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Quantitative micro-elastography: imaging of tissue elasticity using compression optical coherence elastography

机译:定量微弹性成像:使用压缩光学相干弹性成像对组织弹性进行成像

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摘要

Probing the mechanical properties of tissue on the microscale could aid in the identification of diseased tissues that are inadequately detected using palpation or current clinical imaging modalities, with potential to guide medical procedures such as the excision of breast tumours. Compression optical coherence elastography (OCE) maps tissue strain with microscale spatial resolution and can delineate microstructural features within breast tissues. However, without a measure of the locally applied stress, strain provides only a qualitative indication of mechanical properties. To overcome this limitation, we present quantitative micro-elastography, which combines compression OCE with a compliant stress sensor to image tissue elasticity. The sensor consists of a layer of translucent silicone with well-characterized stress-strain behaviour. The measured strain in the sensor is used to estimate the two-dimensional stress distribution applied to the sample surface. Elasticity is determined by dividing the stress by the strain in the sample. We show that quantification of elasticity can improve the ability of compression OCE to distinguish between tissues, thereby extending the potential for inter-sample comparison and longitudinal studies of tissue elasticity. We validate the technique using tissue-mimicking phantoms and demonstrate the ability to map elasticity of freshly excised malignant and benign human breast tissues.
机译:在微观尺度上探测组织的机械特性可以帮助鉴定使用触诊或当前临床成像方式未充分检测到的患病组织,并有可能指导诸如切除乳腺肿瘤的医疗程序。压缩光学相干弹性成像(OCE)以微尺度的空间分辨率绘制组织应变图,并可以勾勒出乳腺组织内的微结构特征。但是,如果不测量局部施加的应力,则应变只能提供机械性能的定性指示。为了克服此限制,我们提出了定量微弹性成像技术,该技术将压缩OCE与顺应性应力传感器相结合来成像组织弹性。传感器由一层透明的有机硅组成,具有良好的应力应变特性。传感器中测得的应变用于估算施加到样品表面的二维应力分布。通过将应力除以样品中的应变来确定弹性。我们表明,弹性的量化可以提高压缩OCE区分组织的能力,从而扩展了样本间比较和组织弹性纵向研究的潜力。我们验证了使用模仿组织的幻像的技术,并证明了映射新鲜切除的恶性和良性人类乳房组织弹性的能力。

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