scholarly journals Measurement of Skin Elasticity Using High Frequency Ultrasound Elastography with Intrinsic Deformation Induced by Arterial Pulsation

Author(s):  
Ryo Nagaoka ◽  
Kazuto Kobayashi ◽  
Yoshifumi Saijo
2019 ◽  
Vol 66 (12) ◽  
pp. 3426-3435
Author(s):  
Fang-Yi Lay ◽  
Pei-Yu Chen ◽  
Hsiang-Fan Cheng ◽  
Yu-Min Kuo ◽  
Chih-Chung Huang

2021 ◽  
pp. 153537022110292
Author(s):  
Sunny Kwok ◽  
Nicholas Hazen ◽  
Keyton Clayson ◽  
Xueliang Pan ◽  
Jun Liu

The cornea’s mechanical response to intraocular pressure elevations may alter in ectatic diseases such as keratoconus. Regional variations of mechanical deformation in normal and keratoconus eyes during intraocular pressure elevation have not been well-characterized. We applied a high-frequency ultrasound elastography technique to characterize the regional deformation of normal and keratoconus human corneas through the full thickness of corneal stroma. A cross-section centered at the corneal apex in 11 normal and 2 keratoconus human donor eyes was imaged with high-frequency ultrasound during whole globe inflation from 5 to 30 mmHg. An ultrasound speckle tracking algorithm was used to compute local tissue displacements. Radial, tangential, and shear strains were mapped across the imaged cross-section. Strains in the central (1 mm surrounding apex) and paracentral (1 to 4 mm from apex) regions were analyzed in both normal and keratoconus eyes. Additional regional analysis was performed in the eye with severe keratoconus presenting significant thinning and scarring. Our results showed that in normal corneas, the central region had significantly smaller tangential stretch than the paracentral region, and that within the central region, the magnitudes of radial and shear strains were significantly larger than that of tangential strain. The eye with mild keratoconus had similar shear strain but substantially larger radial strains than normal corneas, while the eye with severe keratoconus had similar overall strains as in normal eyes but marked regional heterogeneity and large strains in the cone region. These findings suggested regional variation of mechanical responses to intraocular pressure elevation in both normal and keratoconus corneas, and keratoconus appeared to be associated with mechanical weakening in the cone region, especially in resisting radial compression. Comprehensive characterization of radial, tangential, and shear strains through corneal stroma may provide new insights to understand the biomechanical alterations in keratoconus.


2020 ◽  
Vol 142 (5) ◽  
Author(s):  
Yanhui Ma ◽  
Elias Pavlatos ◽  
Keyton Clayson ◽  
Sunny Kwok ◽  
Xueliang Pan ◽  
...  

Abstract Characterization of the biomechanical behavior of the optic nerve head (ONH) in response to intraocular pressure (IOP) elevation is important for understanding glaucoma susceptibility. In this study, we aimed to develop and validate a three-dimensional (3D) ultrasound elastographic technique to obtain mapping and visualization of the 3D distributive displacements and strains of the ONH and surrounding peripapillary tissue (PPT) during whole globe inflation from 15 to 30 mmHg. 3D scans of the posterior eye around the ONH were acquired through full tissue thickness with a high-frequency ultrasound system (50 MHz). A 3D cross-correlation-based speckle-tracking algorithm was used to compute tissue displacements at ∼30,000 kernels distributed within the region of interest (ROI), and the components of the strain tensors were calculated at each kernel by using least square estimation of the displacement gradients. The accuracy of displacement calculation was evaluated using simulated rigid-body translation on ultrasound radiofrequency (RF) data obtained from a porcine posterior eye. The accuracy of strain calculation was evaluated using finite element (FE) models. Three porcine eyes were tested showing that ONH deformation was heterogeneous with localized high strains. Substantial radial (i.e., through-thickness) compression was observed in the anterior ONH and out-of-plane (i.e., perpendicular to the surface of the shell) shear was shown to concentrate in the vicinity of ONH/PPT border. These preliminary results demonstrated the feasibility of this technique to achieve comprehensive 3D evaluation of the mechanical responses of the posterior eye, which may provide mechanistic insights into the regional susceptibility in glaucoma.


Author(s):  
Sunny Kwok ◽  
Manqi Pan ◽  
Nicholas Hazen ◽  
Xueliang Pan ◽  
Jun Liu

Abstract Elevated intraocular pressure (IOP) may cause mechanical injuries to the optic nerve head (ONH) and the peripapillary tissues in glaucoma. Previous studies have reported the mechanical deformation of the ONH and the peripapillary sclera (PPS) at elevated IOP. The deformation of the peripapillary retina (PPR) has not been well-characterized. Here we applied high-frequency ultrasound elastography to map and quantify PPR deformation, and compared PPR, PPS and ONH deformation in the same eye. Whole globe inflation was performed in ten human donor eyes. High-frequency ultrasound scans of the posterior eye were acquired while IOP was raised from 5 to 30 mmHg. A correlation-based ultrasound speckle tracking algorithm was used to compute pressure-induced displacements within the scanned tissue cross-sections. Radial, tangential, and shear strains were calculated for the PPR, PPS, and ONH regions. In PPR, shear was significantly larger in magnitude than radial and tangential strains. Strain maps showed localized high shear and high tangential strains in PPR. In comparison to PPS and ONH, PPR had greater shear and a similar level of tangential strain. Surprisingly, PPR radial compression was minimal and significantly smaller than that in PPS. These results provide new insights into PPR deformation in response of IOP elevation, suggesting that shear rather than compression was likely the primary mode of IOP-induced mechanical insult in PPR. High shear, especially localized high shear, may contribute to the mechanical damage of this tissue in glaucoma.


Author(s):  
Pei-Yu Chen ◽  
Tai-Hua Yang ◽  
Li-Chieh Kuo ◽  
Cho-Chiang Shih ◽  
Chih-Chung Huang

2020 ◽  
Vol 3 (2) ◽  
pp. 122-132
Author(s):  
Sonia Stachowiak ◽  
Aleksandra Buszmak ◽  
Teresa Matthews-Brzozowska ◽  
Leszek Kubisz

The authors reviewed the literature on the most commonly used devices for measuring skin parameters. The instruments were selected to measure: skin elasticity Cutometer® (Courage-Khazaka, Koln, Germany), Reviscometer® RVM600; hydration while using skin properties such as resistance, capacity, conductivity and impedance, the Corneometer CM 820 and CM 825 (Courage & Khazaka, Koln, Germany), Nova DPM 9003 (Nova Technology Corporation, Gloucester, MA, USA), DermaLab® USB Moisture Module (Cortex Technology, Hadsund, Denmark) and Scalar Moisture Checker MY-808S (Scalar Corporation, Japan), to test percutaneous water loss (TEWL) with Tewameter® TM 300 (Courage-Khazaka, Koln, Germany); high-frequency ultrasound scanners Dub®SkinScanner 75 (TPM Company, Lueneburg, Germany), DermaScan® C USB (Cortex Technology, Hadsund, Denmark); for pH measurement Skin-pH-Meter PH 905 (Courage-Khazaka, Koln, Germany), Skin-pH-Meter PH 900 (Courage-Khazaka, Koln, Germany, pH-Meter 1140 (Mettler Toledo, Urdorf, Switzerland); skin sebum is tested by Sebumeter® SM 815 (Courage-Khazaka, Koln, Germany); the Mexameter® MX 18 (Courage-Khazaka, Koln, Germany), CM-2600d Spectrophotometer (Konica Minolta, Tokyo, Japan) and Minolta Chromameter CR-200 (Konica Minolta, Tokyo, Japan. The analysis of measuring devices available on the market introduces the mechanism of their operation and application.


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