论文标题

撞击引起的软骨损伤使用极化敏感的光学相干断层扫描评估

Impact-Induced Cartilage Damage Assessed using Polarisation-Sensitive Optical Coherence Tomography

论文作者

Goodwin, Matthew, Workman, Joshua, Thambyah, Ashvin, Vanholsbeeck, Frédérique

论文摘要

意义:撞击和补液后立即对关节软骨的结构变化进行非侵入性确定,可深入了解软组织的反应和恢复,并为临床医生提供了量化早期退行性变化的潜在方法。 方法:定制设计的冲击测试钻机用于向牛关节软骨输送0.9 J和1.4 J冲击能量。在撞击前,立即和3小时后,总共对骨头样品进行了55个(n = 28个健康,n = 27个轻度退化)样品。分析PS-OCT图像以评估与表面不规则性,光学衰减和双折射有关的变化。 结果:与健康样品相比,在1.4 J撞击能量之后,轻度退化软骨在双重撞击能量后表现出显着变化,而健康样品被认为归因于退化软骨无法充分利用流体相位来分布和抑制能量。补液后,对极化敏感的图像似乎是“光学恢复”,从而降低了双折射作为绝对度量的可靠性。表面不规则性和光学衰减编码诊断相关的信息,可以作为预测关节软骨的机械响应的标记。

Significance: Non-invasive determination of structural changes in articular cartilage immediately after impact and rehydration provides insight into the response and recovery of the soft tissue, as well as provides a potential methodology for clinicians to quantify early degenerative changes. Approach: A custom-designed impact testing rig was used to deliver 0.9 J and 1.4 J impact energies to bovine articular cartilage. A total of 55 (n=28 healthy, n=27 mildly degenerate) cartilage-on-bone samples were imaged before, immediately after, and 3 hours after impact. PS-OCT images were analysed to assess changes relating to surface irregularity, optical attenuation, and birefringence. Results: Mildly degenerate cartilage exhibits a significant change in birefringence following 1.4 J impact energies compared to healthy samples which is believed to be attributable to degenerate cartilage being unable to fully utilise the fluid phase to distribute and dampen the energy. After rehydration, the polarisation-sensitive images appear to `optically-recover' reducing the reliability of birefringence as an absolute metric. Surface irregularity and optical attenuation encode diagnostically relevant information and may serve as markers to predict the mechanical response of articular cartilage.

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