Opt Lett. 2021 Sep 1;46(17):4248-4251. doi: 10.1364/OL.433429.
Plasmonic photothermal therapy (PPTT), as an increasingly studied treatment alternative, has been widely regarded mostly as a surface tissue treatment choice. Although some techniques have been implemented for interstitial tumors, these involve some grade of invasiveness, as the outer skin is usually broken to introduce light-delivering optical fibers or even catheters. In this work, we present a potential non-invasive strategy using the stereotactic approach, long employed in radiosurgery, by converging multiple near infrared laser beams for PPTT in tissue-equivalent optical phantoms that enclose small gel spheres and simulate interstitial tissue impregnated with plasmonic nanoparticles. The real-time in-depth monitoring of temperature increase is realized by an infrared camera face-on mounted over the phantom. Our results show that a significant reduction in the surface heating can be achieved with this configuration while remarkably increasing the interstitial reach of PPTT, assuring a ∼6 temperature increase for the simulated tumors at 10 mm depth and ∼4 at 15 mm depth and opening up new possibilities for future clinical applications.
等离子体光热疗法(PPTT)作为一种越来越受到研究的治疗方法,主要被认为是一种表面组织治疗选择。尽管已经实施了一些针对间质肿瘤的技术,但这些技术都涉及一定程度的侵入性,因为通常需要打破外皮肤来引入输送光的光纤甚至导管。在这项工作中,我们提出了一种使用立体定向方法的潜在非侵入性策略,该方法长期应用于放射外科手术中,通过汇聚多个近红外激光束,在包含小凝胶球并模拟注入等离子体纳米粒子的间质组织的组织等效光学幻体中进行 PPTT。通过安装在幻体上方的红外摄像机进行实时的深度温度监测。我们的结果表明,这种配置可以显著降低表面加热,同时显著增加 PPTT 的间质范围,保证模拟肿瘤在 10mm 深度处温度升高约 6℃,在 15mm 深度处温度升高约 4℃,为未来的临床应用开辟了新的可能性。