MEDICAL APPLICATIONS
The aim of this chapter is to discuss principal applications of lasers in
modern medicine.
INTRODUCTION
The main intention is focused on
discuss the most significant applications.
evoke a basic feeling for using certain techniques.
give examples to emphasize substantial ideas and assist the reader in
grasping some technical solutions.
address the Potential difficulties and complications arising from treatment
methods.
INTRODUCTION
There are many medical applications of lasers, and there are different ways
to classify them into groups:
According to the organ to be treated by the laser, such as: Eye, General
Surgery, Dentistry, Dermatology, Blood vessels, Cardiac, etc.
According to the type of laser used for treatment, such as: 𝐶𝑂2 , YAG, and
Argon.
According to the type of treatment, such as diagnostic, surgery,
connecting blood vessels.
INTERACTION BETWEEN LASER RADIATION AND BIOLOGICAL TISSUE
The use of lasers for therapy depends on the interaction of laser beams with
tissue. And the interaction between electromagnetic radiation and biological
tissue depends on:
The wavelength of light, which determines the energy of each photon of
light.
The intensity of radiation (energy delivered).
The shape of irradiation (continuous or pulsed).
Spatial nature of the beam (focused or unfocused).
MECHANISMS OF LASER-TISSUE INTERACTIONS
There are many different mechanisms by which laser light can interact with
Tissue. The most common interaction mechanisms for therapeutic and
surgical applications will be divided into five broad classes:
Photochemical Interaction
Photothermal Interactions
Photoablation Interaction
Plasma-induced Photoablation
Photodisruption
MECHANISMS OF LASER-TISSUE INTERACTIONS
Interesting result shall be stated Before going into detail:
All these seemingly different interaction types share a single common
datum: the characteristic energy density ranges from approximately 1
J/cm2to 1000 J/cm2.
The power density itself varies over 15 orders of magnitude.
The question is How!
The answer is a single parameter distinguishes and primarily controls
these processes: the duration of laser exposure which is mainly identical
with the interaction time itself.
MECHANISMS OF LASER-TISSUE INTERACTIONS
MECHANISMS OF LASER-TISSUE INTERACTIONS
A double-logarithmic map with the five basic interaction types is shown in
Figure 4.1 as found in several experiments. In the figure we note:
The ordinate expresses the applied power density or irradiance in W/cm2
The abscissa represents the exposure time in seconds.
Two diagonals show constant energy fluences at 1 J/cm2 and 1000 J/cm2,
respectively.
MECHANISMS OF LASER-TISSUE INTERACTIONS
According to this chart, the time scale can be roughly divided into five sections:
Continuous wave or exposure times more than 1s for photochemical interactions.
From 1s down to 1μs for thermal interactions.
From 1μs down to 1ns for photoablation.
Less than 1ns for plasma-induced ablation and photodisruption.
The difference between the latter two is attributed to different energy densities.
They will be addressed separately in coming sections, since one of them is solely
based on ionization, whereas the other is an associated but primarily mechanical
effect
END OF LECTURE
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