Ambulatory photodynamic therapy: a new concept in delivering photodynamic therapy

Summary Background  Photodynamic therapy (PDT) has been shown to be effective in treating Bowen's disease, superficial basal cell carcinoma and actinic keratosis. Objectives  To investigate the feasibility of delivering PDT using a portable light‐emitting diode device. Methods  A prototype diod...

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Veröffentlicht in:British journal of dermatology (1951) 2006-04, Vol.154 (4), p.747-750
Hauptverfasser: Moseley, H., Allen, J.W., Ibbotson, S., Lesar, A., McNeill, A., Camacho-Lopez, M.A., Samuel, I.D.W., Sibbett, W., Ferguson, J.
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container_end_page 750
container_issue 4
container_start_page 747
container_title British journal of dermatology (1951)
container_volume 154
creator Moseley, H.
Allen, J.W.
Ibbotson, S.
Lesar, A.
McNeill, A.
Camacho-Lopez, M.A.
Samuel, I.D.W.
Sibbett, W.
Ferguson, J.
description Summary Background  Photodynamic therapy (PDT) has been shown to be effective in treating Bowen's disease, superficial basal cell carcinoma and actinic keratosis. Objectives  To investigate the feasibility of delivering PDT using a portable light‐emitting diode device. Methods  A prototype diode array, comprising 37 AlGaInP diodes cast in epoxy with a diffuser, and driven by a battery pack, was designed and constructed. A pilot study was carried out in five patients with histologically proven Bowen's disease who were referred for PDT with 5‐aminolaevulinic acid. They were all treated in the hospital‐based dermatology PDT suite such that each received the same level of supervision as patients receiving PDT with nonambulatory light sources. Patients recorded pain levels. In accordance with our usual practice, patients received two treatments at a 4‐week interval. Results  Four of five patients were clear at follow‐up (range 6–13 months, median 9). Pain was classified as none or mild in 80% of treatments and moderate in the remainder. Conclusions  There are many potential benefits of ambulatory PDT, including the possibility of a much higher patient throughput, and allowing effective treatment at home. This pilot study provides early promising data of the safety and efficacy of this approach.
doi_str_mv 10.1111/j.1365-2133.2006.07145.x
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Objectives  To investigate the feasibility of delivering PDT using a portable light‐emitting diode device. Methods  A prototype diode array, comprising 37 AlGaInP diodes cast in epoxy with a diffuser, and driven by a battery pack, was designed and constructed. A pilot study was carried out in five patients with histologically proven Bowen's disease who were referred for PDT with 5‐aminolaevulinic acid. They were all treated in the hospital‐based dermatology PDT suite such that each received the same level of supervision as patients receiving PDT with nonambulatory light sources. Patients recorded pain levels. In accordance with our usual practice, patients received two treatments at a 4‐week interval. Results  Four of five patients were clear at follow‐up (range 6–13 months, median 9). Pain was classified as none or mild in 80% of treatments and moderate in the remainder. 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Cosmetics ; Equipment Design ; Feasibility Studies ; Humans ; light-emitting diode ; Lighting - instrumentation ; Medical sciences ; Pain - etiology ; Photochemotherapy - adverse effects ; Photochemotherapy - instrumentation ; Photochemotherapy - methods ; photodynamic therapy ; Pilot Projects ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Skin Neoplasms - drug therapy ; Treatment Outcome ; Tumors of the skin and soft tissue. 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Objectives  To investigate the feasibility of delivering PDT using a portable light‐emitting diode device. Methods  A prototype diode array, comprising 37 AlGaInP diodes cast in epoxy with a diffuser, and driven by a battery pack, was designed and constructed. A pilot study was carried out in five patients with histologically proven Bowen's disease who were referred for PDT with 5‐aminolaevulinic acid. They were all treated in the hospital‐based dermatology PDT suite such that each received the same level of supervision as patients receiving PDT with nonambulatory light sources. Patients recorded pain levels. In accordance with our usual practice, patients received two treatments at a 4‐week interval. Results  Four of five patients were clear at follow‐up (range 6–13 months, median 9). Pain was classified as none or mild in 80% of treatments and moderate in the remainder. 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Cosmetics</subject><subject>Equipment Design</subject><subject>Feasibility Studies</subject><subject>Humans</subject><subject>light-emitting diode</subject><subject>Lighting - instrumentation</subject><subject>Medical sciences</subject><subject>Pain - etiology</subject><subject>Photochemotherapy - adverse effects</subject><subject>Photochemotherapy - instrumentation</subject><subject>Photochemotherapy - methods</subject><subject>photodynamic therapy</subject><subject>Pilot Projects</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Skin Neoplasms - drug therapy</subject><subject>Treatment Outcome</subject><subject>Tumors of the skin and soft tissue. 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Cosmetics</topic><topic>Equipment Design</topic><topic>Feasibility Studies</topic><topic>Humans</topic><topic>light-emitting diode</topic><topic>Lighting - instrumentation</topic><topic>Medical sciences</topic><topic>Pain - etiology</topic><topic>Photochemotherapy - adverse effects</topic><topic>Photochemotherapy - instrumentation</topic><topic>Photochemotherapy - methods</topic><topic>photodynamic therapy</topic><topic>Pilot Projects</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Skin Neoplasms - drug therapy</topic><topic>Treatment Outcome</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moseley, H.</creatorcontrib><creatorcontrib>Allen, J.W.</creatorcontrib><creatorcontrib>Ibbotson, S.</creatorcontrib><creatorcontrib>Lesar, A.</creatorcontrib><creatorcontrib>McNeill, A.</creatorcontrib><creatorcontrib>Camacho-Lopez, M.A.</creatorcontrib><creatorcontrib>Samuel, I.D.W.</creatorcontrib><creatorcontrib>Sibbett, W.</creatorcontrib><creatorcontrib>Ferguson, J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moseley, H.</au><au>Allen, J.W.</au><au>Ibbotson, S.</au><au>Lesar, A.</au><au>McNeill, A.</au><au>Camacho-Lopez, M.A.</au><au>Samuel, I.D.W.</au><au>Sibbett, W.</au><au>Ferguson, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ambulatory photodynamic therapy: a new concept in delivering photodynamic therapy</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2006-04</date><risdate>2006</risdate><volume>154</volume><issue>4</issue><spage>747</spage><epage>750</epage><pages>747-750</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract>Summary Background  Photodynamic therapy (PDT) has been shown to be effective in treating Bowen's disease, superficial basal cell carcinoma and actinic keratosis. Objectives  To investigate the feasibility of delivering PDT using a portable light‐emitting diode device. Methods  A prototype diode array, comprising 37 AlGaInP diodes cast in epoxy with a diffuser, and driven by a battery pack, was designed and constructed. A pilot study was carried out in five patients with histologically proven Bowen's disease who were referred for PDT with 5‐aminolaevulinic acid. They were all treated in the hospital‐based dermatology PDT suite such that each received the same level of supervision as patients receiving PDT with nonambulatory light sources. Patients recorded pain levels. In accordance with our usual practice, patients received two treatments at a 4‐week interval. Results  Four of five patients were clear at follow‐up (range 6–13 months, median 9). Pain was classified as none or mild in 80% of treatments and moderate in the remainder. Conclusions  There are many potential benefits of ambulatory PDT, including the possibility of a much higher patient throughput, and allowing effective treatment at home. This pilot study provides early promising data of the safety and efficacy of this approach.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>16536822</pmid><doi>10.1111/j.1365-2133.2006.07145.x</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current)
subjects 5-aminolaevulinic acid
Ambulatory Care - methods
Biological and medical sciences
Bowen's disease
Bowen's Disease - drug therapy
Dermatology
Diseases of the skin. Cosmetics
Equipment Design
Feasibility Studies
Humans
light-emitting diode
Lighting - instrumentation
Medical sciences
Pain - etiology
Photochemotherapy - adverse effects
Photochemotherapy - instrumentation
Photochemotherapy - methods
photodynamic therapy
Pilot Projects
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Skin Neoplasms - drug therapy
Treatment Outcome
Tumors of the skin and soft tissue. Premalignant lesions
title Ambulatory photodynamic therapy: a new concept in delivering photodynamic therapy
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