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  • Articles  (3)
  • Lasers  (3)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Lasers in medical science 5 (1990), S. 121-128 
    ISSN: 1435-604X
    Keywords: Hyperthermia ; Tissue optics ; Thermal properties ; Lasers ; Cancer therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Physics , Technology
    Notes: Abstract The rationale of hyperthermic treatment of tumours is based on the phenomenon that several tumours have a reduced tolerance for exposure to temperatures in the region 42–47 °C for 20–30 min. Hyperthermia may also be used as an adjunct to other modalities such as chemotherapy, conventional radiation therapy or photodynamic therapy. Methods for introducing hyperthermia include electromagnetic radiation in the radiofrequency and microwave region as well as ultrasonic waves. The use of lasers emitting within the visible and near infrared part of the spectrum has the potential to initiate a local elevation of the temperature. The extension of the heated region will depend on optical wavelength, tissue composition and blood perfusion. Typical linear dimensions of the 42–47 °C temperature region will range from 2–3 mm and up to about 10 mm. Superficial tumours may be heated by direct irradiation whereas deeper lying tumours or lesions of large extent may require light delivered by one or several inserted optical fibres. Laser-induced hyperthermia may be of particular relevance in the treatment of retinal or choroidal tumours. Visible and near infrared radiation can be transmitted through the cornea, the lens and the vitreous with negligible loss. The absorption in the tumour is, however, significantly larger and the main part of the optical power will be absorbed within 0.5–5 mm into the neoplastic tissue. This paper emphasizes a discussion of the basic principles.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Lasers in medical science 5 (1990), S. 395-398 
    ISSN: 1435-604X
    Keywords: Photodynamic therapy ; Lasers ; Light dosimetry ; Skeletal muscle
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Physics , Technology
    Notes: Abstract For precise light dosimetry in photodynamic therapy (PDT), the light penetration characteristics of the tissue concerned need to be assessed. Several attenuation coefficients have so far been measured using 633 nm wavelength red light and human tissue obtained from autopsy or surgery. However, the validity of such ex vivo derived values remains uncertain, and hence is evaluated further in this study. Using a rat thigh muscle model, the tissue transmittance of 633 nm red light was compared between in vivo and ex vivo. Transmittance (in vivo) following preliminary injection of 40 mg kg−1 haematoporphyrin derivative (HPD) was also measured in muscle and liver. The effective attenuation coefficient (⌆eff) ex vivo in muscle was 0.98±0.06 mm−1 and in vivo 0.97 ± 0.05 mm−1. Values agreed within experimental error indicating that in this tissue, changes from in vivo to post-mortem produced no alteration in optical penetration at 633 nm. Preliminary injection of HPD did not influence the penetration depth in muscle although significant changes were observed in an organ of high porphyrin avidity, the liver (0.68±0.08 mm vs 0.40±0.08 mm with HPD). Until techniques for in vivo measurements of light attenuation coefficient become available, the use of ex vivo derived values with 633 nm wavelength light would seem appropriate.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1435-604X
    Keywords: Arteries ; Laser angioplasty ; Transluminal angioplasty ; Heart ; Coronary artery disease ; Lasers
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Physics , Technology
    Notes: Abstract We report our experience in 60 patients using a recently designed 4 French ring catheter system for coronary and a 7 French ring catheter for peripheral percutaneous excimer laser angioplasty. The advantages in comparison to bare fibres comprise an improved flexibility and a central channel for insertion of guide wires to minimize the risk of mechanical vessel wall perforation. The peripheral laser catheter initially transmitted overall energies of 20 mJ pulse−1 (51 mJ pulse−1 mm−2), the coronary device 4.5–5 mJ pulse−1 (32 mJ pulse−1 mm−2). A 50% or more decrease of energy transmission was found in 43% of coronary catheters due to a number of blinded fibres with other fibres remaining intact. This was either due to a retrograde expansion of shock waves generated by the excimer pulse at a calcified lesion, or the result of a deleterious back-reflection of the laser light by contrast media. However, using both laser catheters ablation of plaque in vivo proved to be possible. Small mechanical defects of the catheter tips in 27% did not result in patient related complications. Our initial experience favours further improvement of ring catheters for percutaneous excimer laser angioplasty.
    Type of Medium: Electronic Resource
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