Novel laser system and laser irradiation method reduced the risk of carbonization during laser interstitial thermotherapy: Assessed by MR temperature measurement

Background and Objective: To establish laser interstitial thermotherapy (LITT) for intracranial tumors, the authors investigated a method to regulate localized temperature generated by interstitial laser irradiation using magnetic resonance (MR) temperature mapping. Study Design/Materials and Method...

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Veröffentlicht in:Lasers in surgery and medicine 2001-01, Vol.29 (2), p.108-117
Hauptverfasser: Atsumi, Hideki, Matsumae, Mitsunori, Kaneda, Michihiro, Muro, Isao, Mamata, Yoshiaki, Komiya, Taizo, Tsugu, Atsushi, Tsugane, Ryuichi
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container_end_page 117
container_issue 2
container_start_page 108
container_title Lasers in surgery and medicine
container_volume 29
creator Atsumi, Hideki
Matsumae, Mitsunori
Kaneda, Michihiro
Muro, Isao
Mamata, Yoshiaki
Komiya, Taizo
Tsugu, Atsushi
Tsugane, Ryuichi
description Background and Objective: To establish laser interstitial thermotherapy (LITT) for intracranial tumors, the authors investigated a method to regulate localized temperature generated by interstitial laser irradiation using magnetic resonance (MR) temperature mapping. Study Design/Materials and Methods: A diode laser system and six different types of optical‐fiber system were developed for LITT. The characteristics of temperature profiles produced by each laser‐fiber system were investigated with MR temperature measurement (the water proton chemical technique), and differences in the temperature profile induced by two laser‐irradiation methods (continuous and intermittent) were observed. Results: All fiber systems with the exception of the diffuse‐projection fiber system, created a spherical temperature profile. Carbonization sometimes occurred around the bare‐end fiber tip upon high power laser irradiation. The diffuse‐projection fiber system produced a cylindrical temperature distribution, and the temperature profile showed a more gradual temperature elevation than the bare‐end fiber. No carbonization occurred at the tip of the diffuse‐projection fiber system. In addition, the utilization of the intermittent irradiation method also increased temperature gradually. Fiber‐system modification and intermittent irradiation reduced laser‐beam intensity and the risk of carbonization. Conclusion: The use of a diffuse‐projection fiber system which intermittently transmits a reduced intensity laser beam is an effective tool to regulate temperature during LITT using MR temperature measurement. Lasers Surg. Med. 29:108–117, 2001. © 2001 Wiley‐Liss, Inc.
doi_str_mv 10.1002/lsm.1096
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Study Design/Materials and Methods: A diode laser system and six different types of optical‐fiber system were developed for LITT. The characteristics of temperature profiles produced by each laser‐fiber system were investigated with MR temperature measurement (the water proton chemical technique), and differences in the temperature profile induced by two laser‐irradiation methods (continuous and intermittent) were observed. Results: All fiber systems with the exception of the diffuse‐projection fiber system, created a spherical temperature profile. Carbonization sometimes occurred around the bare‐end fiber tip upon high power laser irradiation. The diffuse‐projection fiber system produced a cylindrical temperature distribution, and the temperature profile showed a more gradual temperature elevation than the bare‐end fiber. No carbonization occurred at the tip of the diffuse‐projection fiber system. In addition, the utilization of the intermittent irradiation method also increased temperature gradually. Fiber‐system modification and intermittent irradiation reduced laser‐beam intensity and the risk of carbonization. Conclusion: The use of a diffuse‐projection fiber system which intermittently transmits a reduced intensity laser beam is an effective tool to regulate temperature during LITT using MR temperature measurement. Lasers Surg. 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Med</addtitle><description>Background and Objective: To establish laser interstitial thermotherapy (LITT) for intracranial tumors, the authors investigated a method to regulate localized temperature generated by interstitial laser irradiation using magnetic resonance (MR) temperature mapping. Study Design/Materials and Methods: A diode laser system and six different types of optical‐fiber system were developed for LITT. The characteristics of temperature profiles produced by each laser‐fiber system were investigated with MR temperature measurement (the water proton chemical technique), and differences in the temperature profile induced by two laser‐irradiation methods (continuous and intermittent) were observed. Results: All fiber systems with the exception of the diffuse‐projection fiber system, created a spherical temperature profile. Carbonization sometimes occurred around the bare‐end fiber tip upon high power laser irradiation. The diffuse‐projection fiber system produced a cylindrical temperature distribution, and the temperature profile showed a more gradual temperature elevation than the bare‐end fiber. No carbonization occurred at the tip of the diffuse‐projection fiber system. In addition, the utilization of the intermittent irradiation method also increased temperature gradually. Fiber‐system modification and intermittent irradiation reduced laser‐beam intensity and the risk of carbonization. Conclusion: The use of a diffuse‐projection fiber system which intermittently transmits a reduced intensity laser beam is an effective tool to regulate temperature during LITT using MR temperature measurement. Lasers Surg. Med. 29:108–117, 2001. © 2001 Wiley‐Liss, Inc.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Brain - pathology</subject><subject>carbonization</subject><subject>Chickens</subject><subject>Diseases of the nervous system</subject><subject>Hyperthermia, Induced</subject><subject>laser-fiber system</subject><subject>laser-interstitial thermotherapy</subject><subject>Lasers</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Muscle, Skeletal</subject><subject>Rabbits</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Results: All fiber systems with the exception of the diffuse‐projection fiber system, created a spherical temperature profile. Carbonization sometimes occurred around the bare‐end fiber tip upon high power laser irradiation. The diffuse‐projection fiber system produced a cylindrical temperature distribution, and the temperature profile showed a more gradual temperature elevation than the bare‐end fiber. No carbonization occurred at the tip of the diffuse‐projection fiber system. In addition, the utilization of the intermittent irradiation method also increased temperature gradually. Fiber‐system modification and intermittent irradiation reduced laser‐beam intensity and the risk of carbonization. Conclusion: The use of a diffuse‐projection fiber system which intermittently transmits a reduced intensity laser beam is an effective tool to regulate temperature during LITT using MR temperature measurement. Lasers Surg. Med. 29:108–117, 2001. © 2001 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>11553897</pmid><doi>10.1002/lsm.1096</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Animals
Biological and medical sciences
Brain - pathology
carbonization
Chickens
Diseases of the nervous system
Hyperthermia, Induced
laser-fiber system
laser-interstitial thermotherapy
Lasers
Magnetic Resonance Imaging
Medical sciences
Muscle, Skeletal
Rabbits
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Temperature
temperature measurement
title Novel laser system and laser irradiation method reduced the risk of carbonization during laser interstitial thermotherapy: Assessed by MR temperature measurement
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