Light dosimetry: status and prospects.

This paper is a report on the state of the art of light dosimetry in photomedicine and photobiology. The basic quantity of interest is the radiant energy fluence rate, which can either be measured using a suitable probe, or calculated theoretically from measured optical constants. First, theoretical models used to analyse experimental transmission and reflection data are briefly discussed. It is shown that a two-flux model derived from the transport equation in the diffusion approximation resembles the Kubelka-Munk and other heuristic models. This illustrates the limitations of these models and suggests their abandonment in favour of transport theory. For theoretical energy fluence rate calculations at least three optical constants are needed, namely the absorption coefficient, the scattering coefficient and the average cosine of the scattering angle. These three constants have been measured for very few tissues. In principle only two of the three constants can be measured directly on thin samples, independent of a theoretical model. The energy fluence rate can be measured quantitatively with a miniature fibre optic probe with isotropic response. Such measurements allow indirect determination of the three optical constants. It appears that we are just beginning to understand the distribution of light energy fluence rate in tissues. Tasks for the near future are comparison of methods to measure optical constants, quantitative checks of calculated and measured energy fluence rates in model tissues and optical phantoms and further development of theoretical models. Particular attention is required for boundary conditions, with and without refractive index matching.