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Proceedings Paper

Depth-resolved detection of electrokinetic effects in cartilage using differential phase sensitive optical coherence tomography
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Paper Abstract

Osteoarthritis is a heterogeneous disease characterized by progressive loss of cartilage. The earliest biochemical features, which precede gross pathological changes, include non-uniform loss of proteoglycans associated with increase of water content in tissue and finally, fibrillation of the tissue's collagen network. Loss of proteoglycans decreases the ability of cartilage to withstand compressive loading and makes the tissue softer and more susceptible to wear and fibrilation. If the early loss of proteoglycans is detectable by a non-invasive optical technique, progression of the disease may be arrested using, for example, pharmacologic or surgical intervention. When an electric field is applied to cartilage by an electrical stimulator, the current-generated stress gradients are produced and stress deformation occurs. Since differential phase optical coherence tomography is very sensitive to subsurface stress deformation, we propose to stimulate cartilage electrically and detect stress gradients before gross signs of cartilage degeneration appear. Detection of depth-resolved electromechanical stress gradients in cartilage using differential phase optical coherence tomography may be useful to monitor non-invasively cartilage degeneration. Since the streaming potential and other electrokinetic effects in cartilage are directly proportional to proteoglycan density, application of an electric field in cartilage combined with depth-resolved phase sensitive optical measurements may provide a sensitive indicator of cartilage viability on the molecular-level.

Paper Details

Date Published: 12 September 2003
PDF: 6 pages
Proc. SPIE 4949, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII, (12 September 2003); doi: 10.1117/12.485144
Show Author Affiliations
Jong-In Youn, Beckman Laser Institute and Medical Clinic, Univ. of California/Irvine (United States)
Taner Akkin, Univ. of Texas at Austin (United States)
Brian J. F. Wong, Beckman Laser Institute and Medical Clinic, Univ. of California/Irvine (United States)
George M. Peavy, Beckman Laser Institute and Medical Clinic, Univ. of California/Irvine (United States)
Thomas E. Milner, Univ. of Texas at Austin (United States)


Published in SPIE Proceedings Vol. 4949:
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIII
Eugene A. Trowers; Lawrence S. Bass; Udayan K. Shah; Reza S. Malek; David S. Robinson; Kenton W. Gregory; Lawrence S. Bass; Abraham Katzir; Nikiforos Kollias; Hans-Dieter Reidenbach; Brian Jet-Fei Wong; Timothy A. Woodward; Werner T.W. de Riese; Keith D. Paulsen, Editor(s)

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