Water content contribution in calculus phantom ablation during Q-switched Tm:YAG laser lithotripsy

Q-switched (QS) Tm:YAG laser ablation mechanisms on urinary calculi are still unclear to researchers. Here, dependence of water content in calculus phantom on calculus ablation performance was investigated. White gypsum cement was used as a calculus phantom model. The calculus phantoms were ablated...

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Veröffentlicht in:Journal of biomedical optics 2015-12, Vol.20 (12), p.128001-128001
Hauptverfasser: Zhang, Jian J, Rajabhandharaks, Danop, Xuan, Jason Rongwei, Wang, Hui, Chia, Ray W. J, Hasenberg, Tom, Kang, Hyun Wook
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container_end_page 128001
container_issue 12
container_start_page 128001
container_title Journal of biomedical optics
container_volume 20
creator Zhang, Jian J
Rajabhandharaks, Danop
Xuan, Jason Rongwei
Wang, Hui
Chia, Ray W. J
Hasenberg, Tom
Kang, Hyun Wook
description Q-switched (QS) Tm:YAG laser ablation mechanisms on urinary calculi are still unclear to researchers. Here, dependence of water content in calculus phantom on calculus ablation performance was investigated. White gypsum cement was used as a calculus phantom model. The calculus phantoms were ablated by a total 3-J laser pulse exposure (20 mJ, 100 Hz, 1.5 s) and contact mode with N=15 sample size. Ablation volume was obtained on average 0.079, 0.122, and 0.391  mm3 in dry calculus in air, wet calculus in air, and wet calculus in-water groups, respectively. There were three proposed ablation mechanisms that could explain the effect of water content in calculus phantom on calculus ablation performance, including shock wave due to laser pulse injection and bubble collapse, spallation, and microexplosion. Increased absorption coefficient of wet calculus can cause stronger spallation process compared with that caused by dry calculus; as a result, higher calculus ablation was observed in both wet calculus in air and wet calculus in water. The test result also indicates that the shock waves generated by short laser pulse under the in-water condition have great impact on the ablation volume by Tm:YAG QS laser.
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There were three proposed ablation mechanisms that could explain the effect of water content in calculus phantom on calculus ablation performance, including shock wave due to laser pulse injection and bubble collapse, spallation, and microexplosion. Increased absorption coefficient of wet calculus can cause stronger spallation process compared with that caused by dry calculus; as a result, higher calculus ablation was observed in both wet calculus in air and wet calculus in water. 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subjects Ablation
Calculus
Drying
Equipment Design
Humans
Lasers
Lasers, Solid-State
Lithotripsy
Lithotripsy, Laser - methods
Mathematical analysis
Microscopy
Moisture content
Phantoms, Imaging
Shock waves
Spallation
Urinary Calculi - pathology
Water - chemistry
title Water content contribution in calculus phantom ablation during Q-switched Tm:YAG laser lithotripsy
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