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可见光和近红外激光以及发光二极管光在动物和人类头部组织中的穿透情况:文献综述

Penetration Profiles of Visible and Near-Infrared Lasers and Light-Emitting Diode Light Through the Head Tissues in Animal and Human Species: A Review of Literature.

作者信息

Salehpour Farzad, Cassano Paolo, Rouhi Naser, Hamblin Michael R, De Taboada Luis, Farajdokht Fereshteh, Mahmoudi Javad

机构信息

Neurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.

Niraxx Light Therapeutics, Inc., Irvine, California.

出版信息

Photobiomodul Photomed Laser Surg. 2019 Oct;37(10):581-595. doi: 10.1089/photob.2019.4676. Epub 2019 Sep 25.

Abstract

Photobiomodulation (PBM) therapy is a promising and noninvasive approach to stimulate neuronal function and improve brain repair. The optimization of PBM parameters is important to maximize effectiveness and tolerability. Several studies have reported on the penetration of visible-to-near-infrared (NIR) light through various animal and human tissues. Scientific findings on the penetration of PBM light vary, likely due to use of different irradiation parameters and to different characteristics of the subject such as species, age, and gender. In this article, we review published data on PBM penetration through the tissues of the head in both animal and human species. The patterns of visible-to-NIR light penetration are summarized based on the following study specifications: wavelength, coherence, operation mode, beam type and size, irradiation site, species, age, and gender. The average penetration of transcranial red/NIR (630-810 nm) light ranged 60-70% in C57BL/6 mouse (skull), 1-10% in BALB/c mouse (skull), 10-40% in Sprague-Dawley rats (scalp plus skull), 20% in rabbit (skull), 0.11% in pig (scalp plus skull), and 0.2-10% in humans (scalp plus skull). The observed variation in the reported values is due to the difference in factors (e.g., wavelengths, light coherence, tissue thickness, and anatomic irradiation site) used by researchers. It seems that these data challenge the applicability of the animal model data on transcranial PBM to humans. Nevertheless, two animal models seem particularly promising, as they approximate penetration in humans: (I) Penetration of 808 nm laser through the scalp plus skull was 0.11% in the pig head; (II) Penetration of 810 nm laser through intact skull was 1.75% in BALB/c mouse. In conclusion, it is worthwhile mentioning that since the effectiveness of brain PBM is closely dependent on the amount of light energy reaching the target neurons, further quantitative estimation of light penetration depth should be performed to validate the current findings.

摘要

光生物调节(PBM)疗法是一种很有前景的非侵入性方法,可刺激神经元功能并促进脑修复。优化PBM参数对于最大化疗效和耐受性很重要。多项研究报告了可见光至近红外(NIR)光在各种动物和人体组织中的穿透情况。关于PBM光穿透的科学发现各不相同,这可能是由于使用了不同的照射参数以及受试者的不同特征,如物种、年龄和性别。在本文中,我们综述了已发表的关于PBM在动物和人类头部组织中穿透情况的数据。基于以下研究规格总结了可见光至NIR光的穿透模式:波长、相干性、操作模式、光束类型和尺寸、照射部位、物种、年龄和性别。经颅红/NIR(630 - 810 nm)光在C57BL/6小鼠(颅骨)中的平均穿透率为60 - 70%,在BALB/c小鼠(颅骨)中为1 - 10%,在Sprague-Dawley大鼠(头皮加颅骨)中为10 - 40%,在兔子(颅骨)中为20%,在猪(头皮加颅骨)中为0.11%,在人类(头皮加颅骨)中为0.2 - 10%。报告值中观察到的差异是由于研究人员使用的因素(如波长、光相干性、组织厚度和解剖照射部位)不同。这些数据似乎对动物模型数据在经颅PBM对人类的适用性提出了挑战。然而,有两种动物模型似乎特别有前景,因为它们的穿透情况与人类相近:(I)808 nm激光在猪头部通过头皮加颅骨的穿透率为0.11%;(II)810 nm激光在BALB/c小鼠中通过完整颅骨的穿透率为1.75%。总之,值得一提的是,由于脑PBM的有效性密切依赖于到达目标神经元的光能数量,因此应进一步进行光穿透深度的定量估计,以验证当前的研究结果。

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