arXiv subjects

Mitchell A. Kirby

Publications and source records attributed to Mitchell A. Kirby.

5 recordsLinked to original sources

arXiv2023

Possible depth-resolved reconstruction of shear moduli in the cornea following collagen crosslinking (CXL) with optical coherence tomography and elastography

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$μ$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 $\sim 100μm$ in the periphery to $\sim 150μm$ 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.

physics.med-ph↗

arXiv2023

Possible depth-resolved reconstruction of shear moduli in the cornea following collagen crosslinking (CXL) with optical coherence tomography and elastography

Collagen crosslinking of the cornea (CXL) is commonly employed to prevent or treat keratoconus. Although the change of corneal stiffness induced by CXL surgery can be monitored with non-contact dynamic Optical Coherence Elastography (OCE) by tracking mechanical wave propagation, the depth dependence of this change is still unclear if the cornea is not crosslinked through the whole depth. Here we propose to combine phase-decorrelation measurement applied to OCT structural images and acoustic micro-tapping (A$μ$T) OCE to explore possible depth reconstruction of stiffness within crosslinked corneas in an ex vivo human cornea sample. The analysis of experimental OCT images is used to define the penetration depth of CXL into the cornea, which varies from $\sim$100$μm$ in the periphery to $\sim$150$μm$ in the central area and exhibits a sharp transition between areas. This information was used in a two-layer analytical model to quantify the stiffness of the treated layer. We also discuss how the elastic moduli of partially CXL-treated cornea layers reconstructed from OCE measurements reflect the effective mechanical stiffness of the entire cornea to properly quantify surgical outcome.

physics.med-ph↗

arXiv2022

Non-contact acoustic micro-tapping optical coherence elastography for evaluating biomechanical changes in the cornea following UV/riboflavin collagen cross linking: ex vivo human study

Purpose: To evaluate changes in the anisotropic elastic properties of ex vivo human cornea treated with UV cross-linking (CXL) using non-contact acoustic micro-tapping Optical Coherence Elastography (AuT-OCE) Design: AuT performed on normal and CXL ex vivo human donor cornea Methods: Elastic properties of normal and UV CXL treated human corneas were quantified using non-contact acoustic micro-tapping Optical Coherence Elastography (AuT-OCE) Main Outcome Measures: Corneal elastic moduli (in-plane Young's, E, and out-of-plane shear, G) can be evaluated in both normal and CXL treated tissues, as well as during the CXL procedure using non-contact AuT-OCE. Results: CXL induced a significant increase in both the tensile and shear moduli in human cornea. The mean in the paired study (pre- and post-, n=7) of the in-plane Young's modulus, E=3u, increased from 19 MPa to 43 MPa while the out-of-plane shear modulus, G, increased from 188 kPa to 673 kPa. Mechanical tests in a subgroup support CXL-induced cornea moduli changes and generally agree with AuT-OCE. Conclusions: The human cornea is a highly anisotropic material where in-plane mechanical properties are very different from those out-of-plane. Non-contact AuT-OCE can measure changes in the anisotropic elastic properties in human cornea as a result of UV-CXL.

physics.med-ph↗

arXiv2022

Spatial resolution in optical coherence elastography of bounded media

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 optical coherence tomography (OCT) capabilities, 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.

physics.optics↗

arXiv2021

Delineating corneal elastic anisotropy in a porcine model using non-contact optical coherence elastography and ex vivo mechanical tests

Objective: To compare non-contact acoustic micro-tapping optical coherence elastography (AuT-OCE) with destructive mechanical tests to confirm corneal elastic anisotropy. Design: Ex vivo, laboratory study with non-contact AuT-OCE followed by mechanical rheometry and extensometry. Subjects: Inflated cornea of whole-globe porcine eyes. Methods: A non-contact transducer was used to launch mechanical waves in the cornea that were imaged with phase-sensitive OCT at physiologically relevant pressures. Reconstruction of both Young's modulus (E) and out-of-plane shear modulus (G) in the cornea from experimental data was performed using a model of a nearly incompressible transversally isotropic (NITI) medium. Samples were then excised and parallel plate rheometry was performed to measure the shear modulus G. Corneal samples were then subjected to strip extensomety to measure the Young's modulus. Main Outcome Measures: Strong corneal anisotropy was confirmed with both AuT-OCE and mechanical tests, with the Young's and shear moduli differing by over an order of magnitude. These results show that AuT-OCE can quantify both moduli with a non-contact, non-invasive, clinically translatable technique.

physics.bio-ph↗