Ocular Imaging and Biomechanics Lab
About
We aim to understand how tissue biomechanics play a role in ocular pathophysiology. We use high-frequency ultrasound elastography to image the eye’s complex responses to intrinsic or applied mechanical loading. High-frequency ultrasound at 20-50MHz offers an ideal combination of resolution, tissue penetration, and displacement sensitivity for non-invasive characterization of ocular tissue biomechanics. We are translating the techniques to the clinics by developing elastography methods that are safe and quick to evaluate biomechanics in the living human eye.
Research
Current research
Glaucoma is a prevalent disease in the elderly that significantly impairs vision and reduces quality of life. The optic nerve is the “cable” transmitting visual signals from the eye to the brain. The optic nerve head (ONH) is the beginning part of the nerve that starts from inside the eye. The ONH and its surrounding tissue are the critical sites of damage in the disease of glaucoma. Intraocular pressure (IOP) is a primary risk factor for glaucoma. However, it remains unclear how IOP acts on the eye to produce damage at the ONH and what factors influencing such damage. We have developed a high-resolution ultrasound elastography method to map and quantify the deformation in the posterior eye. Our results showed that IOP-related mechanical insults are localized in specific regions, particularly in the anterior ONH and such insult is higher in older age. We also showed that compression is the primary mode of deformation in this region.
Grant:
- Columbus Foundation Ann Ellis Fund
Selected Papers:
- S Kwok, Y Ma, X Pan, J Liu*, Three-dimensional ultrasound elastography detects age-related increase in anterior peripapillary sclera and optic nerve head compression during IOP elevation, Investigative Ophthalmology & Visual Science June 2023, 64(7):16. doi:https://doi.org/10.1167/iovs.64.7.162
- S Kwok, M Pan, N Hazen, X Pan, J Liu*, Mechanical Deformation of Peripapillary Retina in Response to Acute Intraocular Pressure Elevation, Journal of Biomechanical Engineering, 2022 Jun 1;144(6):061001. doi: 10.1115/1.4053450
- Y Ma, S Kwok, J Sun, X Pan, E Pavlatos, K Clayson, N Hazen, and J Liu*, IOP-induced regional displacements in the optic nerve head and correlation with peripapillary sclera thickness, Experimental Eye Research, 2020, 200:108202, doi.org/10.1016/j.exer.2020.108202, PMID: 32861767, PMCID: PMC7655654
- Y Ma, E Pavlatos, K Clayson, S Kwok, X Pan, Liu, J*. Three-Dimensional Inflation Response of Porcine Optic Nerve Head Using High-Frequency Ultrasound, Journal of Biomechanical Engineering 2020, 142(5):051013, doi.org/10.1115/1.4045503
- Y Ma, E Pavlatos, K Clayson, X Pan, S Kwok, T Sandwisch, and J Liu*. Mechanical Deformation of Human Optic Nerve Head and Peripapillary Tissue in Response to Acute IOP Elevation, Investigative Ophthalmology and Visual Science, 2019;60:913–920. doi:10.1167/iovs.18-26071
- E Pavlatos, Y Ma, K Clayson, X Pan, and J Liu*. Regional Deformation of the Optic Nerve Head and Peripapillary Sclera During IOP Elevation, Investigative Ophthalmology and Visual Science, 59(7): 3779-3788, 2018
In vivo measurement of ocular biomechanics is challenging. We have developed a high-frequency ultrasound elastographic technique, termed as the ocular pulse elastography (OPE), to characterize the eye’s response to the cyclic change of the intraocular pressure (IOP) at each cardiac cycle, i.e., the ocular pulse. We have shown that the OPE technique, based on high frequency ultrasound radiofrequency data analyses, can provide high-resolution and reliable measurements of the small in vivo strains induced by ocular pulses of a few mmHg. This technique is being developed to address a clinical need to measure corneal stiffness and detect overall or regional abnormalities to help early diagnosis and proper intervention of keratoconus, a disease during which a patient progressively loses vision due to a change in corneal shape. Our elastographic data from keratoconus patients showed a significantly more compliant response of the keratoconic cornea, worsened at higher disease severity, than normal corneas.
Figures:
Figures will be added here
Grant:
Selected papers:
- S Kwok, X Pan, W Liu, A Hendershot, and J Liu*, High-frequency ultrasound detects biomechanical weakening in keratoconus with lower stiffness at higher grade, PLOS ONE, 2022, https://doi.org/10.1371/journal.pone.027174
- S Kwok, N Hazen, K Clayson, X Pan, J Liu*, Regional variation of corneal stromal deformation measured by high-frequency ultrasound elastography, Experimental Biology and Medicine, 2021, 0: 1–8. DOI: 10.1177/15353702211029283
- S Kwok, K Clayson, N Hazen, X Pan, Y Ma, AJ Hendershot, and J Liu*, Heartbeat-Induced corneal axial displacement and strain measured by high frequency ultrasound elastography in human volunteers, Translational Vision Science and Technologies, 2020;9(13):33, doi.org/10.1167/tvst.9.13.33
- K Clayson, E Pavlatos, X Pan, T Sandwisch, Y Ma, and J Liu*. Ocular Pulse Elastography: Imaging Corneal Biomechanical Responses to Simulated Ocular Pulse Using Ultrasound, Translational Vision Science and Technologies, 2020;9(1):5 doi:10.1167/tvst.9.1.5
- E Pavlatos, H Chen, K Clayson, X Pan, and J Liu*. Imaging Corneal Biomechanical Responses to Ocular Pulse Using High-Frequency Ultrasound, IEEE Transactions on Medical Imaging, 2018, 37(2):663-670. doi: 10.1109/TMI.2017.2775146.
Past Research
Despite the consensus that lowering IOP is beneficial for glaucoma patients, the mechanistic details of how IOP contributes to glaucomatous optic neuropathy remain unresolved. The Ocular Hypertension Treatment Study (OHTS) has discovered an unexpected but powerful predictive factor for glaucoma development in ocular hypertensives: a thin cornea is associated with higher risk of glaucoma. This result indicates a link between the ocular shell biomechanical properties to glaucoma risk. Our laboratory is among the first to propose that the biomechanical properties of the ocular shell could play an important role in modulating the dynamics of IOP. For example, we have shown that a stiffer cornea or sclera would result in a higher IOP spike at a given microvolumetric change in the eye. This work helps identify new aspects of IOP-related glaucoma risk to improve decision-making in glaucoma treatment.
a. J Liu and X He, Corneal stiffness affects IOP elevation during rapid volume change in the eye, Investigative Ophthalmology and Visual Science, 2009, 50(5): 2224-2229, PMID: 19151396
b. B Cruz Perez, HJ Morris, RT Hart, J Liu, Finite element modeling of the viscoelastic responses of the eye during microvolumetric changes, Journal of Biomedical Science and Engineering, 6: 29-37, 2013
c. HJ Morris, J Tang, B Cruz-Perez, X Pan, RT Hart, PA Weber, J Liu, Correlation between biomechanical responses of posterior sclera and IOP elevations during micro intraocular volume change, Investigative Ophthalmology and Visual Science, 54(12): 7215-7222, 2013, PMCID: 24130185
d. K Clayson, X Pan, E Pavlatos, R Short, H Morris, RT Hart and J Liu, Corneoscleral stiffening increases IOP spike magnitudes during rapid microvolumetric change in the eye, Experimental Eye Research, 2017 (165): 29-34, PMCID: PMC5705420
Animal models are an important tool for studying the pathophysiology of glaucoma. We have studied scleral mechanics and microstructure in a beagle dog model with spontaneous open angle glaucoma due to an ADAMTS10 mutation. This large animal model offers a unique opportunity to evaluate ocular biomechanics and their role in glaucoma, as the beagle eye shares similar dimensions and anatomy with human eyes. We have reported interesting findings about an early change in scleral properties, prior to IOP elevation, in the affected phenotype, as well as an alteration in scleral collagen microstructure and age-associated changes in scleral mechanics. These studies lay a foundation for future in vivo studies utilizing this animal model to investigate how ocular biomechanics is involved in glaucoma damage.
a. JR Palko, S Iwabe, X Pan, G Agarwal, AM Komáromy, and J Liu, Biomechanical Properties and Correlation with Collagen Solubility Profile in the Posterior Sclera of Canine Eyes With an ADAMTS10 Mutation, Investigative Ophthalmology and Visual Science, 2013, 54(4): 2685-2695, PMCID: PMC3630821
b. JR Palko, HJ Morris, X Pan, CD Harman, KL Koehl, KN Gelatt, CE Plummer, AM Komáromy, J Liu, Influence of age on ocular biomechanical properties in a canine glaucoma model with ADAMTS10 mutation, PLoS ONE, 2016, 11(6): e0156466. PMCID: PMC4894564
c. C Boote, JR Palko, T Sorensen, A Mohammadvali, A Elsheikh, AM. Komáromy, X Pan and J Liu, Changes in posterior scleral collagen microstructure in canine eyes with an ADAMTS10 mutation, Molecular Vision, 2016, 17; 22:503-17. PMCID: PMC4873561
Ophthalmologists have long suspected that abnormal corneal properties could significantly skew clinical readings of IOP. We have developed analytical models to demonstrate that corneal stiffness could have greater influence on IOP measurements than other better-known factors including corneal thickness. Since its publication in 2005, this work has received over 700 citations. We have published two additional papers that demonstrated experimentally how an altered corneal stiffness resulted in significant changes in IOP readings.
a. J Liu and C Roberts, Influence of corneal biomechanical properties on intraocular pressure measurement: quantitative analysis., Journal of Cataract and Refractive Surgery, 2005, 31(1), 146-155, PMID: 15721707
b. J Tang, X Pan, PA Weber, and J Liu, Corneal modulus and IOP measurements in canine eyes using Goldmann applanation tonometry and Tonopen, Investigative Ophthalmology and Visual Science, 2011, 52(11): 7866-7871, PMID: 21896862
c. J Tang, X Pan, PA Weber, and J Liu, Effect of corneal stiffening on Goldmann Applanation Tonometry and Tonopen measurements in canine eyes, Investigative Ophthalmology and Visual Science, 2012, 53(3): 1397- 1405, PMID: 22297494
We have applied uniaxial and biaxial testing methods to measure corneal and scleral mechanical properties in dissected tissues. We have also developed ultrasonic methods that non-invasively determine corneal biomechanical properties correlated with uniaxial testing.
a. X He and J Liu, A quantitative ultrasonic spectroscopy method for non-invasive determination of corneal biomechanical properties, Investigative Ophthalmology and Visual Science 50(11): 5148-5154, 2009
b. J Palko, X Pan and J Liu, Dynamic testing of regional viscoelastic behavior of canine sclera, Experimental Eye Research, 93: 825-832, 2011
c. X He and J Liu, Correlation of corneal acoustic and elastic properties in a canine eye model, Investigative Ophthalmology and Visual Science, 52(2): 731-736, 2011
d. B Cruz Perez, J Tang, HJ Morris, JR Palko, X Pan, RT Hart, J Liu*, Biaxial mechanical testing of posterior sclera using high-resolution ultrasound speckle tracking for strain measurements, Journal of Biomechanics, 47:1151–1156, 2014
People
principal Investigator
Dr. Jun Liu
Professor, Biomedical Engineering
Professor, Ophthalmology and Vision Sciences
(614) 247-8904
liu.314@osu.edu
Biography
Dr. Jun Liu is a Professor of Biomedical Engineering at The Ohio State University. Her research interest is in tissue biomechanics and ultrasound imaging. Her laboratory has developed high-performance ultrasound elastography and imaging methods to characterize complex 3D biomechanical responses of ocular tissue aiming to improve diagnosis and treatment of ocular diseases such as keratoconus and glaucoma. Dr. Liu has been a Principal Investigator or Co-Investigator for NIH-funded projects to develop innovative methods for characterizing ocular biomechanics in vivo and investigating their roles in ocular pathophysiology. She collaborates with researchers in Ophthalmology, Optometry, Veterinary Medicine, Neuroscience, and Bioinformatics. She has a courtesy appointment in Department of Ophthalmology and Visual Sciences, and graduate faculty status in College of Optometry and Biophysics Interdisciplinary Program. She has been a research adviser for postdocs, PhD/MS students, medical students, and undergraduate students; and a mentor for junior faculty at OSU and other institutes. Dr. Liu teaches undergraduate and graduate courses in BME. She is currently the Director of Graduate Studies at BME.
Expertise
Ocular biomechanics, high-frequency ultrasound, ultrasound elastography, mechanical testing, bioimaging, glaucoma, corneal biomechanics, optic nerve head biomechanics, scleral biomechanics, intraocular pressure
Graduate Students
Undergraduate Students
Education: BS Biomedical Engineering 2024
Interests: Artificial intelligence, Image enhancement, Automatic segmentation
Plans: Master, Industry
Hometown: Tehran, Iran / Mason, OH
Alumni
Sunny Kwok
Ph.D. Student in Biomedical Engineering
The Ohio State University
EDUCATION
BS, Biomedical Engineering
The Ohio State University
Nicholas Hazen
Elias Pavlatos
Tommy Sandwisch
Yanhui Ma
Post Doctoral Researcher in Biomedical Engineering
The Ohio State University
EDUCATION
PhD, Computational Mechanics and Advanced Materials, School of Engineering
Cardiff University / Prifysgol Caerdydd
BS, Theoretical and Applied Mechanics, School of Aerospace Engineering
Beijing Institute of Technology
Research Assistant
The Ohio State University
EDUCATION
BS, Biomedical Engineering
The Ohio State University
Keyton Clayson
PhD Candidate in Biophysics
The Ohio State University
EDUCATION
MS, Biophysics
The Ohio State University
BS, Physics, Applied Mathematics
University of Utah
News
Publications
- S Kwok, Y Ma, X Pan, J Liu*, Three-dimensional ultrasound elastography detects age-related increase in anterior peripapillary sclera and optic nerve head compression during IOP elevation, Investigative Ophthalmology & Visual Science June 2023, 64(7):16. doi:https://doi.org/10.1167/iovs.64.7.162
- S Kwok, M Pan, N Hazen, X Pan, J Liu*, Mechanical Deformation of Peripapillary Retina in Response to Acute Intraocular Pressure Elevation, Journal of Biomechanical Engineering, 2022 Jun 1;144(6):061001. doi: 10.1115/1.4053450
- Y Ma, S Kwok, J Sun, X Pan, E Pavlatos, K Clayson, N Hazen, and J Liu*, IOP-induced regional displacements in the optic nerve head and correlation with peripapillary sclera thickness, Experimental Eye Research, 2020, 200:108202, doi.org/10.1016/j.exer.2020.108202, PMID: 32861767, PMCID: PMC7655654
- Y Ma, E Pavlatos, K Clayson, S Kwok, X Pan, Liu, J*. Three-Dimensional Inflation Response of Porcine Optic Nerve Head Using High-Frequency Ultrasound, Journal of Biomechanical Engineering 2020, 142(5):051013, doi.org/10.1115/1.4045503
- Y Ma, E Pavlatos, K Clayson, X Pan, S Kwok, T Sandwisch, and J Liu*. Mechanical Deformation of Human Optic Nerve Head and Peripapillary Tissue in Response to Acute IOP Elevation, Investigative Ophthalmology and Visual Science, 2019;60:913–920. doi:10.1167/iovs.18-26071
- E Pavlatos, Y Ma, K Clayson, X Pan, and J Liu*. Regional Deformation of the Optic Nerve Head and Peripapillary Sclera During IOP Elevation, Investigative Ophthalmology and Visual Science, 59(7): 3779-3788, 2018
Teaching
BME 4110 Bioimaging
BME 6130 Biomedical Ultrasound
BME 7000 Communicating Science in BME (formerly known as “Transferrable skills”)
Contact Us
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4002 Fontana Laboratories140 W 19th AveColumbus, OH 43210-1110
liu.314@osu.edu
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