Comparison between optical coherence tomography technique and mechanical compression assay to evaluate ionizing radiation effects in frozen and lyophilized bone Tissue

Currently tissue banks have utilized ionizing radiation to sterilize bone tissues to be used as allograft. This method is advantageous when compared with other techniques, because the tissue is sterilized in its final packaging avoiding later contaminations, another advantage is due to the fact occur only a minimal increase in temperature, in addition to provide a Sterility Assurance Level (SAL) of 10-6, as recommended by national and international standards. However, there are several studies investigating the modifications that this method of sterilization may cause to the bone matrix, for example, alterations in the resistance to compression force. The compressive mechanical tests are highly used to evaluate the decrease in the mechanical strength; however it is a destructive assay. In this study, we used Optical Coherence Tomography to evaluate these possible changes. This technique is advantageous, for do not destroy the sample and enable the performing of other assays with the same sample. In literature, it is possible to find several studies about mechanical changes occasioned by destructive tests. Therefore, this study aims to compare the results of both techniques. It was selected four donors to obtain eight samples of fibula, through a partnership with the Tissue Bank (Instituto de Traumatologia do Hospital das Clinicas da Universidade de Sao Paulo). From each donor were separated twelve samples for preservation by freezing and twelve samples for preservation by lyophilization. The samples were analyzed by Optical Coherence Tomography (OCT) after irradiation at different doses (15, 25 and 50 kGy), in addition to non-irradiated control. After the samples were analyzed by Optical Coherence Tomography the same were subjected to mechanical testing. The data were analyzed by software developed by Dr. Anderson Zanardi de Freitas to calculate the total attenuation coefficient of photons. Nevertheless, only the preservation method may induce to alterations in the bone matrix, like with the lyophilized samples, in which a decrease of the attenuation coefficient and mechanical resistance was verified, when compared to frozen samples. The lyophilized samples, probably, are the most sensitive to the effects of ionizing radiation, since the 25 kGy dose caused a significant reduction of the total optical attenuation coefficient: also, with this preservation method of preservation, the 50 kGy dose caused a decrease in the compressive stress. (author)