Serguei Y. Semenov

Myocardial temperature distribution under cw Nd:YAG laser irradiation in in vitro and in vivo situations: theory and experiment

Tissue samples ranging from 2 to 16 mm in thickness were irradiated at 1064 nm with energies ranging from 40 to 2400 J. Coagulation lesions of in vitro and in vivo experiments were subjected to temperature profiling and submitted for histology. Irreversible damage was calculated with the damage integral formalism, following the bioheat equation solved with Monte Carlo computer light-distribution simulations. Numerical temperature rise and coagulation depth compared well with the in vitro results. The in vivo data required a change in the optical properties based on integrating sphere measurements for high irradiance to make the experimental and numerical data converge. The computer model has successfully solved several light-tissue interaction situations in which scattering dominates over absorption.

Heat-induced changes in optical properties of human whole blood in vitro

The effect of anomalous optical behavior of biological tissue at high-intensity laser irradiation can be caused by heat- induced changes in optical properties of consisting components, mainly muscle tissue and blood. We registered the spectral transmission of fresh human whole blood and serum samples in the wavelength range of 300 - 700 nm at the heating of samples in the temperature range of 35 - 65 degrees Celsius. The results showed an increase of 10 - 15% in the transmission of blood serum at the temperature rising up to 50 - 60 degrees Celsius. In the case of diluted whole blood a sharply enhanced transmission was observed at the temperature of 56 - 60 degrees Celsius, while further heating resulted in a decreased transmission down to the initial level. The significant changes (of a three orders of magnitude) in the transmission of whole blood at the wavelength of Nd:YAG laser (1064 nm) were observed. The obtained results can be considered as one of the possible explanations of the anomalous light distribution in certain tissues.