Detecting emergence of ruptures in individual layers of the stretched intestinal wall using optical coherence elastography: A pilot study

Author:

Kiseleva Elena B.1ORCID,Sovetsky Alexander A.2ORCID,Ryabkov Maksim G.1ORCID,Gubarkova Ekaterina V.1ORCID,Plekhanov Anton A.1ORCID,Bederina Evgeniya L.3ORCID,Potapov Arseniy L.1ORCID,Bogomolova Alexandra Y.1ORCID,Zaitsev Vladimir Y.2ORCID,Gladkova Natalia D.1ORCID

Affiliation:

1. Institute of Experimental Oncology and Biomedical Technologies Privolzhsky Research Medical University Nizhny Novgorod Russia

2. Nonlinear Geophysical Processes Department A.V. Gaponov‐Grekhov Institute of Applied Physics of the Russian Academy of Sciences Nizhny Novgorod Russia

3. University Clinic Privolzhsky Research Medical University Nizhny Novgorod Russia

Abstract

AbstractWe report a new application of compression optical coherence elastography (C‐OCE) to monitor the emergence of ruptures in individual layers of longitudinally stretched small‐intestine walls using tissue samples (n = 36) from nine minipigs. Before stretching, C‐OCE successfully estimated stiffness for each intestine‐wall layer: longitudinal muscular layer with serosa, circumferential muscular layer, submucosa and mucosa. In stretched samples, C‐OCE clearly visualized initial stiffening in both muscular layers. By 25% elongation, a sharp stiffness decrease for the longitudinal muscular layer, indicated emergence of tears in all samples. With further stretching, for most samples, ruptures emerged in the circumferential muscular layer and submucosa, while mucosa remained undamaged. Histology confirmed the OCE‐revealed damaging and absence of tissue damage for ~15% elongation. Thus, C‐OCE has demonstrated a high potential for determining the safety tissue‐stretching threshold which afterward may be used intraoperatively to prevent rupture risk in intestinal tissues stretched during various diagnostic/therapeutic procedures.

Funder

Russian Science Foundation

Publisher

Wiley

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