hydrogel forms the main load bearing component as demonstrated by the experimental result that articular cartilage loses ∼ 84% of its stiffness when the collagen fiber network has been digested using collagenase while its loses ∼ 63% of its stiffness when proteoglycans are digested with trypsin [74]. In this case, the effective behavior of the collagen fiber-gel interaction can be expeditiously represented by the fiber element as shown by our results.…”
We have developed a micromechanics based model for chemically active saturated fibrous media that incorporates fiber network microstructure, chemical potential driven fluid flow, and micro-poromechanics. The stress-strain relationship of the dry fibrous media is first obtained by considering the fiber behavior. The constitutive relationships applicable to saturated media are then derived in the poromechanics framework using Hill’s volume averaging. The advantage of this approach is that the resultant continuum model accounts for the discrete nature of the individual fibers while retaining a form suitable for porous materials. As a result, the model is able to predict the influence of micro-scale phenomena, such as the fiber pre-strain caused by osmotic effects and evolution of fiber network structure with loading, on the overall behavior and in particular, on the poromechanics parameters. Additionally, the model can describe fluid-flow related rate-dependent behavior under confined and unconfined conditions and varying chemical environments. The significance of the approach is demonstrated by simulating unconfined drained monotonic uniaxial compression under different surrounding fluid bath molarity, and fluid-flow related creep and relaxation at different loading-levels and different surrounding fluid bath molarity. The model predictions conform to the experimental observations for saturated soft fibrous materials. The method can potentially be extended to other porous materials such as bone, clays, foams and concrete.
“…Optical coherence tomography (OCT) is a key ophthalmologic imaging technique can provide rapid, noninvasive, high-resolution in vivo imaging of corneal structures, which enables its broad diagnostic and therapeutic applications ( Ang et al, 2018 ; Spaide et al, 2018 ; Wang et al, 2019 ). In addition, OCT can assist tissue biomechanical detection when combined with an air-puff ( Huang et al, 2011 ) or shear wave elastography ( Wang and Larin, 2015 ). Among all categories of OCT devices, spectral-domain OCT (SD-OCT) has the advantages of high-speed acquisition and high axial resolution.…”
Purpose: To investigate the ex vivo elastic modulus of human corneal stroma using tensile testing with optical coherence tomography (OCT) imaging and its correlation with in vivo measurements using corneal visualization Scheimpflug technology.Methods: Twenty-four corneal specimens extracted from stromal lenticules through small incision lenticule extraction were cut into strips for uniaxial tensile tests. In vivo corneal biomechanical responses were evaluated preoperatively using the corneal visualization Scheimpflug technology (CorVis ST). The correlation of the elastic modulus with clinical characteristics and dynamic corneal response parameters were analyzed using Spearman’s correlation analysis.Results: The mean low strain tangent modulus (LSTM) of the human corneal stroma was 0.204 ± 0.189 (range 0.010–0.641) MPa, and high strain tangent modulus (HSTM) 5.114 ± 1.958 (range 2.755–9.976) MPa. Both LSTM (r = 0.447, p = 0.029) and HSTM (r = 0.557, p = 0.005) were positively correlated with the stress-strain index (SSI). LSTM was also positively correlated with the A1 deflection length (r = 0.427, p = 0.037) and A1 deflection area (r = 0.441, p = 0.031). HSTM was positively correlated with spherical equivalent (r = 0.425, p = 0.038).Conclusions: The correlation of corneal elastic modulus with A1 deflection parameters and SSI may indicate a relationship between these parameters and tissue elasticity. The HSTM decreased with the degree of myopia. Combining tensile test with OCT may be a promising approach to assess corneal biomechanical properties.
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