Experimental laser interstitial thermotherapy in ex-vivo porcine tissue at 980 nm and 830 nm

The purpose of these experiments was to compare the temperature increase in ex-vivo porcine mammary chain tissue as a breast tissue model during interstitial laser irradiation with diode lasers emitting at 980 nm and 830 nm. Both wavelengths were delivered at 4.0 W for 10 minutes through a diffusing fiber inserted into ex-vivo porcine tissue. The temperature was measured with a set of 15 thermocouples placed 5, 10, and 15 mm from the fiber axis. The initial rate of temperature increase 5 mm away from the fiber tip was higher at 980 nm (0.12 to 0.20 degree(s)C/s) than at 830 nm (0.10 to 0.16 degree(s)C/s). At 10 mm and 15 mm (areas with less radiation), the rate was smaller than at 5 mm (less than 0.06 degree(s)C/s at 10 mm and less than 0.02 degree(s)C/s at 15 mm) for both wavelengths with no significant difference between the 980 nm and 830 nm radiation. The temperature increase at 5, 10 and 15 mm away from the fiber tip after 10 minutes of irradiation was higher at 980 nm (36 to 45 degree(s)C at 5 mm, 14 to 30 degree(s)C at 10 mm and 9 to 17 degree(s)C at 15 mm) than at 830 nm (27 to 33 degree(s)C at 5 mm, 11 to 17 degree(s)C at 10 mm and 8 to 9 degree(s)C at 15 mm) after 10 minutes. These results were found to be highly dependent on tissue composition (muscle vs. fatty tissue).

[1]  D B Denham,et al.  Interstitial laser hyperthermia model development for minimally invasive therapy of breast carcinoma. , 1998, Journal of the American College of Surgeons.

[2]  D B Denham,et al.  Development of stereotactically guided laser interstitial thermotherapy of breast cancer: In situ measurement and analysis of the temperature field in ex vivo and in vivo adipose tissue , 2000, Lasers in surgery and medicine.

[3]  R. van Hillegersberg,et al.  Heat‐resistant cylindrical diffuser for interstitial laser coagulation: Comparison with the bare‐tip fiber in a porcine liver model , 1997, Lasers in surgery and medicine.

[4]  S Basu,et al.  Interstitial laser hyperthermia, a new method in the management of fibroadenoma of the breast: A pilot study , 1999, Lasers in surgery and medicine.

[5]  V. E. Seregin,et al.  Nd:YAG interstitial laser thermotherapy in the treatment of breast cancer , 1998, Lasers in surgery and medicine.

[6]  D B Denham,et al.  Stereotactic uses beyond core biopsy: model development for minimally invasive treatment of breast cancer through interstitial laser hyperthermia. , 1996, The American surgeon.

[7]  D B Denham,et al.  In Situ temperature measurements with thermocouple probes during laser interstitial thermotherapy (LITT): Quantification and correction of a measurement artifact , 1998, Lasers in surgery and medicine.

[8]  M Paley,et al.  Laser therapy for breast cancer: MR imaging and histopathologic correlation. , 1996, Radiology.

[9]  D Babich,et al.  Histologic evaluation of rat mammary tumor necrosis by interstitial Nd:YAG laser hyperthermia , 1992, Lasers in surgery and medicine.