Micron-scale hysteresis measurement using dynamic optical coherence elastography

Air-pulse optical coherence elastography: how excitation angle affects mechanical wave propagation

We evaluate the effect of excitation angles on the observation and characterization of surface wave propagations used to derive tissue's mechanical properties in optical coherence tomography (OCT)-based elastography (OCE). Air-pulse stimulation was performed at the center of the sample with excitation angles ranging from oblique (e.g., 70° or 45°) to perpendicular (0°). OCT scanning was conducted radially to record en face mechanical wave propagations in 360°, and the wave features (amplitude, attenuation, group and phase velocities) were calculated in the spatiotemporal or wavenumber-frequency domains. We conducted measurements on isotropic, homogeneous samples (1-1.6% agar phantoms), anisotropic samples (chicken breast), and samples with complex boundaries, coupling media, and stress conditions (ex vivo porcine cornea, intraocular pressure (IOP): 5-20 mmHg). Our findings indicate that mechanical wave velocities are less affected by excitation angles compared to displacement features, demonstrating the robustness of using mechanical waves for elasticity estimations. Agar and chicken breast sample measurements showed that all these metrics (particularly wave velocities) are relatively consistent when excitation angles are smaller than 45°. However, significant disparities were observed in the porcine cornea measurements across different excitation angles (even between 15° and 0°), particularly at high IOP levels (e.g., 20 mmHg). Our findings provide valuable insights for enhancing the accuracy of biomechanical assessments using air-pulse-based or other dynamic OCE approaches. This facilitates the refinement and clinical translation of the OCE technique and could ultimately improve diagnostic and therapeutic applications across various biomedical fields.

Corneal Surface Wave Propagation Associated with Intraocular Pressures: OCT Elastography Assessment in a Simplified Eye Model

Assessing corneal biomechanics in vivo has long been a challenge in the field of ophthalmology. Despite recent advances in optical coherence tomography (OCT)-based elastography (OCE) methods, controversy remains regarding the effect of intraocular pressure (IOP) on mechanical wave propagation speed in the cornea. This could be attributed to the complexity of corneal biomechanics and the difficulties associated with conducting in vivo corneal shear-wave OCE measurements. We constructed a simplified artificial eye model with a silicone cornea and controllable IOPs and performed surface wave OCE measurements in radial directions (54-324°) of the silicone cornea at different IOP levels (10-40 mmHg). The results demonstrated increases in wave propagation speeds (mean ± STD) from 6.55 ± 0.09 m/s (10 mmHg) to 9.82 ± 0.19 m/s (40 mmHg), leading to an estimate of Young's modulus, which increased from 145.23 ± 4.43 kPa to 326.44 ± 13.30 kPa. Our implementation of an artificial eye model highlighted that the impact of IOP on Young's modulus (ΔE = 165.59 kPa, IOP: 10-40 mmHg) was more significant than the effect of stretching of the silicone cornea (ΔE = 15.79 kPa, relative elongation: 0.98-6.49%). Our study sheds light on the potential advantages of using an artificial eye model to represent the response of the human cornea during OCE measurement and provides valuable insights into the impact of IOP on wave-based OCE measurement for future in vivo corneal biomechanics studies.

In vivo corneal elastography: A topical review of challenges and opportunities

Clinical measurement of corneal biomechanics can aid in the early diagnosis, progression tracking, and treatment evaluation of ocular diseases. Over the past two decades, interdisciplinary collaborations between investigators in optical engineering, analytical biomechanical modeling, and clinical research has expanded our knowledge of corneal biomechanics. These advances have led to innovations in testing methods (ex vivo, and recently, in vivo) across multiple spatial and strain scales. However, in vivo measurement of corneal biomechanics remains a long-standing challenge and is currently an active area of research. Here, we review the existing and emerging approaches for in vivo corneal biomechanics evaluation, which include corneal applanation methods, such as ocular response analyzer (ORA) and corneal visualization Scheimpflug technology (Corvis ST), Brillouin microscopy, and elastography methods, and the emerging field of optical coherence elastography (OCE). We describe the fundamental concepts, analytical methods, and current clinical status for each of these methods. Finally, we discuss open questions for the current state of in vivo biomechanics assessment techniques and requirements for wider use that will further broaden our understanding of corneal biomechanics for the detection and management of ocular diseases, and improve the safety and efficacy of future clinical practice.