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Optical Coherence Tomography Elastography (OCTE) has the potential to be an important diagnostic tool for pathologies including coronary artery disease, osteoarthritis, malignancies, and even dental caries. Many groups, including our own, have performed OCTE using a wide range of approaches. However, current OCTE approaches are not scalable to video rate modulus assessments. While considerable effort has gone into techniques for applying stress and measuring tissue changes, there are substantial challenges that are overlooked largely because they play little role at slow acquisition rates.