Measurement of tissue absorption coefficients by use of interferometric photothermal spectroscopy.

We describe a spectroscopic technique called interferometric photothermal spectroscopy (IPTS) that can measure the absorption coefficient of pulsed laser radiation in nonscattering tissue samples. The technique is suitable for measuring effective absorption coefficients from 10(3) to 10(5) cm(-1). IPTS is particularly attractive because it requires minimal disturbance of the sample. These features indicate potential use for in vivo measurements of tissue absorption coefficients. To validate the technique, the absorption coefficient of pulsed Q-switched Er:YSGG (2.79-microm) radiation in pure water was measured to be 5200 (+/-500) cm(-1) when IPTS was used, in agreement with other published values. IPTS was also used to measure the absorption coefficient of pulsed ArF excimer laser radiation (193 nm) in bovine corneal stroma (in vitro), giving a value of 1.9 (+/-0.4) x 10(4) cm(-1).

Comparison of pulsed CO2 laser ablation at 10.6 microm and 9.5 microm.

BACKGROUND AND OBJECTIVE: The pulsed CO2 laser has received attention because of its successful application to dermatologic surgery and burn debridement surgery. Despite impressive results, tissue removal using pulsed CO2 laser irradiation has not been optimized. We examined the ablation processes by performing mass removal and thermal injury experiments at wavelengths where tissue water is the primary absorber (10.6 microm), and where water and collagen have comparable absorption (9.5 microm). STUDY DESIGN/MATERIALS AND METHODS: Samples of porcine reticular dermis were irradiated with 180-ns laser pulses at either wavelength. Tissue removal was measured using a digital balance. Thermal injury was assessed using a microscope with a calibrated reticle after hematoxylin and eosin staining. RESULTS: Tissue removal using 10.6-microm radiation resulted in a heat of ablation of 3,740 J/g, an ablation threshold of 1.15 J/cm2, and a zone of thermal injury of 53 microm. By contrast, tissue removal using 9.5-microm radiation resulted in a heat of ablation of 3,330 J/g, an ablation threshold of 1.47 J/cm2, and a zone of thermal injury of 34 microm. The differences in ablation threshold and thermal injury were statistically significant. CONCLUSION: Pulsed CO2 laser irradiation at 9.5 microm removes tissue more efficiently and with a smaller zone of thermal injury than at 10.6 microm.

Thermodynamic response of soft biological tissues to pulsed infrared-laser irradiation.

The physical mechanisms that achieve tissue removal through the delivery of short pulses of high-intensity infrared laser radiation, in a process known as laser ablation, remain obscure. The thermodynamic response of biological tissue to pulsed infrared laser irradiation was investigated by measuring and analyzing the stress transients generated by Q-sw Er:YSGG (lambda = 2.79 microns) and TEA CO2 (lambda = 10.6 microns) laser irradiation of porcine dermis using thin-film piezoelectric transducers. For radiant exposures that do not produce material removal, the stress transients are consistent with thermal expansion of the tissue samples. The temporal structure of the stress transients generated at the threshold radiant exposure for ablation indicates that the onset of material removal is delayed with respect to irradiation. Once material removal is achieved, the magnitude of the peak compressive stress and its variation with radiant exposure are consistent with a model that considers this process as an explosive event occurring after the laser pulse. This mechanism is different from ArF- and KrF-excimer laser ablation where absorption of ultraviolet radiation by the collagenous tissue matrix leads to tissue decomposition during irradiation and results in material removal via rapid surface vaporization. It appears that under the conditions examined in this study, explosive boiling of tissue water is the process that mediates the ablation event. This study provides evidence that the dynamics and mechanism of tissue ablation processes can be altered by targeting tissue water rather than the tissue structural matrix.

The thermodynamic response of soft biological tissues to pulsed ultraviolet laser irradiation.

The physical mechanisms that enable short pulses of high-intensity ultraviolet laser radiation to remove tissue, in a process known as laser ablation, remain obscure. The thermodynamic response of biological tissue to pulsed laser irradiation was investigated by measuring and subsequently analyzing the stress transients generated by pulsed argon fluorine (ArF, lambda = 193 nm) and krypton fluorine (KrF, lambda = 248 nm) excimer laser irradiation of porcine dermis using thin-film piezoelectric transducers. For radiant exposures that do not cause material removal, the stress transients are consistent with rapid thermal expansion of the tissue. At the threshold radiant exposure for ablation, the peak stress amplitude generated by 248 nm irradiation is more than an order of magnitude larger than that produced by 193 nm irradiation. For radiant exposures where material removal is achieved, the temporal structure of the stress transient indicates that the onset of material removal occurs during irradiation. In this regime, the variation of the peak compressive stress with radiant exposure is consistent with laser-induced rapid surface vaporization. For 193 nm irradiation, ionization of the ablated material occurs at even greater radiant exposures and is accompanied by a change in the variation of peak stress with radiant exposure consistent with a plasma-mediated ablation process. These results suggest that absorption of ultraviolet laser radiation by the extracellular matrix of tissue leads to decomposition of tissue on the time scale of the laser pulse. The difference in volumetric energy density at ablation threshold between the two wavelengths indicates that the larger stresses generated by 248 nm irradiation may facilitate the onset of material removal. However, once material removal is achieved, the stress measurements demonstrate that energy not directly responsible for target decomposition contributes to increasing the specific energy of the plume (and plasma, when present), which drives the gas dynamic expansion of ablated material. This provides direct evidence that ultraviolet laser ablation of soft biological tissues is a surface-mediated process and not explosive in nature.

The effect of laser parameters on the zone of thermal injury produced by laser ablation of biological tissue.

A thermal model to predict the effect of laser parameters on the zone of thermal injury produced by laser ablation of biological tissue is presented. The model suggests that the Péclèt number based on the optical penetration depth of laser radiation is the key parameter in determining the resulting zone of thermal injury. We show that the zone of thermal injury is minimized for Péclèt numbers greater than one since the transport of energy via conduction beyond the ablation front is minimized. We also show that for Péclèt numbers less than one, larger zones of thermal damage are unavoidable regardless of the laser pulse duration. The predictions of the model are compared with data available in the literature. Deviations between the model predictions and published data are discussed and the potential effects of the model assumptions, optical scattering, pyrolysis, temporal pulse shape, pulse duration, irradiance and pulse repetition rate are explored.

The effect of CO2 laser pulse repetition rate on tissue ablation rate and thermal damage.

The ablation rate and thermal damage in skin produced by a superpulsed CO2 laser operating at pulse repetition rates between 1 and 900 Hz was measured. When delivering a fixed number of pulses (20 or 30) of equal energy, a 55-60% increase in the amount of tissue ablated was observed when the pulse repetition rate rose from 10 to 200 Hz. At pulse repetition rates greater than 200 Hz no further increase was seen. Under identical conditions, an 80% increase in the zone of thermal damage was observed when the pulse repetition rate was increased from 1 to 60 Hz. The large increases in tissue ablation and tissue damage may indicate the existence of a layer of mixed-phase (i.e., liquid and vapor) or metastable liquid which can store significant amounts of thermal energy between pulses. The data suggest that CO2 lasers should be operated at relatively low repetition rates for optimal performance.

Oxygen diffusion in blood: a translational model of shear-induced augmentation.

Possible models of shear-induced augmentation of oxygen transfer in laminar blood flow are discussed and evaluated in the light of recently published experimental results [1]. A new transfer augmentation model is presented which evaluates the effect of microscopic translational motions of the red blood cells back and forth across the flow streamlines. The results of this model appear to be consistent with the experimentally measured diffusion augmentation.

Shear-induced augmentation of oxygen transfer in blood.

An experimental study was performed to determine the extent of shear-induced augmentation of oxygen diffusion in blood. The results were obtained using whole human blood in laminar flow through semipermeable membrane tubes. Transfer enchancement in whole blood was found to be dependent on the fluid shear rate and the hemoglobin saturation level. Very little agumentation was observed in saturated blood for shear rates up to 2500 s-1. However, with partially unsaturated blood, oxygen transfer was increased up to 250 percent at the higher shear rates. The implications for modeling oxygen transfer in blood are discussed.