角膜黏弹性定量测量评估胶原交联处理效果

医学超声关键技术国家地方联合工程实验室, 广东省生物医学信息检测与超声成像重点实验室, 深圳大学医学部,深圳 518060

生物医学测量学; 医学超声; 超声弹性成像; 声辐射力; 角膜; 黏弹性; 胶原交联处理

Assessing the effect of collagen cross-linking by quantitative measurement of corneal viscoelasticity
Zhang Pengpeng, Gao Xuehua, Wang Qingmin, Lyu Zhen, and Zhang Xinyu

Zhang Pengpeng, Gao Xuehua, Wang Qingmin, Lyu Zhen, and Zhang XinyuNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, Health Science Center, Shenzhen University, Shenzhen 518060, P.R.China

biomedical measurement; medical ultrasound; ultrasound elastography; acoustic radiation force; cornea; viscoelasticity; collagen cross-linking

DOI: 10.3724/SP.J.1249.2017.04428

备注

建立基于VerasonicsTM Vantage256 超声开放系统的实验平台,用声辐射力激励角膜振动,通过快速平面波成像检测A0模式兰姆波的传播,根据兰姆波的频散特性估计牛眼角膜的剪切弹性模量和剪切黏性系数.通过对牛眼角膜进行离体实验研究,评估紫外线-核黄素角膜胶原交联术(corneal collagen cross-linking, CXL)中加入戊二醛和不同紫外线照射时间的影响.结果表明,加入质量分数为0.1%的戊二醛对角膜的硬化效果较未加入的更强.加入质量分数为0.1%的戊二醛的CXL处理组,紫外线照射5、10、30和60 min对应的杨氏模量比直接CXL处理组的弹性值分别增大了148.78%、335.68%、392.59%和250.47%.

This study establishes an experimental platform based on VerasonicsTM Vantage 256 ultrasonic open system, and uses the acoustic radiation force to excite the corneal vibration and uses plane wave imaging to detect A0 mode Lamb wave. The corneal shear elastic modulus and shear viscosity are estimated based on Lamb wave dispersion characteristics. In order to validate the effectiveness of this system, two kinds of CXL treatments are introduced to treat bovine corneas, and the effect of the treatment with different reagent and UV exposure duration are evaluated. The results show that the CXL with the addition of glutaraldehyde(0.1% mass concentration)in riboflavin solution induces significantly higher increase in elasticity in comparison with those without glutaraldehyde. The elasticity of the group with glutaraldehyde after 5, 10, 30 and 60 min UVA exposure increases by 148.78%、 335.68%, 392.59% and 250.47%, respectively, in comparison with the groups without glutaraldehyde.

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