激光照射血液疗法中的组织光学研究及其应用

本文从组织光学的角度 ,对激光照射血液疗法中的发展现状与存在问题进行分析 ,提出该领域应开展的若干研究内容。本文开展了激光照射血液疗法所涉及的若干组织光学研究。获得了中国人血液的吸收系数、散射系数、各项异性因子、全衰减系数等 ;研究获得了人血管的若干光学参数。通ＭｏｎｔｅＣａｒｌｏ模拟计算 ,以及实验测试结果 ,分别从理论与实际上分析对比了激光血管内照射时 ,光在人体血管、血液中的分布情况 ,以及不同的激光入射角 ,发散角 ,不同的血管直径等因素对激光血液照射的影响。根据对应的组织光学的研究结果 ,文中还讨论并提出…     

低强度激光的生物效应对组织修复的影响

本文概述了近几年低强度激光照射疗法对促进骨骼肌的再生、关节炎与骨折的修复、改善心肌微循环等方面生物效应的实验研究的新进展,其结果表明低强度激光照射组织具有显著的生物刺激作用和损伤后的修复功能。     

自然和热凝固的人肝组织对KTP/YAG激光的光学特性的比较研究

本文采用双积分球测量系统和Inverse Add ing-Doub ling方法,研究了自然和热凝固的人肝组织对532nm的KTP激光和1 064 nm的Nd:YAG激光的光学特性。结果表明:热凝固的人肝组织对532 nm的KTP激光的吸收系数较自然的肝组织的吸收系数增大了23.5%(P<0.05),热凝固的肝组织对1 064 nm的Nd:YAG激光的吸收系数较自然的肝组织的吸收系数减小了34.3%(P<0.05)。热凝固的人肝组织对532 nm的KTP激光的散射系数较自然的肝组织的散射系数增大了4.50倍(P<0.05),热凝固的肝组织对1 064 nm的Nd:YAG激光的散射系数较自然的肝组织的散射系数增大了6.41倍(P<0.05)。热凝固的人肝组织对532 nm的KTP激光的各向异性因子较自然的肝组织的各向异性因子减小了5.47%,热凝固的肝组织对1 064 nm的Nd:YAG激光的各向异性因子较自然的肝组织的各向异性因子减小了1.95%。     

基于动态光热作用模型的激光诱导肿瘤间质热疗中的参数选择

建立了描述温控加热方式下激光诱导肿瘤间质热疗过程中动态光热作用的二维圆柱坐标下的数学模型,采用基于网格的蒙特卡罗方法数值模拟热疗过程中激光能量在非均质生物组织内的传输过程,基于Pennes生物传热方程和Arrhen ius方程数值求解组织内的温度场和热损伤体积的变化。通过数值模拟的方法分析了激光波长、激光功率、温控范围等因素对激光诱导肿瘤间质热疗中热损伤体积的影响。数值模拟的结果表明,通过选择合适的治疗参数,可以得到各种不同大小的热疗区域。本文的结果和结论对于临床治疗方案的制定具有一定的理论指导意义。     

激光辐照仪器及其在生物医学上的应用

激光辐照仪器及其在生物医学上的应用欧琳陈荣（福建师范大学物理系,福州３５０００７）激光辐照技术已经在细胞生物学、胚胎学、遗传学和医学中得到了广泛的应用。在激光医学中,应用不引起组织不可逆损伤的功率密度和能量密度激光进行照射治疗,称之为低强度照射疗法。...     

采用不同的光传输模型比较研究结肠的散射和吸收特性:离体结肠肿瘤的光学诊断

测定和比较研究了离体的正常的和腺癌的人结肠粘膜/粘膜下层以及正常的和腺癌的人结肠肌层/浆膜组织对630 nm,680 nm,720 nm,780 nm,810 nm,850 nm和890 nm波长的钛宝石激光的散射和吸收系数。采用双积分球测量系统测量组织样品对七个不同波长的激光的准直透射、漫反射和漫透射,从实验所测结果以及分别采用反向倍增法和反演蒙特卡罗技术这两个光学模型计算出组织的散射和吸收系数。研究结果表明,无论是用反向倍增法还是用反演蒙特卡罗法,每一种类型的正常的和腺癌的人结肠组织对同一波长的激光的吸收系数和散射系数有显著性的差异(P<0.01),正常的和腺癌的结肠组织的散射和吸收系数有大的差异,这些结果提示每种类型的正常和腺癌的结肠组织的组份和结构之间有大的差异。四种类型的结肠组织对七个不同波长的激光的散射系数较其吸收系数至少要大三个数量级,而四种类型的结肠组织对七个不同波长的激光的散射系数有相同的数量级。     

超声调制生物介质中光子自相关性质研究

本文首次用Monte Carlo方法研究了超声调制生物介质中散射光子的时间自相关性质,讨论了超声参数、介质的散射系数和吸收系数对自相关函数的影响。正常生物组织和病变生物组织的自相关函数有明显的判别,超声调制自相关函数为光学医学诊断提供了一种新参考。     

热作用致良性前列腺增生组织对KTP/Nd:YAG激光的吸收和散射特性变化

研究了热作用下的良性前列腺增生(BPH)组织对532 nm的KTP和1064 nm的Nd:YAG激光的吸收和散射特性的变化及其差异,实验采用双积分球测量系统以及反向倍增法获取BPH组织的吸收和散射特性。结果表明:热作用下的BPH组织对532 nm和1064 nm的吸收系数和约化散射系数都是随着加热温度的变化而变化的,在20℃到80℃的温度范围内,BPH组织对532 nm的吸收系数和约化散射系数都分别显著地较其对1064 nm的吸收系数和约化散射系数要大,其对532 nm和1064 nm的吸收系数的最大值都在20℃,其值分别为1.663 mm-1和0.127 mm-1,最小值分别在50℃和70℃,其值分别为0.864 mm-1和0.034 mm-1,其对532 nm和1064 nm的吸收系数的最大差异在70℃,其值为2647%,其对532 nm和1064 nm的约化散射系数的最大值都在80℃,其值分别为2.036 mm-1和1.421 mm-1,最小值分别在50℃和70℃,其值分别为1.499 mm-1和0.246 mm-1,其对532 nm和1064 nm的约化散射系数的最大差异在70℃,其值为555%,在70℃的热作用下BPH组织达到完全热凝固,其对532 nm和1064 nm的吸收和散射特性的差异达到最大值。     

不同激光照射方法对周围神经再生的影响

为研究不同半导体激光照射方法对周围神经损伤的影响,将96只家兔随机分为3周,6周,9周,12周4个观察期组,每个观察期组又随机分为不同照射方法的治疗组和对照组。建立动物模型后,各照射组在术后1d开始照射治疗,激光功率为10mw,每次照射10rain,每天一次,连续照射10d。照射治疗A组对准损伤神经吻合部位进行照射,照射治疗B组照射家兔L5、L6脊髓节段,照射治疗c组在对准吻合处进行照射同时还要照射L5、L6脊髓节段,对照组激光输出功率为零。实验结果表明低能量半导体激光照射能促进轴突再生,改善再生神经功能,以同时照射损伤周围神经部位和相应脊髓节段效果最为显著。     

氦氖激光光针在儿科的应用

近些年来,激光在医学领域里的应用日益广泛,已成为临床治疗的重要手段之一。国内外曾有不少学者先后利用低功率激光照射人体穴位以治疗疾患,来替代用传统的金属针针刺穴位的方法。在小儿内科,使用氦氖激光光针照射穴位系无创伤性疗法,且无副作用,现已逐渐应用于小儿内科临床,受到医     

Temperature evolution in tissues embedded with large blood vessels during photo-thermal heating

During laser-assisted photo-thermal therapy, the temperature of the heated tissue region must rise to the therapeutic value (e.g., 43 °C) for complete ablation of the target cells. Large blood vessels (larger than 500 micron in diameter) at or near the irradiated tissues have a considerable impact on the transient temperature distribution in the tissue. In this study, the cooling effects of large blood vessels on temperature distribution in tissues during laser irradiation are predicted using finite element based simulation. A uniform flow is assumed at the entrance and three-dimensional conjugate heat transfer equations in the tissue region and the blood region are simultaneously solved for different vascular models. A volumetric heat source term based on Beer–Lambert law is introduced into the energy equation to account for laser heating. The heating pattern is taken to depend on the absorption and scattering coefficients of the tissue medium. Experiments are also conducted on tissue mimics in the presence and absence of simulated blood vessels to validate the numerical model. The coupled heat transfer between thermally significant blood vessels and their surrounding tissue for three different tissue-vascular networks are analyzed keeping the laser irradiation constant. A surface temperature map is obtained for different vascular models and for the bare tissue (without blood vessels). The transient temperature distribution is seen to differ according to the nature of the vascular network, blood vessel size, flow rate, laser spot size, laser power and tissue blood perfusion rate. The simulations suggest that the blood flow through large blood vessels in the vicinity of the photothermally heated tissue can lead to inefficient heating of the target.     

Temperature regime of biological tissue under photodynamic therapy

An analytical model is proposed to calculate heating of human skin cover under laser light action of photodynamic therapy. A photosensitizer of "Fotolon" is taken as an example. Temperatures of skin surface and of deep dermis regions are studied as a function of time under pulsed and stationary irradiation of skin surface at the wavelength of 665 nm corresponding to the maximum of the photosensitizer absorption band. It is shown that, under the action of a short light pulse, the photosensitizer can lead to an essential temperature rise of dermis due to a considerable increase in its absorption coefficient. However, this rise does not destruct tissue cells because of the short action. Under stationary irradiation, the photosensitizer concentration has a low effect on the temperature regime of tissue. This is related with the specific features in heating of the medium by red light, where the main thermal process in skin is heat transfer over tissue volume from epidermis having a substantially larger absorption coefficient than that of dermis in the said spectral range. The role of blood perfusion in dermis and its effect on the temperature regime of tissue are evaluated.     

Temperature regime of biological tissue under photodynamic therapy

An analytical model is proposed to calculate heating of human skin cover under laser light action of photodynamic therapy. A photosensitizer of «Fotolon» is taken as an example. Temperatures of skin surface and of deep dermis regions are studied as a function of time under pulsed and stationary irradiation of skin surface at the wavelength of 665 nm corresponding to the maximum of the photosensitizer absorption band. It is shown that, under the action of a short light pulse, the photosensitizer can lead to an essential temperature rise of dermis due to a considerable increase in its absorption coefficient. However, this rise does not destruct tissue cells because of the short action. Under stationary irradiation, the photosensitizer concentration has a low effect on the temperature regime of tissue. This is related with the specific features in heating of the medium by red light, where the main thermal process in skin is heat transfer over tissue volume from epidermis having a substantially larger absorption coefficient than that of dermis in the said spectral range. The role of blood perfusion in dermis and its effect on the temperature regime of tissue are evaluated.     

Laser-induced hyperthermia of nanoshell mediated vascularized tissue – A numerical study

Laser-induced hyperthermia treatment of tumor in a 2-D axisymmetric tissue embedded with moderate size (100–150 µm) blood vessels is studied. Laser absorption is enhanced by embedding gold–silica nanoshells in the tumor. Heat transfer in the tissue is modeled using Weinbaum–Jiji bioheat transfer equation. With laser irradiation, the volumetric radiation is accounted in the governing bioheat equation. Radiative information needed in the bioheat equation is calculated using the discrete ordinate method, and the coupled bioheat-radiation equation is solved using the finite volume method. Effects of power density, laser exposure time, beam radius, diameter of blood vessel and volume fractions of nanoshells on temperature spread in the tissue are analyzed.     

Laser-assisted nucleic acid delivery: A systematic review

Gene therapy has become an effective treatment modality for some conditions. Laser light may augment or enhance gene therapy through photomechanical, photothermal, and photochemical. This review examined the evidence base for laser therapy to enhance nucleic acid transfection in mammalian cells. An electronic search of MEDLINE, Scopus, EMBASE, Web of Science, and Google Scholar was performed, covering all available years. The preferred reporting items for systematic reviews and meta-analyses guideline for systematic reviews was used for designing the study and analyzing the results. In total, 49 studies of laser irradiation for nucleic acid delivery were included. Key approaches were optoporation, photomechanical gene transfection, and photochemical internalization. Optoporation is better suited to cells in culture, photomechanical and photochemical approaches appear well suited to in vivo use. Additional studies explored the impact of photothermal for enhancing gene transfection. Each approach has merits and limitations. Augmenting nucleic acid delivery using laser irradiation is a promising method for improving gene therapy. Laser protocols can be non-invasive because of the penetration of desirable wavelengths of light, but it depends on various parameters such as power density, treatment duration, irradiation mode, etc. The current protocols show low efficiency, and there is a need for further work to optimize irradiation parameters.     

Numerical investigation of thermal response of laser-irradiated biological tissue phantoms embedded with gold nanoshells

The work presented in this paper focuses on numerically investigating the thermal response of gold nanoshells-embedded biological tissue phantoms with potential applications into photo-thermal therapy wherein the interest is in destroying the cancerous cells with minimum damage to the surrounding healthy cells. The tissue phantom has been irradiated with a pico-second laser. Radiative transfer equation (RTE) has been employed to model the light-tissue interaction using discrete ordinate method (DOM). For determining the temperature distribution inside the tissue phantom, the RTE has been solved in combination with a generalized non-Fourier heat conduction model namely the dual phase lag bio-heat transfer model. The numerical code comprising the coupled RTE-bio-heat transfer equation, developed as a part of the current work, has been benchmarked against the experimental as well as the numerical results available in the literature. It has been demonstrated that the temperature of the optical inhomogeneity inside the biological tissue phantom embedded with gold nanoshells is relatively higher than that of the baseline case (no nanoshells) for the same laser power and operation time. The study clearly underlines the impact of nanoshell concentration and its size on the thermal response of the biological tissue sample. The comparative study concerned with the size and concentration of nanoshells showed that 60 nm nanoshells with concentration of 5×10¹⁵ mm⁻³ result into the temperature levels that are optimum for the irreversible destruction of cancer infected cells in the context of photo-thermal therapy. To the best of the knowledge of the authors, the present study is one of the first attempts to quantify the influence of gold nanoshells on the temperature distributions inside the biological tissue phantoms upon laser irradiation using the dual phase lag heat conduction model.     

用蒙特卡罗方法模拟光在多层组织中的吸收特性

在讨论目前新颖的组织功能成像打骂能性（例如光声成像）时,光子在组织中的吸收和散射特性是一个很重要的问题,鉴于这一点,本文利用一个多层模型研究了光子在皮肤,脂肪和肌肉组织中的吸收和散射特性,得到了在组织中某一深度处光子在一个平面上的吸收分布,以及在不同吸收系数和散射系数的情况下,光子的反射,吸收和透射几率,结果表明在经过多次散射后,大部分的光子被吸收,在本文的模型中只有7.3%的光子从表面反射（包括镜面反射和漫反射）,还讨论了不同光学参灵敏对参流分布的影响。     

Conditions for equivalency of countercurrent vessel heat transfer formulations.

Previous models of countercurrent blood vessel heat transfer have used one of two, different, equally valid but previously unreconciled formulations, based either on: (1) the difference between the arterial and venous vessels' average wall temperatures, or (2) the difference between those vessels' blood bulk fluid temperatures. This paper shows that these two formulations are only equivalent when the four, previously undefined, "convective heat transfer coefficients" that are used in the bulk temperature difference formulation (two coefficients each for the artery and vein) have very specific, problem-dependent relationships to the standard convective heat transfer coefficients. (The average wall temperature formulation uses those standard coefficients correctly.) The correct values of these bulk temperature difference formulation "convective heat transfer coefficients" are shown to be either: (1) specific functions of (a) the tissue conduction resistances, (b) the standard convective heat transfer coefficients, and (c) the independently specified bulk arterial, bulk venous and tissue temperatures, or (2) arbitrary, user defined values. Thus, they are generally not equivalent to the standard convective heat transfer coefficients that are regularly used, and must change values depending on the blood and tissue temperatures. This dependence can significantly limit the convenience and usefulness of the bulk temperature difference formulations.     

Numerical Modeling of Skin Tissue Heating Using the Interval Finite Difference Method

Numerical analysis of heat transfer processes proceeding in a nonhomogeneous biological tissue domain is presented. In particular, the skin tissue domain subjected to an external heat source is considered. The problem is treated as an axially-symmetrical one (it results from the mathematical form of the function describing the external heat source). Thermophysical parameters of sub-domains (volumetric specific heat, thermal conductivity, perfusion coefficient etc.) are given as interval numbers. The problem discussed is solved using the interval finite difference method basing on the rules of directed interval arithmetic, this means that at the stage of FDM algorithm construction the mathematical manipulations are realized using the interval numbers. In the final part of the paper the results of numerical computations are shown, in particular the problem of admissible thermal dose is analyzed.     

Further studies on the effect of low-dose laser irradiation on cultured retinal pigment cells of the chick

The effect of low-intensity laser irradiation on pigment cells cultured by chorioallantoic method was studied. Laser irradiation influenced the cell shapes and sizes of the pigment cells. Metabolically, this treatment increased thymidine uptake and incorporation but reduced those of leucine. The phagocytic activity as measured by latex particles uptake was not affected. It was concluded that the biological effect of laser irradiation on cell cultures depends on the dose applied, the individual tissue and other factors.