Liu V G, Cowan T M, Jeong S-W, Jacques S L, Lemley E C, Chen W R
Department of Physics and Engineering, University of Central Oklahoma, Edmond, Oklahoma 73034, USA.
Lasers Med Sci. 2002;17(4):272-9. doi: 10.1007/s101030200040.
Laser immunotherapy, a novel therapy for breast cancer, utilises selective photothermal interaction to raise the temperature of tumour tissue above the cell damage threshold. Photothermal interaction is achieved with intratumoral injection of a laser-absorbing dye followed by non-invasive laser irradiation. When tumour heating is used in combination with immunoadjuvant to stimulate an immune response, antitumour immunity can be achieved. In this study, the selective photothermal effect was investigated using gel phantom and chicken breast tissue. An 805-nm diode laser and indocyanine green (ICG) were used. An ICG-containing gelatin phantom was constructed to simulate targeted tumour tissue. The target gel was buried inside chicken breast tissue and the tissue-gel construct was irradiated by the laser. Temperatures at different locations in the construct were measured during the laser irradiation. For comparison, the thermal effect of an Nd:YAG laser on the tissue-gel construct was also investigated. Selective heating of target gel containing 0.27% ICG and buried 1 cm below the chicken tissue surface was achieved with the 805-nm diode laser using a power of 0.85 W and beam radius of 1 cm. The target gel experienced a temperature increase of more then 6 degrees C whereas the surrounding chicken breast tissue experienced only a minor temperature increase. The feasibility of this experimental set-up has been shown. It will be used in the future to optimise treatment parameters such as laser power, laser beam radius, and dye concentration.
激光免疫疗法是一种新型的乳腺癌治疗方法,它利用选择性光热相互作用将肿瘤组织的温度升高到细胞损伤阈值以上。通过瘤内注射激光吸收染料,然后进行非侵入性激光照射来实现光热相互作用。当肿瘤加热与免疫佐剂联合使用以刺激免疫反应时,可实现抗肿瘤免疫。在本研究中,使用凝胶体模和鸡胸组织研究了选择性光热效应。使用了一台805纳米的二极管激光器和吲哚菁绿(ICG)。构建了一个含ICG的明胶体模来模拟靶向肿瘤组织。将目标凝胶埋入鸡胸组织内,并用激光照射组织-凝胶构建体。在激光照射过程中测量构建体内不同位置的温度。为作比较,还研究了Nd:YAG激光对组织-凝胶构建体的热效应。使用功率为0.85瓦、光束半径为1厘米的805纳米二极管激光器,实现了对埋在鸡组织表面以下1厘米处、含0.27%ICG的目标凝胶的选择性加热。目标凝胶温度升高超过6摄氏度,而周围的鸡胸组织温度仅略有升高。已证明该实验装置的可行性。未来将用它来优化诸如激光功率、激光束半径和染料浓度等治疗参数。